Chapter 62--Female Reproductive Dysfunction: Nursing Management

Chapter 62–Female Reproductive Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client tells the nurse that she experiences heavy menstrual bleeding. The nurse would document this condition as being:

ANS:  2

Menorrhagia is heavy menstrual bleeding. Metrorrhagia is bleeding between menses. Dysmenorrhea is pain during the menstrual cycle, and polymenorrhea is having menstrual cycles at 2- to 3-week intervals.

PTS:   1                    DIF:    Apply            REF:   Dysmenorrhea; Dysfunctional Uterine Bleeding

2. A client tells the nurse that she has not had menstrual cycles for 2 months since she has been training for a marathon. The nurse would document this client’s lack of regular menstrual cycles as being:

ANS:  4

Secondary amenorrhea is when a woman has normal menstrual cycles but then stops. Dysmenorrhea is pain during the menstrual cycle, and oligomenorrhea is the absence of menstrual cycles for 3 months or longer. Primary amenorrhea is the lack of a menstrual cycle by age 16.

PTS:   1                    DIF:    Apply            REF:   Amenorrhea

3. The nurse is documenting that a female client is menopausal because the client has not had a menstrual cycle in:

ANS:  3

Women are considered menopausal if they have not had a menstrual cycle for 12 months. A perimenopausal state may exist prior to actual menopause.

PTS:   1                    DIF:    Apply            REF:   Menopause

4. A female client is prescribed estrogen (Alora) for hot flashes associated with menopause. Which of the following should the nurse instruct this client regarding this medication?

ANS:  3

The nurse should instruct the client prescribed estrogen (Alora) that side effects include breast tenderness, nausea, depression, headache, and spotting (bleeding). Hot flashes do not increase with this medication. Weight gain is not a documented side effect of this medication. Abdominal pain is not an expected side effect of this medication.

PTS:   1                    DIF:    Apply

REF:   Table 62-1 Medications Used to Treat Menstrual Disorders

5. The nurse is caring for a female client recovering from surgery to remove the uterus, cervix, ovaries, and fallopian tubes using a traditional approach. The nurse realizes this client has had a:

ANS:  4

Removal of the uterus, ovaries, and fallopian tubes through an abdominal incision is called a total abdominal hysterectomy and bilateral salpingo-oophorectomy. A hysterectomy performed vaginally via laparoscope is a laparoscopically assisted vaginal hysterectomy. A partial hysterectomy removes the body of the uterus without the cervix, and a complete hysterectomy is the removal of the entire uterus.

PTS:   1                    DIF:    Analyze

REF:    Dysfunctional Uterine Bleeding: Planning and Implementation: Surgery