Davis Advantage Women's Health Chapter 18 and 19
A 15-year-old female patient with a history of menarche at age 12 reports that she has not had
menses for the last three months. Which contributing conditions should the nurse be aware of in
order to anticipate laboratory or diagnostic imaging orders? Select all that apply.
a. Congenital absence of the vagina or uterus
b. Pregnancy
c. Eating disorder
d. Thyroid dysfunction
e. Turner Syndrome
A 17-year-old female client received her first dose of the human papillomavirus (HPV) vaccine.
When should the nurse advise the client to return for her next dose?
a. in 1 year
b. 6-12 months
c. 1-2 months
d. 1-2 weeks
A 22-year-old female patient is reporting urinary frequency and dysuria. Which lab test will the
nurse anticipate being ordered?
a. microscopy of vaginal secretions
b. chlamydia nucleic amplification
d. urine hCG
e. Urine culture
A 42-year-old female patient is scheduled to have a hysterectomy with bilateral salpingo-
oophorectomy. The nurse is reviewing pre-op instructions with her. Which statement by the
patient indicates the need for further teaching?
a. I will not be able to become pregnant again
b. the surgery will put me in menopause
c. i will no longer menstruate
d. i will lose my uterus, but i will still have my ovaries
A 49-year-old female client asks the nurse how she will know when she has reached menopause.
Which answer by the nurse is best?
a. when you are having hot flashes
b. when your menstrual periods are more than 120 days apart
c. when you have not had a menstrual period in 12 months
d. when your blood test shows low estrogen
A 50-year-old female client is prescribed menopausal hormone therapy (MHT) for severe hot
flashes. The client asks why she needs to take progesterone if her symptoms are due to low
estrogen. Which is the best explanation by the nurse?
, a. "Estrogen alone is not enough to control hot flashes."
b. "Severe menopausal symptoms require both hormones."
c. "Estrogen given alone increases the risk of blood-clotting disorders."
d. "The use of progesterone with estrogen therapy reduces the risk of endometrial cancer."
A 55-year-old female client is concerned because her twin sister has osteoporosis. She asks the
nurse what she can do to prevent osteoporosis. Which methods of risk reduction should the nurse
advise? Select all that apply.
a. ensure a daily calcium intake of 500mg
b. avoid smoking
c. ensure adequate intake of vitamin D
d. try to swim 3-4 times per week
e. try to walk or joy 3-4 times per week
A client in the gynecology clinic asks the nurse about the word "menorrhagia," which the client
saw written in their medical record. What is the correct definition of menorrhagia?
a. painful menstruation
b. bleeding between periods
c. heavy menstrual bleeding
d. no menstruation in three months
A client with severe premenstrual syndrome (PMS) asks the nurse about treatment options. What
medications should the nurse encourage the client to discuss with her healthcare provider? Select
all that apply.
a. oral contraceptives
b. NSAIDs
c. Antidepressants
d. GnRH agonists
e. Diuretics
A female client has been prescribed oral metronidazole (Flagyl) for the treatment of bacterial
vaginosis. What is essential for the nurse to teach the woman?
a. male sexual partners should also be treated
b. avoid alcohol while taking this medication
c. take the medication until the symptoms resolve
d. the medication can also treat candidiasis
A female client has been trying to get pregnant for over one year. Which condition does the
nurse explain as the most common cause of female infertility?
a. endometriosis
b. polycystic ovary syndrome
c. chronic pelvic pain
d. vaginitis
A 15-year-old female patient with a history of menarche at age 12 reports that she has not had
menses for the last three months. Which contributing conditions should the nurse be aware of in
order to anticipate laboratory or diagnostic imaging orders? Select all that apply.
a. Congenital absence of the vagina or uterus
b. Pregnancy
c. Eating disorder
d. Thyroid dysfunction
e. Turner Syndrome
A 17-year-old female client received her first dose of the human papillomavirus (HPV) vaccine.
When should the nurse advise the client to return for her next dose?
a. in 1 year
b. 6-12 months
c. 1-2 months
d. 1-2 weeks
A 22-year-old female patient is reporting urinary frequency and dysuria. Which lab test will the
nurse anticipate being ordered?
a. microscopy of vaginal secretions
b. chlamydia nucleic amplification
d. urine hCG
e. Urine culture
A 42-year-old female patient is scheduled to have a hysterectomy with bilateral salpingo-
oophorectomy. The nurse is reviewing pre-op instructions with her. Which statement by the
patient indicates the need for further teaching?
a. I will not be able to become pregnant again
b. the surgery will put me in menopause
c. i will no longer menstruate
d. i will lose my uterus, but i will still have my ovaries
A 49-year-old female client asks the nurse how she will know when she has reached menopause.
Which answer by the nurse is best?
a. when you are having hot flashes
b. when your menstrual periods are more than 120 days apart
c. when you have not had a menstrual period in 12 months
d. when your blood test shows low estrogen
A 50-year-old female client is prescribed menopausal hormone therapy (MHT) for severe hot
flashes. The client asks why she needs to take progesterone if her symptoms are due to low
estrogen. Which is the best explanation by the nurse?
, a. "Estrogen alone is not enough to control hot flashes."
b. "Severe menopausal symptoms require both hormones."
c. "Estrogen given alone increases the risk of blood-clotting disorders."
d. "The use of progesterone with estrogen therapy reduces the risk of endometrial cancer."
A 55-year-old female client is concerned because her twin sister has osteoporosis. She asks the
nurse what she can do to prevent osteoporosis. Which methods of risk reduction should the nurse
advise? Select all that apply.
a. ensure a daily calcium intake of 500mg
b. avoid smoking
c. ensure adequate intake of vitamin D
d. try to swim 3-4 times per week
e. try to walk or joy 3-4 times per week
A client in the gynecology clinic asks the nurse about the word "menorrhagia," which the client
saw written in their medical record. What is the correct definition of menorrhagia?
a. painful menstruation
b. bleeding between periods
c. heavy menstrual bleeding
d. no menstruation in three months
A client with severe premenstrual syndrome (PMS) asks the nurse about treatment options. What
medications should the nurse encourage the client to discuss with her healthcare provider? Select
all that apply.
a. oral contraceptives
b. NSAIDs
c. Antidepressants
d. GnRH agonists
e. Diuretics
A female client has been prescribed oral metronidazole (Flagyl) for the treatment of bacterial
vaginosis. What is essential for the nurse to teach the woman?
a. male sexual partners should also be treated
b. avoid alcohol while taking this medication
c. take the medication until the symptoms resolve
d. the medication can also treat candidiasis
A female client has been trying to get pregnant for over one year. Which condition does the
nurse explain as the most common cause of female infertility?
a. endometriosis
b. polycystic ovary syndrome
c. chronic pelvic pain
d. vaginitis
