Maternity and Women's Health Ch. 11

The nurse is reviewing a preoperative checklist with a client scheduled for a uterine artery embolization. Which factor would require the nurse to contact the health care provider to alert them and recommend a postponement of the procedure?

The client took aspirin before coming to the hospital.

Which statement would the nurse include when describing stage II endometrial carcinoma to a new graduate nurse?

The tumor invades the cervical stroma and does not extend beyond the uterus.

Which type of malignancy is the most common of the female reproductive system?

Endometrial cancer

Which instruction would the nurse provide to a client who has undergone a vulvectomy to avoid pelvic congestion?

Elevate the legs periodically

A client's surgical history includes uterine artery embolization. Which question would the nurse ask to assess for complications after this procedure?

"Do you get regular periods?"

The nurse is providing discharge teaching to a client who has undergone electrocauterization for the removal of uterine fibroids. Which statement by the client indicates effective teaching?

"I can take ibuprofen for pain relief."

The nurse is performing preoperative teaching with a client scheduled for a uterine artery embolization (UAE) for fibroids. Which statement by the client indicates effective learning of the expected physical effects during the injection of polyvinyl alcohol (PVA)?

"I may have abdominal cramps after receiving the PVA injection."

The nurse is teaching a client with ovarian cancer about nutritional management for anorexia and altered taste. Which statement by the client indicates the need for further teaching?

"I should avoid high-calorie snacks."

Which statement by the client with diarrhea after radiation therapy indicates the need for further teaching?

"I should include prunes in my diet."

The nurse is providing discharge teaching to a client who underwent surgery for the removal of uterine polyps. Which statement by the client indicates the need for further teaching?

"I should use tampons to stop any bleeding."

Which type of cervical cancer is associated with neoplasia in the lower two-thirds of the epithelium of the cervix?

Cervical intraepithelial neoplasia (CIN) 2

What are common types of uterine displacement? Select all that apply.

Anteflexion Retroflexion Retroversion

A client is diagnosed with a symptomatic and recurring Bartholin cyst. Which treatment strategy will provide long-lasting relief?

Marsupialization

A postmenopausal woman tells the nurse during an office visit that she has urinary problems and sensations of bearing down and of something in her vagina. The nurse knows that this sensation is most likely caused by which condition?

ystoceles and/or rectoceles

Which are common risk factors for developing fibroid tumors? Select all that apply.

Obese Nulliparous Older than 50 years of age

The nurse is instructing a client on self-care after embolization of the uterine artery. Which statements would be included based on this scenario? Select all that apply.

"Eat a diet rich in fluid and fiber." "Avoid vaginal intercourse for up to 4 weeks."

The nurse is teaching hygienic measures to a client with vulvodynia. Which statement by the client indicates the need for further teaching?

"I should wear silk or rayon underwear."

Which label represents the type of leiomyoma that puts a client at risk for tumor cell necrosis?

C

The nurse is performing preoperative teaching. Which interventions would be appropriate for the client who is preparing for removal of uterine polyps? Select all that apply.

Advise the client to perform relaxation exercises. Provide psychological support to the client during the removal procedure. Advise the client to avoid sexual intercourse for up to 1 week after surgery.

A client returns from the postanesthesia care unit after having a total abdominal hysterectomy. Which nursing actions would be part of the client's postoperative care? Select all that apply.

Assess lung sounds. Assess bowel sounds and bladder function. Assess the incision for bleeding or drainage, and check laboratory values, especially hematocrit.

Which nursing interventions would be performed postoperatively for a client who has undergone a vaginal hysterectomy? Select all that apply.

Assess vaginal bleeding by perineal pad count. Monitor intake and output of fluids. Provide psychological support to the client to avoid depression.

Which instructions would the nurse provide the client having chemotherapy to help prevent nausea and vomiting? Select all that apply.

Avoid carbonated fluids. Avoid sweet and fatty foods. Avoid sleeping immediately after eating.

In using a two-client model for a cancer client who is pregnant, which emphasis would be used for clinical and ethical decision making?

Consideration would be given to the promotion of fetal well-being.

The nurse is caring for a client who has increased urinary frequency and reports, "Something is in my vagina." Which condition would the nurse anticipate in assessing this client?

Cystocele

The nurse is taking a health history for nulliparous women with a history of cancer therapy that adversely affected the pituitary gland. What symptoms would the nurse anticipate for this client?

Difficulty with conceiving

When obtaining a health history, the nurse should be aware that the most common malignancy of the reproductive system is which type of cancer?

Endometrial cancer

Which education would the nurse provide for a client with leiomyoma regarding the long-term use of a gonadotropin-releasing hormone (GnRH) agonist before administration?

Explain the possibility of loss of bone mass and changes in lipid levels.

The nurse is providing discharge instructions to a client who is recovering from a uterine artery embolization (UAE) procedure. Which symptoms would require the client to contact the health care provider? Select all that apply.

Fever of 39° C Swelling or hematoma at the puncture site Abnormal vaginal discharge

Which are the various classes of functional ovarian cysts? Select all that apply.

Follicular cysts Theca lutein cysts Endometrial cysts Corpus luteal cysts

Which instruction to maintain hygiene would the nurse give a client with a uterine prolapse with a pessary that is always left in place?

Instruct the client to perform regular douching.

A client complains of pain, burning, and irritation in the vulvar area, and reduced sexual desire. The nurse anticipates the health care provider will choose which treatment to initially resolve the symptoms?

Lidocaine 5% ointment

Which interventions would the nurse counsel the client to use to alleviate soreness and skin irritation at the site of radiation therapy? Select all that apply.

Maintain good skin hygiene. Irrigate the site with warm water.

Which treatment strategy would be beneficial for a client with fibroids on the outer wall of the uterus who wants to conceive in the future?

Myomectomy

Which are common risk factors for developing uterine prolapse? Select all that apply.

Obesity Pelvic trauma Vaginal childbirth injury Congenital weakness of the pelvic muscles

Which contributing factors would the nurse include in the teaching to a multiparous mother complaining of urinary incontinence? Select all that apply.

Obesity Smoking Caucasian race

In assessing a client after an abdominal hysterectomy, the nurse notes acute pain and impaired tissue integrity at the surgical site. Which intervention would the nurse add to the care plan to reduce the risk of infection?

Provide fruits rich in vitamin C to the client.

The nurse is creating a diet plan for a client undergoing chemotherapy for endometrial cancer that includes nutmeg and potassium-rich foods, and restricts milk intake to less than 500 mL. What is the goal of this diet plan?

To prevent diarrhea

A client diagnosed with polycystic ovary syndrome (PCOS) is prescribed spironolactone for which treatment goal?

To suppress the production of androgens

Which is the preferred treatment for a client diagnosed with stage I endometrial cancer?

Total abdominal hysterectomy (TAH)

A client is diagnosed with submucosal leiomyomas. Which statement would the nurse use to explain this condition to the client?

Tumors have developed in the endometrium and protrude into the uterine cavity.

Which interventions would the nurse recommend to the client with a rectovaginal fistula to manage symptoms?

Use an enema before leaving the house.

What measure would a nurse take to prevent the development of deep vein thrombosis (DVT) in a client recovering from an abdominal hysterectomy?

Using antiembolic stockings