Chapter 39: Care of Women with Reproductive Disorders

Chapter 39: Care of Women with Reproductive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The patient complains to the nurse about a sharp pain in the lower quadrants every month at midcycle that lasts for several hours. The nurse clarifies that this phenomenon is related to:

a.	the stretching of the round ligaments supporting the uterus.
b.	Mittelschmerz, a pain associated with ovulation.
c.	the premenstrual uterine enlargement.
d.	endometrial changes.

 

 

ANS:  B

Mittelschmerz is a pain in either lower quadrant associated with ovulation. There is no stretching of the round ligaments during the midcycle period. Premenstrual uterine changes do not produce discomfort.

 

DIF:    Cognitive Level: Knowledge            REF:   883                OBJ:   3 (theory)

TOP:   Mittelschmerz: Definition                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The nurse is aware that the normal acidic pH of the vaginal vault provides:

a.	support to vaginal muscle tone.
b.	vaginal lubrication.
c.	a hostile environment to sperm.
d.	protection against infection.

 

 

ANS:  D

The acidic pH of the vagina, provided by lactic acid, is a defense against infection. The low pH is a hostile environment for pathogens. Muscle tone in the vagina is not affected by the pH level. The vagina is not a hostile environment to the sperm.

 

DIF:    Cognitive Level: Comprehension     REF:   883                OBJ:   1 (theory)

TOP:   Vaginal pH: Purpose                       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. The nurse speaking to a group of junior high girls cautions them that their breasts may feel tender:

a.	at midcycle at ovulation.
b.	at intracycle on the first day of flow.
c.	at intracycle as the flow begins to slow.
d.	after menstrual flow has stopped.

 

 

ANS:  A

Hormonal changes during the midportion of the cycle may increase breast tenderness.

 

DIF:    Cognitive Level: Comprehension     REF:   883                OBJ:   3 (theory)

TOP:   Breast Tenderness: Timing              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. The nurse is aware that the premenstrual syndrome (PMS) with its behavioral symptoms occurs during the:

a.	follicular ovarian cycle phase.
b.	luteal ovarian cycle phase.
c.	dismantling stage of the menstrual cycle.
d.	proliferative stage of the stage of the menstrual cycle.

 

 

ANS:  B

The luteal stage (from the 15th to the 28th day of the cycle), when the uterus is being prepared to receive the fertilized ovum, is the time that PMS occurs. The follicular phase includes the first 14 days of a 28-day cycle. During this phase the follicle-stimulating hormone (FSH) and luteinizing hormone (LH) stimulate the maturation of immature ova in preparation for fertilization. Estrogen peaks when the ovum is released (ovulation) about 14 days before the next menstrual period. The ovum lives up to 24 hours after fertilization. The menstrual cycle refers to the dismantling state. During this time the endometrial layer sloughs away and menstrual flow begins. The levels of estrogen and progesterone fall. During the proliferative stage of the menstrual cycle the follicle grows and the egg matures. The endometrium returns to normal state and then begins to thicken in response to estrogen.

 

DIF:    Cognitive Level: Application           REF:   902                OBJ:   3 (theory)

TOP:   PMS: Etiology                                 KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. The nurse suggests to a patient suffering with premenstrual dysphoric disorder (PMDD) that the patient might be able to reduce the symptoms by:

a.	using stress management exercises.
b.	drinking 4 ounces of red wine with the evening meal.
c.	including red meat in the diet at least 3 times a week.
d.	switching to sugar rather than artificial sweeteners.

 

 

ANS:  A

PMDD is thought to be related to the inability to deal with normal stressors. Red meat, alcohol, and sugar exacerbate the symptoms of PMDD.

 

DIF:    Cognitive Level: Application           REF:   902                OBJ:   3 (theory)

TOP:   PMDD: Self-Care                            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation