Chapter 54: Nursing Management: Female Reproductive Problems

Chapter 54: Nursing Management: Female Reproductive Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. A 33-year-old woman who uses oral contraceptives tells the nurse, “I want to have
children in a few years.” Which response by the nurse is appropriate?
a. “You may have more difficulty becoming pregnant after about age 35.”
b. “You have many years of fertility left, so there is no rush to have children.”
c. “You should plan to stop taking oral contraceptives several years before you want
to become pregnant.”
d. “If you do not have children within the next few years, it will be very difficult for
you to become pregnant.”
ANS: A
The probability of successfully becoming pregnant decreases after age 35, although some
patients may have no difficulty in becoming pregnant. Oral contraceptives do not need to
be withdrawn for several years for a woman to become pregnant. Although the patient
may be fertile for many years, it would be inaccurate to indicate that there is no concern
about infertility as she becomes older. Although the risk for infertility increases after age
35, not all patients have difficulty in conceiving.
DIF: Cognitive Level: Application REF: 1345-1346
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. A couple is considering the possibility of in vitro fertilization (IVF). The woman tells the
nurse that they cannot afford IVF on her husband’s salary, and the husband replies that if
the wife would get a job, they would have enough money. Which nursing diagnosis is
appropriate?
a. Decisional conflict related to inadequate financial resources
b. Ineffective sexuality patterns related to psychological stress
c. Defensive coping related to anxiety about lack of conception
d. Ineffective denial related to frustration about continued infertility
ANS: C
The statements made by the couple are consistent with the diagnosis of defensive coping.
No data indicate that ineffective sexuality and ineffective denial are problems. Although
the couple is quarrelling about finances, the data do not provide information indicating
that the finances are inadequate.
DIF: Cognitive Level: Application REF: 1347 TOP: Nursing Process:
Diagnosis
MSC: NCLEX: Psychosocial Integrity
Test Bank 54-2
3. A patient who is trying to become pregnant asks the nurse about ways to determine when
she is most likely to conceive. The nurse explains that
a. ovulation prediction kits provide accurate information about ovulation.
b. ovulation is difficult to predict unless she has regular menstrual periods.
c. she will need to bring a specimen of cervical mucus to the clinic for testing.
d. she should take her body temperature daily and have intercourse when it drops.
ANS: A
Ovulation prediction kits indicate when luteinizing hormone (LH) levels first rise.
Ovulation occurs about 28 to 36 hours after the first rise of LH. This information can be
used to determine the best time for intercourse. Body temperature rises at ovulation.
Postcoital cervical smears are used in infertility testing, but they do not predict the best
time for conceiving and are not obtained by the patient. Determination of the time of
ovulation can be predicted by basal body temperature charts or ovulation prediction kits
and is not dependent on regular menstrual periods.
DIF: Cognitive Level: Application REF: 1346
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
4. A woman has an induced abortion with suction curettage at an ambulatory surgical
center. Which instructions will the nurse include when discharging the patient?
a. “Heavy vaginal bleeding is expected for about 2 weeks.”
b. “You should abstain from sexual intercourse for 2 weeks.”
c. “Irregular menstrual periods are expected for the next few months.”
d. “Use of contraceptives should be avoided until your reexamination.”
ANS: B
Because infection is a possible complication of this procedure, the patient is advised to
avoid intercourse until the reexamination in 2 weeks. Patients may be started on
contraceptives on the day of the procedure. The patient should call the doctor if heavy
vaginal bleeding occurs. No change in the regularity of the menstrual periods is expected.
DIF: Cognitive Level: Application REF: 1348-1349
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
5. A woman is scheduled for an induced abortion using instillation of hypertonic saline
solution. Before the procedure, which information will the nurse discuss with the patient?
a. The expulsion of the fetus may take up to a day or longer.
b. There is a possibility that the patient may deliver a live fetus.
c. The patient will require a general anesthetic for the procedure.
d. The procedure may be unsuccessful in terminating the pregnancy.
ANS: A
Uterine contractions take 12 to 36 hours to begin after the hypertonic saline is instilled.
Because the saline is feticidal, the nurse does not need to discuss any possibility of a live
delivery or that the pregnancy termination will not be successful. General anesthesia is
not needed for this procedure.
DIF: Cognitive Level: Application REF: 1348
Test Bank 54-3
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance