Emergency Nursing Orientation 3.0: Gynecological Emergencies ( ENA-ENO-C10)

Which statement correctly describes patient assessment? A. Younger patients are more susceptible to human immunodeficiency virus infection. B. All women of childbearing age should have a urine pregnancy test. C. Patients who present with gynecologic complaints are low acuity patients. D. A sexual history is not required for some patients.

B. All women of childbearing age should have a urine pregnancy test.

Which statement correctly describes gonorrhea? A. The infection is localized. B. Its incidence is greatest among those ages 15 to 19. C. It is almost always asymptomatic in men. D. Ciprofloxacin (Cipro) is the treatment of choice.

B. Its incidence is greatest among those ages 15 to 19.

Which condition causes cyclic pelvic pain? A. Ovarian cyst B. Mittelschmerz C. Ovarian torsion D. Degenerating fibroid

B. Mittelschmerz

Which condition is characterized by lower abdominal or pelvic pain that increases with movement? A. Dysfunctional uterine bleeding B. Pelvic inflammatory disease C. Mittelschmerz D. Trichomoniasis

B. Pelvic inflammatory disease

Which statement correctly describes ovarian torsion? A. Torsion is a cause of chronic pain. B. The pain of torsion results from ischemia. C. The pain of torsion causes midline pelvic cramping. D. Torsion results from failure of the corpus luteum to develop.

B. The pain of torsion results from ischemia.

Which finding occurs in the secondary phase of syphilis? A. Meningitis B. A dull symmetric rash on the palms C. Neuropathy D. Urine incontinence

B. A dull symmetric rash on the palms

For a patient with a Bartholin's gland abscess that was drained, which statement indicates that discharge teaching has been effective? A. "I'll take sitz baths and use nonsteroidal anti-inflammatory drugs for comfort." B. "I don't need to take antibiotics because the infection was drained." C. "I may engage in sexual intercourse as soon as I want." D. "My drain will be removed after 1 week."

A. "I'll take sitz baths and use nonsteroidal anti-inflammatory drugs for comfort."

Which organism can cause a miscarriage? A. Herpes simplex virus B. Hepatitis B virus C. Human immunodeficiency virus D. Human papillomavirus

A. Herpes simplex virus

Which statement accurately characterizes primary dysmenorrhea? A. Pain typically precedes menstrual flow by up to 24 hours. B. Management of primary dysmenorrhea includes the use of opioids. C. Pain occurs secondary to estrogen-mediated uterine contractions. D. The pain is most severe in perimenopausal women.

A. Pain typically precedes menstrual flow by up to 24 hours.

Which statement correctly describes vaginitis? A. Trichomoniasis is usually a sexually transmitted infection. B. Vaginitis is common in prepubertal females. C. The most common cause of vaginitis is Candida albicans. D. A strawberry cervix is a sign of bacterial vaginosis.

A. Trichomoniasis is usually a sexually transmitted infection.

Which statement correctly describes ovarian cysts? A. Ovarian cysts are common causes of pelvic pain. B. Ovarian cysts commonly form during the latter half of the menstrual cycle. C. Follicular cysts are the most common ovarian cysts. D. Corpus luteal cysts are more common than ovarian cysts.

C. Follicular cysts are the most common ovarian cysts.

At which point in the menstrual cycle does the leakage of prostaglandin-containing follicular fluid occur? A. During menses B. Just before the onset of menses C. Midcycle D. Just after menstrual flow stops

C. Midcycle

Which term describes too few episodes of menstrual bleeding? A. Menorrhagia B. Amenorrhea C. Oligomenorrhea D. Menometrorrhagia

C. Oligomenorrhea

Which statement correctly describes genital warts? A. Genital warts are rarely seen. B. They are caused by herpes simplex virus type 2. C. Squamous cell cervical cancer is firmly linked to genital warts. D. The warts develop as soon as the initial virus is transmitted.

C. Squamous cell cervical cancer is firmly linked to genital warts.

Which statement accurately characterizes chancroid? A. It is closely associated with gonorrhea. B. Cultures are used to diagnose chancroid. C. The causative agent is Haemophilus ducreyi. D. The lesion borders are regular, and serous exudate covers the base.

C. The causative agent is Haemophilus ducreyi.

Which statement accurately describes gynecologic assessment? A. Defer the sexual history if the topic makes the patient uncomfortable. B. Palpate the area of abdominal or pelvic discomfort first. C. Auscultate for bowel sounds after palpating for abdominal or pelvic discomfort. D. Ask about pelvic pain, bleeding, and discharge during the history.

D. Ask about pelvic pain, bleeding, and discharge during the history.

Which organism causes cervicitis? A. Human papillomavirus B. Candida albicans C. Trichomonas vaginalis D. Chlamydia trachomatis

D. Chlamydia trachomatis

Which vaginal discharge is typically associated with trichomoniasis? A. Odorless, clear to milky white discharge B. Thick, odorless, white vaginal discharge C. Thin, homogenous, malodorous discharge that is white to gray and coats the vaginal wall D. Malodorous, copious, frothy discharge that is white to greenish-yellow

D. Malodorous, copious, frothy discharge that is white to greenish-yellow

Which condition is associated with primary dysmenorrhea? A. Adhesions B. Endometriosis C. Pelvic inflammatory disease D. Menstruation

D. Menstruation

A patient presents with right lower quadrant pain, which she rates as an 8 (on a 0-to-10 scale). She is afebrile and states that her last normal menstrual period began 2 weeks ago. Based on these findings, which disorder is she most likely to have? A. Syphilis B. Tuboovarian abscess C. Ectopic pregnancy D. Ovarian cyst

D. Ovarian cyst