Women's Health Finals Exclusive Content

Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis (select all that apply): A.) Calcium B.) NSAIDs C.) Fosamax D.) Actonel E.) Calcitonin

A, C, D, E

The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure? A.) Radiation B.) Adjuvant systemic therapy C.) Hormonal therapy D.) Chemotherapy

A

Which hormone is responsible for maturation of mammary gland tissue? A.) Estrogen B.) Testosterone C.) Prolactin D.) Progesterone

D

What are the 4 Cs of cultural competence? A.) Call, cause, cope and concerns B.) Call, culture, coping and competence C.) Culture, coping, competence and concerns D.) Culture, competence, concerns and coping

A

Which fetal complication is increased by maternal cigarette smoking? A.) Spina bifida B.) Anencephaly C.) Facial deformities D.) Low birth weight

D

The female athlete triad includes which common menstrual disorder? A.) Amenorrhea B.) Dysmenorrhea C.) Menorrhagia D.) Metrorrhagia

A

What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? A.) The blood pressure (BP) cuff should not be applied to the affected arm B.) Venipuncture for blood work should be performed on the affected arm C.) The affected arm should be used for intravenous (IV) therapy D.) The affected arm should be held down close to the woman's side

A

What is the correct name describing a benign breast condition that includes dilation and inflammation of the collecting ducts? A.) Mammary duct ectasia B.) Intraductal papilloma C.) Chronic cystic disease D.) Fibroadenoma

A

Which process in the uterus, a muscular pear-shaped organ, responsible for? A.) Cyclic menstruation B.) Sex hormone production C.) Fertilization D.) Sexual arousal

A

Ovarian function and hormone production decline during which transitional phase? A.) Climacteric B.) Menarche C.) Menopause D.) Puberty

A

Which client is most at risk for fibroadenoma of the breast? A.) 38-year-old woman B.) 50-year-old woman C.) 16-year-old girl D.) 27-year-old woman

C

Which are causes of menorrhagia in a client (select all that apply): A.) Obesity B.) Fibroids C.) Endometritis D.) Chemotherapy E.) Diabetes mellitus

A, B, C, D

Which nursing instruction is appropriate to assist a client in regaining control of the urinary sphincter? A.) Perform Kegel exercises B.) Void every hour while awake C.) Drink 8 to 10 glasses of water each day D.) Allow the bladder to become distended before voiding

A

Which phase of female sexual response is characterized by the retraction of the clitoris under the clitoral hood and engorgement of the lower one-third of the vagina? A.) Plateau phase B.) Orgasmic phase C.) Resolution phase D.) Excitement phase

A

Which part of the menstrual cycle includes the stimulated release of gonadotropin-releasing hormone (GnRH) and follicle-stimulating hormone (FSH)? A.) Menstrual phase B.) Endometrial cycle C.) Ovarian cycle D.) Hypothalamic-pituitary cycle

D

Which preconception counseling interventions can decrease the incidence of spina bifida in the fetus? A.) Include a daily intake of 600 mcg of folic acid during pregnancy B.) Eat a well-balanced diet during pregnancy C.) Include aerobic exercise regularly during pregnancy D.) Focus on methods to maintain a euglycemic condition during pregnancy

A

A 21-year-old client complains of severe pain immediately after the commencement of her menses. Which gynecologic condition is the most likely cause of this clients presenting complaint? A.) Primary dysmenorrhea B.) Secondary dysmenorrhea C.) Dyspareunia D.) Endometriosis

A

A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related? A.) Endometriosis B.) PMS C.) Primary dysmenorrhea D.) Secondary dysmenorrhea

A

A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience? A.) Weight gain, hot flashes, and blood clots B.) Vomiting, weight loss, and hair loss C.) Nausea, vomiting, and diarrhea D.) Hot flashes, weight gain, and headaches

A

A client is scheduled for surgery after a recent breast cancer diagnosis. The nurse is discussing the procedure with the client. To allay her fears, which explanation best describes a skin-sparing mastectomy? A.) Removal of the breast, nipple, and areola, leaving only the skin B.) Removal of the breast, nipple, areola, and axillary node dissection C.) Incision on the outside of the breast, leaving the nipple intact D.) Removal of both breasts in their entirety

A

A perimenopausal client has arrived for her annual gynecologic examination. Which preexisting condition would be extremely important for the nurse to identify during a discussion regarding the risks and benefits of hormone therapy? A.) Breast cancer B.) Vaginal and urinary tract atrophy C.) Osteoporosis D.) Arteriosclerosis

A

Due to the effects of cyclic ovarian changes in the breast, when is the best time for breast self-examination (BSE)? A.) Between 5 and 7 days after menses ceases B.) Day 1 of the endometrial cycle C.) Midmenstrual cycle D.) Any time during a shower or bath

A

Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate? A.) DUB is most commonly caused by anovulation B.) DUB most often occurs in middle age C.) The diagnosis of DUB should be the first consideration for abnormal menstrual bleeding D.) Steroids are the most effective medical treatment for DUB

A

Fibrocystic changes in the breast most often appear in women in their 20s and 30s. Although the cause is unknown, an imbalance of estrogen and progesterone may be the cause. The nurse who cares for this client should be aware that treatment modalities are conservative. Which proven modality may offer relief for this condition? A.) Diuretic administration B.) Daily inclusion of caffeine in the diet C.) Increased vitamin C supplementation D.) Application of cold packs to the breast as necessary

