Women's Health Exam Questions And Answers
Verified 100% Correct
A woman questions the nurse about the effectiveness of oral contraceptives. What most
important factor about the effectiveness of oral contraceptives should be included in the
reply to this question?
1
User motivation
2
Simplicity of use
3
Reliability record
4
Identified risk factors - ANSWER -User motivation
Conception will not be prevented unless the user is motivated to use the method
correctly and consistently. No matter how simple, the method must be used
consistently. Reliability record is not relevant if the method is not used correctly and
consistently by the woman. Risk factors have little influence on the effectiveness of the
contraceptive method
A woman visits the clinic for an annual physical examination, and herpes genitalis is
diagnosed. The client asks how the disease can be diagnosed without any tests. How
should the nurse reply?
1
"There's a sore in your vagina."
2
"There's a rash near your vagina."
3
"You have a typical discharge from your vagina."
4
"You have blisters on the skin around your vagina." - ANSWER -"You have blisters on
the skin around your vagina."
Herpes genitalis is characterized by a cluster of vesicles, not one lesion or a rash or
vaginal discharge. The characteristic sign of herpes genitalis is a cluster of vesicles
(blisters) on the vulva, perineum, vagina, cervix, and/or perianal area. These rupture
spontaneously, leaving painful erosions.
,While being admitted for a lumpectomy the client begins to cry and says, "I found the
lump a few months ago, but I didn't go to the doctor because of what it could be." How
should the nurse reply?
1
"This has been frightening for you." 2
"About 80% of breast lumps are benign."
3
"Cry as long as you like and get it out of your system."
4
"More than 95% of breast lumps are discovered by the woman herself." - ANSWER -
"This has been frightening for you."
The correct response involves the use of reflective technique to acknowledge the
client's feelings. Providing statistics does not acknowledge the client's feelings and may
cut off communication. Providing false reassurance that crying will ease her concerns is
inappropriate
A nurse is assessing a 55-year-old client who is experiencing postmenopausal bleeding.
The tentative diagnosis is endometrial cancer. Which findings in the client's history are
risk factors associated with endometrial cancer? Select all that apply. 1
Obesity
2
Multiparity
3
Cigarette smoking
4
Early onset of menopause
5
Family history of endometrial cancer
6
Previous hormone replacement therapy - ANSWER -Obesity,Family history of
endometrial cancer, Correct 6
Previous hormone replacement therapy.
Obesity is a risk factor for endometrial cancer because adipose cells store estrogen;
the extent of exposure to estrogen is the most significant risk factor. Nulliparity, not
multiparity, is a risk factor for endometrial cancer because of the increased exposure to
estrogen. Cigarette smoking has not been identified as a risk factor for endometrial
cancer. Late, not early, onset of menopause is a risk factor for endometrial cancer
because of the increased exposure to estrogen. Although endometrial cancer has not
been proved to have a genetic predisposition, it is more common in families who have
gene mutations for hereditary nonpolyposis colon cancer.
,A nurse is caring for a client who has contracted a trichomonal infection. Which oral
drug should the nurse anticipate that the health care provider will most likely prescribe?
1
Penicillin G
2
Gentian violet
Nystatin (Mycostatin) 3
4
Metronidazole (Flagyl) - ANSWER -Metronidazole (Flagyl)
Metronidazole (Flagyl) is a potent amebicide. It is effective in eradicating the protozoan
Trichomonas vaginalis. Penicillin is administered for its effect on bacterial, not protozoal,
infections. Gentian violet is a local antiinfective that is applied topically; it may cause
discoloration of the skin. It is effective against Candida albicans. Nystatin (Mycostatin) is
an antifungal for infections caused by C. albicans.
A female client who has been sexually active for 5 years is found to have gonorrhea.
The client is upset and asks the nurse, "What can I do to keep from getting another
infection in the future?" Which statement by the client indicates that the teaching by the
nurse was effective?
1
"I'll douche after each time I have sex."
2
"Having sex is a thing of the past for me."
3
"My partner has to use a condom all the time."
