Chapter 53: Female Reproductive and
Genital Problems Lewis: Medical-
Surgical Nursing Test Bank
A 34-yr-old patient who is discussing contraceptive options with the nurse
says,
to have"I want
children but not for a few years." Which response by the nurse is
accurate?
a. "If you do not become pregnant within the next few years, you
never
b. will." often have more difficulty becoming pregnant after
"Women
about
c. "Stopage 35." oral contraceptives several years before you want to
taking
have
d. "Youa child."
have many more years of fertility left, so there is no rush to have
children."
correct answers ANS:
B
The probability of successfully becoming pregnant decreases after age
35 years, some patients may have no difficulty in becoming
although
pregnant. Oral do not need to be withdrawn for several years for a woman
contraceptives
to becomeAlthough the patient may be fertile for many years, it would be
pregnant.
inaccurate
indicate to there is no concern about fertility as she becomes older.
that
Although
for the increases
infertility risk after age 35 years, not all patients have difficulty in
conceiving.
DIF: Cognitive Level: Apply (application) REF: 1242 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a
couple.
woman The tells the nurse that they cannot afford IVF on her husband's salary.
The man
replies that if his wife worked outside the home, they would have enough
money. Which
nursing diagnosis is
appropriate?
a. Decisional conflict related to inadequate financial
resources
b. Ineffective sexuality patterns related to
psychological
c. stress related to anxiety about lack of
Defensive coping
conception
d. Ineffective denial related to frustration about continued infertility
correct answers
ANS:
The statements made by the couple are consistent with the diagnosis of
C
defensive
coping. No data indicate that ineffective sexuality and ineffective denial
are problems.
Although the couple is quarreling about finances, the data do not provide
information
indicating that the finances are
inadequate.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process:
Diagnosis
MSC: NCLEX: Psychosocial
Integrity
(Page
519).
A young patient who is trying to become pregnant asks the nurse how to
determine
when she is most likely to conceive. The nurse
explains that
, a. ovulation is unpredictable unless there are regular
menstrual
b. ovulationperiods.
prediction kits can provide accurate information about
c. she will need to bring a specimen of cervical mucus to the clinic
ovulation.
forshe
d. testing.
should take her body temperature daily and have intercourse
correct
when itanswers
drops. ANS:
B
Ovulation prediction kits indicate when luteinizing hormone (LH)
levels first
Ovulation rise. about 28 to 36 hours after the first rise of LH. This
occurs
information
used can be
to determine the best time for intercourse. Body temperature rises .
at ovulation
Postcoital cervical smears are used in infertility testing, but they do not
time
predictfor the best
conceiving and are not obtained by the patient. Determination of
the time of
ovulation can be predicted by basal body temperature charts or ovulation
prediction
and kits
is not dependent on regular menstrual
periods.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
.Maintenance
A patient has an induced abortion with suction curettage at an
ambulatory
center. Which surgical
instructions will the nurse include when discharging
the patient?
a. "Avoid contraceptives until your
reexamination."
b. "Heavy vaginal bleeding is expected for 2
weeks."
c. "Abstain from sexual intercourse for the next 2
weeks."
d. "Irregular menstrual periods are expected for a few months." correct
answers ANS:
C
Because infection is a possible complication of this procedure, the patient is
advised
avoid to
intercourse until the reexamination in 2 weeks. Patients may be
started on
contraceptives on the day of the procedure. The patient should call the
doctor ifbleeding
vaginal heavy occurs. No change in the regularity of the menstrual
periods is
expecte
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
d.
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
A patient is scheduled for an induced abortion using instillation of
hypertonic
solution. saline
Which information will the nurse plan to discuss with the patient
before the
procedure
?
a. The patient will require a general
anesthetic.
b. The expulsion of the fetus may take 1 to 2 days. c. There is a
possibility
patient may that the a live
deliver
fetus.
d. The procedure may be unsuccessful in terminating the pregnancy.
correct answers
ANS:
B
Uterine contractions take 12 to 36 hours to begin after the hypertonic saline
is instilled.
Because the saline is feticidal, the nurse does not need to discuss any
possibility
live delivery of or
a that the pregnancy termination will not be
successful. is
anesthesia General
not needed for this
procedure.
