NURSING 101 Chapter 42. Nursing Care of Women With Reproductive System Disorders

Chapter 42. Nursing Care of Women With Reproductive System Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The nurse is assisting with a community education class on breast cancer prevention. Which of the following are risk factors the nurse should include? a. High-fat diet and alcohol intake b. Early first pregnancy and late menarche c. Large or pendulous breasts d. History of breastfeeding ____ 2. The nurse is caring for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. Why is a mastectomy patient at risk for pulmonary complications? a. Mastectomy patients must remain on bedrest for 48 to 72 hours postoperatively. b. Pathogens may have been introduced during the surgical procedure. c. The chest incision makes the patient hesitant to deep breathe and cough. d. Breast cancer has often spread to the lungs before diagnosis. ____ 3. The nurse is caring for a patient who had a left mastectomy earlier in the day and informs the nurse of the following concerns. Which should the nurse attend to first? a. Her bowels have not moved in 48 hours. b. She has a pain level of 7 on a 0 to 10 scale. c. She has a 3-cm area of blood on her wound dressing. d. She feels anxious about how her husband will react to her surgery. ____ 4. The nurse is assessing a patient after a mastectomy and thinks the patient’s affected arm appears swollen. What is the best way to verify this finding? a. Measure and document the circumference of the arm. b. Ask the patient to hang the arm down for 3 minutes and check for increased swelling. c. Press a finger into the arm and measure the indentation. d. Measure and compare the circumferences of both arms. ____ 5. The nurse enters the room of a patient with a new mastectomy and finds her crying. After confirming that the patient is crying because of the loss of her breast, which response by the nurse is best? a. “I know how you feel. It is difficult to lose a breast.” b. “At least they got all the cancer. You are fortunate.” c. “How have you coped with other problems in your life? Do you have someone you can talk to?” d. “Here, have a tissue. I know you feel like crying now, but before you know it you will feel much better, and this will all be behind you.” ____ 6. A patient reports long, heavy, irregular menses accompanied by headache and back pain for the past several months. Which of the following is the best term to use to document these symptoms? a. Menometrorrhagia b. Polymenorrhea c. Oligomenorrhea d. Hypermenorrhea ____ 7. The nurse is teaching a woman with a menstrual disorder how to measure menstrual flow. Which instruction should the nurse include? a. Use a vaginal catheter and collection bag. b. Use a perineal collection system. c. Weigh the woman before and after her menses. d. Weigh her perineal pads before and after use. ____ 8. A woman tells the nurse, “I am having terrible pain with my period. This has never happened before. What should I do?” What is the best response by the nurse? a. “Dysmenorrhea is a common occurrence; NSAIDs or aspirin may help.” b. “The best way to combat painful menses is to exercise and drink plenty of fluids.” c. “Sometimes getting into a knee–chest position is helpful.” d. “You should notify your doctor if this is a new experience for you.” ____ 9. A patient comes to an outpatient clinic because of premenstrual syndrome (PMS) symptoms. What advice from the nurse may help her reduce her symptoms? a. “Avoid strenuous exercise for several days before and after your period.” b. “Avoidance of alcohol and caffeine may help reduce your discomfort.” c. “Ask the physician about a mild antianxiety agent.” d. “There is no treatment for PMS other than rest and fluids.” ____ 10. A 50-year-old woman states, “It is such a relief not to need birth control any more. I haven’t had a period in 3 months.” How should the nurse respond? a. “You may still be fertile for several months after your last period. You should consult with your physician to know when to stop using birth control.” b. “You should continue to use birth control for at least 6 months after cessation of your periods.” c. “Birth control is usually unnecessary after age 50, even if you are still having periods.” d. “It is still possible for you to get pregnant. You should consider having a tubal ligation.” ____ 11. The nurse recognizes that which of the following women is most likely predisposed to developing a vaginal yeast infection? a. A 23-year-old who eats a high-protein diet b. A 38-year-old woman who frequently uses NSAIDs c. A 31-year-old woman who runs 2 miles every day d. A 28-year-old woman who sits at a desk 5 days a week