Women's Health Exam Test Questions With Reviewed Correct Answers
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Course
NAMS Menopause
Institution
NAMS Menopause
Women's Health Exam Test
Questions
With Reviewed Correct Answers
1. Nurse is planning care with a client for the recovery period
after a laparoscopic hysterectomy and bilateral salpingooophorectomy. What should be included among the changes
that the client should expect after surgery?
1
...
Women's Health Exam Test
Questions
With Reviewed Correct Answers
1. Nurse is planning care with a client for the recovery period
after a laparoscopic hysterectomy and bilateral salpingo-
oophorectomy. What should be included among the changes
that the client should expect after surgery?
1
Depression
2
Weight gain
3
Urine retention
4
Surgical menopause - ANSWER ✔ : -Surgical menopause
When bilateral oophorectomy is performed, both ovaries are
excised, eliminating ovarian hormones and initiating menopause.
Although depression may occur, it is not expected; if it does
occur, intervention is required. There is no physiological reason
for weight gain after hysterectomy. Urine retention is not an
expected concern because a urine retention catheter is inserted
before surgery and left in place generally for 24 hours, regardless
of the type of hysterectomy (e.g., laparoscopic, abdominal,
vaginal).
, After a mastectomy or hysterectomy, the client may feel
incomplete as a woman. Which statement causes the nurse to
realize that a client may be experiencing this concern?
1
"I can't wait to see my friends."
2
"I want to go home soon to see my grandchild."
3
"I feel washed out; there isn't much left for my family."
4
"My husband arranged for me to recuperate at our daughter's
home." - ANSWER ✔ : -"I feel washed out; there isn't much left
for my family."
The client's statement of feeling "washed out" connotes a feeling
of emptiness and loss. Resumption of social activities indicates
acceptance and a willingness to move on with life. Expressing
desire to see a grandchild is a response typical of a grandparent
anxious to resume life. The client is planning for rehabilitation by
stating her intention to recuperate at her daughter's home, not
expressing a sense of loss.
Topics
A postpartum client is scheduled to have a tubal ligation. She has
asked that her husband not be told about the procedure because
she has told him that she is having exploratory surgery. The
client's husband asks the nurse why his wife needs to have
exploratory surgery. How should the nurse respond?
"What has the physician told you?"
2
"I don't know the answer to that question."
3
"I'm not allowed to give you that information."
4
,"Have you talked to your wife about your concerns?" - ANSWER
✔ : -"Have you talked to your wife about your concerns?"
The correct response protects the wife's confidentiality while
fostering open communication between the couple. Asking about
communication with the physician does not foster communication
between the client and the client's husband. Claiming not to know
the answer to the question or claiming not to be able to supply the
information in question supports neither the wife nor the husband.
A woman questions the nurse about the effectiveness of oral
contraceptives. What most important factor about the
effectiveness of oral contraceptives should be included in the
reply to this question?
1
User motivation
2
Simplicity of use
3
Reliability record
4
Identified risk factors - ANSWER ✔ : -User motivation
Conception will not be prevented unless the user is motivated to
use the method correctly and consistently. No matter how simple,
the method must be used consistently. Reliability record is not
relevant if the method is not used correctly and consistently by the
woman. Risk factors have little influence on the effectiveness of
the contraceptive method
A woman visits the clinic for an annual physical examination, and
herpes genitalis is diagnosed. The client asks how the disease
can be diagnosed without any tests. How should the nurse reply?
1
, "There's a sore in your vagina."
2
"There's a rash near your vagina."
3
"You have a typical discharge from your vagina."
4
"You have blisters on the skin around your vagina." - ANSWER ✔
: -"You have blisters on the skin around your vagina."
Herpes genitalis is characterized by a cluster of vesicles, not one
lesion or a rash or vaginal discharge. The characteristic sign of
herpes genitalis is a cluster of vesicles (blisters) on the vulva,
perineum, vagina, cervix, and/or perianal area. These rupture
spontaneously, leaving painful erosions.
While being admitted for a lumpectomy the client begins to cry
and says, "I found the lump a few months ago, but I didn't go to
the doctor because of what it could be." How should the nurse
reply?
1
"This has been frightening for you."
2
"About 80% of breast lumps are benign."
3
"Cry as long as you like and get it out of your system."
4
"More than 95% of breast lumps are discovered by the woman
herself." - ANSWER ✔ : -"This has been frightening for you."
The correct response involves the use of reflective technique to
acknowledge the client's feelings. Providing statistics does not
acknowledge the client's feelings and may cut off communication.
Providing false reassurance that crying will ease her concerns is
inappropriate
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