Female Reproductive Disorder Practice Questions
NCLEX
The nurse is counseling a postmenopausal woman about her new stress
incontinence. Which statement by the nurse is most important?
a. "You can try a variety of briefs and undergarments."
b. "It will be important to keep that area clean and dry."
c. "I can refer you to a good incontinence clinic."
d. "Unfortunately, incontinence is common in women your age."
ANS: B
After menopause, the vagina becomes dry, thinner, and smoother. This atrophy places
the vagina at risk for infection. The combination of this fact with the presence of urine
places the woman at higher risk for infection. The nurse should teach the client good
hygienic practices to reduce the likelihood of infection. Education about
briefs/undergarments may be needed, and a referral to an incontinence clinic would be
very helpful, but neither takes priority over preventing infection. Stating that
incontinence is common is not a helpful strategy.
Which question is most important for the nurse to ask the client with a cystocele
who is schedule to have a pessary inserted?
a. "Do you know if you are allergic to latex?"
b. "When did you started having incontinence?:
c. 'When was your last bowel movement?"
d. "Are you experiencing any pelvic pressure?"
ANS: A
The client should be assessed for allergies to latex as a result of the composition of the
pessary
The nurse is preparing a teaching plan for a client who is scheduled to undergo
mammography for the first time. What instruction by the nurse is accurate?
a. "The test should be carried out even if you are pregnant."
b. "Do not use deodorant on breasts or underarms before the test."
c. "You will not experience any discomfort because this is just an x-ray."
d. "The entire test should not take longer than 1 hour."
ANS: B
The client should be reminded not to use creams, powders, or deodorant on breast or
underarm areas before mammography because these products can show on the x-ray.
The test should be rescheduled if any possibility exists that the client is pregnant.
Women can experience discomfort as the breasts are compressed. The test is generally
much less than an hour in duration.
The nurse is conducting a reproductive assessment of a postmenopausal
woman. Which assessment finding reported by the client requires immediate
intervention by the nurse?
a. Urinary incontinence
b. Vaginal dryness
c. Painful intercourse
d. Returning periods
, ANS: D
All client reports require some action by the nurse, but the priority would be to further
investigate and report the "returning periods." In a postmenopausal woman, this can
signal cancer.
The nurse is working with a client who is recovering after a cervical biopsy.
Which statement by the client indicates a need for further instruction?
a. "I can resume vaginal intercourse after 6 weeks."
b. "I should report heavy bleeding to the health care provider."
c. "I must not lift heavy objects for about 2 weeks."
d. "I will use the antiseptic rinse on a regular basis."
ANS: A
The client should be instructed to keep the perineum clean and dry by using antiseptic
solution rinses (as directed by her health care provider) and changing pads frequently.
In addition, the client is instructed not to lift heavy objects for 2 weeks and to report
excessive bleeding (more than like a normal period). She can resume intercourse in
about 2 weeks, when the site has healed; she does not need to wait 6 weeks.
The nurse is working with a client who is recovering after a laparoscopy. Which
assessment finding is considered a priority by the nurse?
a. Slight drainage from the incision site
b. Grogginess after the anesthesia
c. Discomfort from the catheter
d. Reports of shoulder pain
ANS: D
Clients should expect mild drainage or blood from the incision site. Grogginess from the
anesthesia and discomfort from a catheter are also expected minor occurrences post-
laparoscopy. The nurse would not be concerned about these but should intervene and
treat the client with shoulder pain. Shoulder pain is referred pain from phrenic nerve
irritation and can be expected.
A postmenopausal client says that she is experiencing difficulty with vaginal
dryness during intercourse and wonders what might be causing this. Which is the
nurse's best response?
a. "The less frequently you have intercourse, the drier the vaginal tissues
become."
b. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
c. "Drinking at least 3 liters of water each day will make all your tissues less dry."
d. "Try using a water-soluble lubricant during intercourse."
ANS: B
Estrogen deprivation, which occurs as a result of menopause, decreases the moisture-
secreting capacity of vaginal cells, thereby making the area drier. The vaginal tissues
also become thinner and the rugae become smoother. Reduced frequency of
intercourse will not dry out the vaginal tissues. Drinking excess water will not make the
tissues less dry. A water-soluble lubricant may make intercourse less difficult. However,
the client is asking what causes the problem.
