Nurs 335 Women’s Exam 1 Study Questions with Answers and Rationales
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Course
NUR 335
Institution
NUR 335
When obtaining a reproductive health history from a female patient, the nurse should -limit the time spent on exploration of intimate topics. -avoid asking questions that may embarrass the patient. -use only accepted medical terminology when referring to body parts and functions. -explain the purpo...
Nurs 335 Women’s Exam 1 Study
Questions with Answers and Rationales
When obtaining a reproductive health history from a female patient, the nurse should
-limit the time spent on exploration of intimate topics.
-avoid asking questions that may embarrass the patient.
-use only accepted medical terminology when referring to body parts and functions.
-explain the purpose for the questions asked and how the information will be used. ✅-
explain the purpose for the questions asked and how the information will be used.
Rationale: Sufficient time must be spent on gathering relevant data. All questions should
be asked, even if it may be embarrassing for the patient or the nurse, or if it involves
intimate topics. Always use terms the patient can understand. Explanation of the
purpose for the questions asked while obtaining a reproductive health history will help to
gather honest and relevant data.The nurse should refer the patient for further testing if
she noted this on inspection of the breasts of a 55-year-old woman
left breast slightly smaller than right breast.
eversion (elevation) of both nipples.
bilateral symmetry of venous network, which is faintly visible.
small dimple located in the upper outer quadrant of the right breast.
The nurse should include questions regarding sexuality when gathering data for a
reproductive health history of a female patient. Which principle should guide the nurse
when interviewing the patient?
-An in-depth exploration of specific sexual practices should be included for every
patient.
-Sexual histories are optional if the patient is not currently sexually active.
-Misconceptions and inaccurate information expressed by the patient should be
corrected promptly.
-Questions regarding the patient's sexual relationship are unnecessary if she is
monogamous. ✅-Misconceptions and inaccurate information expressed by the patient
should be corrected promptly.
Rationale: More in-depth assessments are required if the patient is sexually active or if
problems or concerns are raised during general questions. Sexuality should be included
on every reproductive health history whether or not the patient is sexually active. To
obtain the most accurate reproductive health history, the nurse needs to correct
misconceptions and inaccurate information. The relationship and sexual partner should
be discussed even if the patient is monogamous.
The nurse should refer the patient for further testing if she noted this on inspection of
the breasts of a 55-year-old woman
-left breast slightly smaller than right breast.
,-eversion (elevation) of both nipples.
-bilateral symmetry of venous network, which is faintly visible.
-small dimple located in the upper outer quadrant of the right breast. ✅-small dimple
located in the upper outer quadrant of the right breast.
Rationale: In many women, one breast is smaller than the other. Eversion of both
nipples is a normal finding. Faintly visible venous network is a normal finding. A small
dimple is an abnormal finding and should be further evaluated.
The nurse is assessing a woman's breast self-examination (BSE) technique. Which
action indicates that a woman needs further instruction regarding BSE?
-Performs every month on the first day of her menstrual period.
-Uses the pads of her fingers when palpating each breast.
-Inspects her breasts while standing before a mirror and changing arm positions.
-Places a folded towel under right shoulder and right hand under head when palpating
right breast. ✅-Performs every month on the first day of her menstrual period.
Rationale: BSE should be performed once a month after the menstrual period has
ended. These are correct actions for performing a BSE.
Which is correct concerning the performance of a Papanicolaou (Pap) smear?
-The woman should not douche, use vaginal medications, or have intercourse for at
least 24 hours before the test.
-It should be performed once a year beginning with the onset of puberty.
-A lubricant such as Vaseline should be used to ease speculum insertion.
-The specimen for the Pap smear should be obtained after specimens are collected for
cervical infection. ✅-The woman should not douche, use vaginal medications, or have
intercourse for at least 24 hours before the test.
Rationale: Women should not douche, use vaginal medications, or have sexual
intercourse for 24 hours before the examination so as not to alter the cytology results.
Pap smears are performed annually for sexually active women or by age 18, especially
if risk factors for cervical cancer or reproductive tract infections are present. Pap smears
may be performed every 3 years in low risk women after three negative results on
annual examination. Only warm water should be used on the speculum so as not to
alter the cytology results. The cytologic specimen should be obtained first.
A 65-year-old woman, G6 P6006, is complaining of increasing stress incontinence and
pelvic pressure and fullness. Pelvic examination reveals a bulging in the anterior vaginal
wall. This woman is most likely experiencing
-uterine prolapse.
