Chapter 49: Female Reproductive Disorders

Chapter 49: Female Reproductive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for?

a.	Heavy menses
b.	Masculinizing
c.	Acnelike skin eruptions
d.	Anemia

 

 

ANS:  B

Androgenic steroids cause masculinizing. The distressing signs are a deepening voice, development of chest hair, coarsening of the skin, clitoral enlargement, and hot flashes. Many patients reject the drug on the basis of these side effects.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 1101           OBJ:   4

TOP:   Androgenic Steroid Therapy            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

2. What instruction should a nurse provide to a patient after a culdoscopy?

a.	Clean the incision site daily with hydrogen peroxide.
b.	Avoid vaginal intercourse.
c.	Return to the clinic for suture removal in 7 days.
d.	Use tampons.

 

 

ANS:  B

Nothing should be inserted into the vagina (e.g., intercourse, tampons) for the time specified by the physician. No incision or sutures are present.

 

DIF:    Cognitive Level: Application           REF:   p. 1095           OBJ:   2

TOP:   Culdoscopy    KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. A patient asks a nurse, “Will the laparoscopy be painful?” What is the best reply by the nurse?

a.	“You will probably have some pain below the rib cage and around the shoulder.”
b.	“Most patients state that the procedure is painless during and afterward.”
c.	“You may have some mild to moderate pain around the umbilicus and in the back.”
d.	“Every person is different. It’s difficult to say whether you’ll have pain.”

 

 

ANS:  A

During the immediate postoperative period, the patient tends to experience pain below the rib cage and in the shoulder area from the air injected into the abdominal cavity. The air is absorbed in 24 hours, and the pain disappears.

 

DIF:    Cognitive Level: Application           REF:   p. 1096           OBJ:   2

TOP:   Laparoscopy   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. A nurse is teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene. What should the nurse be sure to include?

a.	Wear clean polyester panties daily and at night.
b.	Douche weekly with a mild vinegar solution.
c.	Wash the external and internal genitalia daily.
d.	Wipe the perineal–anal area from front to back.

 

 

ANS:  D

Transfer of Escherichia coli from the anus to the vagina or to the urinary system can be avoided by wiping the perineal–anal area from front to back.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1106           OBJ:   5

TOP:   Infections of the Reproductive Tract

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

5. A nurse is teaching patients with endometriosis. What signs and symptoms of common complications should be included?

a.	Pelvic inflammatory disease
b.	Obstruction of the bowel and ureters
c.	Cancer of the endometrium
d.	Ovarian cancer

 

 

ANS:  B

A common complication of endometriosis is obstruction of bowel, ureters, or both, from the endometrial deposits, creating a medical emergency.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 1112           OBJ:   4

TOP:   Endometriosis                                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease