Reproductive Health and Gynecological Examination, Exams of Nursing

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Maternal Child Nursing Care - Chapter 3- Assessment

and Health Promotion

1. The two primary functions of the ovary are: A) Normal female development and sex hormone release. B) Ovulation and internal pelvic support. C) Sexual response and ovulation. D) Ovulation and hormone production. - Correct Answer D) Ovulation and hormone production.
2. The uterus is a muscular, pear-shaped organ that is responsible for: A) Cyclic menstruation. B) Sex hormone production. C) Fertilization. D) Sexual arousal. - Correct Answer A) Cyclic menstruation.
3. Unique muscle fibers make the uterine myometrium ideally suited for: A) Menstruation. B) The birth process. C) Ovulation. D) Fertilization. - Correct Answer B) The birth process.
4. The hormone responsible for maturation of mammary gland tissue is: A) Estrogen. B) Testosterone. C) Prolactin. D) Progesterone. - Correct Answer D) Progesterone.
5. Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is: A) 5 to 7 days after menses ceases. B) Day 1 of the endometrial cycle. C) Midmenstrual cycle. D) Any time during a shower or bath. - Correct Answer A) 5 to 7 days after menses ceases.
6. Menstruation is periodic uterine bleeding: A) That occurs every 28 days. B) In which the entire uterine lining is shed. C) That is regulated by ovarian hormones. D) That leads to fertilization. - Correct Answer C) That is regulated by ovarian hormones.
7. Individual irregularities in the ovarian (menstrual) cycle are most often caused by:

A) Variations in the follicular (preovulatory) phase. B) An intact hypothalamic-pituitary feedback mechanism. C) A functioning corpus luteum. D) A prolonged ischemic phase. - Correct Answer A) Variations in the follicular (preovulatory) phase.

8. Prostaglandins are produced in most organs of the body, including the uterus. Other source(s) of prostaglandins is/are: A) Ovaries. B) Breast milk. C) Menstrual blood. D) The vagina. - Correct Answer C) Menstrual blood.
9. Physiologically, sexual response can be characterized by: A) Coitus, masturbation, and fantasy. B) Myotonia and vasocongestion. C) Erection and orgasm. D) Excitement, plateau, and orgasm. - Correct Answer B) Myotonia and vasocongestion.
10. The long-term treatment plan for an adolescent with an eating disorder focuses on: A) Managing the effects of malnutrition. B) Establishing sufficient caloric intake. C) Improving family dynamics. D) Restructuring perception of body image. - Correct Answer D) Restructuring perception of body image.
11. The nurse guides a woman to the examination room and asks her to remove her clothes and put on an examination gown with the front open. The woman states, I have special undergarments that I do not remove for religious reasons. The most appropriate response from the nurse would be: A) You cant have an examination without removing all your clothes. B) I'll ask the doctor to modify the examination. C) Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss
12. how you can have your examination comfortably. D) What? I've never heard of such a thing! That sounds different and strange. - Correct Answer C) Tell me about your undergarments. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably.
13. A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a

visit. Her family doctor has retired, and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should: A) Remind the woman that she is long overdue for her examination and that she should come in annually. B) Listen carefully and allow extra time for this woman's health history interview. C) Reassure the woman that a nurse practitioner is just as good as her old doctor.

14. D) Encourage the woman to talk about the death of her husband and her fears about her own death. - Correct Answer B) Listen carefully and allow extra time for this woman's health history interview.
15. 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: A) Reassure the woman that the examination will not reveal any problems. B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination. C) Reassure the woman that bumps can be treated.
16. D) Reassure her that most women have bumps on their labia. - Correct Answer B) Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.
17. A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the- counter cream for the past 2 days to treat it. The nurses initial response should be to: A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled. B) Reassure the woman that using vaginal cream is not a problem for the examination. C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
18. D) Ask the woman to reschedule the appointment for the examination. - Correct Answer C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
19. The transition phase during which ovarian function and hormone production decline is called: A) The climacteric. B) Menarche. C) Menopause. D) Puberty. - Correct Answer A) The climacteric.

20. Which statement would indicate that the client requires additional instruction about breast self- examination? A) Yellow discharge from my nipple is normal if I'm having my period. B) I should check my breasts at the same time each month, like after my period. C) I should also feel in my armpit area while performing my breast examination. D) I should check each breast in a set way, such as in a circular motion. - Correct Answer A) Yellow discharge from my nipple is normal if I'm having my period.
21. A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. What scenario would cause an emergency department nurse to suspect that the woman has been a victim of intimate partner violence (IPV)? A) The woman and her partner are having an argument that is loud and hostile. B) The woman has injuries on various parts of her body that are in different stages of healing. C) Examination reveals a fractured arm and fresh bruises. D) She avoids making eye contact and is hesitant to answer questions. - Correct Answer B) The woman has injuries on various parts of her body that are in different stages of healing.
22. A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurses best response is: A) Don't worry about it. I'm sure its nothing. B) Wear a tight bra, and it should shrink. C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician. D) Check it again in 1 month and call me back if its still there. - Correct Answer C) Many women have benign lumps and bumps in their breasts. However, to make sure that its benign, you should come in for an examination by your physician.
23. The female reproductive organ(s) responsible for cyclic menstruation is/are the: A) Uterus. B) Ovaries. C) Vaginal vestibule. D) Urethra. - Correct Answer A) Uterus.
24. The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the: A) Perineum.

B) Bony pelvis. C) Vaginal vestibule. D) Fourchette. - Correct Answer B) Bony pelvis.

