2024 CARE OF THE PATIENT WITH
A REPRODUCTIVE DISORDER
CHAPTER 51 EXAM WITH CORRECT
ANSWERS
1.Which condition would prevent the use of a vaginal hysterectomya.
A woman with more than four pregnancies
b. Large uterine fibroids
c. Menorrhagia for over 6 months
d Women over the age of 50 - CORRECT-ANSWERSANS: B
In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
Which statement made by a patient who has been taught the technique of
testicular self-examination indicates the need for further teaching?
a. The testes feel smooth and egg-shaped.
b. The best time to perform TSE is after a shower.
c. I will examine my scrotum after every ejaculation.
d. The epididymis feels like a soft tube. - CORRECT-ANSWERSANS: C
It is not recommended for a patient to perform a testicular self-examination
after every ejaculation. Perform testicular self-examination after a bath or
shower when the scrotum is warm and most relaxed. The testes should feel
smooth and be firm to the touch. The epididymis feels like a soft tube.
.
A female patient, age 48, is undergoing a routine physical examination for
the first time in 5 years. Which procedure would be included in this
examination?
a. Culdoscopy
b. Colposcopy
c. Cervical biopsy
d. Papanicolaou smear - CORRECT-ANSWERSANS: D
The American Cancer Society recommends that all women who are or have
been sexually active or who are at least 18 years of age have an annual Pap
smear for 3 consecutive years and then every 3 years until middle age.
, What is the recommended age range for a baseline mammogram?
a. 25 and 30 years
b. 31 and 34 years
c. 35 and 39 years
d. 40 and 45 years - CORRECT-ANSWERSANS: C
The American Cancer Society recommends that mammograms be performed
on women between 35 and 39, and annually for women 40 years of age and
older
What does the diagnosis of secondary infertility refer to?
a. Has never conceived
b. Is infertile because of repeated infection
c. Has conceived but is now unable to do so
d. Is over the age of 38 - CORRECT-ANSWERSANS: C
Secondary infertility refers to a woman who has conceived in the past and
now is unable to do so
What instruction should a nurse give a patient with congenital herpes who
does not have lesions at the present?
a. Continued use of acyclovir (Zovirax) will prevent reinfection by the virus.
b. Condoms should be used during all sexual activity to prevent transmission
of the virus, even when lesions are not present.
c. Acyclovir ointment should be applied to the lesions to increase comfort
and speed healing.
d. Recurrent genital herpes is promoted by any sexual stimulation. -
CORRECT-ANSWERSANS: B
Sexual transmission of HSV (genital herpes, a virus) has been documented
even in the absence of clinical lesions, and the use of condoms should be
encouraged. Acyclovir does not cure the disease but makes the attacks less
virulent.
The 10-year-old clinic patient reports that she is free of gonorrhea and can
now engage in sexual activity. Which response is most appropriate?
a. If you have been free of symptoms for 2 weeks you are cured.
b. You should get a rapid plasma reagin (RPR) just to make sure.
c. No case is considered cured until you have had three consecutive negative
cervical smears.
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