Maternal Child Nursing Care - Chapter
4: Reproductive System Concerns with
answers 2025
When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused
by:
A) Anatomic abnormalities
B) Type 1 diabetes mellitus.
C) Lack of exercise.
D) Hysterectomy. - ANSWER-C) Lack of exercise.
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic
intervention might be recommended?
A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping - ANSWER-D) Using a heating pad on the
abdomen to relieve cramping
Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?
A) I feel irritable and moody a week before my period is supposed to start.
B) I have lower abdominal pain beginning the third day of my menstrual period.
C) I have nausea and headaches after my period starts, and they last 2 to 3 days.
D) I have abdominal bloating and breast pain after a couple days of my period. - ANSWER-A) I feel
irritable and moody a week before my period is supposed to start.
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has
gotten
worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully
to get pregnant for the past 18 months. These symptoms are most likely related to:
A) Endometriosis.
B) PMS.
C) Primary dysmenorrhea.
D) Secondary dysmenorrhea. - ANSWER-A) Endometriosis.
Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a
woman
taking this medication that the drug:
A) Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian
activity.
B) Should be sprayed into one nostril every other day.
C) Should be injected into subcutaneous tissue BID.
D) Can cause her to experience some hot flashes and vaginal dryness. - ANSWER-D) Can cause her to
experience some hot flashes and vaginal dryness.
While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse
collects
data about the clients recent menstrual cycles. The nurse should collect additional information with
which statement?
A) The woman says her menstrual flow lasts 5 to 6 days.
, B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past
2
months.
D) She says the length of her menstrual cycle varies from 26 to 29 days. - ANSWER-B) She describes
her flow as very heavy.
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that
lack of
menstruation is most often the result of:
A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders. - ANSWER-C) Pregnancy
A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this
patient, the nurse should know that:
A) Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B) Fibroids increase in size during the perimenopausal period.
C) Menorrhagia is a common finding.
D) The woman is unlikely to become pregnant as long as the fibroids are in her uterus. - ANSWER-C)
Menorrhagia is a common finding.
During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing
cramping and pain during her menstrual periods. The nurse would document this complaint as:
A) Amenorrhea.
B) Dysmenorrhea.
C) Dyspareunia.
D) Premenstrual syndrome (PMS). - ANSWER-B) Dysmenorrhea.
With regard to dysmenorrhea, nurses should be aware that:
A) It is more common in older women.
B) It is more common in leaner women who exercise strenuously.
C) Symptoms can begin at any point in the ovulatory cycle.
D) Pain usually occurs in the suprapubic area or lower abdomen. - ANSWER-D) Pain usually occurs in
the suprapubic area or lower abdomen.
Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate?
A) Premenstrual dysphoric disorder (PMDD) is a milder form of premenstrual syndrome (PMS) and
more common in younger women.
B) Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
C) Premenstrual syndrome is a complex, poorly understood condition that may include any of a
hundred symptoms.
D) The causes of PMS have been well established. - ANSWER-C) Premenstrual syndrome is a complex,
poorly understood condition that may include any of a hundred symptoms.
With regard to endometriosis, nurses should be aware that:
A) It is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It is found more often in African-American women than in white or Asian women.
C) It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) It is unlikely to affect sexual intercourse or fertility. - ANSWER-C) It may worsen with repeated
cycles or remain asymptomatic and disappear after menopause.
One of the alterations in cyclic bleeding that occurs between periods is called:
A) Oligomenorrhea.
B) Menorrhea.
C) Leiomyoma.
4: Reproductive System Concerns with
answers 2025
When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused
by:
A) Anatomic abnormalities
B) Type 1 diabetes mellitus.
C) Lack of exercise.
D) Hysterectomy. - ANSWER-C) Lack of exercise.
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic
intervention might be recommended?
A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping - ANSWER-D) Using a heating pad on the
abdomen to relieve cramping
Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?
A) I feel irritable and moody a week before my period is supposed to start.
B) I have lower abdominal pain beginning the third day of my menstrual period.
C) I have nausea and headaches after my period starts, and they last 2 to 3 days.
D) I have abdominal bloating and breast pain after a couple days of my period. - ANSWER-A) I feel
irritable and moody a week before my period is supposed to start.
A woman complains of severe abdominal and pelvic pain around the time of menstruation that has
gotten
worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully
to get pregnant for the past 18 months. These symptoms are most likely related to:
A) Endometriosis.
B) PMS.
C) Primary dysmenorrhea.
D) Secondary dysmenorrhea. - ANSWER-A) Endometriosis.
Nafarelin is currently used as a treatment for mild-to-severe endometriosis. The nurse should tell a
woman
taking this medication that the drug:
A) Stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby stimulating ovarian
activity.
B) Should be sprayed into one nostril every other day.
C) Should be injected into subcutaneous tissue BID.
D) Can cause her to experience some hot flashes and vaginal dryness. - ANSWER-D) Can cause her to
experience some hot flashes and vaginal dryness.
While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse
collects
data about the clients recent menstrual cycles. The nurse should collect additional information with
which statement?
A) The woman says her menstrual flow lasts 5 to 6 days.
, B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past
2
months.
D) She says the length of her menstrual cycle varies from 26 to 29 days. - ANSWER-B) She describes
her flow as very heavy.
When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that
lack of
menstruation is most often the result of:
A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders. - ANSWER-C) Pregnancy
A 36-year-old woman has been given a diagnosis of uterine fibroids. When planning care for this
patient, the nurse should know that:
A) Fibroids are malignant tumors of the uterus that require radiation or chemotherapy.
B) Fibroids increase in size during the perimenopausal period.
C) Menorrhagia is a common finding.
D) The woman is unlikely to become pregnant as long as the fibroids are in her uterus. - ANSWER-C)
Menorrhagia is a common finding.
During her gynecologic checkup, a 17-year-old girl states that recently she has been experiencing
cramping and pain during her menstrual periods. The nurse would document this complaint as:
A) Amenorrhea.
B) Dysmenorrhea.
C) Dyspareunia.
D) Premenstrual syndrome (PMS). - ANSWER-B) Dysmenorrhea.
With regard to dysmenorrhea, nurses should be aware that:
A) It is more common in older women.
B) It is more common in leaner women who exercise strenuously.
C) Symptoms can begin at any point in the ovulatory cycle.
D) Pain usually occurs in the suprapubic area or lower abdomen. - ANSWER-D) Pain usually occurs in
the suprapubic area or lower abdomen.
Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate?
A) Premenstrual dysphoric disorder (PMDD) is a milder form of premenstrual syndrome (PMS) and
more common in younger women.
B) Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
C) Premenstrual syndrome is a complex, poorly understood condition that may include any of a
hundred symptoms.
D) The causes of PMS have been well established. - ANSWER-C) Premenstrual syndrome is a complex,
poorly understood condition that may include any of a hundred symptoms.
With regard to endometriosis, nurses should be aware that:
A) It is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It is found more often in African-American women than in white or Asian women.
C) It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) It is unlikely to affect sexual intercourse or fertility. - ANSWER-C) It may worsen with repeated
cycles or remain asymptomatic and disappear after menopause.
One of the alterations in cyclic bleeding that occurs between periods is called:
A) Oligomenorrhea.
B) Menorrhea.
C) Leiomyoma.
