Lowdermilk: Maternity & Women's Health Care 10th Edition

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  1. When assessing the client for amenorrhea, the nurse should be aware that this may be caused by all conditions except:
    a.Anatomic abnormalities
    b.Type 1 diabetes mellitus
    c.Lack of exercise
    d.Hysterectomy
    Lack of exercise
  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
    Using a heating pad on the abdomen to relieve cramping
  3. Nafarelin (Synarel) is used to treat mild to severe endometriosis. The nurse should tell the 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 vaginal dryness
    Can cause her to experience some hot flashes and vaginal dryness
  4. While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about the client’s recent menstrual cycles. The nurse should collect additional information with which statement?
    a.The woman says her menstrual flow lasts 5 to 6 days.
    b.She describes her flow as very heavy.
    c.She reports that she has had a small amount of spotting midway between her periods for the past 2 months.
    d.She says the length of her menstrual cycle varies from 26 to 29 days.
    She describes her flow as very heavy.
  5. Nurses who provide health care for women should recognize that the most commonly reported gynecologic problem for women of any age-group is:
    a.Dysmenorrhea
    b.Menorrhagia
    c.Dyspareunia
    d.Endometriosis
    Dysmenorrhea
  6. When evaluating a client whose primary complaint is amenorrhea, the nurse must be aware that lack of menstruation is most often the result of:
    a.Stress
    b.Excessive exercise
    c.Pregnancy
    d.Eating disorders
    Pregnancy
  7. A 36-year-old woman has been diagnosed as having uterine fibroids. When planning care for this client, the nurse should know that:
    a.Fibroids are malignant tumors of the uterus that require radiation or chemotherapy
    b.Fibroids increase in size during the perimenopausal period
    c.Menorrhagia is a common finding
    d.The woman is unlikely to become pregnant as long as the fibroids are in her uterus
    Menorrhagia is a common finding
  8. When assessing a woman for menopausal discomforts, the nurse would expect the woman to describe the most frequently reported discomfort, which would be:
    a.Headaches
    b.Hot flashes
    c.Mood swings
    d.Vaginal dryness with dyspareunia
    Hot flashes
  9. While evaluating a client for osteoporosis, the nurse should be aware of what risk factor?
    a.African-American race
    b.Low protein intake
    c.Obesity
    d.Cigarette smoking
    Cigarette smoking
  10. When discussing estrogen replacement therapy (ERT) with a perimenopausal woman, the nurse includes the risk of:
    a.Breast cancer
    b.Vaginal and urinary tract atrophy
    c.Osteoporosis
    d.Arteriosclerosis
    Breast cancer
  11. During her annual gynecologic checkup, a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse documents this complaint as:
    a.Amenorrhea
    b.Dysmenorrhea
    c.Dyspareunia
    d.Premenstrual syndrome (PMS)
    Dysmenorrhea
  12. The absence or cessation of menstrual flow is known as:
    a.Amenorrhea
    b.Dysmenorrhea
    c.Menorrhagia
    d.Metrorrhagia
    Amenorrhea
  13. With regard to dysmenorrhea, nurses should be aware that:
    a.It is more common in older women
    b.It is more common in leaner women who exercise strenuously
    c.Symptoms can begin at any point in the ovulatory cycle
    d.Pain usually occurs in the suprapubic area or lower abdomen
    Pain usually occurs in the suprapubic area or lower abdomen
  14. Which statement concerning cyclic perimenstrual pain and discomfort (CPPD) is accurate?
    a.Premenstrual dysphoric disorder (PDD) is a milder form of premenstrual syndrome and more common in younger women.
    b.Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
    c.Premenstrual syndrome is a complex, poorly understood condition that may include any of a hundred symptoms.
    d.The causes of premenstrual syndrome (PMS) have been well established.
    Premenstrual syndrome is a complex, poorly understood condition that may include any of a hundred symptoms.
  15. In helping a client manage premenstrual syndrome (PMS), the nurse should:
    a.Recommend a diet with more body-building and energy food, such as red meat and sugar
    b.Suggest herbal therapies, as well as yoga and massage
    c.Tell the client to push for medications from the physician as soon as symptoms occur so as to lessen their severity
    d.Discourage the use of diuretics
    Suggest herbal therapies, as well as yoga and massage
  16. With regard to endometriosis, nurses should be aware that:
    a.It is characterized by the presence and growth of endometrial tissue inside the uterus
    b.It is found more often in African-American women than in Caucasian or Asian women
    c.It may worsen with repeated cycles or remain asymptomatic and disappear after menopause
    d.It is unlikely to affect sexual intercourse or fertility
    It may worsen with repeated cycles or remain asymptomatic and disappear after menopause
  17. One of the alterations in cyclic bleeding that occurs between periods is called:
    a.Oligomenorrhea
    b.Menorrhagia
    c.Leiomyoma
    d.Metrorrhagia
    Metrorrhagia
  18. Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is:
    a.Acetaminophen
    b.Oral contraceptive pills (OCPs)
    c.Nonsteroidal antiinflammatory drugs (NSAIDs)
    d.Aspirin
    Nonsteroidal antiinflammatory drugs (NSAIDs)
  19. Alternatives to hormonal therapy for menopausal symptoms include (choose all that apply):
    a.Soy
    b.Vitamin C
    c.Vitamin K
    d.Vitamin E
    e.Vitamin A
    • Soy
    • Vitamin E
  20. Which suggestion is appropriate for a client who complains of hot flashes? Choose all that apply.
    a.Consume large quantities of caffeine
    b.Drink a glass of wine
    c.Eat Mexican food
    d.Drink ice water
    e.Drink warm beverages
    Drink ice water
  21. Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? Choose all that apply.
    a.Calcium
    b.Evista
    c.Fosamax
    d.Actonel
    e.Calcitonin
    • Calcium
    • Evista
    • Fosamax
    • Actonel
    • Calcitonin
  22. Which statements might the nurse appropriately include when teaching a client about calcium intake for osteoporosis? Choose all that apply.
    a.“You should try to increase your protein intake when you are taking calcium.”
    b.“It is best to take calcium in one large dose.”
    c.“Tums are the most soluble form of calcium.”
    d.“You should take calcium with vitamin D because the vitamin D helps your body absorb calcium better.”
    e.“It’s okay to take calcium if you have had a history of kidney stones.”
    • “Tums are the most soluble form of calcium.”
    • “You should take calcium with vitamin D because the vitamin D helps your body absorb calcium better.”
  23. There is little consensus on the management of premenstrual dysphoric disorder (PMDD). However, nurses can advise women on several self-help modalities that often result in symptom improvement. The nurse knows that health teaching has been effective when the client reports that she has adopted a number of lifestyle changes including:
    a.Regular exercise
    b.Improved nutrition
    c.A daily glass of wine
    d.Smoking cessation
    e.Oil of evening primrose
    • Regular exercise
    • Improved nutrition
    • Smoking cessation
    • Oil of evening primrose
  24. Some plant foods contain _________________________ and are capable of interacting with estrogen receptors in the body.
    Phytoestrogens
  25. Any episode of vaginal bleeding that occurs at a time other than during menses is referred to as _______________.
    Metrorrhagia
  26. Obese women are more likely to have dysfunctional uterine bleeding and endometrial hyperplasia. Is this statement true or false?
    True
Author:
jesselizabeth07
ID:
314206
Card Set:
Lowdermilk: Maternity & Women's Health Care 10th Edition
Updated:
2016-01-18 01:37:06
Tags:
nursing
Folders:
Exam 1
Description:
Chapter 06: Reproductive System Concerns
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