Chapter 53: Caring for Clients with Disorders of the Female Reproductive System

A female patient is scheduled to undergo a Papanicolaou test. The nurse should advise the patient of which of the following?

Avoid intercourse for 2 days prior to the procedure.

A new client has come to the clinic seeking an appropriate method of birth control. What would the nurse teach this client about a diaphragm?

The diaphragm may be cleaned with soap and water after use.

A nurse is providing patient education to a patient as part of her work in a fertility clinic. The nurse explains possible reasons for infertility. When explaining how the ovaries are involved in conception what will the nurse stress?

The ovaries contain all of the ova that a woman will have at birth

Which external reproductive structure is removed by circumcision?

prepuce

A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find:

deposits of adipose tissue in the trunk and dorsocervical area.

Which structure is referred to as the vulva?

external female genitalia

The nurse is assessing a client who believes that she has recently begun menopause. What principle should inform the nurse's interactions with this client?

The nurse must carefully assess the client's feelings and beliefs surrounding menopause.

A newly pregnant client is being assessed in an obstetric clinic. The client states that she has been experiencing intense abdominal pain and the nurse anticipates that the client will be assessed for ectopic pregnancy. In addition to ultrasonography, what diagnostic test should the nurse anticipate?

Human chorionic gonadotropin (hCG) testing

A client presents with a huge lower jaw, bulging forehead, large hands and feet, and frequent headaches. What could be causing this client's symptoms?

Hyperpituitarism

The examiner is preparing to perform a pelvic examination. Which of the following would be done first?

Inspection of the external genitalia

An adolescent is brought to the clinic by her mother because of abnormal uterine bleeding. The nurse should understand that the most likely cause of this dysfunctional bleeding pattern is what?

Lack of ovulation

Which of the following assessments should the nurse perform to determine the development of peptic ulcers when caring for a patient with Cushing's syndrome?

Observe the color of stool.

A 27-year-old primipara presents to the ED with vaginal bleeding and suspected contractions. The woman relates that she is 14 weeks pregnant and she thinks she is losing her baby. Diagnostic testing confirms a spontaneous abortion. What nursing action would be a priority at this time?

Provide opportunities for the client to talk and express her emotions.

A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate?

Retention of urine

A couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?

Serum progesterone

A patient who is scheduled for a gynecologic examination and Pap smear informs the nurse that she just began her menstrual cycle. What is the best response by the nurse?

"We will reschedule your examination when you have finished menstruating."

A nurse educator explains to a group of young male students that ejaculation is the discharge of semen, or fluid that contains sperm, from the penis. The normal volume of ejaculate is _______, which contains an average of ________ spermatozoa per milliliter.

2 to 6 mL; 60 to 100 million

The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple?

Hopelessness related to failed IVF

A nurse is collecting assessment data from a premenopausal client who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow?

Amenorrhea

A group of nursing students are reviewing information about the structure and function of the female reproductive system in preparation for an examination. The students demonstrate understanding when they identify which of the following as an internal structure?

Fallopian tube

A nurse practitioner is teaching a woman how to do a BSE. While inspecting the breasts, the nurse notes this abnormal sign. Which of the following is considered an abnormal sign?

Dimpling or retraction

Which term refers to difficult or painful sexual intercourse

Dyspareunia

A premenopausal client is complaining of vaginal spotting and sharp, colicky lower abdominal pain. She informs the nurse that her period is 2 weeks late. The nurse should recognize a need for this client to be investigated for what health problem?

Ectopic pregnancy

The nurse, who is conducting a Papanicolaou (Pap) smear, performs which actions to promote client comfort during the procedure? Select all that apply.

Ensure warming of the speculum Lubricate the blades of the speculum Explain to the client that some discomfort is normal

A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination. Which action by the nurse would be most appropriate?

Ensuring that the client has a full bladder

The nurse is caring for a client who is being supplemented with the hormone responsible for developing and maintaining the female reproductive organs. This client is being treated with what hormone?

Estrogen

The nurse practitioner who assesses a patient with hyperthyroidism would expect the patient to report which of the following conditions?

Weight loss

When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:

a blood pressure of 176/88 mm Hg.

During physical examination of the male reproductive system, which method would best provide the nurse information about the prostate's size as well as evidence of tumor?

digital rectal examination

Within the female internal reproductive structures, where is the egg most commonly fertilized?

fallopian tubes