FEMALE REPRODUCTIVE AND GENITAL
PROBLEMS COMPREHENSIVE EXAM
SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
● The nurse in the infertility clinic is explaining in vitro fertilization
(IVF) to a couple. The woman tells the nurse that they cannot afford IVF
on her husband's salary. The man replies that if his wife worked outside
the home, they would have enough money. Which nursing diagnosis is
appropriate?
a. Decisional conflict related to inadequate financial resources
b. Ineffective sexuality patterns related to psychological stress
c. Defensive coping related to anxiety about lack of conception
d. Ineffective denial related to frustration about continued infertility
Answer: ANS: C
The statements made by the couple are consistent with the diagnosis of
defensive coping. No data indicate that ineffective sexuality and
ineffective denial are problems. Although the couple is quarreling about
finances, the data do not provide information indicating that the finances
are inadequate.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Diagnosis MSC: NCLEX: Psychosocial Integrity
(Page 519).
,● A young patient who is trying to become pregnant asks the nurse how
to determine when she is most likely to conceive. The nurse explains
that
a. ovulation is unpredictable unless there are regular menstrual periods.
b. ovulation prediction kits can provide accurate information about
ovulation.
c. she will need to bring a specimen of cervical mucus to the clinic for
testing.
d. she should take her body temperature daily and have intercourse when
it drops. Answer: ANS: B
Ovulation prediction kits indicate when luteinizing hormone (LH) levels
first rise. Ovulation occurs about 28 to 36 hours after the first rise of LH.
This information can be used to determine the best time for intercourse.
Body temperature rises at ovulation. Postcoital cervical smears are used
in infertility testing, but they do not predict the best time for conceiving
and are not obtained by the patient. Determination of the time of
ovulation can be predicted by basal body temperature charts or ovulation
prediction kits and is not dependent on regular menstrual periods.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
.
,● A patient has an induced abortion with suction curettage at an
ambulatory surgical center. Which instructions will the nurse include
when discharging the patient?
a. "Avoid contraceptives until your reexamination."
b. "Heavy vaginal bleeding is expected for 2 weeks."
c. "Abstain from sexual intercourse for the next 2 weeks."
d. "Irregular menstrual periods are expected for a few months." Answer:
ANS: C
Because infection is a possible complication of this procedure, the
patient is advised to avoid intercourse until the reexamination in 2
weeks. Patients may be started on contraceptives on the day of the
procedure. The patient should call the doctor if heavy vaginal bleeding
occurs. No change in the regularity of the menstrual periods is expected.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
● A patient is scheduled for an induced abortion using instillation of
hypertonic saline solution. Which information will the nurse plan to
discuss with the patient before the procedure?
a. The patient will require a general anesthetic.
b. The expulsion of the fetus may take 1 to 2 days. c. There is a
possibility that the patient may deliver a live fetus.
, d. The procedure may be unsuccessful in terminating the pregnancy.
Answer: ANS: B
Uterine contractions take 12 to 36 hours to begin after the hypertonic
saline is instilled. Because the saline is feticidal, the nurse does not need
to discuss any possibility of a live delivery or that the pregnancy
termination will not be successful. General anesthesia is not needed for
this procedure.
DIF: Cognitive Level: Apply (application) REF: 1244 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
● A 28-yr-old patient reports anxiety, headaches with dizziness, and
abdominal bloating occurring before her menstrual periods. Which
action is best for the nurse to take at this time?
a. Ask the patient to keep track of her symptoms in a diary for 3 months.
b. Suggest that the patient try aerobic exercise to decrease her
symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce
premenstrual syndrome (PMS) symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs
(NSAIDs) such as ibuprofen to control symptoms. Answer: ANS: A
The patient's symptoms indicate possible PMS, but they also may be
associated with other diagnoses. Having the patient keep a symptom
diary for 2 or 3 months will help in confirming a diagnosis of PMS. The
nurse should not implement interventions for PMS until a diagnosis is
PROBLEMS COMPREHENSIVE EXAM
SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
● The nurse in the infertility clinic is explaining in vitro fertilization
(IVF) to a couple. The woman tells the nurse that they cannot afford IVF
on her husband's salary. The man replies that if his wife worked outside
the home, they would have enough money. Which nursing diagnosis is
appropriate?