-rectocele.
-cystocele.
-vesicovaginal fistula. ✅-cystocele.
,Rationale: Prolapse or downward displacement of the uterus could result in protrusion
of the uterus through the vagina. Rectocele would result in herniation of the rectal wall
through the posterior vagina. Clinical manifestations would relate to alterations in bowel
elimination. This describes the clinical manifestations of cystocele. A vesicovaginal
fistula is an abnormal passage between the bladder and the vagina, resulting in urinary
incontinence and excoriation of the vaginal mucosa.
A 42-year-old woman asks the nurse about mammograms, now that she is "getting
older." Which information provided by the nurse would not be correct given current
American Cancer Society recommendations?
-The American Cancer Society recommends mammograms every 1 to 2 years for
women ages 40 to 49.
-A mammogram is considered to be an imaging study.
-Even if one has a mammogram, this does not preclude the individual from performing
breast self-examination (BSE).
-Mammograms can confirm the diagnosis for breast cancer. ✅-The American Cancer
Society recommends mammograms every 1 to 2 years for women ages 40 to 49.
Rationale: Based on current guidelines, there is no consensus of opinion that a
mammogram should be performed every 1 to 2 years in women between the ages of 40
and 49. Women should discuss their own personal history with their
physician/healthcare provider in order to make a decision about whether or not a
mammogram is indicated. A mammogram is an example of a diagnostic imaging study.
Mammograms are not a substitute for BSE, which should still be performed every
month. A biopsy of cells from suspicious lesions is required to confirm a diagnosis of
cancer.
The nurse-midwife is teaching a group of women who are pregnant, including instruction
on Kegel exercises. Which statement by a participant would indicate a correct
understanding of the instruction?
-I will only see results if I perform 100 Kegel exercises each day.
-I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds
between exercises.
-I should only perform Kegel exercises in the sitting position.
-I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve
the best results. ✅-I should hold the Kegel exercise contraction for 10 seconds and
rest for 10 seconds between exercises.
Rationale: Guidelines suggest that women perform between 30 and 80 Kegel exercises.
The correct technique for Kegel exercises is to hold the contraction for at least 10
seconds and rest for 10 seconds in between so the muscles can have time to recover
and each contraction can be as strong as the woman can make it. Kegel exercises are
best performed in a supine position with the knees bent. Kegel exercises should be
performed throughout the pregnancy to achieve the best results.
, During a health history interview, a woman states that she thinks that she has "bumps"
on her labia. She also states that she is not sure how to check herself. The correct
response would be to
-reassure the woman that the examination will not reveal any problems.
-explain the process of vulvar self-examination to the woman and reassure her that she
will become familiar with normal and abnormal findings during the examination.
-reassure the woman that "bumps" can be treated.
-reassure her that most women have "bumps" on their labia. ✅-explain the process of
vulvar self-examination to the woman and reassure her that she will become familiar
with normal and abnormal findings during the examination.
Rationale: During assessment and evaluation the responsibility for self-care, health
promotion, and enhancement of wellness is emphasized. The pelvic examination
provides a good opportunity for the practitioner to emphasize the need for regular vulvar
self-examination.
The women's health nurse knows which statements regarding sexual response are
accurate? (Select all that apply.)
-Women and men are more alike than different in their physiologic response to sexual
arousal and orgasm.
-Vasocongestion is the congestion of blood vessels.
-The orgasmic phase is the final state of the sexual response cycle.
-Facial grimaces and spasms of hands and feet are often part of arousal.
-Sexual difficulties should be disregarded in the after birth period. ✅-Women and men
are more alike than different in their physiologic response to sexual arousal and
orgasm.
-Vasocongestion is the congestion of blood vessels.
-Facial grimaces and spasms of hands and feet are often part of arousal.
Rationale: Men and women are surprisingly alike. Vasocongestion causes vaginal
lubrication and engorgement of the genitals. The final state of the sexual response cycle
is the resolution phase after orgasm. Arousal is characterized by increased muscular
tension (myotonia). Sexual difficulties should be addressed during the after birth period.
During the preconception phase, the nurse should teach about which infectious
diseases as risk factors for maternal complications? (Select all that apply.)
-Diabetes
-Rubella
-Hepatitis B
-Anemia
-HIV/AIDS ✅-Rubella
-Hepatitis B
-HIV/AIDS
Rationale: Rubella, Hepatitis B, and HIV/AIDS are all infectious diseases. Diabetes and
anemia are chronic diseases.
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