Reproductive Health Chapter Review Questions
A client is admitted with secondary orchitis. Which assessment question is most relevant?
"Have you ever had mumps?"
What should the nurse teach the client about assessing for possible breast cancer?
"Perform monthly self-breast exams after menses."
What will the nurse teach the client who has a cervical polyp?
"Polyps typically are asymptomatic"
The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. Which response by the nurse is most accurate?
"The circumcision will not be done now; the foreskin is needed for surgical repair."
After an office visit with her primary health provider, a female client with an elevated CA-125 test result asks the nurse if that means she has ovarian cancer. What is the nurse's best response?
"The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation."
A client asks the health care provider to, "Explain brachytherapy, which is recommended for my cervical cancer." Which response by the nurse is most accurate? "They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site." "The health care provider will take you to surgery, place your legs in the stirrups, and irrigate your entire vaginal cavity with radioactive water. Then the provider will pack your vagina with sterile packing." "You will go to the x-ray department where they will insert a device in your vagina until it touches the cervix and then turn on a laser." "You will come to the radiation department daily for at least 4 weeks, where they will insert a device and shine a beam on your cervical cancer area, hoping for it to burn off the cancer."
"They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site."
An older female client calls and reports, "Another cyst in my private area. I had this years ago, but after 15 years it has returned. What should I do?" Which advice should the health care provider give to this client?
"You should call and make an appointment. I would like to evaluate this further."
An asymptomatic client who is worried about developing breast cancer due to the fact that it runs in her family asks the nurse if she could have a mammogram to see if she has any lumps. The nurse informs the client that a tumor usually is undetectable until it has doubled 30 times and contains more than 1 billion cells. This means that at this point it measures approximately which size?
1 cm
A nurse who works in a fertility clinic is conducting a program on options for various fertility issues. The nurse judges that the participants understand the education when they identify that donor eggs are the best option for which woman?
A 42-year-old
The client has a Bartholin cyst that has developed into an abscess. The nurse explains to the client the plan of care, including which treatments? A catheter may be inserted to drain the cyst for several weeks. Application of dry heat. A hysterectomy will be required. Antifungal cream will be administered.
A catheter may be inserted to drain the cyst for several weeks.
The nurse is teaching a client about screening for prostate cancer. Which information will the nurse teach the client about the prostate-specific antigen (PSA) test?
An elevated score on a PSA test does not necessarily indicate the presence of cancer.
A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for:
Cardiovascular disease
A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations?
Benign prostatic hyperplasia (BPH)
The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?
Blood level of prostate-specific antigen (PSA) and digital rectal exam
Epididymitis can be sexually transmitted, or it can be caused by a variety of other reasons, including abnormalities in the genitourinary tract. What are the most common causes of epididymitis in young men without underlying genitourinary disease?
Chlamydia trachomatis and Neisseria gonorrhoeae
A nurse is conducting a healthy living workshop for a group of women in their 20s. Which screening recommendation should the nurse provide to the participants of this age group?
Clinical breast examination every 3 years until age 40
Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?
Depression
Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)?
Digital rectal examination
A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to help alleviate the symptoms. The best response would be:
Eat a diet low in simple sugars and high in protein.
A school nurse is providing an informational session about the prevention of cervical cancer in young girls and women. The most important information for the nurse to present would be:
HPV vaccine before becoming sexually active
Which factor in a client's history is most likely related to the diagnosis of cervical squamous dysplasia?
Human papillomavirus (HPV) infection
The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which factor in the client's history does the nurse recognize is a hormone-based condition that may contribute to erectile dysfunction?
Hypogonadism
A client calls the clinic and informs the nurse that he has sustained an erection for 3 hours and that it is extremely painful. The client has a history of sickle cell disease and this has not happened to him in the past. Which instruction should the nurse give to the client?
If the client does not seek medical attention, impotence may result.
What risk factors for breast cancer should a health care provider teach his or her clients? Select all that apply. Increasing age Family history Obesity Early menstruation Frequent breast massage
Increasing age Family history Obesity
A client reporting low abdominal pain, purulent cervical discharge, and painful intercourse is diagnosed with pelvic inflammatory disease (PID). The provider educates the client about this disease mentioning which statement?
Is a polymicrobial infection of the upper reproductive tract
If not treated urgently, testicular torsion can result in which complication?
Loss of testicular perfusion
A woman reports to the primary healthcare provider that she experiences monthly changes before her menstrual cycle. Which statement demonstrates understanding of premenstrual disorders?
Many women report premenstrual emotional or physical changes.
A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for:
Number of sexual partners
Which of these complications does the nurse recognize may occur after illness with parotitis (mumps) in young men?
Orchitis with residual sterility
Which disorder of the female genitourinary system is most likely to result from a disruption in normal endocrine function?
Polycystic ovary syndrome (PCOS)
A nurse is performing a genital examination on a male client who develops an erection. Which action is the nurse's most appropriate intervention?
Reassure the client that this is a normal response and continue with the examination
What is the most important discharge instruction for a female client with pelvic inflammatory disease (PID)?
Take all of the antibiotic
The pediatric nurse is teaching the parent of a newborn with hypospadias about the disorder. Which information does the nurse provide?
The opening of the urethra is found on the underside of the penis.
Which factor places a male client at risk for balanitis?
Uncircumcised penis
A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is: impaired blood flow in the corpora cavernosa of the penis. cardiovascular disease. chronic inflammation of the glans penis. poor hygiene.
impaired blood flow in the corpora cavernosa of the penis.
A client is experiencing oligomenorrhea. The nurse interprets this as:
infrequent menstruation with periods more than 35 days apart.
The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication: promotes nerve signaling to penile vessels. promotes trapping of blood in the corpora cavernosa. promotes arousal by eliminating depression or other psychological factors. promotes increase in blood flow to the corpora cavernosa.
promotes increase in blood flow to the corpora cavernosa.
During clinical skills lab, a student walks away from the "client" the student just catheterized. The faculty assesses the student's ability to clean up after the procedure and finds the student has not replaced the client's foreskin over the glans. Which problem will the faculty review with this student?
that tight foreskin can lead to ischemia at the penile tip
A client has a new prescription for a phosphodiesterase-5 (PDE5) inhibitor. What teaching does the nurse include? Select all that apply. "The medication increases libido, making an erection easier to achieve." "If priapism develops, seek immediate medical attention to prevent complications." "If the medication is not effective, surgery is likely needed to correct the ED." "You should explore psychological therapy in addition to this medication." "The medication results in vasodilation to increase blood flow to the penis."
"You should explore psychological therapy in addition to this medication." "The medication results in vasodilation to increase blood flow to the penis." "If priapism develops, seek immediate medical attention to prevent complications."
There are many cancers of the female reproductive system. The nursing student knows that the most readily detected and most easily cured cancer—if detected early—is:
Cervical
