Female Repro- Brunner Chapter 50 Flashcards
(32 cards)
A school nurse is presenting information on human development and sexuality. When describing the role of hormones in sexual development, which hormone does the nurse teach the class is the most important one for developing and maintaining the female reproductive organs?
A) Estrogen
B) Progesterone
C) Androgens
D) Follicle-stimulating hormone
A) Estrogen
The nurse is taking the sexual history of an adolescent who has come into the free clinic. What question best assesses the patient’s need for further information?
A) “Are you involved in an intimate relationship at this time?”
B) “How many sexual partners have you had?”
C) “What questions or concerns do you have about your sexual health?”
D) “Have you ever been diagnosed with a sexually transmitted infection?”
C) “What questions or concerns do you have about your sexual health?”
The nurse is being trained to perform assessment screenings for abuse on patients who come into the walk-in clinic where the nurse works. Which of the following assessment questions is most appropriate?
A) “Would you describe your relationship as healthy and functional?”
B) “Have you ever been forced into sexual activity?”
C) “Do you make your husband uncontrollably angry?”
D) “How is conflict usually handled in your home?”
B) “Have you ever been forced into sexual activity?”
A female patient who has cognitive and physical disabilities has come into the clinic for a routine check-up. When planning this patient’s assessment, what action should the nurse take?
A) Ensure that a chaperone is available to be present during the assessment.
B) Limit the length and scope of the health assessment.
C) Avoid health promotion or disease prevention education.
D) Avoid equating the patient with her disabilities.
D) Avoid equating the patient with her disabilities.
A nurse presenting an educational event for a local community group is addressing premenstrual syndrome (PMS). What treatment guideline should the nurse teach this group?
A) Avoid excessive fluid intake.
B) Increase the frequency and intensity of exercise.
C) Limit psychosocial stressors in order to reduce symptoms.
D) Take opioid analgesics as ordered.
B) Increase the frequency and intensity of exercise.
A nurse is collecting assessment data from a premenopausal patient who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow?
A) Amenorrhea
B) Dysmenorrhea
C) Menorrhagia
D) Metrorrhagia
A) Amenorrhea
A new patient has come to the clinic seeking an appropriate method of birth control. What would the nurse teach this patient about a diaphragm?
A) One size fits all females.
B) The diaphragm may be cleaned with soap and water after use.
C) A diaphragm eliminates the need for spermicidal jelly.
D) The diaphragm should be removed 1 hour following intercourse.
B) The diaphragm may be cleaned with soap and water after use.
A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patient’s health history is HRT contraindicated?
A) History of vaginal dryness
B) History of hot flashes and night sweats
C) History of vascular thrombosis
D) Family history of osteoporosis
C) History of vascular thrombosis
The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears?
A) The test may be performed at any time during the patient’s menstrual cycle.
B) The smear should be done every 2 years.
C) The test can detect early evidence of cervical cancer.
D) False-positive Pap smear results occur mostly from not douching before the examination.
C) The test can detect early evidence of cervical cancer.
A nurse practitioner is preparing to perform a patient’s scheduled Pap smear and the patient asks the nurse to ensure that the speculum is well-lubricated. How should the nurse proceed with assessment?
A) Reassure the patient that ample petroleum jelly will be used.
B) Reassure that patient that a water-based lubricant will be used.
C) Explain to the patient that water is the only lubricant that can be used.
D) Explain to the patient why the speculum must be introduced “dry.”
C) Explain to the patient that water is the only lubricant that can be used.
A clinic nurse is meeting with a 38-year-old patient who states that she would like to resume using oral contraceptives, which she used for several years during her twenties. What assessment question is most likely to reveal a potential contraindication to oral contraceptive use?
A) “Have you ever had surgery?”
B) “Have you ever had a sexually transmitted infection?”
C) “When did you last have your blood sugar levels checked?”
D) “Do you smoke?”
D) “Do you smoke?”
A 51-year-old woman has come to the OB/GYN clinic for her annual physical. She tells the nurse that she has been experiencing severe hot flashes, but that she is reluctant to begin hormone therapy (HT). What potential solution should the nurse discuss with the patient?
