F.A Davis Alterations in Women's Health

A female client is concerned about breast cancer. Which factors should the nurse explain are risk factors for breast cancer? Select all that apply. Early onset of menarche Early onset of menopause Breast cancer gene (BRCA1 or BRCA2) mutation Oral contraceptive use Smoking

Breast cancer gene (BRCA1 or BRCA2) mutation Early onset of menarche Smoking

A female client presents to the outpatient clinic for a possible vaginal infection. She reports vaginal itching and, upon examination, has vulvar erythema and thick curd-like discharge. Which condition should the nurse anticipate treatment for? Trichomoniasis Candidiasis BV Chlamydia

Candidiasis

Which of the following increases a woman's chance of developing breast and endometrial cancers? Vegan diet HPV Obesity Multiparity

Obesity

The nurse is caring for a patient undergoing chemotherapy for ovarian cancer. What should be included in the plan of care for this patient? Select all that apply. Offer several small meals each day Provide a soft toothbrush Encourage a clear liquid diet only Encourage plenty of fluids Offer large, high calorie meals

Offer several small meals each day Provide a soft toothbrush Encourage fluids

The nurse is assessing a female patient with polycystic ovarian syndrome (PCOS). Which assessment finding would indicate hyperandrogenism associated with PCOS? Select all that apply. Menstrual irregularities reported by patient Oily skin with acne Hirsutism High pitched voice Male-pattern baldness

Oily skin with acne Hirsutism Male-pattern baldness

The nurse is reviewing the medical record of a female patient who reports reoccurring vaginal yeast infections. Which items in the patient's history increases her risk for reoccurring vaginal yeast infections? Select all that apply. Patient reports douching Frequent antibiotic use New sexual partner Vaginal pH above 5.0 Diabetes

Patient reports douching Frequent antibiotic use Diabetes

An older female patient has a mild uterine prolapse and declines surgery. What measures should the nurse suggest to the patient to manage this condition without surgery? Select all that apply. Avoiding sexual intercourse Using a vaginal pessary Eating a high fat diet to avoid loose stools Performing kegel exercises Avoiding heavy lifting

Performing kegel exercises Avoiding heavy lifting Using a vaginal pessary

A 15-year-old female patient with a history of menarche at age 12 reports that she has not had menses for the last three months. Which contributing conditions should the nurse be aware of in order to anticipate laboratory or diagnostic imaging orders? Select all that apply. Pregnancy Congenital absence of vagina or uterus Eating disorder Thyroid dysfunction Turner syndrome

Pregnancy Eating disorder Thyroid dysfunction

A female client with endometriosis reports painful menstruation. The nurse knows this symptom is associated with which menstrual abnormality? Primary dysmenorrhea Secondary dysmenorrhea Premenstrual syndrome Oligomenorrhea

Secondary dysmenorrhea

The nurse is teaching an adolescent female about cervical cancer screening (Pap test). Which statement indicates that teaching was effective? "I will need to have a Pap test before my doctor will prescribe me birth control pills." "A Pap test is used to diagnose cervical cancer." "I should get my first Pap test when I turn 21." "I can give a urine sample for the Pap test."

"I should get my first Pap test when I turn 21."

The nurse is teaching a client about the HPV vaccine they are scheduled to receive. Which statement indicates that the client understands the purpose of the HPV vaccine? "The HPV vaccine is intended to help prevent against cancer." "The HPV vaccine will help prevent against all infections." "The HPV vaccine is provided as a treatment for cancer." "The HPV vaccine is provided as a treatment for infection."

"The HPV vaccine is intended to help prevent against cancer."

The nurse is providing community education on intimate partner violence (IPV). Which should be included in the presentation? Intimate partner violence mostly affects lower socioeconomic classes. Stalking or psychological aggression is not considered violence. A woman who is pregnant is at higher risk of IPV. 1 in 10 women in the U.S. will experience IPV during their lifetime.

A woman who is pregnant is at higher risk of IPV.

A female client with a leiomyoma of the uterus asks the nurse to explain what this is. What is the best explanation by the nurse? "This is a fluid filled cyst on your uterus." "This is a cancerous growth on your uterus." "This is a pseudopregnancy." "This is a benign tumor on the uterine wall."

