Chapter 04: Reproductive System
Concerns Perry: Maternal Child Nursing
Care, 6th Edition Already Graded A+
1. 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. Ans- ANS: C
Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea.
Anatomic abnormalities, type 1 diabetes mellitus, and hysterectomy all are possible causes of
amenorrhea.
2. 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 Ans- ANS: D
,Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing
uterine ischemia. Dietary changes such as eating less red meat may be recommended for women
experiencing dysmenorrhea. Increasing the intake of diuretics, including natural diuretics such as
asparagus, cranberry juice, peaches, parsley, and watermelon, may help ease the symptoms
associated with dysmenorrhea. Exercise has been found to help relieve menstrual discomfort
through increased vasodilation and subsequent decreased ischemia.
3. 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." Ans- ANS: A
PMS is a cluster of physical, psychologic, and behavioral symptoms that begin in the luteal
phase of the menstrual cycle and resolve within a couple of days of the onset of menses.
Complaints of lower abdominal pain, nausea and headaches, and abdominal bloating all are
associated with PMS. However, the timing reflected is inaccurate.
4. 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. Ans- ANS: A
Symptoms of endometriosis can change over time and may not reflect the extent of the disease.
Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful intercourse).
Impaired fertility may result from adhesions caused by endometriosis. Although endometriosis
may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea or
PMS. In addition, this woman is complaining of dyspareunia and infertility, which are associated
with endometriosis not with PMS or primary or secondary dysmenorrhea.
5. 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 bone loss. Ans- ANS: D
Concerns Perry: Maternal Child Nursing
Care, 6th Edition Already Graded A+
1. 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. Ans- ANS: C
Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause amenorrhea.
Anatomic abnormalities, type 1 diabetes mellitus, and hysterectomy all are possible causes of
amenorrhea.
2. 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 Ans- ANS: D
,Heat minimizes cramping by increasing vasodilation and muscle relaxation and minimizing
uterine ischemia. Dietary changes such as eating less red meat may be recommended for women
experiencing dysmenorrhea. Increasing the intake of diuretics, including natural diuretics such as
asparagus, cranberry juice, peaches, parsley, and watermelon, may help ease the symptoms
associated with dysmenorrhea. Exercise has been found to help relieve menstrual discomfort
through increased vasodilation and subsequent decreased ischemia.
3. 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." Ans- ANS: A
PMS is a cluster of physical, psychologic, and behavioral symptoms that begin in the luteal
phase of the menstrual cycle and resolve within a couple of days of the onset of menses.
Complaints of lower abdominal pain, nausea and headaches, and abdominal bloating all are
associated with PMS. However, the timing reflected is inaccurate.
4. 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. Ans- ANS: A
Symptoms of endometriosis can change over time and may not reflect the extent of the disease.
Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful intercourse).
Impaired fertility may result from adhesions caused by endometriosis. Although endometriosis
may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea or
PMS. In addition, this woman is complaining of dyspareunia and infertility, which are associated
with endometriosis not with PMS or primary or secondary dysmenorrhea.
5. 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 bone loss. Ans- ANS: D
