Chapter 51: Female Reproductive System
Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Conjugated estrogen (Premarin) is indicated for treatment of menopause: Which side
effects should a nurse explain before administering the medication to a woman who has
just had a hysterectomy?
a. Breast tenderness
b. Hypotension
c. Arthralgia
d. Skin rash
ANS: A
A side effect of conjugated estrogen (Premarin) is breast tenderness:
DIF: Cognitive Level: Comprehension REF: p: 1007 OBJ: 3
TOP: Drugs Used to Treat Menopause KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. A female student, seen in the campus clinic, states that she uses feminine hygiene
douches every day and after intercourse: What is the best response from the nurse?
a. “Douching has been used as an effective means of birth control for years:”
b. “Commercially prepared douches will neutralize the female vaginal tract:”
c. “Douching should only be done when ordered by a physician or nurse
practitioner:”
d. “Douching protects the vaginal tract from microorganisms:”
ANS: C
Women should not douche unless it is ordered by a physician or nurse practitioner:
DIF: Cognitive Level: Comprehension REF: p: 1005 OBJ: 4
TOP: Douching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins
in the treatment of infertility?
a. Estrogen only (diethylstilbestrol)
b. Danazol (Danocrine)
c. Clomiphene citrate (Clomid)
, d. Raloxifene (Evista)
ANS: C
Clomid stimulates the actions of natural pituitary gonadotropins:
DIF: Cognitive Level: Knowledge REF: p: 1010 OBJ: 4
TOP: Ovulatory Stimulant Drugs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. 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: 1003 OBJ: 2
TOP: Laparoscopy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. 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: 1009 OBJ: 3
TOP: Androgenic Steroid Therapy KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. 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: 1003 OBJ: 2
TOP: Culdoscopy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
7. A nurse is instructing a patient on breast self-examination: When is the best time of the
month to instruct this patient to perform a breast self-examination?
a. Before the menstrual period
b. During the menstrual period
c. After the menstrual period
d. On the first day of the month
ANS: C
Breast self-examination should be performed at the same time each month, at the end
of the menstrual cycle:
DIF: Cognitive Level: Knowledge REF: p: 1004 OBJ: 2
TOP: Breast Self-Examination KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
COMPLETION
1. the nurse recommends that an annual mammogram be performed for women older than
_____ years of age: (Use numeric characters only:)
ANS:
45
The American Cancer Society (ACS) recommends that mammograms be obtained in
women at the age of 45 years with subsequent testing done annually thereafter until
age 54 at which time the woman may be transitioned to biennial screening or
continued annually for as long as they are otherwise in good health (ACS, 2015):
DIF: Cognitive Level: Knowledge REF: p: 1003 OBJ: 2
TOP: Mammograms KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
, Chapter 52: Female Reproductive Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What action should a nurse implement when assessing for abnormal bleeding in a patient
following a hysterectomy?
a. Record the number of perineal pads used:
b. Assess vital signs every 8 hours:
c. Place the patient’s bed in a high Fowler position:
d. Apply an abdominal binder:
ANS: A
Recording the number of pads used and the appearance of the discharge is primary in
post hysterectomy care: the abdominal dressing and perineal pad are checked every
hour for the first 12 hours: Any excess bleeding is reported: the patient should be
placed on her side in a semi-Fowler position: An abdominal binder, if used, has no
effect on hemorrhage:
DIF: Cognitive Level: Application REF: p: 1027 OBJ: 1
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. A nurse collecting data on the reproductive system from a female patient is told that the
patient has a vaginal discharge that is cottage cheese–like in appearance: What should the
nurse recognize this as a common sign of?
a. Pelvic inflammatory disease (PID)
b. Trichomonas vaginalis infection
c. Atrophic vaginitis
d. Candida albicans infection
ANS: D
Candida albicans infection has a distinctive odor and a cottage cheese–like
appearance:
DIF: Cognitive Level: Comprehension REF: p: 1016 OBJ: 1
TOP: Sexually Transmitted Infections KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What must be true for a woman to be diagnosed with primary infertility?