4
"I'll be using a spermicidal cream from now on." - ANSWER -"My partner has to use a
condom all the time."
Although not 100% effective, a condom is the best protection against gonorrhea in a
sexually active person. Douching has no proven protective effect against sexually
transmitted infections; excessive douching can alter the natural environment of the
vagina and may even promote an ascending infection. Although abstaining from sex is
the best way to prevent a sexually transmitted infection, it is not the most realistic
response for a sexually active person. Once people become sexually active, they
usually remain sexually active. Spermicidal creams do not have a protective effect
against sexually transmitted infections; spermicides kill sperm and limit the risk for
pregnancy.
, A nurse is counseling an obese postmenopausal client how to prevent bone loss. Which
statements indicate understanding of the strategies to prevent bone loss? Select all that
apply.
"I need to go on a strict diet."
"I'll take 400 mg of vitamin D every day."
"I should take 1200 mg of calcium every day."
"Swimming or bike riding five times a week is good for me."
1
2
3
4
5
"Going to an aerobics class three times a week will help my bones." - ANSWER -"I
should take 1200 mg of calcium every day.Going to an aerobics class three times a
week will help my bones."
The recommended daily intake of calcium for a postmenopausal woman is 1200 mg.
Weight-bearing activities (e.g., walking, dancing, weightlifting, aerobic exercise) are best
for building bone mass.Weight loss should be slow and reasonable; restricting calories
promotes production of the hormone leptin, which stimulates bone loss. Eight hundred
or more (up to 2,000), international units, not 400, of vitamin D are the recommended
daily intake for a postmenopausal woman. Swimming and bike riding promote overall
health and joint preservation but do not increase the strength or mass of bone.
A thin older adult client is found to have osteoporosis. What should the nurse include in
the discharge plan for this client?
Encouraging gradual weight gain
Monitoring for decreased urine calcium
Providing instructions relative to diet and exercise
Teaching about safety factors in the use of opioids and nonsteroidal antiinflammatory
drugs - ANSWER -Providing instructions relative to diet and exercise
Verified 100% Correct
A woman questions the nurse about the effectiveness of oral contraceptives. What most
important factor about the effectiveness of oral contraceptives should be included in the
reply to this question?
1
User motivation
2
Simplicity of use
3
Reliability record
4
Identified risk factors - ANSWER -User motivation
Conception will not be prevented unless the user is motivated to use the method
correctly and consistently. No matter how simple, the method must be used
consistently. Reliability record is not relevant if the method is not used correctly and
consistently by the woman. Risk factors have little influence on the effectiveness of the
contraceptive method
A woman visits the clinic for an annual physical examination, and herpes genitalis is
diagnosed. The client asks how the disease can be diagnosed without any tests. How
should the nurse reply?
1
"There's a sore in your vagina."
2
"There's a rash near your vagina."
3
"You have a typical discharge from your vagina."
4
"You have blisters on the skin around your vagina." - ANSWER -"You have blisters on
the skin around your vagina."
Herpes genitalis is characterized by a cluster of vesicles, not one lesion or a rash or
vaginal discharge. The characteristic sign of herpes genitalis is a cluster of vesicles
(blisters) on the vulva, perineum, vagina, cervix, and/or perianal area. These rupture
spontaneously, leaving painful erosions.
,While being admitted for a lumpectomy the client begins to cry and says, "I found the
lump a few months ago, but I didn't go to the doctor because of what it could be." How
should the nurse reply?
1
"This has been frightening for you." 2
"About 80% of breast lumps are benign."
3
"Cry as long as you like and get it out of your system."
4
"More than 95% of breast lumps are discovered by the woman herself." - ANSWER -
"This has been frightening for you."
The correct response involves the use of reflective technique to acknowledge the
client's feelings. Providing statistics does not acknowledge the client's feelings and may
cut off communication. Providing false reassurance that crying will ease her concerns is
inappropriate
A nurse is assessing a 55-year-old client who is experiencing postmenopausal bleeding.