A

Individual irregularities in the ovarian (menstrual) cycle are most often caused by what? A.) Variations in the follicular (preovulatory) phase B.) Intact hypothalamic-pituitary feedback mechanism C.) Functioning corpus luteum D.) Prolonged ischemic phase

A

Which approximate age is expected for a client to have stated perimenopause if she experienced menopause at 52 years of age? A.) 48 B.) 49 C.) 50 D.) 51

A

Which are the five As implemented by smoking cessation? A.) Ask, assess, advise, assist and arrange follow-up B.) Ask, answer, admit, be accountable and accept for help C.) Ask, answer, assess, administer meds and arrange support group D.) Ask, advise, assist, administer therapy and arrange support group

A

Which category of weight is appropriate for the client with a calculated body mass index (BMI) of 32? A.) Obesity B.) Appropriate C.) Underweight D.) Overweight

A

Which female reproductive organ(s) is(are) responsible for cyclic menstruation? A.) Uterus B.) Ovaries C.) Vaginal vestibule D.) Urethra

A

Which goal is appropriate for the client diagnosed with hypogonadotropic amenorrhea without a history of sudden weight loss, eating disorder, or involvement in heavy exercise? A.) Identification of the stressor B.) Rule out the possibility of an infection C.) Relief of pain in the client D.) Preparation of a diet regimen

A

Which information about dysfunctional uterine bleeding is accurate? A.) It is most commonly caused by anovulation B.) It most often occurs in middle age C.) Diagnosis of dysfunctional uterine bleeding should be the first considered for abnormal menstrual bleeding D.) The most effective medical treatment involves steroids

A

Which instruction is appropriate in preparing a client for a Papanicolaou (Pap) test? A.) The client should not douche, use vaginal medications or have intercourse for at least 24 hours before the test B.) It should be performed once a year beginning with the onset of puberty C.) A lubricant such as petroleum jelly should be used to ease speculum insertion D.) The specimen for the Pap test should be obtained after specimens are collected for cervical infection

A

Which nursing action is appropriate for the client who reports vaginal bleeding after menopause, along with hot flashes? A.) Notify the primary health care provider B.) Teach the client methods of hygiene and skin care C.) Evaluate the client's previous history D.) Explain to the client that both symptoms are normal and are caused by low estrogen levels

A

Which nursing instruction is appropriate for a client with endometriosis who is planning to start danazol therapy and is found to be 3 weeks pregnant on assessment? A.) Discontinue the drug prescription B.) Initiate surgical treatment immediately C.) Lower the medication dose by half D.) Recommend terminating the pregnancy

A

Which statement best describes Kegel exercises? A.) Kegel exercises were developed to control or reduce incontinent urine loss B.) Kegel exercises are the best exercises for a pregnant woman because they are so pleasurable C.) Kegel exercises help manage stress D.) Kegel exercises are ineffective without sufficient calcium in the diet

A

Which statement indicates that a client requires additional instruction regarding BSE? A.) Yellow discharge from my nipple is normal if Im having my period B.) I should check my breasts at the same time each month, after my period C.) I should also feel in my armpit area while performing my breast examination D.) I should check each breast in a set way, such as in a circular motion

A

Which statement is accurate regarding premenstrual dysphoric disorder (PMDD)? A.) It can present with similar symptoms to panic disorders B.) Symptom presentation is acute, episodic in nature and varies as the disorder progresses, leading to a chronic phase C.) There are no associated physical symptoms in PMDD until the disease is well progressed D.) There is a symptom-free period in the follicular phase of the menstrual cycle

A

Which symptom control measures are appropriate for a client with premenstrual syndrome (PMS)? A.) Decrease consumption of caffeine B.) Drink a small glass of wine with the evening meal C.) Decrease fluid intake to prevent fluid retention D.) Eat three large meals a day to maintain glucose levels

A

Which symptom described by a client is characteristic of premenstrual syndrome (PMS)? A.) "I feel irritable and moody a week before my period is supposed to start" B.) "I have lower abdominal pain beginning the third day of my menstrual period" C.) "I have nausea and headaches after my period starts and they last 2 to 3 days" D.) "I have abdominal bloating and breast pain after a couple days on my period"

A

Which symptom described by a client is characteristic of premenstrual syndrome (PMS)? A.) I feel irritable and moody a week before my period is supposed to start B.) I have lower abdominal pain beginning on the third day of my menstrual period C.) I have nausea and headaches after my period starts, and they last 2 to 3 days D.) I have abdominal bloating and breast pain after a couple days of my period

A

Which test is appropriate for the client who reports no menses for the past 6 months? A.) Pregnancy test B.) Blood sugar test C.) Thyroid function test D.) Toxicology blood screening

A

Which test would the nurse expect to be prescribed for further evaluation after a pathology report indicates that atypical endometrial cells were detected in a postmenopausal client's vaginal pool specimen? A.) Biopsy B.) Chlamydia test C.) Sexually transmitted infection test D.) Human immunodeficiency virus (HIV) test

A

Many pregnant teenagers wait until the second or third trimester to seek prenatal care. What should the nurse recognize as reasons for this delay (select all that apply): A.) Lack of realization that they are pregnant B.) Uncertainty as to where to go for care C.) Continuing to deny the pregnancy D.) Desire to gain control over their situation E.) Wanting to hide the pregnancy as long as possible