a. She has never been able to conceive after 1 year of regular, unprotected sex:
b. She conceived once but did not deliver a viable infant:
c. She conceived once but was unable to conceive again:
Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Conjugated estrogen (Premarin) is indicated for treatment of menopause: Which side
effects should a nurse explain before administering the medication to a woman who has
just had a hysterectomy?
a. Breast tenderness
b. Hypotension
c. Arthralgia
d. Skin rash
ANS: A
A side effect of conjugated estrogen (Premarin) is breast tenderness:
DIF: Cognitive Level: Comprehension REF: p: 1007 OBJ: 3
TOP: Drugs Used to Treat Menopause KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. A female student, seen in the campus clinic, states that she uses feminine hygiene
douches every day and after intercourse: What is the best response from the nurse?
a. “Douching has been used as an effective means of birth control for years:”
b. “Commercially prepared douches will neutralize the female vaginal tract:”
c. “Douching should only be done when ordered by a physician or nurse
practitioner:”
d. “Douching protects the vaginal tract from microorganisms:”
ANS: C
Women should not douche unless it is ordered by a physician or nurse practitioner:
DIF: Cognitive Level: Comprehension REF: p: 1005 OBJ: 4
TOP: Douching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins
in the treatment of infertility?
a. Estrogen only (diethylstilbestrol)
b. Danazol (Danocrine)
c. Clomiphene citrate (Clomid)
, d. Raloxifene (Evista)
ANS: C
Clomid stimulates the actions of natural pituitary gonadotropins:
DIF: Cognitive Level: Knowledge REF: p: 1010 OBJ: 4
TOP: Ovulatory Stimulant Drugs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. 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: 1003 OBJ: 2
TOP: Laparoscopy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. 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: 1009 OBJ: 3
TOP: Androgenic Steroid Therapy KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. 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: 1003 OBJ: 2
TOP: Culdoscopy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
7. A nurse is instructing a patient on breast self-examination: When is the best time of the
month to instruct this patient to perform a breast self-examination?
a. Before the menstrual period
b. During the menstrual period
c. After the menstrual period
d. On the first day of the month
ANS: C
Breast self-examination should be performed at the same time each month, at the end
of the menstrual cycle:
DIF: Cognitive Level: Knowledge REF: p: 1004 OBJ: 2
TOP: Breast Self-Examination KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
COMPLETION
1. the nurse recommends that an annual mammogram be performed for women older than
_____ years of age: (Use numeric characters only:)
ANS:
45
The American Cancer Society (ACS) recommends that mammograms be obtained in
women at the age of 45 years with subsequent testing done annually thereafter until
age 54 at which time the woman may be transitioned to biennial screening or
continued annually for as long as they are otherwise in good health (ACS, 2015):
DIF: Cognitive Level: Knowledge REF: p: 1003 OBJ: 2
TOP: Mammograms KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
, Chapter 52: Female Reproductive Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What action should a nurse implement when assessing for abnormal bleeding in a patient
following a hysterectomy?
a. Record the number of perineal pads used:
b. Assess vital signs every 8 hours:
c. Place the patient’s bed in a high Fowler position:
d. Apply an abdominal binder:
ANS: A
Recording the number of pads used and the appearance of the discharge is primary in
post hysterectomy care: the abdominal dressing and perineal pad are checked every
hour for the first 12 hours: Any excess bleeding is reported: the patient should be
placed on her side in a semi-Fowler position: An abdominal binder, if used, has no
effect on hemorrhage:
DIF: Cognitive Level: Application REF: p: 1027 OBJ: 1
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. A nurse collecting data on the reproductive system from a female patient is told that the
patient has a vaginal discharge that is cottage cheese–like in appearance: What should the
nurse recognize this as a common sign of?
a. Pelvic inflammatory disease (PID)
b. Trichomonas vaginalis infection
c. Atrophic vaginitis
d. Candida albicans infection
ANS: D
Candida albicans infection has a distinctive odor and a cottage cheese–like
appearance:
DIF: Cognitive Level: Comprehension REF: p: 1016 OBJ: 1
TOP: Sexually Transmitted Infections KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What must be true for a woman to be diagnosed with primary infertility?
a. She has never been able to conceive after 1 year of regular, unprotected sex:
b. She conceived once but did not deliver a viable infant:
c. She conceived once but was unable to conceive again:
