navigating complex societal interactions, particularly in professional, when actions conflict with
established laws or legal norms. The challenge arises in balancing both ethical and legal considerations
when making decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where
ethical and legal issues are particularly pronounced. Medical professionals regularly face situations
that require them to make complex decisions that not only have life-altering consequences for patients
but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and
Informed Consent**One of the fundamental ethical principles in healthcare is respect for patient
autonomy—the right of patients to make decisions about their own bodies and medical treatments. Thi
principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare
providers to disclose all relevant information about the risks, benefits,
Chapter 51: Female Reproductive System Introduction
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. 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 OBJ: 3 TOP: Androgenic Steroid
Therapy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. Which 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: Comprehension OBJ: 2 TOP: Culdoscopy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. A patient asks a nurse, “Will the laparoscopy be painful?” Which response 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: Comprehension OBJ: 2 TOP: Laparoscopy KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A nurse is instructing a patient on breast self-examination. Which time of the month is best
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
navigating complex societal interactions, particularly in professional, when actions conflict with established
laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making
decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and legal
issues are particularly pronounced. Medical professionals regularly face situations that require them to make
complex decisions that not only have life-altering consequences for patients but also raise profound moral
questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the
fundamental ethical principles in healthcare is respect for patient autonomy—the right of patients to make
decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of
informed consent. Informed consent requires healthcare providers to disclose all relevant information about
the risks, benefits,
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 OBJ: 2 TOP: Breast Self-Examination
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. 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 OBJ: 3
TOP: Drugs Used to Treat Menopause KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. A female student, seen in the campus clinic, states that she uses feminine hygiene douches
every day and after intercourse. Which 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 OBJ: 4 TOP: Douching
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A nurse is demonstrating breast self-examination to a patient. Which body area should the
nurse point out as the most common area in the breast for tumors to occur?
a. Under the nipple
b. Upper outer quadrant
c. Six o’clock position
d. Axillary lymph nodes
ANS: B
Nearly half of all malignant breast tumors are located in the upper outer quadrant.
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Breast Self-Examination
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
navigating complex societal interactions, particularly in professional, when actions conflict with established
laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making
decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and legal issues
are particularly pronounced. Medical professionals regularly face situations that require them to make complex
decisions that not only have life-altering consequences for patients but also raise profound moral questions.
These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical
principles in healthcare is respect for patient autonomy—the right of patients to make decisions about their own
bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed
consent requires healthcare providers to disclose all relevant information about the risks, benefits,
8. 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 OBJ: 3 TOP: Ovulatory Stimulant
Drugs
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
9. A woman calls the clinic office and asks the nurse why she is having spotting between her
monthly periods when she is taking birth control pills to control the menorrhagia. Which
reply is the nurse’s most appropriate response?
a. “It is important to take the pill at the same time each day.”
b. “Irregular spotting is to be expected with oral contraceptives.”
c. “The pills are still safe. Continue to take them, regardless.”
d. “Physicians are still uncertain as to how oral contraceptives function.”
ANS: A
Treatment for menorrhagia consists of taking the birth control pill at the same time each
day.
established laws or legal norms. The challenge arises in balancing both ethical and legal considerations
when making decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where
ethical and legal issues are particularly pronounced. Medical professionals regularly face situations
that require them to make complex decisions that not only have life-altering consequences for patients
but also raise profound moral questions. These issues include:#### 2.1 **Patient Autonomy and
Informed Consent**One of the fundamental ethical principles in healthcare is respect for patient
autonomy—the right of patients to make decisions about their own bodies and medical treatments. Thi
principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare
providers to disclose all relevant information about the risks, benefits,
Chapter 51: Female Reproductive System Introduction
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. 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 OBJ: 3 TOP: Androgenic Steroid
Therapy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. Which 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: Comprehension OBJ: 2 TOP: Culdoscopy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. A patient asks a nurse, “Will the laparoscopy be painful?” Which response 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: Comprehension OBJ: 2 TOP: Laparoscopy KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A nurse is instructing a patient on breast self-examination. Which time of the month is best
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
navigating complex societal interactions, particularly in professional, when actions conflict with established
laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making
decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and legal
issues are particularly pronounced. Medical professionals regularly face situations that require them to make
complex decisions that not only have life-altering consequences for patients but also raise profound moral
questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the
fundamental ethical principles in healthcare is respect for patient autonomy—the right of patients to make
decisions about their own bodies and medical treatments. This principle is enshrined in the legal concept of
informed consent. Informed consent requires healthcare providers to disclose all relevant information about
the risks, benefits,
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 OBJ: 2 TOP: Breast Self-Examination
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. 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 OBJ: 3
TOP: Drugs Used to Treat Menopause KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. A female student, seen in the campus clinic, states that she uses feminine hygiene douches
every day and after intercourse. Which 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 OBJ: 4 TOP: Douching
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A nurse is demonstrating breast self-examination to a patient. Which body area should the
nurse point out as the most common area in the breast for tumors to occur?
a. Under the nipple
b. Upper outer quadrant
c. Six o’clock position
d. Axillary lymph nodes
ANS: B
Nearly half of all malignant breast tumors are located in the upper outer quadrant.
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Breast Self-Examination
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
navigating complex societal interactions, particularly in professional, when actions conflict with established
laws or legal norms. The challenge arises in balancing both ethical and legal considerations when making
decisions.### 2. **Ethical Issues in Healthcare**Healthcare is one of the sectors where ethical and legal issues
are particularly pronounced. Medical professionals regularly face situations that require them to make complex
decisions that not only have life-altering consequences for patients but also raise profound moral questions.
These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical
principles in healthcare is respect for patient autonomy—the right of patients to make decisions about their own
bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed
consent requires healthcare providers to disclose all relevant information about the risks, benefits,
8. 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 OBJ: 3 TOP: Ovulatory Stimulant
Drugs
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
9. A woman calls the clinic office and asks the nurse why she is having spotting between her
monthly periods when she is taking birth control pills to control the menorrhagia. Which
reply is the nurse’s most appropriate response?
a. “It is important to take the pill at the same time each day.”
b. “Irregular spotting is to be expected with oral contraceptives.”
c. “The pills are still safe. Continue to take them, regardless.”
d. “Physicians are still uncertain as to how oral contraceptives function.”
ANS: A
Treatment for menorrhagia consists of taking the birth control pill at the same time each
day.