A, B, C, E

Which adverse effects can be seen in a client who is taking danazol for endometriosis (select all that apply): A.) Hot flashes B.) Depression C.) Deepening of voice D.) Pseudohemaphroditism E.) Decreased lipoprotein levels

A, B, C, E

Which are ways to encourage a client admitted with vaginal bleeding to share her health history (select all that apply): A.) Facilitation B.) Reflection C.) Clarification D.) Interruption E.) Confrontation F.) Empathetic responses

A, B, C, E, F

Cellulitis with or without abscess formation is a fairly common condition. The nurse is providing education for a client whose presentation to the emergency department includes an infection of the breast. Which information should the nurse share with this client (select all that apply): A.) Nipple piercing may be the cause of a recent infection B.) Treatment for cellulitis will include antibiotics C.) Streptococcus aureus is the most common pathogen D.) Obesity, smoking, and diabetes are risk factors E.) Breast is pale in color and cool to the touch

A, B, D

Which statement about female sexual response is accurate (select all that apply): A.) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm B.) Vasocongestion is the congestion of blood vessels C.) The orgasmic phase is the final state of the sexual response cycle D.) Facial grimaces and spasms of hands and feet are often part of arousal E.) Resolution occurs just before the orgasmic phase

A, B, D

Nurses are in an ideal position to educate clients who experience PMDD. What self-help activities have been documented as helpful in alleviating the symptoms of PMDD (select all that apply): A.) Regular exercise B.) Improved nutrition C.) Daily glass of wine D.) Smoking cessation E.) Oil of evening primrose

A, B, D, E

Which nursing instructions are appropriate for the gymnast client who reports she has had her menstrual period for the past 2 months and is stressed out by excessive training (select all that apply): A.) "Reduce your physical workout" B.) "Increase your nutritional intake" C.) "Lower your caloric intake" D.) "Engage in regular physical activity" E.) "Meditate or do power yoga"

A, B, E

Which nursing interventions are performed when conducting a client's health screening (select all that apply): A.) Ask the client direct questions to elicit specific details B.) Assure the client of strict confidentiality of her case history C.) Remain objective and avoid empathetic responses D.) Concentrate on asking about specific concerns rather than general concerns E.) Repeat words or phrases the client has used and ask her for clarification

A, B, E

Which statements regarding menstruation (periodic uterine bleeding) are accurate (select all that apply): A.) Menstruation occurs every 28 days B.) During menstruation, the entire uterine lining is shed C.) Menstruation begins 7 to 10 days after ovulation D.) Menstruation leads to fertilization E.) Average blood loss during menstruation is 50 ml

A, B, E

Which suggestions are appropriate for a client who complains of hot flashes (select all that apply): A.) Avoid caffeine. B.) Drink a glass of wine to relax. C.) Wear layered clothing. D.) Drink ice water. E.) Drink warm beverages for their calming effect

A, C

Which dietary changes reduce systemic symptoms associated with dysmenorrhea (select all that apply): A.) Consumption of a low-fat vegetarian diet B.) Increased calcium intake during menses C.) Consumption of asparagus and cranberry juice D.) Decreased salt intake 7 to 10 days before menses E.) Increased sugar intake 7 to 10 days before menses

A, C, D

Which medications are used in the treatment of physical symptoms of premenstrual syndrome (PMS) (select all that apply): A.) Progesterone B.) Estrogen replacement therapy C.) Prostaglandin inhibitors D.) Selective serotonin reuptake inhibitors (SSRIs) E.) Gonadotropin-releasing hormone (GnRH) antagonist therapy

A, C, D

Which symptoms are seen in a client who experiences secondary dysmenorrhea (select all that apply): A.) Feelings of bloating B.) Poor concentration C.) Heavy menstrual flow D.) Lower abdominal aching E.) Gastrointestinal bleeding

A, C, D

Chemotherapy with multiple drug agents is used in the treatment of recurrent and advanced breast cancer with positive results. Which side effects would the nurse anticipate for the client once treatment has begun (select all that apply): A.) Hair loss B.) Severe constipation C.) Anemia D.) Leukopenia E.) Thrombocytopenia

A, C, D, E

Which are the major goals of prenatal care (select all that apply): A.) Monitor the development of the fetus B.) Provide family planning services to the parents C.) Improve the nutritional status of mother and fetus D.) Provide appropriate education and counseling to the parents E.) Minimize the risk of complications in both the mother and fetus

A, C, D, E

Which nursing measures can be implemented for women to discourage their entry into abusive relationships (select all that apply): A.) Promoting assertiveness B.) Encouraging Pilates classes C.) Encouraging positive self-regard D.) Encouraging support and self-help groups E.) Helping with confidence and empowerment

A, C, D, E

A client has requested information regarding alternatives to hormonal therapy for menopausal symptoms. Which current information should the nurse provide to the client (elect all that apply.): A.) Soy B.) Vitamin C C.) Vitamin K D.) Vitamin E E.) Vitamin A

A, D

Which clients are appropriate to include in a teaching session about the risk of developing dysmenorrhea (select all that apply): A.) Smoker B.) Low body mass index (BMI) C.) More than 2 children D.) High stress caused by work E.) Involved in strenuous exercise

A, D

Researchers have found a number of common risk factors that increase a woman's chance of developing a breast malignancy. It is essential for the nurse who provides care to women of any age to be aware of which risk factors (select all that apply): A.) Family history B.) Late menarche C.) Early menopause D.) Race E.) Nulliparity or first pregnancy after age 40 years

