Repro A&P pot #1

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film? a. "Don't wear any jewelry around your neck on the day of the test." b. "Avoid using a deodorant with aluminum hydroxide." c. "Make sure not to eat or drink for 4 hours before the test." d. "Drink at least 1 quart of water 45 minutes to 1 hour before the test."

b "Avoid using a deodorant with aluminum hydroxide."

Which statement demonstrates that a client has understood instructions about breast self-examination? a. "I should perform the exam on the first day of my menstrual period." b. "I need to use the pads of three fingers to apply pressure when checking each breast." c. "I should move the palm of my hand around the breast in a diagonal fashion." d. "I don't need to check the nipple area of the breast or under my arm."

b "I need to use the pads of three fingers to apply pressure when checking each breast."

Which term refers to difficult or painful sexual intercourse? a. Amenorrhea b. Dyspareunia c. Dysmenorrhea d. Endometriosis

b Dyspareunia

Which test is an x-ray study of the uterus and the fallopian tubes after injection of a contrast agent? a. Laparoscopy b. Hysterosalpingography c. Hysteroscopy d. Endometrial ablation

b Hysterosalpingography

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? a. "This will have no bearing on your test today." b. "We will proceed with the examination and reschedule your Pap smear for next week." c. "We will reschedule your examination when you have finished menstruating." d. "We will do the test and take into consideration that you are menstruating."

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

The nurse is seeing a client who has been told her Papanicolaou smear results are abnormal. The client states, "I can't believe I have cancer." What is the nurse's best response? a. "Most of the time there has been a mistake in the cell sample." b. "Cervical cancer has a very good prognosis." c. "You were probably menstruating when the sample was taken." d. "Abnormal results happen for many different reasons, not just cancer."

d"Abnormal results happen for many different reasons, not just cancer."

The nurse is scheduling an appointment for Pap test with a client. What information should the nurse provide to the client to ensure the test is accurate? Select all that apply. a. "It is best if you come during your menstrual period." b. "Ensure you have used any vaginal medication creams prior to the test." c. "Use vaginal cleansers such as douche to prepare for the test." d. "Avoid sexual intercourse for at least 2 days prior to the test." e. "Use a sanitary pad instead of tampon 2 to 3 days prior to the test."

d. "Avoid sexual intercourse for at least 2 days prior to the test." e. "Use a sanitary pad instead of tampon 2 to 3 days prior to the test."

A client who is in the first trimester of pregnancy has experienced an incomplete spontaneous abortion (or miscarriage). The obstetric nurse should prepare the client for what possible intervention? a. Dilation and curettage b. Several days of bed rest c. Administration of hydromorphone d. IV administration of clomiphene

a Dilation and curettage

The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening? a. Labia majora and minora b. Meatus c. Clitoris d. Fourchette

a Labia majora and minora

In your role as nursing director at the local free clinic, you spend a significant amount of time instructing young women about their bodies and maintaining sexual health. Instruction regarding conception includes the structures involved and their roles. Within the female internal reproductive structures, where is the egg fertilized with the sperm most commonly? a. Fallopian tubes b. Cervix c. Fundus d. Endometrium

a. Fallopian tubes

The physician and nurse are completing a physical examination of the male genitalia. Which assessment findings are documented? Select all that apply. (Read question!) a. Inspection for urethral drainage b. Cultures c. Digital rectal examination d. Transillumination e. Palpation of the testes f. Prostate-specific antigen level

a. Inspection for urethral drainage c. Digital rectal examination d. Transillumination e. Palpation of the testes

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? a. Computed tomography b. Human chorionic gonadotropin (hCG) testing c. Estrogen and progesterone testing d. Abdominal x-ray

b Human chorionic gonadotropin (hCG) testing

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system? a. The volume and viscosity of seminal fluid increase with age. b. Men retain the ability to fertilize ova irrespective of age. c. There is a gradual increase in sperm and testosterone production. d. The scrotum becomes less pendulous and becomes firm.

b Men retain the ability to fertilize ova irrespective of age.

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? a. Unevenness in size b. Asymmetry c. Dimpling or retraction

c Dimpling or retraction

A 17-year-old girl has come to the free clinic for her annual examination. She tells the nurse she uses tampons and asks how long she may safely leave her tampon in place. What is the nurse's best response? a. "You may leave the tampon in overnight." b. "The tampon should be changed at least twice per day." c. "Tampons are dangerous and, ideally, you should not be using them." d. "Tampons need to be changed every 4 to 6 hours."

d "Tampons need to be changed every 4 to 6 hours."

