OB Women's Health Problems

OB Women's Health Problems The nurse prepares a patient for a pelvic examination. Which action should the nurse take after explaining the examination? - Ask the patient to empty the bladder and put on a gown. The nurse is developing educational materials that compare abdominal and vaginal hysterectomy procedures. Which fact about vaginal hysterectomy should the nurse include in the materials? - No visible incision An obese patient is diagnosed with uterine prolapse. Which surgical procedure should the nurse anticipate for this patient? - Total vaginal hysterectomy Total vaginal hysterectomy is performed for pelvic relaxation, abnormal uterine bleeding, or small fibroids. This approach is preferred for the elderly, obese, or debilitated patient who should not receive abdominal surgery. patient who has been proven fertile via testing continues to have difficulty conceiving after several months. Which question should the nurse ask the patient? - "Does your partner use marijuana?" Several factors can negatively impact the production and motility of male sperm, including marijuana use. A patient who is trying to conceive asks if anything can be done at home to improve fertility. Which response should the nurse make? - "After intercourse, elevate the hips with a pillow for 30 minutes." A couple has not been able to conceive for 14 months. Which statement should the nurse make to this couple? - "This might be primary infertility, which occurs in couples who do not have children." A patient reports feeling something "fall out" of the vagina and experiencing urinary incontinence when laughing. Which response should the nurse make? - "It sounds like you have cystocele, which affects the bladder." The nurse notes a patient is scheduled for a lumpectomy. For which reason should the nurse suspect this surgery is being performed? - To remove cancerous tissue and some normal tissue A patient newly diagnosed with breast cancer expresses confusion and disbelief. Which response should the nurse make? - "You are in shock, but this is a normal phase of adjustment." A couple being evaluated for infertility asks why a semen sample is requested first. Which response should the nurse make? - "Semen analysis is done first because it is not invasive." A patient in premenopause is scheduled for a bilateral salpingo-oophorectomy. Which medication should the nurse anticipate being prescribed for this patient? - Estrogen When both ovaries are removed in a patient who is premenopausal, abrupt surgical menopause occurs. The nurse palpates a mass behind the right nipple of a 45-year-old patient's breast. Which health problem should the nurse suspect this patient is experiencing? - Duct ectasia Duct ectasia (comedomastitis), an inflammation of the ducts behind the nipple, commonly occurs during or near the onset of menopause and is not associated with malignancy. During a pelvic examination, the nurse notices that a patient's vulva is red and excoriated. Which instruction should the nurse provide? - Refrain from frequent shaving of the perineum. The nurse practitioner prepares to insert a speculum into a patient's vagina. Which instruction should the nurse provide to the patient? - "Bear down." The nurse assesses a patient who has been unable to conceive. Which finding in the medical history should the nurse evaluate further? - Hypothyroidism Hypothyroidism can interfere with ovulation and the release of ova, which can lead to infertility. A patient is diagnosed with chronic abnormal uterine bleeding. For which procedure should the nurse prepare teaching for this patient? - Uterine ablation The nurse assesses breast swelling and tenderness in a patient. Which information should the nurse obtain first from the patient? - Timing of the symptoms The nurse is assessing a middle-aged female patient. Which finding should cause the most concern to the nurse? - Sister with breast cancer The nurse is helping a patient after a pelvic examination. Which question should the nurse ask before leaving the examination room? - "Do you feel dizzy or lightheaded?" The priority is to ensure the patient's safety by assessing for dizziness or lightheadedness. A patient reports breast tenderness and swelling. Which question should the nurse first ask this patient? - "Do these symptoms correlate to your menstrual cycle?" An adolescent patient arrives for an initial gynecologic exam. Which patient behavior should the nurse address? - The patient refuses to put feet in the exam table stirrups. A patient being treated for endometriosis reports a change in vocal pitch, enlarged clitoris, and increased acne. Which medication should the nurse suspect is causing these symptoms? - Danazol Danazol is a testosterone derivative that is used for the short-term treatment of endometriosis. Side effects include voice changes, clitoral enlargement, and acne. A patient with Stage I breast cancer has no lymph node involvement. About which procedure should the nurse prepare teaching for this patient? - Lumpectomy The nurse is assisting a healthcare provider with a vaginal examination. Which action should the nurse take to ensure patient comfort? - Run the speculum under warm water. A patient reports breast tenderness in the week prior to menses. Which question should the nurse ask? - "How much caffeine do you regularly consume?" A 35-year-old patient with Down syndrome wants to conceive. Which response should the nurse make? - "It's best to test for fertility first." Approximately half of all female patients with Down syndrome are fertile and can become pregnant. A patient is having a pelvic examination. For which reason should the nurse instruct the patient to bear down? - To decrease muscle tension