The tentative diagnosis is endometrial cancer. Which findings in the client's history are
risk factors associated with endometrial cancer? Select all that apply. 1
Obesity
2
Multiparity
3
Cigarette smoking
4
Early onset of menopause
5
Family history of endometrial cancer
6
Previous hormone replacement therapy - ANSWER -Obesity,Family history of
endometrial cancer, Correct 6
Previous hormone replacement therapy.
Obesity is a risk factor for endometrial cancer because adipose cells store estrogen;
the extent of exposure to estrogen is the most significant risk factor. Nulliparity, not
multiparity, is a risk factor for endometrial cancer because of the increased exposure to
estrogen. Cigarette smoking has not been identified as a risk factor for endometrial
cancer. Late, not early, onset of menopause is a risk factor for endometrial cancer
because of the increased exposure to estrogen. Although endometrial cancer has not
been proved to have a genetic predisposition, it is more common in families who have
gene mutations for hereditary nonpolyposis colon cancer.
,A nurse is caring for a client who has contracted a trichomonal infection. Which oral
drug should the nurse anticipate that the health care provider will most likely prescribe?
1
Penicillin G
2
Gentian violet
Nystatin (Mycostatin) 3
4
Metronidazole (Flagyl) - ANSWER -Metronidazole (Flagyl)
Metronidazole (Flagyl) is a potent amebicide. It is effective in eradicating the protozoan
Trichomonas vaginalis. Penicillin is administered for its effect on bacterial, not protozoal,
infections. Gentian violet is a local antiinfective that is applied topically; it may cause
discoloration of the skin. It is effective against Candida albicans. Nystatin (Mycostatin) is
an antifungal for infections caused by C. albicans.
A female client who has been sexually active for 5 years is found to have gonorrhea.
The client is upset and asks the nurse, "What can I do to keep from getting another
infection in the future?" Which statement by the client indicates that the teaching by the
nurse was effective?
1
"I'll douche after each time I have sex."
2
"Having sex is a thing of the past for me."
3
"My partner has to use a condom all the time."
4
"I'll be using a spermicidal cream from now on." - ANSWER -"My partner has to use a
condom all the time."
Although not 100% effective, a condom is the best protection against gonorrhea in a
sexually active person. Douching has no proven protective effect against sexually
transmitted infections; excessive douching can alter the natural environment of the
vagina and may even promote an ascending infection. Although abstaining from sex is
the best way to prevent a sexually transmitted infection, it is not the most realistic
response for a sexually active person. Once people become sexually active, they
usually remain sexually active. Spermicidal creams do not have a protective effect
against sexually transmitted infections; spermicides kill sperm and limit the risk for
pregnancy.
, A nurse is counseling an obese postmenopausal client how to prevent bone loss. Which
statements indicate understanding of the strategies to prevent bone loss? Select all that
apply.
"I need to go on a strict diet."
"I'll take 400 mg of vitamin D every day."
"I should take 1200 mg of calcium every day."
"Swimming or bike riding five times a week is good for me."
1
2
3
4
5
"Going to an aerobics class three times a week will help my bones." - ANSWER -"I
should take 1200 mg of calcium every day.Going to an aerobics class three times a
week will help my bones."
The recommended daily intake of calcium for a postmenopausal woman is 1200 mg.
Weight-bearing activities (e.g., walking, dancing, weightlifting, aerobic exercise) are best
for building bone mass.Weight loss should be slow and reasonable; restricting calories
promotes production of the hormone leptin, which stimulates bone loss. Eight hundred
or more (up to 2,000), international units, not 400, of vitamin D are the recommended
daily intake for a postmenopausal woman. Swimming and bike riding promote overall
health and joint preservation but do not increase the strength or mass of bone.
A thin older adult client is found to have osteoporosis. What should the nurse include in
the discharge plan for this client?
Encouraging gradual weight gain
Monitoring for decreased urine calcium
Providing instructions relative to diet and exercise
Teaching about safety factors in the use of opioids and nonsteroidal antiinflammatory
drugs - ANSWER -Providing instructions relative to diet and exercise