, DIF: Cognitive Level: Apply (application) REF: 1244 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
A 28-yr-old patient reports anxiety, headaches with dizziness, and
abdominalbefore
occurring bloating
her menstrual periods. Which action is best for the nurse to
take at this
time
?
a. Ask the patient to keep track of her symptoms in a diary for
3 months.
b. Suggest that the patient try aerobic exercise to decrease her
symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce
premenstrual
syndrome (PMS)
symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs
(NSAIDs) such
ibuprofen as
to control symptoms. correct answers
ANS:patient's
The A symptoms indicate possible PMS, but they also may be
associated
other with Having the patient keep a symptom diary for 2 or 3 months
diagnoses.
will help in a diagnosis of PMS. The nurse should not implement
confirming
interventions
until a diagnosis for is
PMS
made. DIF: Cognitive Level: Apply (application) REF:
1244 TOP:
Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
A 19-yr-old patient has been diagnosed with primary dysmenorrhea. How
will the nurse
suggest that the patient manage
discomfort?
a. Avoid aerobic exercise during her menstrual
period.
b. Use cold packs on the abdomen and back for
pain
c. relief.
Talk with her health care provider about beginning
antidepressant
d. Take nonsteroidaltherapy.
antiinflammatory drugs (NSAIDs) when her period
starts. correct
answers ANS:
D
NSAIDs should be started as soon as the menstrual period begins and taken
at regularduring the usual time frame when pain occurs. Aerobic exercise
intervals
may help
reduce symptoms. Heat therapy, such as warm packs, is recommended
for relief
pain. of
Antidepressant therapy is not a typical treatment for
dysmenorrhea.
A patient who was admitted to the emergency department with severe
abdominal with
diagnosed pain an
is ectopic pregnancy. The patient begins to cry and asks
the nurse
leave to
her alone to grieve. Which action should the nurse
take next?
a. Stay with the patient and encourage her to discuss her
b. Explain the reason for taking vital signs every 15 to 30
feelings.
minutes.
c. Close the door to the patient's room and minimize
disturbances.
d. Provide teaching about options for termination of the pregnancy.
correct answers
ANS:
Because the patient is at risk for rupture of the fallopian tube and
hemorrhage,
monitoring offrequent
vital signs is needed. The patient has asked to be left alone,
so staying
with her and encouraging her to discuss her feelings are
inappropriate
Minimizing actions.
contact with her and closing the door of the room is unsafe
because
risk of the
for hemorrhage. Because the patient has requested time to grieve,
it would be to provide teaching about options for pregnancy
inappropriate
termination.
Genital Problems Lewis: Medical-
Surgical Nursing Test Bank
A 34-yr-old patient who is discussing contraceptive options with the nurse
says,
to have"I want
children but not for a few years." Which response by the nurse is
accurate?
a. "If you do not become pregnant within the next few years, you
never
b. will." often have more difficulty becoming pregnant after
"Women
about
c. "Stopage 35." oral contraceptives several years before you want to
taking
have
d. "Youa child."
have many more years of fertility left, so there is no rush to have
children."
correct answers ANS:
B
The probability of successfully becoming pregnant decreases after age
35 years, some patients may have no difficulty in becoming
although
pregnant. Oral do not need to be withdrawn for several years for a woman
contraceptives
to becomeAlthough the patient may be fertile for many years, it would be
pregnant.
inaccurate
indicate to there is no concern about fertility as she becomes older.
that
Although
for the increases
infertility risk after age 35 years, not all patients have difficulty in
conceiving.
DIF: Cognitive Level: Apply (application) REF: 1242 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a
couple.
woman The tells the nurse that they cannot afford IVF on her husband's salary.
The man
replies that if his wife worked outside the home, they would have enough
money. Which
nursing diagnosis is
appropriate?
a. Decisional conflict related to inadequate financial
resources
b. Ineffective sexuality patterns related to
psychological
c. stress related to anxiety about lack of
Defensive coping
conception
d. Ineffective denial related to frustration about continued infertility
correct answers
ANS:
The statements made by the couple are consistent with the diagnosis of
C
defensive
coping. No data indicate that ineffective sexuality and ineffective denial
are problems.
Although the couple is quarreling about finances, the data do not provide
information
indicating that the finances are
inadequate.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process:
Diagnosis
MSC: NCLEX: Psychosocial
Integrity
(Page
519).
