Chapter 06: Reproductive System Concerns Lowdermilk:
Maternity & Women's Health Care, 12th Edition Study
Guide.
1. 1. Which condition is the
ANS: C
least likely cause of
A moderately obese adolescent (20% to 30%
amenorrhea in a 17-year-
above ideal weight) may have early onset
old client?
menstruation. Girls who regularly exercise before
a. Anatomic abnormalities
menarche can have de- layed onset of
b. Type 1 diabetes mellitus
menstruation to age 18 years. Anatomic
c. Obesity
abnormalities are a possible cause of
d. Pregnancy
amenorrhea.
Type 1 diabetes mellitus is a possible cause of
amenor- rhea. Pregnancy is the most common
cause of amen- orrhea.
2. 2. When a nurse is
counseling a woman ANS: D
experiencing primary dys- Heat minimizes cramping by increasing
menorrhea, which vasodilation and muscle relaxation and
nonpharmaco- logic minimizing uterine is- chemia. Dietary changes
intervention might be recom- such as a low-fat vegetarian diet may be
mended? recommended for women experiencing
a. Increasing the intake of red dysmenorrhea. Increasing the intake of
meat to replace blood loss b. diuretics, in- cluding natural diuretics such as
Reducing the intake of diuretic asparagus, cranber- ry juice, peaches, parsley,
foods, such as peaches and and watermelon, may help ease the symptoms
asparagus associated with dysmenorrhea. Exercise has
c. Temporarily substituting been found to help relieve menstrual
physical activity for a discomfort through increased vasodilation and
sedentary lifestyle subse- quent decreased ischemia
d. Using a heating pad on the
ab- domen to relieve
cramping ANS: D
3. 3. Nafarelin is used to treat
1/
16
, Chapter 06: Reproductive System Concerns Lowdermilk:
Maternity & Women's Health Care, 12th Edition Study
Guide.
mild-to-severe endometriosis. What Nafarelin is a GnRH agonist, and its side
ettects are
instruction or information should similar to those of menopause. The
hypoestrogenism
the nurse provide to a client regard- ettect results in hot flashes and vaginal
dryness. Na-
ing nafarelin administration? farelin is a GnRH agonist that suppresses the
a. Nafarelin stimulates the secretion of GnRH. Nafarelin is administered
secre- tion of gonadotropin- twice daily by nasal spray and can be
releasing hor- intranasally administered. Leuprolide
2/
16
, Chapter 06: Reproductive System Concerns Lowdermilk:
Maternity & Women's Health Care, 12th Edition Study
Guide.
mone (GnRH), thereby 5. 5. A 21-year-old client
stimulating ovarian activity. reports ex- periencing
b. It should be administered severe pain immediate- ly
by in- tramuscular (IM) after the commencement of
injection. her menses. Which
c. Nafarelin should be gynecologic condi-
administered by a
subcutaneous implant.
d. It can cause the client to
experi- ence some hot flashes
and vaginal dryness.
4. 4. While interviewing a 31-
year-old woman before her
routine gyneco- logic
examination, the nurse col-
lects data about the client's
recent menstrual cycles.
Which statement by the client
should prompt the nurse to
collect further informa- tion?
a. "My menstrual flow lasts
5 to 6 days."
b. "My flow is very heavy."
c. "I have had a small amount
of spotting midway between
my peri- ods for the past 2
months."
d. "The length of my
menstrual cy- cles varies from
26 to 29 days."
3/
16
Maternity & Women's Health Care, 12th Edition Study
Guide.
1. 1. Which condition is the
ANS: C
least likely cause of
A moderately obese adolescent (20% to 30%
amenorrhea in a 17-year-
above ideal weight) may have early onset
old client?
menstruation. Girls who regularly exercise before
a. Anatomic abnormalities
menarche can have de- layed onset of
b. Type 1 diabetes mellitus
menstruation to age 18 years. Anatomic
c. Obesity
abnormalities are a possible cause of
d. Pregnancy
amenorrhea.
Type 1 diabetes mellitus is a possible cause of
amenor- rhea. Pregnancy is the most common
cause of amen- orrhea.
2. 2. When a nurse is
counseling a woman ANS: D
experiencing primary dys- Heat minimizes cramping by increasing
menorrhea, which vasodilation and muscle relaxation and
nonpharmaco- logic minimizing uterine is- chemia. Dietary changes
intervention might be recom- such as a low-fat vegetarian diet may be
mended? recommended for women experiencing
a. Increasing the intake of red dysmenorrhea. Increasing the intake of
meat to replace blood loss b. diuretics, in- cluding natural diuretics such as
Reducing the intake of diuretic asparagus, cranber- ry juice, peaches, parsley,
foods, such as peaches and and watermelon, may help ease the symptoms
asparagus associated with dysmenorrhea. Exercise has
c. Temporarily substituting been found to help relieve menstrual
physical activity for a discomfort through increased vasodilation and
sedentary lifestyle subse- quent decreased ischemia
d. Using a heating pad on the
ab- domen to relieve
cramping ANS: D
3. 3. Nafarelin is used to treat
1/
16
, Chapter 06: Reproductive System Concerns Lowdermilk:
Maternity & Women's Health Care, 12th Edition Study
Guide.
mild-to-severe endometriosis. What Nafarelin is a GnRH agonist, and its side
ettects are
instruction or information should similar to those of menopause. The
hypoestrogenism
the nurse provide to a client regard- ettect results in hot flashes and vaginal
dryness. Na-
ing nafarelin administration? farelin is a GnRH agonist that suppresses the
a. Nafarelin stimulates the secretion of GnRH. Nafarelin is administered
secre- tion of gonadotropin- twice daily by nasal spray and can be
releasing hor- intranasally administered. Leuprolide
2/
16
, Chapter 06: Reproductive System Concerns Lowdermilk:
Maternity & Women's Health Care, 12th Edition Study
Guide.
mone (GnRH), thereby 5. 5. A 21-year-old client
stimulating ovarian activity. reports ex- periencing
b. It should be administered severe pain immediate- ly
by in- tramuscular (IM) after the commencement of
injection. her menses. Which
c. Nafarelin should be gynecologic condi-
administered by a
subcutaneous implant.
d. It can cause the client to
experi- ence some hot flashes
and vaginal dryness.
4. 4. While interviewing a 31-
year-old woman before her
routine gyneco- logic
examination, the nurse col-
lects data about the client's
recent menstrual cycles.
Which statement by the client
should prompt the nurse to
collect further informa- tion?
a. "My menstrual flow lasts
5 to 6 days."
b. "My flow is very heavy."
c. "I have had a small amount
of spotting midway between
my peri- ods for the past 2
months."
d. "The length of my
menstrual cy- cles varies from
26 to 29 days."
3/
16
