Women's - Chapter 7 - Prep U

A nurse is providing care to a client with uterine fibroids (uterine myomas) who is prescribed a progestin antagonist. Which medication would the nurse most likely expect the client to receive?

mifepristone

The nurse is reviewing with a new client the diagnosis of polycystic ovary syndrome (PCOS). Which long-term health problems would the nurse review as a risk with this syndrome?

type 2 diabetes

A woman with pelvic organ prolapse has chosen to use a pessary as part of her treatment plan. After teaching the woman about how to care for the pessary, the nurse determines that the teaching was successful based on which client statement?

"I should clean the pessary with soap and water"

A client is to have a vaginal hysterectomy to repair her stage IV uterine prolapse. The nurse realizes she needs more education when she states:

"I'm not going home with a Foley catheter in place."

A nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids (uterine myomas). The nurse determines that the teaching was successful based on which statement?

"If I use hormone therapy, my fibroids may grow back when I stop the medication."

The nurse is conducting a presentation about urinary incontinence for a local women's group. During the presentation, which statement by a member of the group would the nurse need to clarify?

"It's normal for a woman to develop incontinence as she ages."

A client diagnosed with pelvic organ prolapse is being taught how to perform pelvic floor muscle exercises. During the teaching session, the client asks the nurse, "How do these exercises help?" Which response by the nurse would be most appropriate?

"They help to increase the volume of your muscles, which leads to stronger muscle contraction."

The nursing instructor is teaching a student about urinary incontinence and realizes that the student needs further instruction when she makes which statement?

"Urinary incontinence is an inevitable problem of aging."

The nurse is providing postoperative care for a woman who underwent an abdominal hysterectomy for uterine fibroids. Which nursing interventions are included in the postoperative care? Select all that apply.

-Change the client's linen and gown often to promote hygiene. -Administer analgesics promptly or use a prescribed PCA pump. -Administer antiemetic to control nausea and vomiting per prescription.

A nurse is preparing a discharge teaching plan for a woman who has undergone a hysterectomy. Which areas would the nurse most likely include in the teaching plan? Select all that apply.

-no heavy lifting -need for pelvic rest -signs and symptoms of infection

A nurse is caring for a client with pelvic organ prolapse. As part of the client's workup, the nurse obtains a postvoid residual urine specimen via catheterization. Which specimen amount would lead the nurse to suspect that additional testing will be needed?

120 mL

A nurse is caring for a client for whom estrogen replacement therapy has been recommended for pelvic organ prolapse. Which nursing intervention is the most appropriate for the nurse to implement before the start of the therapy?

Evaluate the client to validate her risk for complications.

A perimenopausal woman reports experiencing increasing discomforts with intercourse and problems with lubrication. What information should the nurse include in the information provided to the client? Select all that apply.

Falling estrogen levels cause these vaginal changes and associated dryness. Water-soluble lubricants can be used to reduce the dryness. .

The mother of four small children comes to the clinic and has just been diagnosed with an enterocele. What should the nurse teach the client about her diagnosis?

Her small intestine and peritoneum are jutting downward between the uterus and the rectum.

The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response?

Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall.

A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor?

It interferes with the transport of ova due to tubal scarring.

A woman is diagnosed with stress urinary incontinence secondary to pelvic organ prolapse. When developing the teaching plan for this woman, the nurse would anticipate including instructions about which measure as a first-line treatment?

Kegel exercises

A client with abnormal uterine bleeding is diagnosed with small ovarian cysts. The nurse has to educate the client on the importance of routine checkups. Which assessment is most appropriate for this client's condition?

Schedule an ultrasound every 3 to 6 months.

The nurse would expect which client to be at a high risk for developing a pelvic support disorder?

a 60-year-old mother with four children

The nursing instructor is teaching about Bartholin cysts and informs the students that Bartholin cysts are the most common cystic growth in the vulva. She describes this type of cyst as being:

a swollen, fluid-filled, sac-like structure.

A 36-year-old was diagnosed with uterine fibroids (uterine myomas). The nurse teaches the client to expect which clinical manifestation?

abnormal uterine bleeding

A nurse is reviewing the physical exam findings of a woman who has come to the clinic with reports of feeling a dragging sensation in her vagina. The exam reveals the posterior bladder wall protruding into the anterior vaginal wall. The nurse interprets this finding as indicative of which condition?

cystocele

A 24-year-old female client states, "About a week before my period starts, I have recently started craving certain sweets, having terrible mood swings, and feeling fatigued and irritable." Which action will the nurse take next?

educate the client on premenstrual syndrome

A nurse is preparing a teaching session for a group of menopausal women experiencing urinary incontinence. When describing how incontinence develops, the nurse includes a discussion about maintaining bladder sphincter tone, describing which hormone as playing an important role?

estrogen

A nurse is reviewing the history of a woman diagnosed with uterine fibroids (uterine myomas). Which factors in the woman's history would the nurse identify as placing the woman at increased risk for this condition? Select all that apply.

history of hypertension obesity

The client who has a uterine prolapse has been given a pessary. When teaching the client about the use of this device, the nurse should teach the client to monitor which common side effects? Select all that apply.

increased vaginal discharge UTI vaginitis odor

A 40-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate?

pelvic organ prolapse

A young couple have presented to the office with concerns of possible infertility. A physical examination and complete history of the woman reveals type 2 diabetes mellitus, obesity, sleep apnea, and hypertension. The nurse would suspect:

polycystic ovary syndrome.

The nurse is teaching a premenopausal client about dietary and lifestyle modifications that can reduce the risk factors for developing pelvic organ prolapse (POP). The nurse is describing which type of prevention?

primary

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele?

protrusion of the bladder wall through the anterior vaginal wall

When assessing a client, a nurse determines that the client has a rectocele based on which finding?

sagging of the rectum, which pushes against or into the posterior vaginal wall

A woman with uterine prolapse is scheduled to undergo surgery. When providing preoperative teaching, the nurse reviews information about the type of surgery being planned. Based on the nurse's knowledge of the client's condition, the nurse would most likely include information about which surgery?

vaginal hysterectomy

The nurse is working with a client who has been diagnosed with urge incontinence related to detrusor muscle contractions. Part of the educational material suggesting lifestyle changes should include information that which situation increases muscular contractions?

smoking

When assessing a woman with pelvic organ prolapse, the nurse notes the uterus is approximately 1 cm below the hymenal ring. The nurse documents this finding as which stage of prolapse?

stage II

A client was in labor for more than 36 hours and now reports urine leaking from her vagina. On examination the nurse would be inspecting for:

urethrovaginal fistula.

A nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (GnRH) medication for uterine fibroids (uterine myomas). For which side effect of GnRH medications should the nurse monitor the client?

vaginal dryness

A 30-year-old woman reports that she has not had a menstrual period for the last 4 or 5 months. Pregnancy is ruled out and she is experiencing no endocrine symptoms. What factors could be contributing to her amenorrhea? Select all that apply.

working out at the gym 3 hours per day hypothyroidism endometrial adhesions