Female Reproductive AND Genital
Problems
Practice TEST Questions and Answers
Verified Solutions Latest Update
Question:
The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a couple. The
woman tells the nurse that they cannot afford IVF on her husband's salary. The man
replies that if his wife worked outside the home, they would have enough money.
Which nursing diagnosis is appropriate? a. Decisional conflict related to inadequate
financial resources b. Ineffective sexuality patterns related to psychological stress c.
Defensive coping related to anxiety about lack of conception d. Ineffective denial
related to frustration about continued infertility.
Answer:
C The statements made by the couple are consistent with the diagnosis of defensive
coping. No data indicate that ineffective sexuality and ineffective denial are problems.
Although the couple is quarreling about finances, the data do not provide information
indicating that the finances are inadequate. DIF: Cognitive Level: Apply (application)
REF: 1243 TOP: Nursing Process: Diagnosis MSC: NCLEX: Psychosocial Integrity (Page
519).
Question:
A young patient who is trying to become pregnant asks the nurse how to determine
when she is most likely to conceive. The nurse explains that a. ovulation is
unpredictable unless there are regular menstrual periods. b. ovulation prediction kits
can provide accurate information about ovulation. c. she will need to bring a specimen
of cervical mucus to the clinic for testing. d. she should take her body temperature
daily and have intercourse when it drops..
Answer:
B Ovulation prediction kits indicate when luteinizing hormone (LH) levels first rise.
Ovulation occurs about 28 to 36 hours after the first rise of LH. This information can be
used to determine the best time for intercourse. Body temperature rises at ovulation.
Postcoital cervical smears are used in infertility testing, but they do not predict the best
time for conceiving and are not obtained by the patient. Determination of the time of
ovulation can be predicted by basal body temperature charts or ovulation prediction
kits and is not dependent on regular menstrual periods. DIF: Cognitive Level: Apply
,(application) REF: 1243 TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance .
Question:
A patient has an induced abortion with suction curettage at an ambulatory surgical
center. Which instructions will the nurse include when discharging the patient? a.
"Avoid contraceptives until your reexamination." b. "Heavy vaginal bleeding is
expected for 2 weeks." c. "Abstain from sexual intercourse for the next 2 weeks." d.
"Irregular menstrual periods are expected for a few months.".
Answer:
C Because infection is a possible complication of this procedure, the patient is advised
to avoid intercourse until the reexamination in 2 weeks. Patients may be started on
contraceptives on the day of the procedure. The patient should call the doctor if heavy
vaginal bleeding occurs. No change in the regularity of the menstrual periods is
expected. DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
Question:
A patient is scheduled for an induced abortion using instillation of hypertonic saline
solution. Which information will the nurse plan to discuss with the patient before the
procedure? a. The patient will require a general anesthetic. b. The expulsion of the
fetus may take 1 to 2 days. c. There is a possibility that the patient may deliver a live
fetus. d. The procedure may be unsuccessful in terminating the pregnancy..
Answer:
B Uterine contractions take 12 to 36 hours to begin after the hypertonic saline is
instilled. Because the saline is feticidal, the nurse does not need to discuss any
possibility of a live delivery or that the pregnancy termination will not be successful.
General anesthesia is not needed for this procedure. DIF: Cognitive Level: Apply
(application) REF: 1244 TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance
Question:
A 28-yr-old patient reports anxiety, headaches with dizziness, and abdominal bloating
occurring before her menstrual periods. Which action is best for the nurse to take at
this time? a. Ask the patient to keep track of her symptoms in a diary for 3 months. b.
Suggest that the patient try aerobic exercise to decrease her symptoms. c. Teach the
patient about appropriate lifestyle changes to reduce premenstrual syndrome (PMS)
symptoms. d. Advise the patient to use nonsteroidal antiinflammatory drugs (NSAIDs)
such as ibuprofen to control symptoms..
, Answer:
A The patient's symptoms indicate possible PMS, but they also may be associated with
other diagnoses. Having the patient keep a symptom diary for 2 or 3 months will help
in confirming a diagnosis of PMS. The nurse should not implement interventions for
PMS until a diagnosis is made. DIF: Cognitive Level: Apply (application) REF: 1244 TOP:
Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
Question:
A 19-yr-old patient has been diagnosed with primary dysmenorrhea. How will the nurse
suggest that the patient manage discomfort? a. Avoid aerobic exercise during her
menstrual period. b. Use cold packs on the abdomen and back for pain relief. c. Talk
with her health care provider about beginning antidepressant therapy. d. Take
nonsteroidal antiinflammatory drugs (NSAIDs) when her period starts..
Answer:
D NSAIDs should be started as soon as the menstrual period begins and taken at
regular intervals during the usual time frame when pain occurs. Aerobic exercise may
help reduce symptoms. Heat therapy, such as warm packs, is recommended for relief
of pain. Antidepressant therapy is not a typical treatment for dysmenorrhea.
Question:
A patient who was admitted to the emergency department with severe abdominal pain
is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse
to leave her alone to grieve. Which action should the nurse take next? a. Stay with the
patient and encourage her to discuss her feelings. b. Explain the reason for taking vital
signs every 15 to 30 minutes. c. Close the door to the patient's room and minimize
disturbances. d. Provide teaching about options for termination of the pregnancy..
Answer:
B Because the patient is at risk for rupture of the fallopian tube and hemorrhage,
frequent monitoring of vital signs is needed. The patient has asked to be left alone, so
staying with her and encouraging her to discuss her feelings are inappropriate actions.
Minimizing contact with her and closing the door of the room is unsafe because of the
risk for hemorrhage. Because the patient has requested time to grieve, it would be
inappropriate to provide teaching about options for pregnancy termination. DIF:
Cognitive Level: Analyze (analysis) REF: 1247 OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
Problems
Practice TEST Questions and Answers
Verified Solutions Latest Update
Question:
The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a couple. The
woman tells the nurse that they cannot afford IVF on her husband's salary. The man
replies that if his wife worked outside the home, they would have enough money.
