Chapter 64: Assessment of the Reproductive
System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client is having a hysterosalpingogram. What action by the nurse is most
important?
a. Assist the client in sitting up after the procedure.
b. Provide the client with a pad to avoid dye stains on the clothes.
c. Teach her to take all antibiotics prescribed until finished.
d. Inform the client that the procedure may cause shoulder pain.
ANS: A
During the procedure, the client may experience light-headedness, so the nurse would
assist her with sitting up afterwards for safety. The nurse does provide a pad to
prevent any staining from the dye and does inform the client of the possibility of
shoulder pain, but an action to prevent injury is more important. Antibiotics are not
prescribed afterward.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Reproductive assessment, Client safety
MSC: Client Needs Category: Safe and Effective Care Environment:
Safety and Infection Control
2. The mother of an 18-year-old girl asks the nurse which screening her daughter would
receive now based on evidence-based recommendations. Which suggestion by the
nurse is best?
, a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
d. No screenings at this time
ANS: D
Since the daughter is only 18, it is not recommended that she receive any of these
screenings. Pap screenings are recommended to start at age 21. The HPV test is not
recommended for screening but can be used for women who had an abnormal Pap test
result. A mammogram is recommended for women aged 40 or older since cancers are
more able to be distinguished from normal glandular tissue at that age.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Reproductive issues, Screening MSC: Client Needs
Category: Health Promotion and Maintenance
3. A client is scheduled for a laparoscopy to remove endometriosis tissue. Which
response by the client alerts the nurse of the need for further teaching?
a. “The surgeon told me that carbon dioxide would be infused into my pelvic
cavity.”
b. “There will be one or more small incisions in order to visualize all of the
organs.”
c. “There will be some shoulder pain after the procedure that may last 48 hours.”
d. “I can return to jogging my 3-mile (5 km) routine in a few days.”
ANS: D
The client is taught that she should not participate in strenuous activity for a week
after the procedure. Carbon dioxide is infused into the pelvic cavity to visualize the
organs. There are only one or more small incisions with this procedure. The referred
shoulder pain that will occur only lasts 48 hours.
System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client is having a hysterosalpingogram. What action by the nurse is most
important?
a. Assist the client in sitting up after the procedure.
b. Provide the client with a pad to avoid dye stains on the clothes.
c. Teach her to take all antibiotics prescribed until finished.
d. Inform the client that the procedure may cause shoulder pain.
ANS: A
During the procedure, the client may experience light-headedness, so the nurse would
assist her with sitting up afterwards for safety. The nurse does provide a pad to
prevent any staining from the dye and does inform the client of the possibility of
shoulder pain, but an action to prevent injury is more important. Antibiotics are not
prescribed afterward.
DIF: Applying TOP: Integrated Process: Nursing Process:
Implementation KEY: Reproductive assessment, Client safety
MSC: Client Needs Category: Safe and Effective Care Environment:
Safety and Infection Control
2. The mother of an 18-year-old girl asks the nurse which screening her daughter would
receive now based on evidence-based recommendations. Which suggestion by the
nurse is best?
, a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
d. No screenings at this time
ANS: D
Since the daughter is only 18, it is not recommended that she receive any of these
screenings. Pap screenings are recommended to start at age 21. The HPV test is not
recommended for screening but can be used for women who had an abnormal Pap test
result. A mammogram is recommended for women aged 40 or older since cancers are
more able to be distinguished from normal glandular tissue at that age.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Reproductive issues, Screening MSC: Client Needs
Category: Health Promotion and Maintenance
3. A client is scheduled for a laparoscopy to remove endometriosis tissue. Which
response by the client alerts the nurse of the need for further teaching?
a. “The surgeon told me that carbon dioxide would be infused into my pelvic
cavity.”
b. “There will be one or more small incisions in order to visualize all of the
organs.”
c. “There will be some shoulder pain after the procedure that may last 48 hours.”
d. “I can return to jogging my 3-mile (5 km) routine in a few days.”
ANS: D
The client is taught that she should not participate in strenuous activity for a week
after the procedure. Carbon dioxide is infused into the pelvic cavity to visualize the
organs. There are only one or more small incisions with this procedure. The referred
shoulder pain that will occur only lasts 48 hours.
