NR 443 CHAPTER 49: FEMALE
REPRODUCTIVE DISORDERS
Chapter 49: Female Reproductive Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
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
6. After a mastectomy, many patients experience lymphedema. What action can the patient take to
minimize this problem?
a. Keep the arm elevated as much as possible.
b. Take Lasix, 20 mg twice daily as ordered.
c. Use a sling during the day to rest the arm.
d. Avoid exercising the arm for several weeks.
ANS: A
To manage lymphedema, the patient should elevate the arm to a height above the level of the heart.
DIF: Cognitive Level: Comprehension REF: p. 1124 OBJ: 5
TOP: Postoperative Care for Mastectomy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of
cervical cancer. What is the most appropriate response by the nurse?
a. “You need to a have a pelvic examination every 6 months because of your history.”
b. “If you have regular Pap smears, cervical cancer is usually diagnosed early and cured.”
c. “There’s no need to worry so much. Cervical cancer does not run in families.”
d. “Cervical cancer is sexually transmitted. Don’t switch partners often, and you don’t have to worry.”
ANS: B
For patients who have regular annual pelvic examinations and Papanicolaou (Pap) smears, cervical
cancer is usually diagnosed and treated in its early stage.
REPRODUCTIVE DISORDERS
Chapter 49: Female Reproductive Disorders
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
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
6. After a mastectomy, many patients experience lymphedema. What action can the patient take to
minimize this problem?
a. Keep the arm elevated as much as possible.
b. Take Lasix, 20 mg twice daily as ordered.
c. Use a sling during the day to rest the arm.
d. Avoid exercising the arm for several weeks.
ANS: A
To manage lymphedema, the patient should elevate the arm to a height above the level of the heart.
DIF: Cognitive Level: Comprehension REF: p. 1124 OBJ: 5
TOP: Postoperative Care for Mastectomy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of
cervical cancer. What is the most appropriate response by the nurse?
a. “You need to a have a pelvic examination every 6 months because of your history.”
b. “If you have regular Pap smears, cervical cancer is usually diagnosed early and cured.”
c. “There’s no need to worry so much. Cervical cancer does not run in families.”
d. “Cervical cancer is sexually transmitted. Don’t switch partners often, and you don’t have to worry.”
ANS: B
For patients who have regular annual pelvic examinations and Papanicolaou (Pap) smears, cervical
cancer is usually diagnosed and treated in its early stage.