A, D, E

Which is the role of a registered nurse in women's health promotion and illness prevention (select all that apply): A.) Integrating various modalities of care B.) Providing comprehensive primary care C.) Coordinating care in communities D.) Working to influence health policy E.) Collaborating with other health care practitioners

A, D, E

A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family physician has retired, and she is going to see the women's health nurse practitioner for her visit. What should the nurse do to facilitate a positive health care experience for this client? A.) Remind the woman that she is long overdue for her examination and that she should come in annually B.) Carefully listen, and allow extra time for this woman's health history interview C.) Reassure the woman that a nurse practitioner is just as good as her old physician D.) Encourage the woman to talk about the death of her husband and her fears about her own death

B

A client is concerned because she has been experiencing some milky, sticky breast discharge. Which non-malignant condition is exhibited with this finding? A.) Relative inflammatory lesion B.) Galactorrhea C.) Mammary duct ectasia D.) Breast infection

B

A client with abnormal uterine bleeding and a hemoglobin level of less than 8 g/dL is given conjugated estrogens, and the nurse is monitoring her for the first 24 hours. Which condition would indicate a need for dilation and curettage in this client? A.) Risk for coma B.) Continuous bleeding C.) Excessive abdominal pain D.) Unstable vital signs

B

A clients oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this? What is the name of the test that gave the health care provider this information? A.) Tumor ploidy B.) S-phase index C.) Nuclear grade D.) Estrogen-receptor assay

B

During a health history interview, a woman states that she thinks that she has bumps on her labia. She also states that she is not sure how to check herself. The correct response by the nurse would be what? A.) Reassure the woman that the examination will reveal any problems B.) Explain the process of vulvar self-examination, and reassure the woman that she should become familiar with normal and abnormal findings during the examination C.) Reassure the woman that bumps can be treated D.) Reassure her that most women have bumps on their labia

B

How would the physiologic process of the sexual response best be characterized? A.) Coitus, masturbation, and fantasy B.) Myotonia and vasocongestion C.) Erection and orgasm D.) Excitement, plateau, and orgasm

B

Macromastia, or breast hyperplasia, is a condition in which women have very large and pendulous breasts. Breast hyperplasia can be corrected with a reduction mammoplasty. Which statement regarding this procedure is the most accurate? A.) Breast reduction surgery is covered by insurance B.) Breastfeeding might be difficult C.) No sequelae after the procedure is known D.) Pain in the back and shoulders may not be relieved

B

The unique muscle fibers that constitute the uterine myometrium make it ideally suited for what? A.) Menstruation B.) Birth process C.) Ovulation D.) Fertilization

B

To assist a client in managing the symptoms of PMS, what should the nurse recommend based on current evidence? A.) Diet with more body-building and energy foods, such as carbohydrates B.) Herbal therapies, yoga, and massage C.) Antidepressants for symptom control D.) Discouraging the use of diuretics

B

What fatty acids (classified as hormones) are found in many body tissues with complex roles in many reproductive functions? A.) GnRH B.) Prostaglandins (PGs) C.) FSH D.) Luteinizing hormone (LH)

B

Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy? A.) Perineum B.) Bony pelvis C.) Vaginal vestibule D.) Fourchette

B

Which client complaint would the drinking of cranberry and watermelon juice regularly 10 days before the expected onset of menses address? A.) Back pain caused by menses B.) Peripheral edema before menses C.) Nausea associated with menses D.) Abdominal cramps caused by menses

B

Which finding is associated with endometriosis? A.) Positive Chandelier sign B.) Chocolate cyst C.) Chadwick sign D.) Blood in the cul-de-sac

B

Which information is accurate regarding the diagnosis and management of amenorrhea? A.) It probably is the result of a hormone deficiency that can be treated with medication B.) It may be caused by stress or excessive exercise, or both C.) It likely will require the client to eat less and exercise more D.) It often goes away on its own

B

Which information regarding substance abuse is important for the nurse to understand? A.) Although cigarette smoking causes a number of health problems, it has little direct effect on maternity-related health B.) Women, ages 21 to 34 years, have the highest rates of specific alcohol-related problems C.) Coffee is a stimulant that can interrupt body functions and has been related to birth defects D.) Prescription psychotherapeutic drugs taken by the mother do not affect the fetus; otherwise, they would not have been prescribed

B

Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric? A.) Headaches B.) Hot flashes C.) Mood swings D.) Vaginal dryness with dyspareunia

B

Which nursing advice is appropriate for the client who thinks she has "bumps" on her labia and is unsure how to check herself? A.) Reassure the client that the examination will not reveal any problems B.) Explain the process of vulvar self-examination, and reassure the client that she will become familiar with normal and abnormal findings during the examination C.) Reassure the client that "bumps" can be treated D.) Reassure the client that most women have "bumps" on their labia

B

Which nursing assessment is a priority for an adolescent client experiencing amenorrhea? A.) Height B.) Pregnancy status C.) Sensitivity to aspirin D.) Gastrointestinal bleeding

B

Which nursing instruction is appropriate for the adolescent client who has been prescribed continuous combined hormone therapy for endometriosis to minimize the drug-related adverse effects? A.) "Have renal and liver function tested regularly" B.) "Have bone mineral density tested regularly" C.) "Stop the use of nonsteroidal antiinflammatory drugs (NSAIDs) for pain relief" D.) "Use an absorbent sanitary pad for heavy bleeding during menses"

