Maternal Child Nursing Care - Chapter 4: Reproductive System
Concerns
When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused
by:
A) Anatomic abnormalities
B) Type 1 diabetes mellitus.
C) Lack of exercise.
D) Hysterectomy. - C) Lack of exercise.
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention
might be recommended?
A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping - D) Using a heating pad on the abdomen to
relieve cramping
Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?
A) I feel irritable and moody a week before my period is supposed to start.
B) I have lower abdominal pain beginning the third day of my menstrual period.
C) I have nausea and headaches after my period starts, and they last 2 to 3 days.
D) I have abdominal bloating and breast pain after a couple days of my period. - A) I feel irritable and
moody a week before my period is supposed to start.
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has
gotten
worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to
get pregnant for the past 18 months. These symptoms are most likely related to:
A) Endometriosis.
B) PMS.
C) Primary dysmenorrhea.
D) Secondary dysmenorrhea. - A) Endometriosis.
, Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a
woman
taking this medication that the drug:
A) Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian
activity.
B) Should be sprayed into one nostril every other day.
C) Should be injected into subcutaneous tissue BID.
D) Can cause her to experience some hot flashes and vaginal dryness. - D) Can cause her to experience
some hot flashes and vaginal dryness.
While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects
data about the clients recent menstrual cycles. The nurse should collect additional information with
which statement?
A) The woman says her menstrual flow lasts 5 to 6 days.
B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past 2
months.
D) She says the length of her menstrual cycle varies from 26 to 29 days. - B) She describes her flow as
very heavy.
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack
of
menstruation is most often the result of:
A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders. - C) Pregnancy
A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this patient,
the nurse should know that:
A) Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B) Fibroids increase in size during the perimenopausal period.
C) Menorrhagia is a common finding.
D) The woman is unlikely to become pregnant as long as the fibroids are in her uterus. - C) Menorrhagia
is a common finding.
Concerns
When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused
by:
A) Anatomic abnormalities
B) Type 1 diabetes mellitus.
C) Lack of exercise.
D) Hysterectomy. - C) Lack of exercise.
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention
might be recommended?
A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping - D) Using a heating pad on the abdomen to
relieve cramping
Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?
A) I feel irritable and moody a week before my period is supposed to start.
B) I have lower abdominal pain beginning the third day of my menstrual period.
C) I have nausea and headaches after my period starts, and they last 2 to 3 days.
D) I have abdominal bloating and breast pain after a couple days of my period. - A) I feel irritable and
moody a week before my period is supposed to start.
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has
gotten
worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to
get pregnant for the past 18 months. These symptoms are most likely related to:
A) Endometriosis.
B) PMS.
C) Primary dysmenorrhea.
D) Secondary dysmenorrhea. - A) Endometriosis.
, Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a
woman
taking this medication that the drug:
A) Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian
activity.
B) Should be sprayed into one nostril every other day.
C) Should be injected into subcutaneous tissue BID.
D) Can cause her to experience some hot flashes and vaginal dryness. - D) Can cause her to experience
some hot flashes and vaginal dryness.
While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects
data about the clients recent menstrual cycles. The nurse should collect additional information with
which statement?
A) The woman says her menstrual flow lasts 5 to 6 days.
B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past 2
months.
D) She says the length of her menstrual cycle varies from 26 to 29 days. - B) She describes her flow as
very heavy.
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that lack
of
menstruation is most often the result of:
A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders. - C) Pregnancy
A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this patient,
the nurse should know that:
A) Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B) Fibroids increase in size during the perimenopausal period.
C) Menorrhagia is a common finding.
D) The woman is unlikely to become pregnant as long as the fibroids are in her uterus. - C) Menorrhagia
is a common finding.
