OB FINAL EXAM LATEST TEST BANK 2023 (100% verified Questions & Answers)

OB FINAL EXAM LATEST TEST BANK |2023 A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share? a. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts. b. It is a premalignant disorder characterized by lumps found in the breast tissue. c. Fibrocystic breast disease causes lumpiness with or without pain and tenderness in varying degrees in the breast tissue during menstrual cycles. d. Lumpiness is accompanied by tenderness after menses. {{Ans- C A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group? a. Genetic mutations account for 50% of women who will develop breast cancer. b. Breast cancer is the leading cause of cancer death in women. c. In the United States, 1 in 10 women will develop breast cancer in her lifetime. d. The exact cause of breast cancer remains unknown. {{Ans- D Which diagnostic test is used to confirm a suspected diagnosis of breast cancer? a. Mammogram b. Ultrasound c. Core needle biopsy d. Magnetic resonance imaging (MRI) {{Ans- C A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic. She is due for a mammogram. At her first visit, her health care provider is concerned about the 3- week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client? a. "Do you have transportation to the teaching hospital so that you can get your mammogram?" b. "I'm concerned that you missed your appointment; let me make another one for you." c. "It's very dangerous to skip your mammograms; your breasts need to be checked." d. "Would you like me to make an appointment for you to have your mammogram here?" {{Ans- D A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, "The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?" What is the name of the test that gave the health care provider this information? a. Tumor ploidy b. S-phase index c. Nuclear grade d. Estrogen-receptor assay {{Ans- B Breast pain occurs in many women during their perimenopausal years. Which information is a priority for the nurse to share with the client? a. Breast pain is an early indication of cancer. b. Pain is almost always an indication of a solid mass. c. Distinguishing between cyclical and noncyclical pain is important. d. Breast pain is most often treated with narcotics. {{Ans- C After a mastectomy, which activity should the client be instructed to avoid? a. Emptying surgical drains twice a day and as needed b. Lifting more than 4.5 kg (10 lb) or reaching above her head until given permission by her surgeon c. Wearing clothing with snug sleeves to support the tissue of the arm on the operative side d. Immediately reporting inflammation that develops at the incision site or in the affected arm {{Ans- C What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? a. The blood pressure (BP) cuff should not be applied to the affected arm. b. Venipuncture for blood work should be performed on the affected arm. c. The affected arm should be used for intravenous (IV) therapy. d. The affected arm should be held down close to the woman's side. {{Ans- A A woman has a breast mass that is not well delineated and is nonpalpable, immobile, and nontender. Which condition is this client experiencing? a. Fibroadenoma b. Lipoma c. Intraductal papilloma d. Mammary duct ectasia {{Ans- C A client is concerned because she has been experiencing some milky, sticky breast discharge. Which nonmalignant condition is exhibited with this finding? a. Relative inflammatory lesion b. Galactorrhea c. Mammary duct ectasia d. Breast infection {{Ans- B A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience? a. Weight gain, hot flashes, and blood clots b. Vomiting, weight loss, and hair loss c. Nausea, vomiting, and diarrhea d. Hot flashes, weight gain, and headaches {{Ans- A What is the correct name describing a benign breast condition that includes dilation and inflammation of the collecting ducts? a. Mammary duct ectasia b. Intraductal papilloma c. Chronic cystic disease d. Fibroadenoma {{Ans- A Which client is most at risk for fibroadenoma of the breast? a. 38-year-old woman b. 50-year-old woman c. 16-year-old girl d. 27-year-old woman {{Ans- C Which client should the nurse refer for further testing? a. Left breast slightly smaller than right breast b. Eversion (elevation) of both nipples c. Faintly visible bilateral symmetry of venous network d. Small dimple located in the upper outer quadrant of the right breast {{Ans- D The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure? a. Radiation b. Adjuvant systemic therapy c. Hormonal therapy d. Chemotherapy {{Ans- A Breast hyperplasia can be corrected with a. Which statement regarding reduction mammoplasty is the most accurate? a. Breast reduction surgery is covered by insurance. b. Breastfeeding might be difficult. c. No sequelae after the procedure is known. d. Pain in the back and shoulders may not be relieved. {{Ans- B Which condition does NOT increase a client's risk for breast cancer? a. BRCA1 or BRCA2 gene mutation b. Li-Fraumeni syndrome c. Paget disease d. Cowden syndrome {{Ans- C Which explanation best describes a skin-sparing mastectomy? a. Removal of the breast, nipple, and areola, leaving the skin in tact b. Removal of the breast, nipple, areola, and axillary node dissection c. Incision on the outside of the breast, leaving the nipple intact d. Removal of both breasts in their entirety {{Ans- A Researchers have found a number of common risk factors that increase a woman's chance of developing a breast malignancy. It is essential for the nurse who provides care to women of any age to be aware of which risk factors? (Select all that apply.) a. Family history b. Late menarche c. Early menopause d. Race e. Nulliparity or first pregnancy after age 40 years {{Ans- A, D, E Cellulitis with or without abscess formation is a common condition. The nurse is providing education for a client whose presentation to the emergency department includes an infection of the breast. Which information should the nurse share with this client? (Select all that apply.) a. Nipple piercing may be the cause of a recent infection. b. Treatment for cellulitis will include antibiotics. c. Streptococcus aureus is the most common pathogen. d. Obesity, smoking, and diabetes are risk factors. e. Breast is pale in color and cool to the touch. {{Ans- A, B, D Chemotherapy with multiple drug agents is used in the treatment