Chapter 27: Common Reproductive Conditions

The plan of care for a woman diagnosed with a suspected reproductive cancer includes a nursing diagnosis of disturbed body image related to suspected reproductive tract cancer and impact on sexuality as evidenced by the client's statement that she is worried that she will not be the same. Which outcome would be appropriate for this client?

Client will verbalize positive statements about self and sexuality.

The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include?

High-grade dysplasia progresses to invasive cervical cancer in about 2 years.

The nurse is providing care to a client with abnormal uterine bleeding. Treatment with medications has been unsuccessful, and surgical intervention is being considered. The nurse identifies which technique as being the last resort?

Hysterectomy

A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage?

III

The nurse is teaching a client who has several risk factors for developing pelvic organ prolapse (POP) about the importance of dietary and lifestyle modifications in helping to prevent this disorder. Which suggestions should the nurse include in her teaching?

Increase daily fiber. Increase daily fluids. Achieve ideal weight. Avoid lifting heavy objects. Give up smoking.

A patient you are caring for has returned to her room after vulvar surgery. What would be an important intervention during the initial postoperative period?

Monitoring the surgical site for signs of infection

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. "I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as:

Perimenopause

The nurse would expect which client to be at a high risk for developing a pelvic support disorder?

a 60-year-old mother with four children

A nurse is reviewing the symptoms of ovarian cancer with a recently diagnosed 60-year-old woman. Which are common symptoms of ovarian cancer?

abdominal fullness back pain abdominal pressure

The nurse is assessing a 52-year-old perimenopausal female who is concerned about the changes occurring in her body. When questioned about the most serious changes, which effect should the nurse point out?

bone mineral density decreases

A client is diagnosed with an enterocele. The nurse interprets this condition as:

bulging of the small intestine through the posterior vaginal wall.

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client?

clear information on the disease, management, and treatment

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease:

involves one or both ovaries and extends into the pelvis.

A 47-year-old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to:

menopause

A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client?

ovarian cancer

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?

participating in regular daily exercise

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele?

protrusion of the bladder wall through the anterior vaginal wall

A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head, but I've got hair on my chin and upper lip. I don't feel like a woman anymore." Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would the nurse identify as the priority?

situational low self-esteem related to masculinization effects of the disease

A nurse is conducting an in-service program for a group of staff nurses. After teaching the group about ovarian cysts, the nurse determines that the teaching was successful when the group identifies which type of cyst as being associated with hydatidiform mole?

theca-lutein cyst

In a postmenopausal woman with abnormal vaginal bleeding, which diagnostic test would the nurse expect the primary care provider to determine whether an endometrial biopsy is needed?

transvaginal ultrasound

The nurse is reviewing with a new client the diagnosis of polycystic ovarian syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome?

type 2 diabetes

The nursing student exhibits an understanding of pelvic organ prolapse (POP) when she correctly identifies which factors as contributing to its development?

vaginal birth obesity lifting chronic cough estrogen deficiency

A woman with uterine prolapse has undergone a vaginal hysterectomy and is being discharged home with an indwelling urinary catheter in place. The client will be using a leg bag during the day. Which instructions would the nurse most likely include in the client's discharge teaching plan?

"Be sure to empty your leg bag frequently throughout the day." "Clean your perineal area each day with a mild soap and water."

A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct?

"Human papillomavirus is the cause of essentially all cases of cervical cancer."

A nurse is preparing a client for discharge following an abdominal hysterectomy for fibroids. After providing discharge teaching, the nurse determines that the teaching was successful based on which client statement?

"I should shower rather than take a tub bath."

The nurse is conducting a presentation about urinary incontinence for a local women's group. During the presentation, which statement by a member of the group would the nurse need to clarify?

"It's normal for a woman to develop incontinence as she ages."

Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility?

"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."