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A newly married woman comes to a gynecology clinic reporting anorexia, insomnia, and extreme dyspareunia that have affected her intimate relationship. What initial intervention should the nurse expect a physician to implement? A. A thorough physical to include gynecological examination B. Referral to a sex therapist C. Assessment of sexual history and previous satisfaction with sexual relationships D. Referral to the recreational therapist for relaxation therapy
ANS: A The nurse should expect the physician to implement a thorough physical to include a gynecological examination to assess for any physiological causes of the client’s symptoms. Dyspareunia is recurrent or persistent genital pain associated with sexual intercourse.
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Marti, a 30-year-old woman, has come for a scheduled gynecology visit. She is concerned about her irregular menstrual cycle, which ranges from 21 to 45 days. Marti is about 5’7″ tall, weighs 125 lb, and reports that she runs between 5 and 7 miles each day. Marti and her husband would like to have a baby within the next year and a half. The following statements are elicited during your assessment. Identify whether the statement is a cue or inference. A. Marti states, “I don’t know if I’ll be able to get pregnant with my erratic cycle.” B. Marti describes her menstrual cycle as “lasting about 3 days but very unpredictable.” C. Marti’s exercise regime and weight are contributing to her irregular menses. D. Marti states her sister had a great deal of difficulty conceiving her first child. She says she is concerned she will have the same difficulty. E. Marti is anxious and preoccupied with her irregular menses.
A. Cue B. Cue C. Inference D. Cue E. Inference Rationale: Cues are what the client says and what you observe. Inferences are judgments and interpretations about what the cues mean.
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gynecology (GYN)
is the study of the female reproductive organs, including the breasts.
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* Gynecology (GYN)
Study of the female reproductive system. Frequently paired with obstetricians.
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