Women's Sexual HealthWomen's Sexual Health

1. Which of the following is a common physiological change in women during sexual activity? A) Decreased vaginal lubrication B) Increased vaginal secretions C) Increased blood flow to the breasts D) Decreased pelvic muscle tone Answer: B) Increased vaginal secretions Rationale: During sexual arousal, the body typically increases vaginal secretions to reduce friction and facilitate intercourse. ________________________________________ 2. A nurse is educating a woman about sexual health. Which of the following is most important for the nurse to include in the education? A) All women are sexually active B) Sexual health can be influenced by emotional and psychological well-being C) Women should engage in sexual activity frequently to maintain health D) Sexual health issues are only related to physical symptoms Answer: B) Sexual health can be influenced by emotional and psychological well-being Rationale: Sexual health involves emotional, psychological, and physical aspects, making overall well-being an important factor. ________________________________________ 3. A 45-year-old woman reports experiencing vaginal dryness and discomfort during intercourse. Which of the following is the most likely cause? A) Low estrogen levels B) Increased estrogen levels C) Urinary tract infection D) High-protein diet Answer: A) Low estrogen levels Rationale: Vaginal dryness is often caused by a decrease in estrogen levels, particularly during perimenopause and menopause. ________________________________________ 4. Which of the following is a characteristic symptom of dyspareunia (painful intercourse)? A) Vaginal bleeding B) Vaginal dryness C) Swelling of the genital area D) Frequent urination Answer: B) Vaginal dryness Rationale: Dyspareunia is often associated with vaginal dryness, especially in postmenopausal women, due to a decrease in estrogen. ________________________________________ 5. Which of the following should the nurse emphasize when educating a patient about safer sex practices? A) Abstinence is the only effective method B) Consistent condom use can reduce the risk of sexually transmitted infections (STIs) C) Oral contraceptives prevent all STIs D) All STIs can be cured with antibiotics Answer: B) Consistent condom use can reduce the risk of sexually transmitted infections (STIs) Rationale: While condoms significantly reduce the transmission of STIs, oral contraceptives do not prevent STIs. ________________________________________ 6. A nurse is discussing the use of lubricants during sexual activity with a patient. Which statement by the patient indicates a need for further education? A) "Water-based lubricants are safe to use with latex condoms." B) "Silicone-based lubricants are ideal for people with sensitive skin." C) "Oil-based lubricants can break down latex condoms and increase the risk of pregnancy." D) "Lubricants can enhance sexual pleasure and comfort." Answer: C) "Oil-based lubricants can break down latex condoms and increase the risk of pregnancy." Rationale: Oil-based lubricants can cause latex condoms to weaken and break, increasing the risk of pregnancy and STI transmission. ________________________________________ 7. Which of the following factors is most likely to impact sexual health and functioning in older women? A) Increased levels of testosterone B) Changes in estrogen levels C) Increased libido D) Decreased need for sexual activity Answer: B) Changes in estrogen levels Rationale: As women age and approach menopause, decreased estrogen levels can lead to vaginal dryness, reduced libido, and other sexual health issues. ________________________________________ 8. A woman is diagnosed with pelvic inflammatory disease (PID). Which of the following is the priority nursing intervention? A) Educate the patient on birth control methods B) Encourage pelvic rest and avoidance of sexual activity until treatment is completed C) Encourage increased fluid intake D) Offer counseling regarding relationship issues Answer: B) Encourage pelvic rest and avoidance of sexual activity until treatment is completed Rationale: Pelvic rest and abstinence from sexual activity help prevent further irritation or damage to the reproductive organs while the patient undergoes treatment. ________________________________________ 9. Which of the following contraceptive methods offers the highest level of protection against sexually transmitted infections (STIs)? A) Intrauterine device (IUD) B) Male condom C) Birth control pills D) Female condom Answer: B) Male condom Rationale: Male condoms are the most effective method of preventing both pregnancy and STIs. ________________________________________ 10. Which of the following is the most common STI in women? A) Syphilis B) Chlamydia C) Genital herpes D) Gonorrhea Answer: B) Chlamydia Rationale: Chlamydia is the most commonly reported STI in women and often has few or no symptoms, which is why screening is important.