25. A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____ phase of the endometrial cycle. A) Menstrual B) Proliferative C) Secretory D) Ischemic - Correct Answer C) Secretory
26. The stimulated release of gonadotropin-releasing hormone and follicle- stimulating hormone is part of the: A) Menstrual cycle. B) Endometrial cycle. C) Ovarian cycle. D) Hypothalamic-pituitary cycle. - Correct Answer D) Hypothalamic-pituitary cycle.
27. Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as: A) Gonadotropin-releasing hormone (GnRH). B) Prostaglandins (PGs). C) Follicle-stimulating hormone (FSH). D) Luteinizing hormone (LH). - Correct Answer B) Prostaglandins (PGs).
28. Which statement regarding female sexual response is inaccurate? A) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm. B) Vasocongestion is the congestion of blood vessels. C) The orgasmic phase is the final state of the sexual response cycle. D) Facial grimaces and spasms of hands and feet are often part of arousal. - Correct Answer C) The orgasmic phase is the final state of the sexual response cycle.
29. As part of their participation in the gynecologic portion of the physical examination, nurses should: A) Take a firm approach that encourages the client to facilitate the examination by following the physicians instructions exactly. B) Explain the procedure as it unfolds and continue to question the client to get information in a timely manner. C) Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk

for cancer.

30. D) Help the woman relax through proper placement of her hands and proper breathing during the examination. - Correct Answer D) Help the woman relax through proper placement of her hands and proper breathing during the examination.
31. During which phase of the cycle of violence does the batterer become contrite and remorseful? A) Battering phase B) Honeymoon phase C) Tension-building phase D) Increased drug-taking phase - Correct Answer B) Honeymoon phase
32. A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because: A) A daily consumption of alcohol indicates a risk for alcoholism. B) She will be at risk for abusing other substances as well. C) The fetus is placed at risk for altered brain growth. D) The fetus is at risk for multiple organ anomalies. - Correct Answer C) The fetus is placed at risk for altered brain growth.
33. As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? A) Heroin B) Alcohol C) PCP D) Cocaine - Correct Answer D) Cocaine
34. The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called: A) Bimanual palpation. B) Rectovaginal palpation. C) A Papanicolaou (Pap) test. D) A four A's procedure. - Correct Answer C) A Papanicolaou (Pap) test.
35. As a girl progresses through development, she may be at risk for a number of age-related conditions. While preparing a 21-year-old client for her first adult physical examination and Papanicolaou (Pap) test, the nurse is aware of excessiveness shyness. The young woman states that she will not remove her bra because, There is something wrong with my breasts; one is way bigger. What is the best response by the nurse in this situation? A) Please reschedule your appointment until you are more prepared. B) It is okay; the provider will not do a breast examination. C) I will explain normal growth and breast development to you.

D) That is unfortunate; this must be very stressful for you. - Correct Answer C) I will explain normal growth and breast development to you.

36. Which statement by the patient indicates that she understands breast self- examination? A) I will examine both breasts in two different positions. B) I will perform breast self-examination 1 week after my menstrual period starts. C) I will examine the outer upper area of the breast only. D) I will use the palm of the hand to perform the examination. - Correct Answer B) I will perform breast self-examination 1 week after my menstrual period starts.
37. A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior places her at a greater risk for: A) Depression of the central nervous system B) Hypotension and vasodilation C) Sexually transmitted diseases D) Postmature birth - Correct Answer C) Sexually transmitted diseases
38. A woman who is older than 35 years may have difficulty achieving pregnancy primarily because: A) Personal risk behaviors influence fertility B) She has used contraceptives for an extended time C) Her ovaries may be affected by the aging process D) Prepregnancy medical attention is lacking - Correct Answer C) Her ovaries may be affected by the aging process
39. The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is: A) Genetic changes and anomalies B) Extensive central nervous system damage C) Fetal addiction to the substance inhaled D) Intrauterine growth restriction - Correct Answer D) Intrauterine growth restriction
40. Despite warnings, prenatal exposure to alcohol continues to exceed by far exposure to illicit drugs. A diagnosis of fetal alcohol syndrome (FAS) is made when there are visible markers in each of three categories. Which category is not associated with a diagnosis of FAS? A) Respiratory conditions B) Impaired growth C) CNS abnormality D) Craniofacial dysmorphologies - Correct Answer A) Respiratory conditions

41. When the nurse is alone with a battered patient, the patient seems extremely anxious and says, It was all my fault. The house was so messy when he got home and I know he hates that. The best response by the nurse is: A) No one deserves to be hurt. Its not your fault. How can I help you? B) What else do you do that makes him angry enough to hurt you? C) He will never find out what we talk about. Don't worry. Were here to help you. D) You have to remember that he is frustrated and angry so he takes it out on you. - Correct Answer A) No one deserves to be hurt. Its not your fault. How can I help you?
42. A common effect of both smoking and cocaine use in the pregnant woman is: A) Vasoconstriction B) Increased appetite C) Changes in insulin metabolism D) Increased metabolism - Correct Answer A) Vasoconstriction
43. Many pregnant teens wait until the second or third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include: A) Lack of realization that they are pregnant. B) Uncertainty as to where to go for care. C) Continuing to deny the pregnancy. D) A desire to gain control over their situation. E) Wanting to hide the pregnancy as long as possible. - Correct Answer A) Lack of realization that they are pregnant. B) Uncertainty as to where to go for care. C) Continuing to deny the pregnancy. E) Wanting to hide the pregnancy as long as possible.