CHAPTER 69 ASSESSMENT OF THE REPRODUCTIVE SYSTEM
STUDY GUIDE WITH CORRECT AND VERIFIED ANSWERS
MULTIPLE CHOICE
1. The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou
test. What instruction by the nurse is the most accurate?
a. The timing of the Pap smear does not matter.
b. Sexual intercourse will not interfere with the results.
c. Results can be interpreted immediately in the office.
d. Results are best if you do not douche 24 hours before the test.
ANS: D
In order to prevent false interpretation, the client must not douche or have sexual intercourse for
at least 24 hours before the Pap smear. Timing is important, with the test scheduled between the
clients menstrual periods so that the menstrual flow does not interfere with laboratory analysis.
The specimens are placed on a glass slide and sent to the laboratory for examination and cannot
be interpreted immediately.
DIF: Understanding/Comprehension REF: 1433
KEY: Health promotion| cancer screening Pap
smear MSC: Integrated Process:
Teaching/Learning
NOT: Client Needs Category: Health Promotion and Maintenance
2. The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which
finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. Need for a Papanicolaou test if none for 3 years
c. Bleeding from the vagina
d. Leakage of urine
ANS: CVaginal bleeding is not normal for the postmenopausal woman. Vaginal dryness and leakage
of urine are common findings in adults of this age range. Pap tests may not be needed for women
over 65 who have had regular cervical cancer testing with normal results.
DIF: Applying/Application REF: 1432
KEY: Adult life stages| older adult| nursing assessment
MSC: Integrated Process: Nursing Process:
Evaluation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is reviewing discharge instructions with a client who has just experienced an endometrial
biopsy. Which finding should be reported to the health care provider immediately?
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood on a perineal pad
d. Fatigue after anesthesia
ANS: B
Chills and fever could indicate an infection and should be reported immediately to the health care
provider. Mild cramping, spotting, and fatigue are normal findings after an endometrial biopsy.
DIF: Applying/Application REF: 1437
KEY: Infection control| wound infection| discharge teaching
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
4. A client is concerned about her irregular menstrual periods since she has increased her daily
workouts at the gym to 2 hours each day. What is the nurses best response?
a. Do you want to talk about the need for that much exercise?
STUDY GUIDE WITH CORRECT AND VERIFIED ANSWERS
MULTIPLE CHOICE
1. The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou
test. What instruction by the nurse is the most accurate?
a. The timing of the Pap smear does not matter.
b. Sexual intercourse will not interfere with the results.
c. Results can be interpreted immediately in the office.
d. Results are best if you do not douche 24 hours before the test.
ANS: D
In order to prevent false interpretation, the client must not douche or have sexual intercourse for
at least 24 hours before the Pap smear. Timing is important, with the test scheduled between the
clients menstrual periods so that the menstrual flow does not interfere with laboratory analysis.
The specimens are placed on a glass slide and sent to the laboratory for examination and cannot
be interpreted immediately.
DIF: Understanding/Comprehension REF: 1433
KEY: Health promotion| cancer screening Pap
smear MSC: Integrated Process:
Teaching/Learning
NOT: Client Needs Category: Health Promotion and Maintenance
2. The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which
finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. Need for a Papanicolaou test if none for 3 years
c. Bleeding from the vagina
d. Leakage of urine
ANS: CVaginal bleeding is not normal for the postmenopausal woman. Vaginal dryness and leakage
of urine are common findings in adults of this age range. Pap tests may not be needed for women
over 65 who have had regular cervical cancer testing with normal results.
DIF: Applying/Application REF: 1432
KEY: Adult life stages| older adult| nursing assessment
MSC: Integrated Process: Nursing Process:
Evaluation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is reviewing discharge instructions with a client who has just experienced an endometrial
biopsy. Which finding should be reported to the health care provider immediately?
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood on a perineal pad
d. Fatigue after anesthesia
ANS: B
Chills and fever could indicate an infection and should be reported immediately to the health care
provider. Mild cramping, spotting, and fatigue are normal findings after an endometrial biopsy.
DIF: Applying/Application REF: 1437
KEY: Infection control| wound infection| discharge teaching
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
4. A client is concerned about her irregular menstrual periods since she has increased her daily
workouts at the gym to 2 hours each day. What is the nurses best response?
a. Do you want to talk about the need for that much exercise?
