Reprod 42

1A. The nurse is assisting with a community education class on breast cancer prevention. Which risk factors should the nurse include in this training?

• a. History of breastfeeding

• b. Large or pendulous breasts

• c. High-fat diet and alcohol intake

• d. Early first pregnancy and late menarche

B. The nurse is contributing to information for women in a fibrocystic breast disease support group. Which information does the nurse suggest including?

• 1. The manifestations of the condition usually subside with menopause.

• 2. One cause is related to the use of hormonal birth control medications.

• 3. The disease process frequently results in the development of cancer.

• 4. Women between the ages of 20 and 30 years are most susceptible.

   

 

C. The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. For which reason is a mastectomy patient at risk for pulmonary complications?

• 1. Breast cancer often metastasizes to the lungs prior to diagnosis.

• 2. Pathogens may have been introduced during the surgical procedure.

• 3. The chest incision makes the patient hesitant to deep-breathe and cough.

• 4. Mastectomy patients are on bedrest for the first 48 to 72 hours postoperatively.

   

D. A patient at age 23 reports severe pelvic and back pain, which increases during her menses. After testing, she is diagnosed with endometriosis. Which information provided by the nurse is likely to be considered premature?

• 1. “The condition is called retrograde menstruation.”

• 2. “Removal of the ovaries is the most effective treatment.”

• 3. “Migrated endometrium cells attach to the abdominal organs.”

• 4. “The cells in the abdomen will build up and slough like the uterus.”

   

E. The nurse is collecting data from a female client who is having difficulty conceiving. The nurse notes that the client has increased amounts of body and facial hair, is moderately overweight, and has acne-like lesions on the face. Which medical condition is the nurse likely to suspect?

• 1. Polycystic ovary syndrome (PCOS)

• 2. Decreased estrogen hormone

• 3. Severe endometriosis

• 4. Immature ovaries

F. The nurse is providing care for a female patent diagnosed with displacement disorders currently being treated with placement of a pessary. Which nursing care is the most important for the nurse implement?

• 1. Provide information about weight management.

• 2. Suggest methods to avoid constipation.

• 3. Discuss how to perform Kegel exercises.

• 4. Inform of symptoms to report to the HCP.

G. The nurse is assisting with teaching to a woman who is having difficulty conceiving. Which instruction does the nurse provide about keeping a basal body temperature chart?

• 1. “Record your temperature in the late afternoon each day for 3 months.”

• 2. “Record your temperature every 4 hours, starting the first day of each month.”

• 3. “Record your temperature three times each day of your period, then once a day thereafter.”

• 4. “Starting with the first day of your period, record your temperature first thing each morning.”

   

H. A patient is inquiring about the insertion of an intrauterine device (IUD) for contraception. Which information from the nurse is incorrect?

• 1. Perforation of the vaginal wall is common.

• 2. Effectiveness ranges between 5 to 10 years.

• 3. Insertion is best during the first 7 days of menses.

• 4. Procedure is performed in the HCP’s office.

   

I. A female report being conflicted between the effectiveness of a condom versus a diaphragm for contraception. Which information does the nurse provide regarding effectiveness?

• 1. Diaphragms are more expensive.

• 2. Condoms can be part of foreplay.

• 3. Spermicide is a good addition to both.

• 4. A female condom is more effective.

   

J. A female patient who is in the last trimester of pregnancy is considering sterilization as a

permanent method of birth control. The patient states, “I know this is what I want, but I don’t want to do this until the baby is a little older.” Which information does the nurse provide?

• 1. Removal of the uterus can be performed later.

• 2. The patient’s partner can opt for a vasectomy.

• 3. Tiny implants can be non-surgically placed later.

• 4. The procedure is best performed after birth.