Management Of Women With Reproductive Disorders

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Question 1
Free
Multiple Choice

The nurse explains to a client that the cause of the client's primary dysmenorrhea is a/an

Choose correct answer/s
A

abnormal decrease in estrogen levels.

B

abnormal elevation in progesterone levels.

C

decrease in oxytocin levels.

D

elevation of uterine prostaglandin levels.

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Question 2
Free
Multiple Choice

A woman is being taught self-care for a vaginal pessary to treat vaginal prolapse. The nurse would realize that additional discharge instructions are needed when the woman says

Choose correct answer/s
A

"I can use estrogen cream in my vagina at night."

B

"If I have trouble removing or inserting the pessary, I will call the doctor."

C

"My follow-up appointment is in 2 months."

D

"The pessary needs to be washed daily with mild soap."

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Question 3
Free
Multiple Choice

A client is suspected of having premenstrual syndrome (PMS). A somatic complaint the nurse would assess for is a client report of

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A

abdominal bloating.

B

blurring of vision.

C

nasal congestion.

D

severe uterine cramping.

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Question 4
Free
Multiple Choice

A woman complains of severe PMS symptoms. Based on research, the nurse could suggest which of the following over-the-counter products might be beneficial in reducing the symptoms?

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A

Aspirin

B

Calcium with vitamin D

C

Ibuprofen

D

Vitamin C

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Question 5
Free
Multiple Choice

A nurse is counseling an adolescent and her mother about preventing cervical cancer. The most important health promotion action the nurse could suggest is to

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A

abstain from alcohol.

B

avoid sexual intercourse.

C

do not start smoking.

D

get the HPV vaccine.

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Question 6
Multiple Choice

The question that the nurse would initially ask an 18-year-old client being assessed for amenorrhea is

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A
"Are you taking birth control pills?"
B
"Could you be pregnant?"
C
"Have you been dieting?"
D
"How much do you exercise?"
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Question 7
Multiple Choice

The nurse would determine that a client with menorrhagia is at risk for significant blood loss if the client reports changing the perineal pad or tampon at least every

Choose correct answer/s
A
1 to 2 hours.
B
image to 3 hours.
C
4 to 5 hours.
D
6 to 8 hours.
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Question 8
Multiple Choice

The nurse planning care for the client who had a repair of a uterine prolapse 2 days ago would include which intervention?

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A
Encouraging a low-fiber diet
B
Having the client void every 2 hours
C
Keeping the client on bed rest
D
Performing routine Foley catheter care
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Question 9
Multiple Choice

The nurse teaching a menopausal client about hormone replacement therapy (HRT) would include that HRT decreases the risk of

Choose correct answer/s
A
hypertension.
B
osteoporosis.
C
thrombophlebitis.
D
uterine fibromas.
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Question 10
Multiple Choice

The nurse would be aware that a client with the diagnosis of endometriosis may require additional emotional support, because the major complication of this disease is

Choose correct answer/s
A
cervical cancer.
B
endometrial cancer.
C
infertility.
D
pelvic inflammatory disease.
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Question 11
Multiple Choice

After the physician has prescribed danazol (Danocrine) for treatment of a client's endometriosis, the nurse would explain that this drug may cause

Choose correct answer/s
A
hot flashes.
B
increased breast size.
C
irregular periods.
D
loss of appetite.
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Question 12
Multiple Choice

The nurse would assess a client with leiomyoma for a history of

Choose correct answer/s
A
abnormal vaginal discharge.
B
amenorrhea.
C
excessive uterine bleeding.
D
severe menstrual pain.
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Question 13
Multiple Choice

After a client's hysterectomy for removal of a leiomyoma, the nurse formulates the nursing diagnosis of Constipation related to bowel manipulation during surgery. The best measure that the nurse would take to prevent constipation is

Choose correct answer/s
A
administer a soapsuds enema to the client.
B
encourage early and frequent ambulation.
C
offer the client iced beverages.
D
reduce fiber in the client's diet.
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Question 14
Multiple Choice

The nurse teaches a client self-care measures after a hysterectomy, which include avoiding

Choose correct answer/s
A
participating in aerobic exercises.
B
dancing.
C
riding in a car.
D
walking for short distances.
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Question 15
Multiple Choice

To help a client diagnosed with endometrial cancer effectively deal with this disease, the nurse would base supportive interventions on the fact that endometrial cancer

Choose correct answer/s
A
has a 90% cure rate.
B
is difficult to treat.
C
metastasizes quickly.
D
spreads slowly.
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Question 16
Multiple Choice

The nurse explains that because there is no screening method to detect endometrial cancer, the first manifestation is

Choose correct answer/s
A
a bowel obstruction.
B
an abdominal mass.
C
postmenopausal bleeding.
D
sudden, intense abdominal pain.
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Question 17
Multiple Choice

The postprocedure teaching plan for a client receiving cryosurgery for cervical cancer would include the instruction to

Choose correct answer/s
A
avoid vigorous perineal hygiene.
B
report any malodorous discharge immediately.
C
report discharge that continues longer than 8 weeks.
D
take frequent sitz baths to minimize pain.
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Question 18
Multiple Choice

The nurse is providing health education to a group of women about ovarian cancer. The nurse would include information on health maintenance activities for both low- and high-risk women, because ovarian cancer

Choose correct answer/s
A
grows and spreads without manifestations.
B
is the most common genital cancer.
C
treatment is generally ineffective.
D
tumors grow rapidly.
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Question 19
Multiple Choice

A client complains of a cloudy vaginal discharge with a slight odor. Microscopic examination reveals epithelial cells, leukocytes, and normal vaginal flora. Given these findings, the nurse would assesses that the discharge is

Choose correct answer/s
A
candidiasis.
B
Chlamydia.
C
Gardnerella.
D
leukorrhea.
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Question 20
Multiple Choice

A vaginal mass is found in a client experiencing vaginal discharge, painless vaginal bleeding, and pruritus. The client's statement that would alert the nurse to the possible etiology is

Choose correct answer/s
A
"I've been sexually active since I was 17-years-old."
B
"I've been unable to conceive."
C
"My mother took DES when she was pregnant with me."
D
"The IUD is my form of birth control."
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