B

Which physiologic process is affected in the client who has low levels of gonadotropin-releasing hormone (GnRH)? A.) Rate of respiration B.) Development of ovum C.) Gastric acid secretion D.) Muscle contraction

B

Which statement by the client indicates effective learning of the instruction about Kegel exercises? A.) "I will only see results if I perform 100 Kegel exercises each day" B.) "I will hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises" C.) "I will only perform Kegel exercises in the sitting position" D.) "I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results"

B

Which statement by the client indicates that she understands BSE? A.) I will examine both breasts in two different positions B.) I will examine my breasts 1 week after my menstrual period starts C.) I will examine only the outer upper area of the breast D.) I will use the palm of the hand to perform the examination

B

Which statement by the client indicates the need for further teaching about the steps to be followed before undergoing a Papanicolaou (Pap) test? A.) "I should not have sexual intercourse 24 to 48 hours before the test" B.) "I should clean my vagina by douching before the test" C.) "I should trick my menstrual cycle and schedule the test midcycle" D.) "I should empty my bladder before undergoing the test"

B

Which statement correlates with the proliferative phase of the endometrial cycle? A.) The tissue of the endometrium undergoes necrosis B.) Estrogen affects the growth of the lining of the uterus C.) Progesterone is the primary hormone present during this phase D.) The endometrial tissue is sloughed off living the innermost layer intact

B

While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the clients recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information? A.) My menstrual flow lasts 5 to 6 days B.) My flow is very heavy C.) I have had a small amount of spotting midway between my periods for the past 2 months D.) The length of my menstrual cycles varies from 26 to 29 days

B

Which factor would the nurse assess to detect the cause of amenorrhea in a client (select all that apply): A.) Obesity B.) Pregnancy C.) Malnutrition D.) Exercise regimen E.) Urinary tract infection

B, C, D

Women of all ages will receive substantial and immediate benefits from smoking cessation. The process is not easy, and most people have attempted to quit numerous times before achieving success. Which organizations provide self-help and smoking cessation materials (select all that apply): A.) Leukemia and Lymphoma Society B.) March of Dimes C.) American Cancer Society D.) American Lung Association E.) Easter Seals

B, C, D

Which nursing interventions are included for the adolescent client who is in competitive gymnastics and experiencing hypogonadotropic amenorrhea (select alt that apply): A.) Suggest increased aerobic exercise B.) Teach deep-breathing exercises C.) Identify the presence of stressors D.) Increase the client's nutritional intake E.) Include biofeedback or massage therapy

B, C, D, E

Which medications are likely to be prescribed for a client with endometriosis (select all that apply): A.) Sertraline B.) Nafarelin C.) Leuprolide D.) Fluoxetine E.) Goserelin

B, C, E

Which statements are accurate regarding the occurrence of obesity in the United States (select all that apply): A.) 25% of women in the United States are presently considered to be obese B.) Women in the age group of 40 to 59 years have the highest prevalence C.) Obesity is associated with hypercholesterolemia D.) Obesity is associated with a decreased incidence of diabetes E.) Women who are obese may be more likely to have irregularities of the menstrual cycle

B, C, E

Guidelines for breast cancer screening continue to evolve as new evidence is generated. Which examination or procedure and frequency would be recommended for a 31-year-old asymptomatic client (select all that apply): A.) Annual mammography B.) Clinical breast examination every 3 years C.) Annual MRI D.) Breast self-examination E.) Mammography every 3 years

B, D

What are the two primary functions of the ovary (select all that apply): A.) Normal female development B.) Ovulation C.) Sexual response D.) Hormone production E.) Sex hormone release

B, D

Which nursing information is appropriate to include when conducting a special adolescent program to reduce teenage pregnancy (select all that apply): A.) The advantages of close child spacing B.) Available methods of family planning C.) Adequate financial planning D.) Effective educational programs about sex E.) Effective educational programs about family life

B, D, E

Which nursing information is appropriate when teaching a client about breast self-examination (select all that apply): A.) Perform the examination every other month B.) Completely feel all parts of the breast and chest area C.) The examination should only be done in a lying down position D.) Use the sensitive pads of the middle three fingers to feel for lumps E.) Examine the breasts in a mirror, looking for an unusual shape or dimpling

B, D, E

A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake? A.) Daily consumption of alcohol indicates a risk for alcoholism B.) She is at risk for abusing other substances as well C.) Alcohol places the fetus at risk for altered brain growth D.) Alcohol places the fetus at risk for multiple organ anomalies

C

A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share? A.) Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts B.) It is a premalignant disorder characterized by lumps found in the breast tissue C.) Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles D.) Lumpiness is accompanied by tenderness after menses

C

A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection, and she has been using an over-the-counter cream for the past 2 days to treat it. How should the nurse initially respond? A.) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled B.) Reassure the woman that using vaginal cream is not a problem for the examination C.) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection D.) Ask the woman to reschedule the appointment for the examination

C

A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. Which condition is this client experiencing? A.) Fibroadenoma B.) Lipoma C.) Intraductal papilloma D.) Mammary duct ectasia

C

After a mastectomy, which activity should the client be instructed to avoid? A.) Emptying surgical drains twice a day and as needed B.) Lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon C.) Wearing clothing with snug sleeves to support the tissue of the arm on the operative side D.) Immediately reporting inflammation that develops at the incision site or in the affected arm

