MN576/MN576
Female Reproductive Disorders
|Questions and Correct Answers
(100% Verified) Graded A+
MULTIPLE CHOICES
Question 1. The nurse is providing teaching by telephone to a patient who is scheduled for
a pelvic examination and Pap test next week. The nurse instructs the patient that she should
a. not have sexual intercourse the day before the Pap test.
b. shower, but not take a tub bath, before the examination.
c. avoid douching for at least 24 hours before the examination.
d. schedule to have the Pap test just after her menstrual period.
ANS: C
Because the results of a Pap test may be affected by douching, the patient should not
douche before the examination. The examination may be scheduled without regard to the
menstrual period. The patient may shower or bathe before the examination. Sexual
intercourse does not affect the results of the examination or Pap test.
Question 2. A 22-yr-old patient reports her concern about not having a menstrual period for
the past 7 months. Which statement by the patient indicates a possible related factor to
the amenorrhea?
a. "I drink at least 3 glasses of nonfat milk every day."
1|Page
,b. "I run 7 to 8 miles every day to manage my weight."
c. "I am not sexually active but currently I have an IUD."
d. "I was treated for a sexually transmitted infection 2 years ago."
ANS: B
*Intense endurance exercise can cause amenorrhea.
--The other statements by the patient do not suggest any urgent teaching needs.
Question 3. The nurse is assessing the sexual-reproductive functional health pattern of a 32-
yr-old woman. Which question is most useful in determining the patient's sexual orientation
and related risk factors? a. "Do you have sex with men, women, or both?"
b. "Which gender do you prefer to have sex with?"
c. "What types of sexual activities do you prefer?"
d. "Are you heterosexual, homosexual, or bisexual?"
ANS: A
This question is the most simply stated and will increase the likelihood of obtaining the
relevant information about sexual orientation and possible risk factors associated with
sexual activity. A patient who prefers sex with women may also have intercourse at times
with men. The types of sexual activities engaged in may not indicate sexual orientation.
Many patients who have sex with both men and women do not identify themselves as
homosexual or bisexual.
Question 4. The nurse explains to a patient being prepared for colposcopy with a cervical
biopsy that the procedure
a. involves dilation of the cervix and biopsy of the tissue lining the uterus.
b. will take place in a same-day surgery center so that local anesthesia can be used.
c. requires that the patient have nothing to eat or drink for 6 hours before the procedure.
2|Page
,d. is similar to a speculum examination of the cervix and should result in little discomfort.
ANS: D
**Colposcopy involves visualization of the cervix with a binocular microscope and is similar
to a speculum examination.
-Anesthesia is not required and fasting is not necessary. -A cervical biopsy may cause a
minimal amount of pain.
Question 5. A 24-yr-old woman says she wants to begin using oral contraceptives. Which
information from the nursing assessment is important to report to the health care provider
before a prescription is considered?
a. The patient quit smoking 5 months previously.
b. The patient's blood pressure is 150/86 mm Hg.
c. The patient has not been vaccinated for rubella.
d. The patient has chronic iron-deficiency anemia.
ANS: B
*Because hypertension increases the risk for morbidity and mortality in women taking oral
contraceptives, the patient's blood pressure should be controlled before oral contraceptives
are prescribed.
-The other information will not affect the choice of contraceptive.
DIF: Cognitive Level: Apply (application) REF: 1193 TOP: Nursing Process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
Question 6. A 19-yr-old patient calls the school clinic and tells the nurse, "My menstrual
period is very heavy this time. I have to change my tampon every 4 hours." Which action
should the nurse take next?
a. Tell the patient that her flow is not unusually heavy.
b. Schedule the patient for an appointment later that day.
3|Page
, c. Ask the patient how heavy her usual menstrual flow is.
d. Have the patient call again if the heavy flow continues.
ANS: C
*Because a heavy menstrual flow is usually indicated by saturating a pad or tampon in 1 to 2
hours, the nurse should first assess how heavy the patient's usual flow is. -There is no need
to schedule the patient for an appointment that day.
-The patient may need to call again, but this is not the first action that the nurse should take.
-Telling the patient that she does not have a heavy flow implies that the patient's concern is
not important.
DIF: Cognitive Level: Apply (application) REF: 1190 TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
Question 7. After scheduling a patient with a possible ovarian cyst for ultrasound, the nurse
will teach the patient that she should
a. expect to receive IV contrast during the procedure.
b. drink several glasses of fluids before the procedure.
c. experience mild abdominal cramps after the procedure.
d. discontinue taking aspirin for 7 days before the procedure.
ANS: B
*A full bladder is needed for many ultrasound procedures, so the nurse will have the patient
drink fluids before arriving for the ultrasound.
-The other instructions are not accurate for this procedure.
Question 8. An 18-yr-old female patient who has been admitted to the emergency
department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which
information may alter the plans for the x-rays?