A) Sodium restriction
B) Adopting a vegan diet
C) Massage therapy
D) Vitamin supplements
D) Vitamin supplements
An adolescent is brought to the clinic by her mother because of abnormal uterine bleeding. The nurse should understand that the most likely cause of this dysfunctional bleeding pattern is what?
A) Lack of ovulation
B) Chronic vaginitis
C) A sexually transmitted infection
D) Ectopic pregnancy
A) Lack of ovulation
The nurse is planning the sexual assessment of a new adolescent patient. The nurse should include what assessment components? Select all that apply.
A) Physical examination findings
B) Laboratory results
C) Health history
D) Interpersonal skills
E) Understanding of menopause
A, B, C
By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that
apply.
A) That sexual issues are valid health issues
B) That it is safe to talk about sexual issues
C) That sexual issues are only a minor aspect a person’s identity
D) That changes or problems in sexual functioning should be discussed
E) That changes or problems in sexual functioning are highly atypical
A, B, D
The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new patient. According to this model, the nurse should begin with what action?
A) Conducting a preliminary assessment
B) Addressing the patient’s psychosocial status
C) Asking the patient’s permission to discuss sexuality
D) Assessing for physiologic problems
C) Asking the patient’s permission to discuss sexuality
During the nurse’s assessment of a female patient, the patient reveals that she experienced sexual abuse when she was a young woman. What is the nurse’s most appropriate response to this disclosure?
A) Reassure her that this information will be kept a secret.
B) Begin the process of intensive psychotherapy.
C) Encourage the patient to phone 911.
D) Facilitate appropriate resources and referrals.
D) Facilitate appropriate resources and referrals.
A 15-year-old girl is brought to the clinic by her mother to see her primary care provider. The mother states that
her daughter has not started to develop sexually. The physical examination shows that the patient has no indication of secondary sexual characteristics. What diagnosis should the nurse suspect?
A) Primary amenorrhea
B) Dyspareunia
C) Vaginal atrophy
D) Secondary dysmenorrhea
A) Primary amenorrhea
A 36-year-old woman comes to the clinic complaining of premenstrual syndrome (PMS) that is disrupting her quality of life. What signs and symptoms are associated with this health problem? Select all that apply.
A) Loss of appetite
B) Breast tenderness
C) Depression
D) Fluid retention
E) Headache
B, C, D, E
A patient states that PMS that is significantly disrupting her quality of life and that conservative management has failed to produce relief. What pharmacologic treatment may benefit this patient?
A) An opioid analgesic
B) A calcium channel blocker
C) A monoamine oxidase inhibitor (MAOI)
D) A selective serotonin reuptake inhibitor (SSRI)
D) A selective serotonin reuptake inhibitor (SSRI)
The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the patient’s menstrual history? Select all that apply.
A) “Do you ever experience bleeding after intercourse?”
B) “How long is your typical cycle?”
C) “Did you have any sexually transmitted infections in early adulthood?”
D) “When did your mother and sisters get their first periods?”
E) “Do you experience cramps or pain during your cycle?”
A, B, E
The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple?
A) Hopelessness related to failed IVF
B) Acute confusion related to reasons for failed IVF
C) Compromised family coping related to unsuccessful IVF
D) Moral distress related to unsuccessful IVF
A) Hopelessness related to failed IVF
A 48-year-old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimenopausal symptoms. The patient’s need for relief from hot flashes and other symptoms will be weighed carefully against the increased risks of what complications of HT? Select all that apply.
A) Anaphylaxis
B) Osteoporosis
C) Breast cancer
D) Cardiovascular disease
E) Venous thromboembolism
C, D, E
A 27-year-old primipara presents to the ED with vaginal bleeding and suspected contractions. The woman relates that she is 14 weeks pregnant and she thinks she is losing her baby. Diagnostic testing confirms a spontaneous abortion. What nursing action would be a priority at this time?
A) Leave the patient alone so she can grieve in private.
B) Teach the patient that this will not affect her future chance of conception.
C) Take the patient off the obstetric floor so she will not hear a baby cry.
D) Provide opportunities for the patient to talk and express her emotions.
D) Provide opportunities for the patient to talk and express her emotions.