C

Breast pain occurs in many women during their perimenopausal years. Which information is a priority for the nurse to share with the client? A.) Breast pain is an early indication of cancer B.) Pain is almost always an indication of a solid mass C.) Distinguishing between cyclical and noncyclical pain is important D.) Breast pain is most often treated with narcotics

C

Having a genetic mutation may create an 85% chance of developing breast cancer in a woman's lifetime. Which condition does not increase a client's risk for breast cancer? A.) BRCA1 or BRCA2 gene mutation B.) Li-Fraumeni syndrome C.) Paget disease D.) Cowden syndrome

C

Management of primary dysmenorrhea often requires a multifaceted approach. Which pharmacologic therapy provides optimal pain relief for this condition? A.) Acetaminophen B.) Oral contraceptive pills (OCPs) C.) Nonsteroidal antiinflammatory drugs (NSAIDs) D.) Aspirin

C

Preconception and prenatal care have become important components of women's health. What is the guiding principal of preconception care? A.) Ensure that pregnancy complications do not occur B.) Identify the woman who should not become pregnant C.) Encourage healthy lifestyles for families desiring pregnancy D.) Ensure that women know about prenatal care

C

The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called what? A.) Bimanual palpation B.) Rectovaginal palpation C.) Papanicolaou (Pap) test D.) Four As procedure

C

The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open. The woman replies, I have special undergarments that I do not remove for religious reasons. Which is the most appropriate response from the nurse? A.) You cant have an examination without removing all your clothes B.) I'll ask the physician to modify the examination C.) Tell me about your undergarments. I'll explain the examination procedure, and then we can discuss how you can comfortably have your examination D.) I have no idea how we can accommodate your beliefs

C

What is the primary reason why a woman who is older than 35 years may have difficulty achieving pregnancy? A.) Personal risk behaviors influence fertility B.) Mature women have often used contraceptives for an extended time C.) Her ovaries may be affected by the aging process D.) Prepregnancy medical attention is lacking

C

Which assessment finding indicates a progestin regimen for a client who was prescribed oral contraceptive pills (OCPs) for 6 months for dysfunctional uterine bleeding, experienced condition improvement after 6 months and now wishes to discontinue the OCPs? A.) The client is pregnant B.) The bleeding is scanty C.) Menstruation did not resume D.) The disorder reoccurred

C

Which condition has the highest possibility of occurrence in a client with endometriosis? A.) Weight gain B.) Mood disorders C.) Impaired fertility D.) Gastrointestinal bleeding

C

Which condition is appropriate for a 15 year old female client who is experiencing extreme stress caused by schoolwork, which has led to an eating disorder and significant weight loss? A.) Dysmenorrhea B.) Hypothyroidism C.) Hypogonadotropic amenorrhea D.) Premenstrual dysphoric disorder

C

Which condition is described in the client who shows signs of depression, is excessively concerned about her body size and shape, and also eats uncontrollably? A.) Anorexia nervosa B.) Bulimia nervosa C.) Binge eating disorder D.) Night eating disorder

C

Which condition is the least likely cause of amenorrhea in a 17-year-old client? A.) Anatomic abnormalities B.) Type 1 diabetes mellitus C.) Obesity D.) Pregnancy

C

Which condition is the reason a client with endometriosis would be unwilling to take danazol in the future? A.) Amenorrhea B.) Abdominal pain C.) Masculinizing trait D.) Temporary infertility

C

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer? A.) Mammogram B.) Ultrasound C.) Needle-localization biopsy D.) Magnetic resonance imaging (MRI)

C

Which is an effective relief measure for primary dysmenorrhea? A.) Reduce the physical activity level until menstruation ceases B.) Begin taking prostaglandin synthesis inhibitors on the first day of the menstrual flow C.) Decrease intake of salt and refined sugar about 1 week before menstruation is about to occur D.) Use barrier methods rather than the oral contraceptive pill (OCP) for birth control

C

Which is the best nursing response for a client with a history of breast cancer who had a lumpectomy 2 years ago and is asking about the best time to perform monthly breast self-examination (BSE)? A.) "The best time of the month to perform your breast self-examination is during your menstrual cycle" B.) "The best time of the month to perform your breast self-examination is 2 weeks after your period" C.) "The best time of the month to perform your breast self-examination is 5 to 7 days after menstruation stops" D.) "The best time of the month to perform your breast self-examination is right before you start your period"

C

Which is the likely effect of low prostaglandin levels on the client's menstrual cycle? A.) The endometrium in the uterus fails to form B.) Peak levels of progesterone are not attained in the luteal phase C.) The ovum remains entrapped in the graafian follicle D.) Ovum growth is inhibited in the proliferative phase

C

Which nursing intervention is appropriate to suggest for the pregnant client who has a history of miscarriage? A.) Avoid exercise B.) Avoid vaccinations C.) Eat a healthy diet including folic acid D.) Limit alcohol while trying to conceive

C

Which nursing response is appropriate for an adolescent client who experiences primary dysmenorrhea and complains of pain and lower abdominal cramps? A.) "You need to increase sugar and fats in your diet" B.) "Call the clinic only if you have dark-colored stools" C.) "A hot bath or heating pad may help the problem" D.) "The problem will diminish in 2 to 3 months"

C

Which phase of the endometrial cycle best describes a heavy, velvety soft, fully matured endometrium? A.) Menstrual B.) Proliferative C.) Secretory D.) Ischemic