"This is a benign tumor on the uterine wall."

The mother of a 10-year old girl asks the nurse when she should expect her daughter to have her first period. Which response by the nurse is correct? 2 to 2.5 years after the beginning of puberty About the time that the breasts begin to develop Any time between 13 to 14 years of age At the age the mother had menarche

2 to 2.5 years after the beginning of puberty

The nurse in an outpatient clinic is reviewing charts for clients coming in today. Which client should the nurse anticipate needing a Pap test today? 29-year-old woman with a normal Pap test two years ago 18-year-old woman with no prior Pap tests and onset of sexual activity three years ago 45-year-old woman with history of total hysterectomy for fibroids whose last Pap was 7 years ago 21-year-old woman with no prior Pap tests and a history of HPV vaccines completed

21-year-old woman with no prior Pap tests and a history of HPV vaccines completed

The nurse knows that which health issues are reported more frequently in women who are obese? Select all that apply. Endometrial cancer Sexually transmitted infections Abnormal menstrual cycle Infertility Osteoporosis

Abnormal menstrual cycle Infertility Endometrial cancer

The nurse is preparing a presentation to adolescent girls about health promotion. Which aspect of adolescent development should the nurse consider? Adolescent girls have completed biological changes, including sexual maturity. Adolescents are abstract thinkers. Adolescents use logic and plan for the future. Adolescents often compare their beliefs with those of their peers.

Adolescents often compare their beliefs with those of their peers.

The primary care nurse is reviewing records for female clients coming in today. Which clients are at higher risk of developing osteoporosis? Select all that apply. 48-year-old woman with a BMI of 32 Caucasian woman who smokes 60-year-old woman with auto-immune disease who frequently takes corticosteroids African-American woman with normal vitamin D level Asian small-boned woman who drinks 3 alcoholic beverages a day

Caucasian woman who smokes 60-year-old woman with auto-immune disease who frequently takes corticosteroids Asian small-boned woman who drinks 3 alcoholic beverages a day

A female patient is admitted to the hospital for pelvic inflammatory disease (PID). Which organism does the nurse know is most likely to cause PID? Chlamydia trachomatis Candida albicans Escherichia coli HPV

Chlamydia trachomatis

The nurse is teaching health promotion to a class of high-school students. Which should be included regarding human papillomavirus (HPV)? Select all that apply. HPV is the most common sexually transmitted virus in the United States. HPV vaccine is recommended only for females. HPV can cause cancer of the penis. Most cases of cervical cancer are caused from HPV. HPV vaccine is not indicated if a person already has genital warts.

HPV is the most common sexually transmitted virus in the United States. HPV can cause cancer of the penis. Most cases of cervical cancer are caused from HPV.

A client in the gynecology clinic asks the nurse about the word "menorrhagia," which the client saw written in their medical record. What is the correct definition of menorrhagia? Painful menstruation Bleeding between periods Heavy menstrual bleeding No menstruation in 3 months

Heavy menstrual bleeding

Women experiencing infertility concerns may experience _____________. Empty nest syndrome Mental health concerns Dysmenorrhea HELLP syndrome

Mental health concerns

A female patient with premenstrual syndrome (PMS) reports bloating, breast tenderness, and mood swings. The nurse would expect the patient to have these symptoms at which times? Onset of symptoms on first day of menses, decreased at end of menses Onset of symptoms in second half of cycle, decreased during menses Onset of symptoms in first half of cycle, decreased at mid-cycle Onset of symptoms do not correlate to menstrual cycle and are random

Onset of symptoms in second half of cycle, decreased during menses

The nurse is teaching a female client who desires pregnancy about the female reproductive cycle. Which are the main sites of regulation of the menstrual cycle? Select all that apply. Hypothalamus Posterior pituitary Ovaries Adrenal glands Hippocampus

Ovaries, hypothalamus

A female client has been trying to get pregnant for over one year. Which condition does the nurse explain as the most common cause of female infertility? Endometriosis PCOS Chronic pelvic pain Vaginitis

PCOS

The nurse is educating a group of women on health promotion and risks from obesity. Which conditions are women at higher risk for due to obesity? Select all that apply. Sleep apnea Type 2 diabetes Breast cancer Osteoporosis Pregnancy complications

