Ch 51: Management of Patients with Female Reproductive Disorders
The nurse is encouraging a patient to have a cervical examination and Pap smear. It has been many years since the patient's last examination and she was diagnosed with HPV 6 years ago. The patient states, "I am not having any trouble down there, so it is best to leave things alone." Which is the best response by the nurse? A) "Early cervical cancer rarely produces any symptoms." B) "If you are not having any problems, then there is no reason to have one." C) "You could have another type of sexually transmitted infection" D) "If your insurance is paying for it, you should have an examination."
A) "Early cervical cancer rarely produces any symptoms."
A patient reports to the nurse that she has a sense of pelvic pressure and urinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. Which does the nurse suspect the patient is experiencing? A) A cystocele B) A rectocele C) An enterocele D) A urinary tract infection
A) A cystocele
A woman who has been trying to conceive is diagnosed with fibroid tumors of the uterus and is scheduled to have a procedure using a laser through a hysteroscope passed through the cervix. Which type of procedure will the nurse prepare the patient for? A) A hysteroscopic resection of myomas B) Laparoscopic myomectomy C) Laparoscopic myolysis D) Laparoscopic cryomyolysis
A) A hysteroscopic resection of myomas
The nurse is caring for a patient postoperatively who had a simple vulvectomy. Which nursing actions will be provided to this patient? (SATA) A) Cleanse the wound daily B) Offer a low-residue diet C) Position the patient with pillows D) Sit in a warm tub of water E) Apply an antibiotic ointment
A) Cleanse the wound daily B) Offer a low-residue diet C) Position the patient with pillows
A patient has had a pessary inserted for long-term treatment of a prolapsed uterus. As part of the teaching plan, which will the nurse advise the patient to do? A) See her gynecologist to remove and clean the pessary at regular intervals B) Keep the insertion site clean and dry C) Avoid penile-vaginal intercourse D) Avoid climbing stairs as much as possible
A) See her gynecologist to remove and clean the pessary at regular intervals
A patient is infected with a vulvovaginal infection. Which interventions for the relief of pain and discomfort can the nurse educate the patient about? (SATA) A) Warm perineal irrigations B) Sitz bath C) Cornstarch for chafed inner thighs D) Cold compress too the vagina E) A vaginal douche
A) Warm perineal irrigations B) Sitz bath C) Cornstarch for chafed inner thighs
A patient diagnosed with endometriosis asks for an explanation of the disease. Which will the nurse explain to the patient? A) She has developed an infection in the lining of her uterus B) Tissue from the lining of the uterus has implanted in areas outside the uterus C) The lining of the uterus is thicker than usual, causing heavy bleeding and cramping D) The lining of the uterus is too thin because endometrial tissue has implanted outside the uterus
B) Tissue from the lining of the uterus has implanted in areas outside the uterus
The nurse is reviewing a patient's lab work and noted a stage II Pap smear result. Which will this indicate for the patient? A) Cancer in situ B) Vaginal invasion C) Pelvic wall invasion D) Bladder extension
B) Vaginal invasion
A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. Which will the nurse encourage the patient to do? A) Stop taking her hormonal therapy B) See her gynecologist as soon as possible C) Disregard this phenomenon because it is common during this life stage D) Mention it to the health care provider during her next annual examination
C) Disregard this phenomenon because it is common during this life stage
A patient has a diagnosis of stage II ovarian cancer and wants to know what organs are involved. Which information will be provided to the patient? A) The cancer involves only the ovaries B) The cancer involves the ovaries with pelvic extension C) The cancer involves metastases outside the pelvis D) The cancer involves distant metastases
C) The cancer involves metastases outside the pelvis
A patient is taking oral danazol, 800 mg/day, for 9 months for the treatment of endometriosis. How does the nurse describe this medication to the patient? A) "It is a gonadotropin that decreases ovarian and pituitary stimulations." B) "It is an antigonadotropin that increases pituitary stimulation and decreases ovarian stimulation." C) "It is a gonadotropin that decreases pituitary stimulation and increase ovarian stimulation." D) "It is an antigonadotropin that decreases pituitary and ovarian stimulations."
D) "It is an antigonadotropin that decreases pituitary and ovarian stimulations."
The nurse is the gynecology clinic is interviewing a patient who informs the nurse that her mother and aunt had carcinoma of the cervix. Which two chief symptoms of early carcinoma will the patient be questioned about? A) Leukoplakia and metrorrhagia B) Dyspareunia and foul-smelling vaginal discharge C) "Strawberry" spots and menorrhagia D) Leukorrhea and irregular vaginal bleeding or spotting
D) Leukorrhea and irregular vaginal bleeding or spotting
A patient has been diagnosed with a vaginal infection and received a prescription for metronidazole. The nurse informs the client that this infection is caused by which organism? A) Candida albicans B) Escherichia Coli C) Streptococcus D) Trichomonas vaginalis
D) Trichomonas vaginalis
A patient is diagnosed with Bartholinitis. Which organism does the nurse identify the patient is most likely infected with? A) Candida albicans B) Chlamydia C) Gardnerella vaginalis D) Trichomonas vaginalis
D) Trichomonas vaginalis
A patient has been diagnosed with a valvular malignancy. Which primary treatment for valvular malignancy will the nurse prepare the patient for? A) Chemotherapy creams B) Laser vaporization C) Radiation D) Wide excision
D) Wide excision
