Maternal
Child
Nursing
Care
-
Chapter
4:
Reproductive
System
Concerns
When
assessing
a
patient
for
amenorrhea,
the
nurse
should
be
aware
that
this
is
unlikely
to
be
caused
by:
A)
Anatomic
abnormalities
B)
Type
1
diabetes
mellitus.
C)
Lack
of
exercise.
D)
Hysterectomy .
-
ANSWER
C)
Lack
of
exercise.
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
-
ANSWER
D)
Using
a
heating
pad
on
the
abdomen
to
relieve
cramping
Which
symptom
described
by
a
patient
is
characteristic
of
premenstrual
syndrome
(PMS)?
A)
I
feel
irritable
and
moody
a
week
before
my
period
is
supposed
to
start.
B)
I
have
lower
abdominal
pain
beginning
the
third
day
of
my
menstrual
period.
C)
I
have
nausea
and
headaches
after
my
period
starts,
and
they
last
2
to
3
days.
D)
I
have
abdominal
bloating
and
breast
pain
after
a
couple
days
of
my
period.
-
ANSWER
A)
I
feel
irritable
and
moody
a
week
before
my
period
is
supposed
to
start.
A
woman
complains
of
severe
abdominal
and
pelvic
pain
around
the
time
of
menstruation
that
has
gotten
worse
over
the
last
5
years.
She
also
complains
of
pain
during
intercourse
and
has
tried
unsuccessfully
to
get
pregnant
for
the
past
18
months.
These
symptoms
are
most
likely
related
to:
A)
Endometriosis.
B)
PMS.
C)
Primary
dysmenorrhea.
D)
Secondary
dysmenorrhea.
-
ANSWER
A)
Endometriosis.
Nafarelin
is
currently
used
as
a
treatment
for
mild-to-severe
endometriosis.
The
nurse
should
tell
a
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.
-
ANSWER
D)
Can
cause
her
to
experience
some
hot
flashes
and
vaginal
dryness.
While
interviewing
a
31-year-old
woman
before
her
routine
gynecologic
examination,
the
nurse
collects
data
about
the
clients
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.
-
ANSWER
B)
She
describes
her
flow
as
very
heavy .
When
evaluating
a
patient
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.
-
ANSWER
C)
Pregnancy
A
36-year-old
woman
has
been
given
a
diagnosis
of
uterine
fibroids.
When
planning
care
for
this
patient,
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.
-
ANSWER
C)
Menorrhagia
is
a
common
finding.
During
her
gynecologic
checkup,
a
17-year-old
girl
states
that
recently
she
has
been
experiencing
cramping
and
pain
during
her
menstrual
periods.
The
nurse
would
document
this
complaint
as:
A)
Amenorrhea.
B)
Dysmenorrhea.
C)
Dyspareunia.
D)
Premenstrual
syndrome
(PMS).
-
ANSWER
B)
Dysmenorrhea.
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.
-
ANSWER
D)
Pain
usually
occurs
in
the
suprapubic
area
or
lower
abdomen.
Which
statement
concerning
cyclic
perimenstrual
pain
and
discomfort
(CPPD)
is
accurate?
A)
Premenstrual
dysphoric
disorder
(PMDD)
is
a
milder
form
of
premenstrual
syndrome
(PMS)
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
PMS
have
been
well
established.
-
ANSWER
C)
Premenstrual
syndrome
is
a
complex,
poorly
understood
condition
that
may
include
any
of
a
hundred
symptoms.
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
white
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 .
-
ANSWER
C)
It
may
worsen
with
repeated
cycles
or
remain
asymptomatic
and
disappear
after
menopause.
One
of
the
alterations
in
cyclic
bleeding
that
occurs
between
periods
is
called:
A)
Oligomenorrhea.
B)
Menorrhea.
C)
Leiomyoma.
D)
Metrorrhagia.
-
ANSWER
D)
Metrorrhagia.
As
relates
to
dysfunctional
uterine
bleeding
(DUB),
the
nurse
should
be
aware
that:
A)
It
is
most
commonly
caused
by
anovulation.
B)
It
most
often
occurs
in
middle
age.
C)
The
diagnosis
of
DUB
should
be
the
first
considered
for
abnormal
menstrual
bleeding.
D)
The
most
effective
medical
treatment
is
steroids.
-
ANSWER
A)
It
is
most
commonly
caused
by
anovulation.
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