The nurse is assessing a client with a history of irregular periods. Which
condition does the nurse possibly correlate with this problem?
a. Childhood mumps
NCLEX
The nurse is counseling a postmenopausal woman about her new stress
incontinence. Which statement by the nurse is most important?
a. "You can try a variety of briefs and undergarments."
b. "It will be important to keep that area clean and dry."
c. "I can refer you to a good incontinence clinic."
d. "Unfortunately, incontinence is common in women your age."
ANS: B
After menopause, the vagina becomes dry, thinner, and smoother. This atrophy places
the vagina at risk for infection. The combination of this fact with the presence of urine
places the woman at higher risk for infection. The nurse should teach the client good
hygienic practices to reduce the likelihood of infection. Education about
briefs/undergarments may be needed, and a referral to an incontinence clinic would be
very helpful, but neither takes priority over preventing infection. Stating that
incontinence is common is not a helpful strategy.
Which question is most important for the nurse to ask the client with a cystocele
who is schedule to have a pessary inserted?
a. "Do you know if you are allergic to latex?"
b. "When did you started having incontinence?:
c. 'When was your last bowel movement?"
d. "Are you experiencing any pelvic pressure?"
ANS: A
The client should be assessed for allergies to latex as a result of the composition of the
pessary
The nurse is preparing a teaching plan for a client who is scheduled to undergo
mammography for the first time. What instruction by the nurse is accurate?
a. "The test should be carried out even if you are pregnant."
b. "Do not use deodorant on breasts or underarms before the test."
c. "You will not experience any discomfort because this is just an x-ray."
d. "The entire test should not take longer than 1 hour."
ANS: B
The client should be reminded not to use creams, powders, or deodorant on breast or
underarm areas before mammography because these products can show on the x-ray.
The test should be rescheduled if any possibility exists that the client is pregnant.
Women can experience discomfort as the breasts are compressed. The test is generally
much less than an hour in duration.
The nurse is conducting a reproductive assessment of a postmenopausal
woman. Which assessment finding reported by the client requires immediate
intervention by the nurse?
a. Urinary incontinence
b. Vaginal dryness
c. Painful intercourse
d. Returning periods
, ANS: D
All client reports require some action by the nurse, but the priority would be to further
investigate and report the "returning periods." In a postmenopausal woman, this can
signal cancer.
The nurse is working with a client who is recovering after a cervical biopsy.
Which statement by the client indicates a need for further instruction?
a. "I can resume vaginal intercourse after 6 weeks."
b. "I should report heavy bleeding to the health care provider."
c. "I must not lift heavy objects for about 2 weeks."
d. "I will use the antiseptic rinse on a regular basis."
ANS: A
The client should be instructed to keep the perineum clean and dry by using antiseptic
solution rinses (as directed by her health care provider) and changing pads frequently.
In addition, the client is instructed not to lift heavy objects for 2 weeks and to report
excessive bleeding (more than like a normal period). She can resume intercourse in
about 2 weeks, when the site has healed; she does not need to wait 6 weeks.
The nurse is working with a client who is recovering after a laparoscopy. Which
assessment finding is considered a priority by the nurse?
a. Slight drainage from the incision site
b. Grogginess after the anesthesia
c. Discomfort from the catheter
d. Reports of shoulder pain
ANS: D
Clients should expect mild drainage or blood from the incision site. Grogginess from the
anesthesia and discomfort from a catheter are also expected minor occurrences post-
laparoscopy. The nurse would not be concerned about these but should intervene and
treat the client with shoulder pain. Shoulder pain is referred pain from phrenic nerve
irritation and can be expected.
A postmenopausal client says that she is experiencing difficulty with vaginal
dryness during intercourse and wonders what might be causing this. Which is the
nurse's best response?
a. "The less frequently you have intercourse, the drier the vaginal tissues
become."
b. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
c. "Drinking at least 3 liters of water each day will make all your tissues less dry."
d. "Try using a water-soluble lubricant during intercourse."
ANS: B
Estrogen deprivation, which occurs as a result of menopause, decreases the moisture-
secreting capacity of vaginal cells, thereby making the area drier. The vaginal tissues
also become thinner and the rugae become smoother. Reduced frequency of
intercourse will not dry out the vaginal tissues. Drinking excess water will not make the
tissues less dry. A water-soluble lubricant may make intercourse less difficult. However,
the client is asking what causes the problem.
The nurse is assessing a client with a history of irregular periods. Which
condition does the nurse possibly correlate with this problem?
a. Childhood mumps
