8 - Test bank for maternity
pediatric nursing.
, Chapter 8
1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the
nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion?
A. use of oral contraceptives between ages 18 and 25
B. onset of painless, bright red postmenopausal bleeding
C. menopause occurring at age 46
D. use of intrauterine device for 3 years
Answer: B
Rationale: Any episode of bright red painless bleeding occurring after menopause needs to be
investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with
suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age
52) is associated with endometrial cancer. Use of an intrauterine device is not associated with
endometrial cancer.
Question format: Multiple Choice
Chapter 8: Cancers of the Female Reproductive Tract
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Physiological Adaptation
Reference: p. 272
2. A woman is to have a Papanicolaou test. When teaching the woman about this test, the nurse
would emphasize which instruction to the client?
A. "Refrain from sexual intercourse for 1 week before the test."
B. "Wear cotton panties on the day of the test."
C. "Avoid taking any medications for 24 hours."
D. "Do not douche for 48 hours before the test."
Answer: D
Rationale: The nurse should instruct the woman not to douche for 48 hours before the test to
prevent washing away cervical cells, which might be abnormal. Sexual intercourse should be
avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a
Papanicolaou test. Medications do not need to be withheld before the test.
Question format: Multiple Choice
Chapter 8: Cancers of the Female Reproductive Tract
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 281
3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the
nurse identifies that the client is at increased risk for cervical cancer based on her history of
exposure to which virus?
pediatric nursing.
, Chapter 8
1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the
nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion?
A. use of oral contraceptives between ages 18 and 25
B. onset of painless, bright red postmenopausal bleeding
C. menopause occurring at age 46
D. use of intrauterine device for 3 years
Answer: B
Rationale: Any episode of bright red painless bleeding occurring after menopause needs to be
investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with
suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age
52) is associated with endometrial cancer. Use of an intrauterine device is not associated with
endometrial cancer.
Question format: Multiple Choice
Chapter 8: Cancers of the Female Reproductive Tract
Cognitive Level: Analyze
Client Needs: Physiological Integrity: Physiological Adaptation
Reference: p. 272
2. A woman is to have a Papanicolaou test. When teaching the woman about this test, the nurse
would emphasize which instruction to the client?
A. "Refrain from sexual intercourse for 1 week before the test."
B. "Wear cotton panties on the day of the test."
C. "Avoid taking any medications for 24 hours."
D. "Do not douche for 48 hours before the test."
Answer: D
Rationale: The nurse should instruct the woman not to douche for 48 hours before the test to
prevent washing away cervical cells, which might be abnormal. Sexual intercourse should be
avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a
Papanicolaou test. Medications do not need to be withheld before the test.
Question format: Multiple Choice
Chapter 8: Cancers of the Female Reproductive Tract
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Reference: p. 281
3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the
nurse identifies that the client is at increased risk for cervical cancer based on her history of
exposure to which virus?