a. Decisional conflict related to inadequate financial resources
b. Ineffective sexuality patterns related to psychological stress
c. Defensive coping related to anxiety about lack of conception
d. Ineffective denial related to frustration about continued infertility
Answer: ANS: C
The statements made by the couple are consistent with the diagnosis of
defensive coping. No data indicate that ineffective sexuality and
ineffective denial are problems. Although the couple is quarreling about
finances, the data do not provide information indicating that the finances
are inadequate.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Diagnosis MSC: NCLEX: Psychosocial Integrity
(Page 519).
,● A young patient who is trying to become pregnant asks the nurse how
to determine when she is most likely to conceive. The nurse explains
that
a. ovulation is unpredictable unless there are regular menstrual periods.
b. ovulation prediction kits can provide accurate information about
ovulation.
c. she will need to bring a specimen of cervical mucus to the clinic for
testing.
d. she should take her body temperature daily and have intercourse when
it drops. Answer: ANS: B
Ovulation prediction kits indicate when luteinizing hormone (LH) levels
first rise. Ovulation occurs about 28 to 36 hours after the first rise of LH.
This information can be used to determine the best time for intercourse.
Body temperature rises at ovulation. Postcoital cervical smears are used
in infertility testing, but they do not predict the best time for conceiving
and are not obtained by the patient. Determination of the time of
ovulation can be predicted by basal body temperature charts or ovulation
prediction kits and is not dependent on regular menstrual periods.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
.
,● A patient has an induced abortion with suction curettage at an
ambulatory surgical center. Which instructions will the nurse include
when discharging the patient?
a. "Avoid contraceptives until your reexamination."
b. "Heavy vaginal bleeding is expected for 2 weeks."
c. "Abstain from sexual intercourse for the next 2 weeks."
d. "Irregular menstrual periods are expected for a few months." Answer:
ANS: C
Because infection is a possible complication of this procedure, the
patient is advised to avoid intercourse until the reexamination in 2
weeks. Patients may be started on contraceptives on the day of the
procedure. The patient should call the doctor if heavy vaginal bleeding
occurs. No change in the regularity of the menstrual periods is expected.
DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
● A patient is scheduled for an induced abortion using instillation of
hypertonic saline solution. Which information will the nurse plan to
discuss with the patient before the procedure?
a. The patient will require a general anesthetic.
b. The expulsion of the fetus may take 1 to 2 days. c. There is a
possibility that the patient may deliver a live fetus.
, d. The procedure may be unsuccessful in terminating the pregnancy.
Answer: ANS: B
Uterine contractions take 12 to 36 hours to begin after the hypertonic
saline is instilled. Because the saline is feticidal, the nurse does not need
to discuss any possibility of a live delivery or that the pregnancy
termination will not be successful. General anesthesia is not needed for
this procedure.
DIF: Cognitive Level: Apply (application) REF: 1244 TOP: Nursing
Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
● A 28-yr-old patient reports anxiety, headaches with dizziness, and
abdominal bloating occurring before her menstrual periods. Which
action is best for the nurse to take at this time?
a. Ask the patient to keep track of her symptoms in a diary for 3 months.
b. Suggest that the patient try aerobic exercise to decrease her
symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce
premenstrual syndrome (PMS) symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs
(NSAIDs) such as ibuprofen to control symptoms. Answer: ANS: A
The patient's symptoms indicate possible PMS, but they also may be
associated with other diagnoses. Having the patient keep a symptom
diary for 2 or 3 months will help in confirming a diagnosis of PMS. The
nurse should not implement interventions for PMS until a diagnosis is