Which nursing diagnosis is appropriate? a. Decisional conflict related to inadequate
financial resources b. Ineffective sexuality patterns related to psychological stress c.
Defensive coping related to anxiety about lack of conception d. Ineffective denial
related to frustration about continued infertility.
Answer:
C The statements made by the couple are consistent with the diagnosis of defensive
coping. No data indicate that ineffective sexuality and ineffective denial are problems.
Although the couple is quarreling about finances, the data do not provide information
indicating that the finances are inadequate. DIF: Cognitive Level: Apply (application)
REF: 1243 TOP: Nursing Process: Diagnosis MSC: NCLEX: Psychosocial Integrity (Page
519).
Question:
A young patient who is trying to become pregnant asks the nurse how to determine
when she is most likely to conceive. The nurse explains that a. ovulation is
unpredictable unless there are regular menstrual periods. b. ovulation prediction kits
can provide accurate information about ovulation. c. she will need to bring a specimen
of cervical mucus to the clinic for testing. d. she should take her body temperature
daily and have intercourse when it drops..
Answer:
B Ovulation prediction kits indicate when luteinizing hormone (LH) levels first rise.
Ovulation occurs about 28 to 36 hours after the first rise of LH. This information can be
used to determine the best time for intercourse. Body temperature rises at ovulation.
Postcoital cervical smears are used in infertility testing, but they do not predict the best
time for conceiving and are not obtained by the patient. Determination of the time of
ovulation can be predicted by basal body temperature charts or ovulation prediction
kits and is not dependent on regular menstrual periods. DIF: Cognitive Level: Apply
,(application) REF: 1243 TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance .
Question:
A patient has an induced abortion with suction curettage at an ambulatory surgical
center. Which instructions will the nurse include when discharging the patient? a.
"Avoid contraceptives until your reexamination." b. "Heavy vaginal bleeding is
expected for 2 weeks." c. "Abstain from sexual intercourse for the next 2 weeks." d.
"Irregular menstrual periods are expected for a few months.".
Answer:
C Because infection is a possible complication of this procedure, the patient is advised
to avoid intercourse until the reexamination in 2 weeks. Patients may be started on
contraceptives on the day of the procedure. The patient should call the doctor if heavy
vaginal bleeding occurs. No change in the regularity of the menstrual periods is
expected. DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
Question:
A patient is scheduled for an induced abortion using instillation of hypertonic saline
solution. Which information will the nurse plan to discuss with the patient before the
procedure? a. The patient will require a general anesthetic. b. The expulsion of the
fetus may take 1 to 2 days. c. There is a possibility that the patient may deliver a live
fetus. d. The procedure may be unsuccessful in terminating the pregnancy..
Answer:
B Uterine contractions take 12 to 36 hours to begin after the hypertonic saline is
instilled. Because the saline is feticidal, the nurse does not need to discuss any
possibility of a live delivery or that the pregnancy termination will not be successful.
General anesthesia is not needed for this procedure. DIF: Cognitive Level: Apply
(application) REF: 1244 TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance
Question:
A 28-yr-old patient reports anxiety, headaches with dizziness, and abdominal bloating
occurring before her menstrual periods. Which action is best for the nurse to take at
this time? a. Ask the patient to keep track of her symptoms in a diary for 3 months. b.
Suggest that the patient try aerobic exercise to decrease her symptoms. c. Teach the
patient about appropriate lifestyle changes to reduce premenstrual syndrome (PMS)
symptoms. d. Advise the patient to use nonsteroidal antiinflammatory drugs (NSAIDs)
such as ibuprofen to control symptoms..
, Answer:
A The patient's symptoms indicate possible PMS, but they also may be associated with
other diagnoses. Having the patient keep a symptom diary for 2 or 3 months will help
in confirming a diagnosis of PMS. The nurse should not implement interventions for
PMS until a diagnosis is made. DIF: Cognitive Level: Apply (application) REF: 1244 TOP:
Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
Question:
A 19-yr-old patient has been diagnosed with primary dysmenorrhea. How will the nurse
suggest that the patient manage discomfort? a. Avoid aerobic exercise during her
menstrual period. b. Use cold packs on the abdomen and back for pain relief. c. Talk
with her health care provider about beginning antidepressant therapy. d. Take
nonsteroidal antiinflammatory drugs (NSAIDs) when her period starts..
Answer:
D NSAIDs should be started as soon as the menstrual period begins and taken at
regular intervals during the usual time frame when pain occurs. Aerobic exercise may
help reduce symptoms. Heat therapy, such as warm packs, is recommended for relief
of pain. Antidepressant therapy is not a typical treatment for dysmenorrhea.
Question:
A patient who was admitted to the emergency department with severe abdominal pain
is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse
to leave her alone to grieve. Which action should the nurse take next? a. Stay with the
patient and encourage her to discuss her feelings. b. Explain the reason for taking vital
signs every 15 to 30 minutes. c. Close the door to the patient's room and minimize
disturbances. d. Provide teaching about options for termination of the pregnancy..
Answer:
B Because the patient is at risk for rupture of the fallopian tube and hemorrhage,
frequent monitoring of vital signs is needed. The patient has asked to be left alone, so
staying with her and encouraging her to discuss her feelings are inappropriate actions.
Minimizing contact with her and closing the door of the room is unsafe because of the
risk for hemorrhage. Because the patient has requested time to grieve, it would be
inappropriate to provide teaching about options for pregnancy termination. DIF:
Cognitive Level: Analyze (analysis) REF: 1247 OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
