female reproductive disorders

a) clients who have fibrocystic breast changes typically have breast pain and rubbery palpable lumps in the upper outer quadrant of the breasts.

a nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast changes. which of the following findings should the nurse expect? a) palpable rubberlike lump in the upper outer quadrant b) BRCA1 gene mutation c) elevated CA-125 d) peau d'orange dimpling of the breast

c) the client should refrain from intercourse to allow time for the surgical site to heal, which is typically about 6 weeks.

a nurse is assisting with the discharge of a client following an anterior and posterior colporrhaphy. which of the following instructions should the nurse provide? a) "do not bend over for at least 6 weeks." b) "you can lift objects as heavy as 10 pounds." c) "do not engage in intercourse for at least 6 weeks." d) "you might have foul-smelling drainage for the first week after surgery."

c) due to urinary stasis associated with a cystocele, this finding is an expected finding of a cystocele. the surgery for a cystocele is an anterior colporrhaphy.

a nurse is collecting data from a client who is scheduled for an anterior colporrhaphy. which of the following client statements should the nurse expect? a) "i have to push the feces out of a pouch in my vagina with my fingers." b) "i have pain and bleeding when i have a bowel movement." c) "i have had frequent urinary tract infections." d) "i am embarrassed by uncontrollable flatus."

a) oral contraceptives cause thickening of the cervical mucus, which slows sperm passage. d) oral contraceptives alter the lining of the endometrium, which inhibits implantation of the fertilized egg. e) oral contraceptives prevent pregnancy by inhibiting ovulation.

a nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. which of the following actions occur with the use of combination oral contraceptives? (select all that apply.) a) thickening cervical mucus b) inducing maturation of ovarian follicle c) increasing development of the corpus luteum d) altering endometrial lining e) inhibiting ovulation

a) the client should perform kegel exercises 30 to 80 times a day. b) the client should contract the circumvaginal perirectal muscles as if trying to stop the flow of urine or passing flatus. c) the client should hold the contraction for 10 seconds. she might need to gradually increase the contraction period to reach this goal. d) the client should follow each contraction with a relaxation period of 10 seconds. e) the client can perform the exercises while lying, sitting, or standing.

a nurse is reinforcing education with a client about how to perform kegel exercises. which of the following instructions should the nuse include? (select all that apply.) a) perform exercises about 50 times each day. b) contract the circumvaginal and perirectal muscles. c) gradually increase the contraction period to 10 seconds. d) follow each contraction with at lease a 10-second relaxation period. e) perform while sitting, lying, and standing. f) tighten abdominal muscles during contractions.

a) virilization, the development of adult male characteristics in a female, is an adverse effect of testosterone. the nurse should tell the client that a deepening voice is an adverse effect of testosterone. b) edema and weight gain are adverse effects of testosterone. e) virilization is an adverse effect of testosterone. the nurse should tell the client that the development of facial hair is an adverse effect of testosterone.

a nurse is reinforcing teaching with a female client who is taking testosterone to treat advanced breast cancer. which of the following are adverse effects of this medication? (select all that apply.) a) deepening voice b) weight gain c) decreased LDL d) dry mucous membranes e) facial hair

d) estrogen increases the risk of thrombolytic events. estrogen use is contraindicated for a client who has a history of thrombophlebitis.

a nurse is reviewing the health care record of a client who is asking about conjugated estrogens. this medication is contraindicated in which of the following conditions? a) atrophic vaginitis b) dysfunctional uterine bleeding c) osteoporosis d) thrombophlebitis

d) advancing age and loss of estrogen related to postmenopausal status are risk factors for the development of a cystocele.

a nurse is reviewing the medical record of a client who has a cystocele. which of the following findings is a risk factor for the development of this disorder? a) BMI 18 b) nulliparity c) chronic constipation d) postmenopause

d)

a patient asks the nurse when she should be screened for breast cancer. what is the nurse's best response, based on the american cancer society's recommendations for breast cancer screening? a) annual screening mammography beginning at age 40, clinical breast examination every 3 years beginning at age 20 and annually beginning at age 40, and practicing breast self-awareness b) annual screening mammography beginning at age 50, annual clinical breast examination beginning at age 50 c) screening mammography beginning every other year beginning at age 50, annual clinical breast examination beginning at age 40, monthly breast self-examination d) baseline screening mammogram at age 35, annual screening mammography beginning at age 40, breast MRI every 5 years beginning at age 40, annual clinical breast examination beginning at age 20, monthly breast self-examination

b)

a patient has just been prescribed lupron for her endometriosis. the nurse should mention which side effects while educating the patient about this drug? a) she may experience breakthrough bleeding. b) reversible symptoms of menopause may occur. c) the medication will reduce the size of her fibroids. d) a form of back-up contraception should be used while taking this drug.

b)

a patient is concerned with developing breast cancer. the nurse recognizes which as the greatest risk factor for developing breast cancer? a) having a first-degree relative who developed breast cancer b) being female and advancing age c) beginning menses before age 12 and never having children d) smoking and obesity

a)

a patient suspects that she may have PMS. the nurse should ask the patient about which symptoms? a) symptoms that occur during the luteal phase of the menstrual cycle b) symptoms that occur during the follicular phase of the menstrual cycle c) symptoms that worsen during menopause d) symptoms that persist throughout the entire menstrual cycle

d)

which patient would be at highest risk for subsequent development of lymphedema? a) a 75-year-old woman with a single focus of biopsy-proven localized ductal carcinoma in situ b) a 65-year-old woman with a known benign cyst c) a 50-year-old woman with a biopsy-confirmed fibroadenoma d) a 62-year-old woman with biopsy-proven invasive ductal carcinoma with palpable axillary lymph nodes and positive node fine-needle aspiration