Review Questions
1
.
What condition would the nurse suspect in a patient who presents with very painful menstrual cramps that prevent them from working each month?
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amenorrhea
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dysmenorrhea
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premenstrual syndrome
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abnormal uterine bleeding
2
.
What lifestyle change would the nurse recommend for a patient who presents with multiple symptoms of perimenopause?
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Switch to flannel sheets and use extra blankets to stay warm at night.
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Avoid sexual intercourse until vaginal dryness passes.
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Have a glass of wine each night before bed to reduce insomnia.
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Begin a regular exercise routine.
3
.
What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
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breast cancer
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cirrhosis of the liver
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insulin resistance
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insomnia
4
.
What type of medication would the nurse prepare to speak about with a patient recently diagnosed with endometriosis?
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oral contraceptives
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selective serotonin inhibitors
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dopamine agonist
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bisphosphonates
5
.
What question is most important for the nurse to ask a patient who presents with pelvic pain for the past year?
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“Is the pain associated with having a bowel movement or passing urine?”
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“Have you had any unexplained weight loss?”
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“Have you tried taking ibuprofen or acetaminophen?”
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“Do you have many sexual partners?”
6
.
A 58-year-old postmenopausal woman presents with a sensation of pelvic heaviness and states she feels like something is sitting in her vagina. On examination, the provider notes a visible protrusion of the bladder into the anterior vaginal wall. What structural disorder of the female reproductive system is consistent with these findings?
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pelvic floor prolapse
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DES exposure
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vaginal septum
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bladder fistula
7
.
A 28-year-old patient presents with recurrent urinary tract infections and continuous wet sensation in her undergarments. On examination, the provider observes leaking of urine noted in the vagina. What structural disorder of the female reproductive system is most likely responsible for this condition?
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pelvic floor prolapse
-
DES exposure
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vaginal septum
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bladder fistula
8
.
A patient presenting with chronic pelvic pain and heavy menstrual bleeding will be evaluated for what conditions? Select all that apply.
- endometriosis
- uterine fibroids
- ovarian cysts
- uterine polyps
9
.
What is an example of a patient’s comment that demonstrates the patient understands fibroids?
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“I will only need to treat the fibroids when I am menopausal.”
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“A sonogram can help determine the size of my fibroids.”
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“There is little treatment to help my fibroids.”
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“Oral contraceptives will only make my fibroids worse.”
10
.
When suspecting an ovarian cyst on the basis of abdominal pain, what other causes need to be ruled out due to the severity of the condition? Select all that apply.
- ectopic pregnancy
- inflamed appendix
- ovarian torsion
- submucosal fibroid
11
.
What does treatment for a Bartholin’s cyst include?
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topical antibiotics
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warm compress
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cold packs
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topical steroids
12
.
What are possible characteristics of a patient who is at a higher risk for developing uterine cancer?
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35-year-old patient with 2 vaginal births
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16-year-old patient with 28-day menstrual cycle
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67-year old patient taking only estrogen for HRT
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25-year-old patient taking oral contraceptive pills
13
.
The nurse is reviewing information in anticipation of providing education to her patient. What is an accurate statement about ovarian cancer?
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The symptoms of ovarian cancer are easy to detect because they are very specific to the disease process.
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The symptoms of ovarian cancer are difficult to detect because they are vague and nonspecific.
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There are no symptoms of ovarian cancer.
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There are screening tests available for ovarian cancer that make it easy to detect.