of recurrent and advanced breast cancer with positive results. Which side effects would the nurse anticipate for the client once treatment has begun? (Select all that apply.) a. Hair loss b. Severe constipation c. Anemia d. Leukopenia e. Thrombocytopenia {{Ans- A, C, D, E The nurse should be aware that a pessary is most effective in the treatment of which disorder? a. Cystocele b. Uterine prolapse c. Rectocele d. Stress urinary incontinence {{Ans- B A postmenopausal woman has been diagnosed with two leiomyomas (fibroids). Which clinical finding is most commonly associated with the presence of leiomyomas? a. Abnormal uterine bleeding b. Diarrhea c. Weight loss d. Acute abdominal pain {{Ans- A Which woman is at the greatest risk for psychologic complications after hysterectomy? a. 55-year-old woman who has been having abnormal bleeding and pain for 3 years b. 46-year-old woman who has had three children and has just been promoted at work c. 62-year-old widow who has three friends who have had uncomplicated hysterectomies d. 19-year-old woman who had a ruptured uterus after giving birth to her first child {{Ans- D A 48-year-old woman has just had a hysterectomy for endometrial cancer. Which statement alerts the nurse that further teaching is needed? a. "I can't wait to go on the cruise that I have planned for this summer." b. "I know that the surgery saved my life, but I will miss having sexual intercourse with my husband." c. "I have asked my daughter to come and stay with me next week after I am discharged from the hospital." d. "Well, I don't have to worry about getting pregnant anymore." {{Ans- B Considering the treatment plan for a pregnant woman with gynecologic cancer, which stateme nt about timing or type of treatment is correct? a. The fetus is most at risk during the first trimester. b. The fetus is most at risk during the second trimester. c. The fetus is most at risk during the third trimester. d. Surgery is riskier than chemotherapy in the first trimester. {{Ans- A Which precaution should the nurse take while caring for a client who is undergoing internal radiation therapy for cervical cancer? a. Wear gloves when assessing the cervical intracavity implant. b. Instruct the client to urinate in the lead-lined bedpan or "hat" every 2 hours. c. Prepare the client for an enema before inserting the implant. d. Limit staff or visitor exposure to 30 minutes or less in an 8-hour period. {{Ans- D Which nursing diagnosis fails to address the psychologic effect of these disorders of a client diagnosed with a neoplasm of the reproductive system? a. Anxiety related to surgical procedures b. Reduced self-concept, resulting from changes in anatomy c. Potential for injury, related to lack of skill for self-care d. Inadequate family processes {{Ans- C Which of these interventions should the nurse instruct the client diagnosed with urinary incontinence (UI) to use first? a. Pelvic floor support devices b. Pelvic muscle exercises c. Surgery d. Medications {{Ans- B What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy? a. Expect to be fully recovered in 4 to 6 weeks. b. Expect no changes in hormone levels. c. Expect surgical menopause. d. Take tub baths to aid in healing. {{Ans- B A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition? a. Cryosurgery b. Colposcopy c. Hysterectomy d. Internal radiation {{Ans- A Which condition is the most common malignancy of the reproductive system? a. Endometrial cancer b. Cervical cancer c. Ovarian cancer d. Vulvar and vaginal cancer {{Ans- A A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems, as well as sensations of bearing down and of something in her vagina. What condition would the nurse suspect based upon this report? a. Pelvic relaxation b. Cystocele c. Uterine prolapse d. Genital fistulas {{Ans- B Which woman has the highest risk for endometrial cancer? a. Postmenopausal woman with hypertension b. Woman who has an intrauterine device (IUD) c. Client who has been on birth control for 15 years d. Perimenopausal woman who has a cystocele {{Ans- A A myomectomy is a procedure prescribed for symptom relief of what condition? a. Numerous small fibroid tumors b. Bartholin cysts c. Fibroid tumors near the outer wall of the uterus with a uterine size no larger than at 12 weeks of gestation d. Leiomyomas in a uterus larger than 14 weeks of gestation {{Ans- C Which ovarian neoplasm is described as a growth that contains hair, teeth, and sebaceous secretions? a. Ovarian fibroma b. Dermoid cyst c. Uterine polyp d. Follicular cyst {{Ans- B The client is undergoing treatment for ovarian cancer. Which common nutritional problems are related to gynecologic cancers and the treatment thereof? (Select all that apply.) a. Stomatitis b. Constipation c. Increased appetite d. Diarrhea e. Nausea and vomiting {{Ans- A, B, D, E Leiomyomas are benign tumors arising from the muscle tissue of the uterus. Which information related to these tumors is accurate? (Select all that apply.) a. Are rapid growing b. Are more common in African-American women c. Are more common in women who have never been pregnant d. Obesity is a risk factor with leiomyomas e. Become malignant if left untreated {{Ans- B, C, D The client has undergone hysteroscopic uterine ablation to destroy several smaller fibroids. The nurse is preparing to provide discharge instructions. Which information is a priority for the patient and should be included in the teaching plan? (Select all that apply.) a. Analgesics and nonsteroidal anti-inflammatory drugs can be used for pain control. b. Vaginal discharge is to be expected for 5 to 7 days. c. Sexual activity can be resumed after 48 hours. d. Next menstrual period will be irregular. e. Provider should be notified if heavy bleeding occurs. {{Ans- A, D, E A client with a history of bipolar disorder is called by the postpartum support nurse for follow-up. Which symptoms would reassure the nurse that the client is not experiencing a manic episode? a. Psychomotor agitation and rapid speech patterns b. Increased appetite and sleeping 8 hours a night c. Hyperactivity and distractibility d. Pressured speech and grandiosity {{Ans- B When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse's primary concern in planning the client's care? a. Displaying outbursts of anger b. Neglecting her hygiene c. Harming her infant d. Losing interest in her husband {{Ans- C