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? a. Introitus b. Bartholin gland c. Clitoris d. Fallopian tube

d Fallopian tube

After teaching a client scheduled for a dilation and curettage (D&C;) about the procedure, the nurse determines that the teaching was successful when the client states which of the following? a. "I might feel some cramping and a little faint during the procedure." b. "I'll need to refrain from eating for at least 8 hours after the procedure." c. "I should avoid using tampons for about 2 weeks after the procedure." d. "I might notice some shoulder pain after the procedure."

c "I should avoid using tampons for about 2 weeks after the procedure."

The nurse is caring for a client who has been admitted to hospital for uterine bleeding after incomplete miscarriage. The nurse knows what will be included in this client's treatment? a. Dilation and curettage b. Endometrial ablation c. Ultrasonography d. Hysteroscopy

a Dilation and curettage

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? a. Estrogen b.Progesterone c. Androgens d.Follicle-stimulating hormone

a Estrogen

The examiner is preparing to perform a pelvic examination. Which of the following would be done first? a. Inspection of the external genitalia b. Inspection of the cervix c. Specimen collection for a Pap smear d. Bimanual palpation

a Inspection of the external genitalia

A Class 5 Pap smear would be interpreted as which of the following? a. Malignant b. Normal c. Probably normal d. Suspicious

a Malignant

The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test? a. Administer an enema prior to arrival. b. Administer a low-dose sedative prior to arrival. c. Avoids fluids after midnight. d. Empty the bladder prior to the exam.

a Administer an enema prior to arrival.

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? a. Amenorrhea b. Dysmenorrhea c. Menorrhagia d. Metrorrhagia

a Amenorrhea

A female patient is scheduled to undergo a Papanicolaou test. The nurse should advise the patient of which of the following? a. Avoid intercourse for 2 days prior to the procedure. b. Have a douche prior to the procedure. c. Do not discontinue the use of vaginal medications if any. d. Avoid consuming food containing iodine 48 hours prior to the procedure.

a Avoid intercourse for 2 days prior to the procedure.

A nurse in a gynecology office is talking with a client who is scheduled to have a Papanicolaou test. What information should the nurse provide the client in preparation for a Papanicolaou test? a. Avoid intercourse for 2 days prior to the procedure. b. Have a douche prior to the procedure. c. Do not discontinue the use of vaginal medications. d. Avoid consuming food containing iodine 48 hours prior to the procedure.

a Avoid intercourse for 2 days prior to the procedure.

The nurse is discussing nutritional needs for a postmenopausal patient. What dietary increase should the nurse recommend to the patient? a. Calcium b. Iron c. Salt d. Vitamin K

a Calcium

A client is scheduled to undergo an abdominal ultrasonography. The technician instructs the client to drink at least 1 quart of water 45 minutes to 1 hour before the test and not to void until after the test is completed. What other instruction is given to the client for the test? a. Restrict solid food for 6 to 8 hours before the test. b. Avoid strenuous exercise for 24 hours before the test. c. Do not consume anything sweet for 24 hours before the test. d. Avoid exposure to sunlight for at least 6 to 8 hours before the test.

a Restrict solid food for 6 to 8 hours before the test

Which of the following positions is commonly used for a pelvic examination? a. Supine lithotomy b. Prone c. Reverse Trendelenburg d. Trendelenburg

a Supine lithotomy

Which structure is referred to as the vulva? a. external female genitalia b. clitoris c. mons pubis d. vagina

a external female genitalia

A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse? a. Pain level of 7 on the 0-to-10 pain scale b. Skin, cold; pulse,110 beat/minute; blood pressure, 104/64 mm Hg c. Dark drainage noted on surgical pad d. Fleshy smell noted to perineal region

b Skin, cold; pulse,110 beat/minute; blood pressure, 104/64 mm Hg

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? a. Ova quickly degenerate and most are absorbed in the body before the age of 12 b. The ovaries contain all of the ova that a woman will have at birth c. Ova aggregate, causing millions to be contained in a storage site call a follicle d. Follicles produce only estrogen; the uterus produces progesterone