C

Which phase of the menstrual cycle describes the implantation of the fertilized ovum? A.) Menstrual B.) Proliferative C.) Secretatory D.) Progesterone

C

Which phase of the ovarian cycle in characteristic of high progesterone levels? A.) Follicular phase B.) Ovulatory phase C.) Luteal phase D.) Ischemic phase

C

Which position is appropriate for a physically disabled client undergoing a pelvic examination who is unable to lie comfortably in the lithotomy position? A.) V-shaped position B.) M-shaped position C.) Comfortable alternative position D.) Side-lying position

C

Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder? A.) Four Cs B.) Dietary Guidelines for Americans C.) SCOFF screening tool D.) Dual-energy x-ray absorptiometry (DEXA) scan

C

Which side effect would be monitored for a client who has been prescribed danazol therapy for treatment of endometriosis? A.) Increased breast size and fullness B.) Increase in heart-protective cholesterol C.) Migraine headaches D.) Weight loss

C

Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate? A.) Premenstrual dysphoric disorder (PMDD) is a milder form of PMS and more common in young women B.) Secondary dysmenorrhea is more intense and more medically significant than primary dysmenorrhea C.) PMS is a complex, poorly understood condition that may include any of a hundred symptoms D.) The causes of PMS have been well established

C

Which statement regarding female sexual response is inaccurate? A.) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm B.) Vasocongestion is the congestion of blood vessels C.) Orgasmic phase is the final state of the sexual response cycle D.) Facial grimaces and spasms of the hands and feet are often part of arousal

C

Which statement related to the condition of endometriosis is most accurate? A.) Endometriosis is characterized by the presence and growth of endometrial tissue inside the uterus B.) It is found more often in African-American women than in Caucasian or Asian women C.) Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause D.) It is unlikely to affect sexual intercourse or fertility

C

Which stressor can result in "empty nest syndrome"? A.) Financial crisis caused by loss of job B.) Loss of job caused by personal inefficiency C.) Children leaving home to seek higher education D.) Chronic illness, such as diabetes and hypertension

C

Which statement(s) might the nurse appropriately include when teaching a client about calcium intake for osteoporosis (select all that apply): A.) You should try to increase your protein intake when you are taking calcium B.) It is best to take calcium in one large dose C.) Tums are the most soluble form of calcium D.) You should take calcium with vitamin D because the vitamin D helps your body better absorb calcium E.) It's okay to take calcium if you have had a history of kidney stones

C, D

Which assessment findings support that a 15-year-old high school student may attain her menses late (select all that apply): A.) Morbidly obese B.) Thyroid disorder C.) Anorexia nervosa D.) Type 1 diabetes mellitus E.) Strenuous sports

C, E

A blind woman has arrived for an examination. Her guide dog assists her to the examination room. She appears nervous and says, "I've never had a pelvic examination." What response from the nurse would be most appropriate? A.) Don't worry. It will be over before you know it B.) Try to relax. I'll be very gentle, and I won't hurt you C.) Your anxiety is common. I was anxious when I first had a pelvic examination D.) I'll let you touch each instrument that I'll use during the examination as I tell you how it will be used

D

A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenoma. How would the nurse explain the defining characteristics of a fibroadenoma? A.) Inflammation of the milk ducts and glands behind the nipples B.) Thick, sticky discharge from the nipple of the affected breast C.) Lumpiness in both breasts that develops 1 week before menstruation D.) Single lump in one breast that can be expected to shrink as the woman ages

D

A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic. She is due for a mammogram. At her first visit, her health care provider is concerned about the 3-week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client? A.) Do you have transportation to the teaching hospital so that you can get your mammogram? B.) I'm concerned that you missed your appointment; let me make another one for you C.) It's very dangerous to skip your mammograms; your breasts need to be checked D.) Would you like me to make an appointment for you to have your mammogram here?

D

A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group? A.) Genetic mutations account for 50% of women who will develop breast cancer B.) Breast cancer is the leading cause of cancer death in women C.) In the United States, 1 in 10 women will develop breast cancer in her lifetime D.) The exact cause of breast cancer remains unknown

D

As part of their participation in the gynecologic portion of the physical examination, which approach should the nurse take? A.) Take a firm approach that encourages the client to facilitate the examination by following the physicians instructions exactly B.) Explain the procedure as it unfolds, and continue to question the client to get information in a timely manner C.) Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for developing cancer D.) Help the woman relax through the proper placement of her hands and proper breathing during the examination

D

Nafarelin (Synarel) is used to treat mild to severe endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration? A.) Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian activity B.) It should be administered by intramuscular (IM) injection C.) Nafarelin should be administered by a subcutaneous implant D.) It can cause the client to experience some hot flashes and vaginal dryness

D

What is the goal of a long-term treatment plan for an adolescent with an eating disorder? A.) Managing the effects of malnutrition B.) Establishing sufficient caloric intake C.) Improving family dynamics D.) Restructuring client perception of body image

D

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant? A.) Genetic changes and anomalies B.) Extensive central nervous system damage C.) Fetal addiction to the substance inhaled D.) Intrauterine growth restriction

D

When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended? A.) Increasing the intake of red meat to replace blood loss B.) Reducing the intake of diuretic foods, such as peaches and asparagus C.) Temporarily substituting physical activity for a sedentary lifestyle D.) Using a heating pad on the abdomen to relieve cramping

