PERRY’S MATERNAL CHILD
NURSING CARE (REPRODUCTIVE
SYSTEM CONCERNS) VERIFIED
QUESTIONS AND THEIR REVIEWED
ANSWERS
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: 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: 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: 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: 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.
NURSING CARE (REPRODUCTIVE
SYSTEM CONCERNS) VERIFIED
QUESTIONS AND THEIR REVIEWED
ANSWERS
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: 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: 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: 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: 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.