4|Page
Female Reproductive Disorders
|Questions and Correct Answers
(100% Verified) Graded A+
MULTIPLE CHOICES
Question 1. The nurse is providing teaching by telephone to a patient who is scheduled for
a pelvic examination and Pap test next week. The nurse instructs the patient that she should
a. not have sexual intercourse the day before the Pap test.
b. shower, but not take a tub bath, before the examination.
c. avoid douching for at least 24 hours before the examination.
d. schedule to have the Pap test just after her menstrual period.
ANS: C
Because the results of a Pap test may be affected by douching, the patient should not
douche before the examination. The examination may be scheduled without regard to the
menstrual period. The patient may shower or bathe before the examination. Sexual
intercourse does not affect the results of the examination or Pap test.
Question 2. A 22-yr-old patient reports her concern about not having a menstrual period for
the past 7 months. Which statement by the patient indicates a possible related factor to
the amenorrhea?
a. "I drink at least 3 glasses of nonfat milk every day."
1|Page
,b. "I run 7 to 8 miles every day to manage my weight."
c. "I am not sexually active but currently I have an IUD."
d. "I was treated for a sexually transmitted infection 2 years ago."
ANS: B
*Intense endurance exercise can cause amenorrhea.
--The other statements by the patient do not suggest any urgent teaching needs.
Question 3. The nurse is assessing the sexual-reproductive functional health pattern of a 32-
yr-old woman. Which question is most useful in determining the patient's sexual orientation
and related risk factors? a. "Do you have sex with men, women, or both?"
b. "Which gender do you prefer to have sex with?"
c. "What types of sexual activities do you prefer?"
d. "Are you heterosexual, homosexual, or bisexual?"
ANS: A
This question is the most simply stated and will increase the likelihood of obtaining the
relevant information about sexual orientation and possible risk factors associated with
sexual activity. A patient who prefers sex with women may also have intercourse at times
with men. The types of sexual activities engaged in may not indicate sexual orientation.
Many patients who have sex with both men and women do not identify themselves as
homosexual or bisexual.
Question 4. The nurse explains to a patient being prepared for colposcopy with a cervical
biopsy that the procedure
a. involves dilation of the cervix and biopsy of the tissue lining the uterus.
b. will take place in a same-day surgery center so that local anesthesia can be used.
c. requires that the patient have nothing to eat or drink for 6 hours before the procedure.
2|Page
,d. is similar to a speculum examination of the cervix and should result in little discomfort.
ANS: D
**Colposcopy involves visualization of the cervix with a binocular microscope and is similar
to a speculum examination.
-Anesthesia is not required and fasting is not necessary. -A cervical biopsy may cause a
minimal amount of pain.
Question 5. A 24-yr-old woman says she wants to begin using oral contraceptives. Which
information from the nursing assessment is important to report to the health care provider
before a prescription is considered?
a. The patient quit smoking 5 months previously.
b. The patient's blood pressure is 150/86 mm Hg.
c. The patient has not been vaccinated for rubella.
d. The patient has chronic iron-deficiency anemia.
ANS: B
*Because hypertension increases the risk for morbidity and mortality in women taking oral
contraceptives, the patient's blood pressure should be controlled before oral contraceptives
are prescribed.
-The other information will not affect the choice of contraceptive.
DIF: Cognitive Level: Apply (application) REF: 1193 TOP: Nursing Process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
Question 6. A 19-yr-old patient calls the school clinic and tells the nurse, "My menstrual
period is very heavy this time. I have to change my tampon every 4 hours." Which action
should the nurse take next?
a. Tell the patient that her flow is not unusually heavy.
b. Schedule the patient for an appointment later that day.
3|Page
, c. Ask the patient how heavy her usual menstrual flow is.
d. Have the patient call again if the heavy flow continues.
ANS: C
*Because a heavy menstrual flow is usually indicated by saturating a pad or tampon in 1 to 2
hours, the nurse should first assess how heavy the patient's usual flow is. -There is no need
to schedule the patient for an appointment that day.
-The patient may need to call again, but this is not the first action that the nurse should take.
-Telling the patient that she does not have a heavy flow implies that the patient's concern is
not important.
DIF: Cognitive Level: Apply (application) REF: 1190 TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
Question 7. After scheduling a patient with a possible ovarian cyst for ultrasound, the nurse
will teach the patient that she should
a. expect to receive IV contrast during the procedure.
b. drink several glasses of fluids before the procedure.
c. experience mild abdominal cramps after the procedure.
d. discontinue taking aspirin for 7 days before the procedure.
ANS: B
*A full bladder is needed for many ultrasound procedures, so the nurse will have the patient
drink fluids before arriving for the ultrasound.
-The other instructions are not accurate for this procedure.
Question 8. An 18-yr-old female patient who has been admitted to the emergency
department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which
information may alter the plans for the x-rays?
4|Page
