Maternity: Chapter 11

A nurse is reviewing risk factors for endometrial cancer. Which woman should the nurse anticipate has being at highest risk for endometrial cancer? a.A postmenopausal woman with hypertension b.A woman who has an intrauterine device (IUD) c.A client who has been on oral birth control for 15 years A perimenopausal woman who has a cystocele

a.A postmenopausal woman with hypertension

A woman has preinvasive cancer of the cervix and considering treatment. Which option should the nurse identify as being an available treatment? a.Cryosurgery b.Colposcopy c.Hysterectomy d.Internal irradiation

a.Cryosurgery

When obtaining a health history, the nurse should be aware that the most common malignancy of the reproductive system is: a.Endometrial cancer b.Cervical cancer c.Ovarian cancer d.Vulvar and vaginal cancer

a.Endometrial cancer

A woman has just been diagnosed with asymptomatic uterine fibroids. The client asks the nurse, "Do I need to have my uterus removed?" Which is the best response by the nurse? a."You need to remove it because fibroids will become cancerous if left in place." b."Your practitioner can help you decide whether you need a hysterectomy." c."A pessary can be inserted into the vagina to help relieve symptoms." d."Fibroids may cause pelvic prolapse in the future."

b."Your practitioner can help you decide whether you need a hysterectomy."

A mother in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems as well as sensations of bearing down and of something in her vagina. The nurse recognizes this is most likely due to? a.Pelvic relaxation b.Cystoceles and/or rectoceles c.Uterine prolapse Genital fistulas

b.Cystoceles and/or rectoceles

What information will the nurse include in planning for the care of a woman who has had a vaginal hysterectomy? a.To be fully recovered in 4 to 6 weeks. b.To expect no changes in her hormone levels. c.To expect surgical menopause. d.Tub baths should be taken in order to aid healing.

b.To expect no changes in her hormone levels.

In the use of a two-client model for a cancer client who is pregnant, which emphasis would the nurse use for clinical ethical decision making? a.Attention would be focused on the maternal-fetal unit. b.Emphasis would be placed on maternal well-being. c.Consideration would focus on promotion of fetal well-being. d.Attention would focus on the parent's preference.

c.Consideration would focus on promotion of fetal well-being.

Which interventions could be implemented by the nurse in the care of a client who is experiencing altered taste sensation as a result of radiation therapy? (Select all that apply.) a.Having her drink clear liquids. b.Avoiding carbonated liquids c.Having her eat chicken or fish in the diet rather than red meat d.Having her eat tart foods. e.Avoiding alcoholic beverages. f.Avoiding alcoholic beverages.

c.Having her eat chicken or fish in the diet rather than red meat d.Having her eat tart foods.

The nurse is providing preoperative teaching to a client who is scheduled for a myomectomy. Which of the following should the nurse understand relative to the choice of this surgical procedure? a.It is used to treat the presence of numerous small fibroids. b.Bartholin cysts can be removed by this procedure. c.It is used to remove fibroids near the outer wall of the uterus that is no larger than a uterus at 12 weeks of gestation d.It allows for removal of leiomyomas in a uterus larger than one at 14 weeks of gestation.

c.It is used to remove fibroids near the outer wall of the uterus that is no larger than a uterus at 12 weeks of gestation

A nurse is reviewing a client's pathology report which indicates carcinoma in situ (CIS). Which of the following clinical presentations does the nurse identify as being consistent with CIS? a.Abnormal cells located in the uterine fundus b.Abnormal proliferations of cells found in the lower one third of the epithelium c.Endometriosis d.Abnormal cells noted in the full thickness of the epithelium

d.Abnormal cells noted in the full thickness of the epithelium

A nurse is monitoring a client has just returned from a uterine artery embolization (UAE) procedure. Prior to discharge it is very important to discuss symptoms that require a call to the health care provider. Which of the following findings would the nurse identify as not requiring the client to contact the physician? a.Fever of 39° C b.Swelling or hematoma at the puncture site c.Abnormal vaginal discharge d.Urinary frequency

d.Urinary frequency