Sleep apnea Type 2 diabetes Breast cancer Pregnancy complications

The nurse is notifying a female client about her abnormal Pap result. Which statement by the nurse is best? The pap test diagnoses cervical cancer The follow-up test is called a colposcopy The treatment for this is cryotherapy The treatment for this is cervical surgery

The follow-up test is called a colposcopy

The nurse is educating a group of female clients about breast cancer screening. Which should be included in the teaching? Screening mammograms should begin at age 30. Women who are at high risk for breast cancer may need MRI screening and mammograms. Self-breast exams should be done every month. Mammograms are best for detecting large tumors which a woman has felt.

Women who are at high risk for breast cancer may need MRI screening and mammograms.

A female client with genital herpes has requested education on her condition. Which items should the nurse include in the teaching? Select all that apply. The cure for herpes is anti-viral medication, such as acyclovir. Herpes can be transmitted to sexual partners, even when there are no visible lesions or sores. A pregnant woman with a history of herpes must deliver by cesarean section. Herpes outbreaks can be shortened by taking anti-viral medications, such as acyclovir. The use of condoms can prevent transmission of herpes between sexual partners.

Herpes can be transmitted to sexual partners, even when there are no visible lesions or sores. Herpes outbreaks can be shortened by taking anti-viral medications, such as acyclovir.

A female client has been prescribed oral metronidazole (Flagyl) for the treatment of bacterial vaginosis. What is essential for the nurse to teach the woman? "Male sexual partners should also be treated." "Avoid alcohol while taking this medication." "Take the medication until the symptoms resolve." "The medication can also treat candidiasis."

"Avoid alcohol while taking this medication."

The community health nurse is teaching a group of female clients about chlamydia. Which statement should be included in the education? "Most women who are infected with chlamydia will have pelvic pain, fever, and abnormal discharge." "Chlamydia is treated with a single IM dose of ceftriaxone." "Chlamydia can lead to infertility and ectopic pregnancy." "Chlamydia is the most common viral sexually transmitted infection (STI)."

"Chlamydia can lead to infertility and ectopic pregnancy."

Untreated serious injuries can indicate which of the following? Anemia Poverty Intimate partner violence AIDS

IPV

The nurse is interviewing a 50-year-old female client about menopause related symptoms. Which description by the client indicates she is experiencing vasomotor symptoms? "I feel dry in my vaginal area." "I'm putting on weight, especially around my waist." "My neck and face turn red and I then I begin to sweat." "My skin is dry."

"My neck and face turn red and I then I begin to sweat."

The nurse is presenting on breast cancer screening during a health fair. Understanding of cancer detection that provides the best opportunity for successful treatment is reflected by which statement? "Early detection of breast cancer when the small tumor has not spread." "MRI screening is recommended for all women to detect breast cancer." "Average risk for breast cancer includes BRACA1 gene mutation." "Monthly self-breast exams are recommended for all women."

"Early detection of breast cancer when the small tumor has not spread."

A female client tells the nurse she has been using herbal remedies to treat her menopause symptoms. Which is the best response by the nurse? "You should not use herbal remedies because they have no proven benefit." "Herbal remedies can be dangerous." "Herbal supplements are natural so there is no harm in trying them." "Let's talk to your provider about your symptoms and what you are taking for them."

"Let's talk to your provider about your symptoms and what you are taking for them."

A 50-year-old female client has a screening mammogram ordered, and asks the nurse, "Why do I need this if I don't feel any breast lumps?" Which is the best response by the nurse? "The mammogram can detect early stages of breast cancer, even before a lump is felt." "The mammogram can tell if the lump is a fluid-filled cyst or a solid mass." "The mammogram uses magnets and radio waves to find breast tumors." "There will be a small needle inserted in your breast to check for cancer."

"The mammogram can detect early stages of breast cancer, even before a lump is felt."

A 50-year-old female client is prescribed menopausal hormone therapy (MHT) for severe hot flashes. The client asks why she needs to take progesterone if her symptoms are due to low estrogen. Which is the best explanation by the nurse? "Estrogen alone is not enough to control hot flashes." "Severe menopausal symptoms require both hormones." "Estrogen given alone increases the risk of blood-clotting disorders." "The use of progesterone with estrogen therapy reduces the risk of endometrial cancer."

