MULTIPLE CHOICE
1. What action should a nurse implement when assessing for abnormal bleeding in a patient following a hysterectomy?
a. Record the number of perineal pads used:
b. Assess vital signs every 8 hours:
c. Place the patient’s bed in a high Fowler position:
d. Apply an abdomi...
1. What action should a nurse implement when assessing for abnormal bleeding in a patient
following a hysterectomy?
a. Record the number of perineal pads used:
b. Assess vital signs every 8 hours:
c. Place the patient’s bed in a high Fowler position:
d. Apply an abdominal binder:
ANS: A
Recording the number of pads used and the appearance of the discharge is primary in
post hysterectomy care: the abdominal dressing and perineal pad are checked every
hour for the first 12 hours: Any excess bleeding is reported: the patient should be
placed on her side in a semi-Fowler position: An abdominal binder, if used, has no
effect on hemorrhage:
DIF: Cognitive Level: Application REF: p: 1027 OBJ: 1
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. A nurse collecting data on the reproductive system from a female patient is told that the
patient has a vaginal discharge that is cottage cheese–like in appearance: What should the
nurse recognize this as a common sign of?
a. Pelvic inflammatory disease (PID)
b. Trichomonas vaginalis infection
c. Atrophic vaginitis
d. Candida albicans infection
ANS: D
Candida albicans infection has a distinctive odor and a cottage cheese–like
3. What must be true for a woman to be diagnosed with primary infertility?
a. She has never been able to conceive after 1 year of regular, unprotected sex:
b. She conceived once but did not deliver a viable infant:
c. She conceived once but was unable to conceive again:
d. She conceived three times in 1 year without a viable birth:
ANS: A
To be diagnosed with infertility, the patient must have been unable to conceive after 1
year of regular, unprotected sex: Primary infertily is when the woman has never
conceived; secondary infertility refers to a woman who has conceived at least once
but is unable to conceive again: All other options are definitions of secondary
infertility:
DIF: Cognitive Level: Comprehension REF: p: 1042 OBJ: 1
TOP: Infertility KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A patient is admitted with possible cancer of the ovary: What fact should a nurse know
about malignant tumors of the ovary?
a. They are frequently advanced and inoperable by the time they are diagnosed:
b. The respond well to radiation and chemotherapy because of early detection:
c. They are easily detected because symptoms appear early in a woman’s life:
d. They are directly related to PID and other infections:
ANS: A
The high mortality rate for women with ovarian cancer is due to the fact that a
malignant tumor of the ovary is asymptomatic until it is advanced:
DIF: Cognitive Level: Knowledge REF: p: 1039 OBJ: 1
TOP: Ovarian Cancer KEY: Nursing Process Step: Assessment
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