CH 23

Question 1

A patient was secretly given large doses of Xanax and Rohypnol before being sexually assaulted. The patient is unresponsive and has slow, shallow breathing. What additional assessment finding would you expect to encounter?

Tachycardia
Bradycardia
Tachypnea
Hypertension

Answer 1

Bradycardia

Question 2

In an ectopic pregnancy, bleeding usually occurs:

only if a fallopian tube is involved.
after signs of shock have developed.
before the onset of pain.
after the onset of pain.

Answer 2

after the onset of pain.

Question 3

Implantation of a fertilized egg within a fallopian tube:

produces atypical signs of pregnancy.
can cause severe intra-abdominal hemorrhage.
is usually detected after the 20th week of pregnancy.
represents only 3% of all ectopic pregnancies.

Answer 3

can cause severe intra-abdominal hemorrhage.

Question 4

The region of sexual stimulation in a female is the:

vestibule.
urethra.
clitoris.
hymen.

Answer 4

clitoris.

Question 5

Which of the following is a potential complication of pelvic inflammatory disease?

Urinary tract infection
Uterine rupture
Ectopic pregnancy
Respiratory failure

Answer 5

Ectopic pregnancy

Question 6

In the average female, the menstrual cycle lasts how many days?
35
28
21
24

Answer 6

28

Question 7

In contrast to endometritis, endometriosis:

is an inflammation of the uterine lining.
may present without abdominal pain.
is often the result of gynecologic surgery.
generally causes light menstrual periods.

Answer 7

may present without abdominal pain.

Question 8

Which of the following questions is most important to ask when obtaining a patient’s gynecologic history?

“Do you have any abdominal pain?”
“When was your last menstrual period?”
“When was your last sexual encounter?”
“Is there a chance that you are pregnant?”

Answer 8

“When was your last menstrual period?”

Question 9

In contrast to endometriosis, a patient with endometritis would be expected to present with:

escalating menstrual cramping.
fever, chills, and vomiting.
a feeling of rectal pressure.
painful intercourse.

Answer 9

fever, chills, and vomiting.

Question 10

Mittelschmerz is defined as:

pain that occurs outside the menstrual cycle.
two consecutively missed menstrual periods.
a sudden premature cessation of menses.
pain in the middle of the menstrual cycle.

Answer 10

pain in the middle of the menstrual cycle.