"The use of progesterone with estrogen therapy reduces the risk of endometrial cancer."

Which statement by the client diagnosed with menopause demonstrates an understanding of the prescribed estradiol cream (Estrace Cream)? "This cream will help with my vulva soreness." "This cream will treat my vaginal infection." "This cream will lubricate me for sexual intercourse." "This cream will increase my sexual desire."

"This cream will help with my vulva soreness."

A client was diagnosed with endometriosis and asks the nurse what this is. How should the nurse respond? "This is inflammation of abnormal endometrial tissue found outside the uterus." "This is an infection of the lining of the uterus." "This is excessive growth of cells in the uterus." "This is a collection of benign growths on the uterus."

"This is inflammation of abnormal endometrial tissue found outside the uterus."

A 49-year-old female client asks the nurse how she will know when she has reached menopause. Which answer by the nurse is best? "When you are having hot flashes." "When your menstrual periods are more than 120 days apart." "When you have not had a menstrual period in 12 months." "When your blood test shows low estrogen."

"When you have not had a menstrual period in 12 months."

The nurse is teaching a female client about prevention of sexually transmitted infections (STIs). The client states, "I only have sex with women so I don't need to worry about that, do I?" Which is the best response by the nurse? "No, only women who have sex with men can get STIs." "Women who are lesbian and bisexual are also at risk for STIs." "You are at risk only if you share sex toys with someone who is infected." "Bacterial vaginosis is the only infection which is transmitted between women."

"Women who are lesbian and bisexual are also at risk for STIs."

A female client has an order for a screening mammogram. Which is the best explanation by the nurse of this procedure? "This is an x-ray of the chest and abdomen." "A machine uses magnets and radio waves to create a picture of the breast." "Your breasts are placed between two plates and a low-dose x-ray is taken." "Sound waves are used to see if you have any fluid-filled or solid masses in your breasts."

"Your breasts are placed between two plates and a low-dose x-ray is taken."

The nurse is reviewing medical records of female clients in the outpatient setting. Which client has the highest risk for cervical cancer? 40-year-old with history of human papillomavirus (HPV), last Pap test 10 years ago 16-year-old has never had sexual intercourse, and her mother had cervical cancer 25-year-old with normal Pap one year ago, history of chlamydia 70-year-old with no history of abnormal Pap tests, last pap test five years ago

40-year-old with history of human papillomavirus (HPV), last Pap test 10 years ago

Which of the following is a consideration when discussing a hysterectomy? Desired parity Exercise habits Family history of breast cancer Number of sexual partners

Desired parity

A female client presents to acute care reporting genital blisters that are very painful. She also reports muscle aches and malaise. Which condition does the nurse anticipate the client will be treated for? Influenza Syphilis Genital herpes Condyloma

Genital herpes

The nurse is teaching a postmenopausal woman about osteoporosis prevention and calcium intake. The client states she is lactose intolerant. Which calcium-rich food should the nurse recommend for this client? Plain low-fat yogurt Lean red meat Cooked shrimp Green leafy vegetables

Green leafy vegetables

A female patient diagnosed with polycystic ovarian syndrome (PCOS) asks why she is having difficulty getting pregnant. What is the best response by the nurse? Your tubes may be blocked You are probably not timing intercourse when you are ovulating It is likely that you are not ovulating The lining of your uterus is too thin to support a pregnancy

It is likely that you are not ovulating

The nurse is discussing health promotion with a patient with polycystic ovary syndrome (PCOS). Which conditions is the patient at higher risk for? Select all that apply. Metabolic syndrome Cardiovascular disease Depression Gestational diabetes Endometriosis

Metabolic syndrome Cardiovascular disease Depression Gestational diabetes

A female patient is concerned about her risk of ovarian cancer since her mother was just diagnosed. Which sign or symptom of ovarian cancer should the nurse teach the patient about? Heavy menstrual bleeding Swollen/bloated abdomen Vaginal dryness Hot flashes

Swollen/bloated abdomen