D

Which action would be inappropriate for the nurse to perform before beginning the health history interview? A.) Smile and ask the client whether she has any special concerns B.) Speak in a relaxed manner with an even, nonjudgmental tone C.) Make the client comfortable D.) Tell the client her questions are irrelevant

D

Which alteration in cyclic bleeding best describes bleeding that occurs at any time other than menses? A.) Oligomenorrhea B.) Menorrhagia C.) Leiomyoma D.) Metrorrhagia

D

Which client is most likely at the perimenopause stage? A.) A 52 year old client with no bleeding or spotting for 1 year B.) A 58 year old client whose ovaries have ceased to produce estrogen C.) A 32 year old client with vaginitis and postcoital bleeding D.) A 46 year old client with irregular, heavier periods and clotting

D

Which client should the nurse refer for further testing? A.) Left breast slightly smaller than right breast B.) Eversion (elevation) of both nipples C.) Faintly visible bilateral symmetry of venous network D.) Small dimple located in the upper outer quadrant of the right breast

D

Which condition is appropriate for the client with dysmenorrhea who has been prescribed nonsteroidal antiinflammatory drugs (NSAIDs) and is passing dark-colored stools 1 week after therapy? A.) Hemorrhoids B.) Allergy to NSAIDs C.) Gastrointestinal infection D.) Gastrointestinal bleeding

D

Which hormone is responsible for the maturation of mammary gland tissue? A.) Estrogen B.) Testosterone C.) Prolactin D.) Progesterone

D

Which intervention is appropriate for the professional gymnast client with amenorrhea and low body mass index? A.) Administering aspirin with oral contraceptives to the athlete B.) Administering 200 mg nafarelin by nasal spray to the athlete C.) Administering 1200 mg calcium and 90 mg potassium to the athlete D.) Suggesting a healthful diet and encouraging deep-breathing exercises

D

Which is a possible reason for the absence of congenital anomaly in the offspring of a type 1 diabetic pregnant client? A.) Vitamin supplements taken during pregnancy B.) Calcium supplements taken during pregnancy C.) Stable blood pressure maintained during pregnancy D.) An euglycemic condition maintained during pregnancy

D

Which nursing advice is appropriate for a 13 year old client who recently began menstruating and has had irregular bleeding since her cycle began? A.) "There may be some underlying disease" B.) "It's likely being caused by a urinary tract infection" C.) "You need to include more calcium in your diet" D.) "Bleeding may be irregular for the first 2 years"

D

Which nursing information is appropriate for the client who reports having her menses on May 11, some light bleeding on May 26 and her next menses on June 8? A.) "Please come again after your next menses" B.) "Your menstrual cycle has a duration of 15 days' C.) "You may need to undergo an ultrasound examination of the uterus" D.) "Having bleeding in the middle of your cycle is a normal finding"

D

Which pain control mechanism of ginger is indicated for the client with dysmenorrhea who suffers from cramps during menses? A.) Hormones B.) Prolactin levels C.) Muscle spasms D.) The inflammatory reaction

D

Which reason explains the nursing advice of placing a heating pad over the abdomen to reduce dysmenorrhea pain? A.) Blocking pain perception B.) Releasing endogenous opiates C.) Relaxing the paravertebral muscles D.) Increasing vasodilation and minimizing uterine ischemia

D

Which risk factor would the nurse recognize as being frequently associated with osteoporosis? A.) African-American race B.) Low protein intake C.) Obesity D.) Cigarette smoking

D

Which site of examination is appropriate for the client with cervical cancer? A.) Clitoris B.) Fallopian tube C.) Bartholin glands D.) Transformation zone

D

Which statement by the client indicates the need for further teaching about health promotion and vaccinations? A.) Vaccinating the mother against rubella before pregnancy protects the fetus B.) Vaccination prevents some sexually transmitted infections (STIs) C.) The shingles vaccine is given to women at about 65 years of age D.) The human papillomavirus (HPV) vaccine eliminated the need for the Papanicolaou (Pap) test

D

Which statement is accurate about the difference between health promotion and illness prevention? A.) There is no difference in health promotion and illness prevention B.) Health promotion is preventing illness and illness prevention is promoting health C.) Health promotion is the desire to avoid illness, and illness prevention is the motivation to increase D.) Health promotion is the motivation to increase well-being, and illness prevention is the desire to avoid illness

D

Which statement is accurate regarding educating the client about preconception care? A.) It is designed for women who has never been pregnant B.) It includes risk factor assessments for potential medical and psychological problems but by law cannot consider finances or workplace conditions C.) It does not teach about safe sex to avoid political controversy D.) It could include interventions to reduce substance use and abuse

D

Which statement is accurate regarding primary dysmenorrhea? A.) It is experienced by all women B.) It is not affected by oral contraceptives C.) It occurs in young, multiparous women D.) It may be caused by excessive endometrial prostaglandin

D

Which surgical side effect would a client with uterine leiomyomata undergoing uterine artery embolization experience? A.) Obesity B.) Menopause C.) Osteoporosis D.) Loss of fertility

D

Which system responses would the nurse recognize as being unrelated to prostaglandin (PGF2) release? A.) Systemic responses B.) Gastrointestinal system C.) Central nervous system D.) Genitourinary system

D

Which nursing interventions are performed to assist a client during a pelvic examination (select all that apply): A.) Collection of specimens B.) Using a water-soluble lubricant C.) Changing into a hospital gown D.) Performing relaxation techniques E.) Moving the client into a sitting position after completion

D, E