Chapter 38: Care of Women with Reproductive Disorders |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. The patient complains to the nurse about a sharp pain in the lower quadrants every month at mid cycle that lasts for several hours. This description is consistent with which underlying pathophysiological process? a. Round ligament stretching to support the uterus b. Mittelschmerz, a pain associated with ovulation c. Premenstrual uterine enlargement d. Endometrial changes ANS: B Mittelschmerz is a pain in either lower quadrant associated with ovulation. There is no stretching of the round ligaments during themidcycle period. Premenstrual uterine changes do not produce discomfort. PTS:1 DIF: Cognitive Level: Knowledge REF: 883 OBJ:3 (theory) TOP: Mittelschmerz: Definition KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. How does the body benefit from the normal acidic pH of the vaginal vault? a. Supported vaginal muscle tone b. Vaginal lubrication c. A hostile environment to sperm d. Protection against infection ANS: D The acidic pH of the vagina, provided by lactic acid, is a defense against infection. The low pH is a hostile environment for pathogens. Muscle tone in the vagina is not affected by the pH level. The vagina is not a hostile environment to the sperm. PTS:1 DIF: Cognitive Level: Comprehension REF: 883 OBJ:1 (theory) TOP: Vaginal pH: Purpose KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse is educating a speaking to a group of junior high girls about reproductive health. Which information is most important to include? a. Breasts may be tender in the middle of the cycle. b. Girls ages 12 or older who have not had a period should see a doctor. c. Irregular or missed periods are nothing to worry about. d. A normal period may last up to 2 weeks. ANS: A Hormonal changes during the midportion of the cycle may increase breast tenderness. The onset of the menstrual cycle completes puberty and usually occurs between ages 9 and 17. During the first year following menarche, the menstrual cycle may be somewhat irregular, but by the second year a regular cycle of approximately 28 days is normally established. Irregular periods may be a benign finding, but late or absent periods could also be a cause for concern (including a potential sign of pregnancy). Menstrual bleeding occurs about 14 days after ovulation and lasts between 2 and 8 days. PTS:1 DIF: Cognitive Level: Comprehension REF: 884 OBJ:3 (theory) TOP: Breast Tenderness: Timing KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. When does premenstrual syndrome (PMS) occur? a. The follicular phase of the ovarian cycle b. The luteal phase of the ovarian cycle c. The dismantling stage of the menstrual cycle d. The proliferative stage of the stage of the menstrual cycle