A young patient who is trying to become pregnant asks the nurse how to
determine
when she is most likely to conceive. The nurse
explains that
, a. ovulation is unpredictable unless there are regular
menstrual
b. ovulationperiods.
prediction kits can provide accurate information about
c. she will need to bring a specimen of cervical mucus to the clinic
ovulation.
forshe
d. testing.
should take her body temperature daily and have intercourse
correct
when itanswers
drops. ANS:
B
Ovulation prediction kits indicate when luteinizing hormone (LH)
levels first
Ovulation rise. about 28 to 36 hours after the first rise of LH. This
occurs
information
used can be
to determine the best time for intercourse. Body temperature rises .
at ovulation
Postcoital cervical smears are used in infertility testing, but they do not
time
predictfor the best
conceiving and are not obtained by the patient. Determination of
the time of
ovulation can be predicted by basal body temperature charts or ovulation
prediction
and kits
is not dependent on regular menstrual
periods.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
.Maintenance
A patient has an induced abortion with suction curettage at an
ambulatory
center. Which surgical
instructions will the nurse include when discharging
the patient?
a. "Avoid contraceptives until your
reexamination."
b. "Heavy vaginal bleeding is expected for 2
weeks."
c. "Abstain from sexual intercourse for the next 2
weeks."
d. "Irregular menstrual periods are expected for a few months." correct
answers ANS:
C
Because infection is a possible complication of this procedure, the patient is
advised
avoid to
intercourse until the reexamination in 2 weeks. Patients may be
started on
contraceptives on the day of the procedure. The patient should call the
doctor ifbleeding
vaginal heavy occurs. No change in the regularity of the menstrual
periods is
expecte
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
d.
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
A patient is scheduled for an induced abortion using instillation of
hypertonic
solution. saline
Which information will the nurse plan to discuss with the patient
before the
procedure
?
a. The patient will require a general
anesthetic.
b. The expulsion of the fetus may take 1 to 2 days. c. There is a
possibility
patient may that the a live
deliver
fetus.
d. The procedure may be unsuccessful in terminating the pregnancy.
correct answers
ANS:
B
Uterine contractions take 12 to 36 hours to begin after the hypertonic saline
is instilled.
Because the saline is feticidal, the nurse does not need to discuss any
possibility
live delivery of or
a that the pregnancy termination will not be
successful. is
anesthesia General
not needed for this
procedure.
, DIF: Cognitive Level: Apply (application) REF: 1244 TOP: Nursing
Process:
Implementation MSC: NCLEX: Health Promotion and
Maintenance
A 28-yr-old patient reports anxiety, headaches with dizziness, and
abdominalbefore
occurring bloating
her menstrual periods. Which action is best for the nurse to
take at this
time
?
a. Ask the patient to keep track of her symptoms in a diary for
3 months.
b. Suggest that the patient try aerobic exercise to decrease her
symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce
premenstrual
syndrome (PMS)
symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs
(NSAIDs) such
ibuprofen as
to control symptoms. correct answers
ANS:patient's
The A symptoms indicate possible PMS, but they also may be
associated
other with Having the patient keep a symptom diary for 2 or 3 months
diagnoses.
will help in a diagnosis of PMS. The nurse should not implement
confirming
interventions
until a diagnosis for is
PMS
made. DIF: Cognitive Level: Apply (application) REF:
1244 TOP:
Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
A 19-yr-old patient has been diagnosed with primary dysmenorrhea. How
will the nurse
suggest that the patient manage
discomfort?
a. Avoid aerobic exercise during her menstrual
period.
b. Use cold packs on the abdomen and back for
pain
c. relief.
Talk with her health care provider about beginning
antidepressant
d. Take nonsteroidaltherapy.
antiinflammatory drugs (NSAIDs) when her period
starts. correct
answers ANS:
D
NSAIDs should be started as soon as the menstrual period begins and taken
at regularduring the usual time frame when pain occurs. Aerobic exercise
intervals
may help
reduce symptoms. Heat therapy, such as warm packs, is recommended
for relief
pain. of
Antidepressant therapy is not a typical treatment for
dysmenorrhea.
A patient who was admitted to the emergency department with severe
abdominal with
diagnosed pain an
is ectopic pregnancy. The patient begins to cry and asks
the nurse
leave to
her alone to grieve. Which action should the nurse
take next?
a. Stay with the patient and encourage her to discuss her
b. Explain the reason for taking vital signs every 15 to 30
feelings.
minutes.
c. Close the door to the patient's room and minimize
disturbances.
d. Provide teaching about options for termination of the pregnancy.
correct answers
ANS:
Because the patient is at risk for rupture of the fallopian tube and
hemorrhage,
monitoring offrequent
vital signs is needed. The patient has asked to be left alone,
so staying
with her and encouraging her to discuss her feelings are
inappropriate
Minimizing actions.
contact with her and closing the door of the room is unsafe
because
risk of the
for hemorrhage. Because the patient has requested time to grieve,
it would be to provide teaching about options for pregnancy
inappropriate
termination.