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

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? a. Giving the client a mild sedative before the procedure b. Administering laxatives and an enema prior to the procedure c. Ensuring that the client has a full bladder d. Checking that it has been 5 days since the end of her menses

c Ensuring that the client has a full bladder

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? a. digital rectal examination b. scrotal radiography c. inspection of the size of the scrotum d. transillumination

a digital rectal examination

A client is preparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid? a. ensuring sperm survival b. lubrication c. enhancing sperm motility d. stimulating uterine contraction

a ensuring sperm survival

Within the female internal reproductive structures, where is the egg most commonly fertilized? a. fallopian tubes b. cervix c. fundus d. endometrium

a fallopian tubes

Which female reproductive structure is used as forensic evidence in rape trials following significant trauma during a violent assault? a. fourchette b. Bartholin's gland c. hymen d. clitoris

a fourchette

Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production? a. scrotum b. testicles c. epididymis d. shaft

a scrotum

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? a. Painful erection b. Inability to defecate c. Retention of urine d. Lower sperm count

c Retention of urine

A female client severely reduced her body fat through extreme caloric restriction and exercise. Which reproductive abnormalities could she acquire as a result of the reduction in body fat? a. Delay or cessation of menstruation b. Higher risk of fibrocystic breast disease c. Polycystic ovarian syndrome d. Small breasts

a Delay or cessation of menstruation

Which of the following would the nurse expect to be done to assess the size of the prostate? a. Digital rectal examination b. Transillumination c. Pelvic examination d. Bladder percussion

a Digital rectal examination

As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your client education sessions, you discuss male anatomy and the appropriate titles and functions of each structure. Which structure is involved in keeping the testes at the necessary degrees cooler to facilitate sperm production? a. Scrotum b. Testicles c. Epididymis d. Shaft

a Scrotum

A woman at an employee health fair informs the nurse that she has had vaginal bleeding for the past several days. She is postmenopausal and has not had a menstrual period for the past 4 years. What should the nurse instruct the woman to do? a. She should see her gynecologist or physician as soon as possible. b. She should mention the bleeding episode to her physician at her next appointment. c. She should disregard this bleeding episode, because it is probably normal. d. She should use a birth control method, because she may be fertile with her next

a She should see her gynecologist or physician as soon as possible.

Which female reproductive structure is used as forensic evidence in rape trials when it has received significant trauma during a violent assault? a. The fourchette b. The Bartholin glands c. The hymen d. The clitoris

a The fourchette

A client is scheduled to have her first Pap test and asks the nurse why this test is necessary. The nurse should tell the client that this test is used to detect early cancer of the _____. a. cervix b. ovaries c. vagina d. fallopian tubes

a. cervix

Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously? a. epididymis b. seminiferous tubules c. vas deferens d. spermatic cord

b seminiferous tubules

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include? a. The mons pubis b. The clitoris c. Labia minora d. Labia majora

b. The clitoris

A 45-year-old woman comes to the clinic for a routine physical check-up. She confides to the nurse that she is afraid that she is going to have mental problems when she goes through "the change of life." What would be the nurse's best response to this patient? a. "Going through the "change of life" is easy, just let it happen and you will find a different life that is every bit as good." b. "Going through the "change of life" can be scary because some women feel that they are losing their womanhood." c. "Going through the "change of life" is a normal occurrence in a woman's life and it is rarely accompanied by nervous symptoms or illness." d. "Going through the "change of life" is a stressful time for all women and sometimes a woman feels like she is going crazy."

c "Going through the "change of life" is a normal occurrence in a woman's life and it is rarely accompanied by nervous symptoms or illness."

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? a. The nurse should express empathy for the client's difficult health situation. b. The nurse should begin by assuring the client that her health will be much better in a few years. c. The nurse must carefully assess the client's feelings and beliefs surrounding menopause. d. The nurse should encourage the client to celebrate this life milestone and its accompanying benefits.

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

The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears? a. The test may be performed at any time during the client's menstrual cycle. b. The smear should be done every 2 years. c. The test can detect early evidence of cervical cancer. d. False-positive Pap smear results often occur from not douching before the examination.

c The test can detect early evidence of cervical cancer.

The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam? a. "I had sexual intercourse several days ago." b. "I voided before entering the exam room." c. "My menstrual period began yesterday." d. "I use no vaginal sprays or creams."

c"My menstrual period began yesterday."

A 48-year-old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimenopausal symptoms. The client's need for relief from hot flashes and other symptoms will be weighed carefully against the increased risks of what complications of HT? Select all that apply. a. Anaphylaxis b. Osteoporosis c. Breast cancer d. Cardiovascular disease e. Venous thromboembolism

c. Breast cancer d. Cardiovascular disease e. Venous thromboembolism

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first: a. Sexual experience b. Full hormonal cycle c. Menstrual period d. Sign of breast development

c. Menstrual period

The school nurse is presenting a class on female reproductive health. While discussing prevention the nurse teaches what about a Pap smear? a. The test may be performed at any time during the patient's menstrual cycle. b. The smear should be done every 2 years. c. The test detects cervical cancer. d. False-negative Pap smear results occur mostly from not douching before the examination.

c. The test detects cervical cancer.