Women’s Health Quiz 4 – Flashcards

Cellulitis with or without abscess formation is a fairly common condition. The nurse is providing education for a client whose presentation to the emergency department includes an infection of the breast. Which information should the nurse share with this client? (Select all that apply.) Select one or more: a. Methicillin- resistant Streptococcus aureus is the most common pathogen. b. Nipple piercing may be the cause of a recent infection c. Breast is pale in color and cool to the touch. d. Obesity, smoking, and diabetes are risk factors. e. Treatment for cellulitis or breast infection will include antibiotics.

Having a genetic mutation may create an 85% chance of developing breast cancer in a woman's lifetime. Which condition does not increase a client's risk for breast cancer? Select one: a. BRCA1 or BRCA2 gene mutation b. Li-Fraumeni syndrome c. Cowden syndrome d. Paget disease

A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic. She is due for a mammogram. At her first visit, her health care provider is concerned about the 3-week wait at the neighborhood clinic and made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appointment and returned to the clinic today to have the nurse check her blood pressure. What is the most appropriate statement for the nurse to make to this client? Select one: a. "Would you like me to make an appointment for you to have your mammogram here?" b. "I'm concerned that you missed your appointment; let me make another one for you." c. "Do you have transportation to the teaching hospital so that you can get your mammogram?" Not the BEST answer to meet this pt's needs. It is evident the pt can make it to the neighborhood clinic, not the hospital across town. This question should have been asked when the first appt was made. d. "It's very dangerous to skip your mammograms; your breasts need to be checked."

What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? Select one: a. The affected arm should be held down close to the woman's side. b. The blood pressure (BP) cuff should not be applied to the affected arm. c. The affected arm should be used for intravenous (IV) therapy. d. Venipuncture for blood work should be performed on the affected arm.

A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group? Select one: a. The exact cause of breast cancer remains unknown. b. In the United States, 1 in 10 women will develop breast cancer in her lifetime. c. Genetic mutations account for 50% of women who will develop breast cancer. d. Breast cancer is the leading cause of cancer death in women.

23 y/o Amy delivered a baby 2 months ago and presents to the clinic with complaint of stool coming out of her vagina for the past week. The nurse suspects recto-vaginal fistula. What is the next most appropriate question the nurse should ask Amy? Select one: a. "Did you deliver your baby vaginally?" b. "How big was your baby?" c. "Are you sure it is stool?" d. "How long has this been going on?"

A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition? Select one: a. cryosurgery b. internal radiation c. hysterectomy d. colposcopy

Pre-surgical nursing care for the woman who is going to have a hysterectomy for ovarian cancer includes which of the following? (Select all that apply). Select one or more: a. Sips of water for hydration b. ensure lab results are available to the surgeon prior to surgery c. identification band is in place d. teach post-op routine care such as need for early ambulation e. administer enema if ordered

What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy (no oopherectomy) for fibroids? Select one: a. Expect surgical menopause. b. Expect to be fully recovered in 4 to 6 weeks. c. Expect no changes in her hormone levels. d. Next pap smear is due in one year.

Postoperative nursing care and education for a woman who had an abdominal hysterectomy includes (select all that apply): Select one or more: a. Administering hormone therapy as per provider orders. b. Assessing vaginal bleeding c. Instructing the woman vaginal intercourse until she has followup visit with surgeon. d. Instructing the woman to resume activities as comfort level permits.

When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders? Select one: a. Disturbed body image, as a result of changes in anatomy b. Anxiety, related to surgical procedures c. Interrupted family processes d. Risk for injury, related to lack of skill for self-care

The client is undergoing treatment for ovarian cancer. Which common nutritional problems are related to gynecologic cancers and the treatment thereof? (Select all that apply.) Select one or more: a. Nausea and vomiting b. Stomatitis c. Constipation d. Increased Appetite e. Diarrhea

Which is true regarding breast cyst? Select one: a. It can be tender or not b. It requires surgery for diagnosis c. It is usually fixed and hard d. Removal is the best treatment

Which client(s) should the nurse report to the health care provider? (Select all that apply). Select one or more: a. Eversion (elevation) of both nipples b. Small dimple located in the upper outer quadrant of the right breast c. One 2-3mm sized mobile, nontender mass in lower outer quadrant of left breast d. Left breast slightly smaller than right breast

While taking a family history, 37 y/o Bernice tells the nurse her paternal grandmother had breast and colon cancer in her 60's, two paternal aunts had breast cancer in their 40's, one of those aunts also had ovarian cancer in her 40's, one paternal uncle had colon cancer in his 40's, her paternal cousin has breast cancer in her 40's, and her father had colon cancer in his 40's. She denies cancer on her mother's side of the family. Bernice states she has 2 younger sisters. Which of the following responses would be best for the nurse to say to Bernice about her reported family history? Select one: a. "Have you had your pap smear recently?" b. "Have you had a screening mammogram?" c. "The types of cancers reported on your father's side of the family may be due to a gene mutation that can be passed onto to each generation. Have any of your relatives or you considered genetic testing?" d. "Since all of these cancers are on your father's side of the family, you have no increased risk for cancer." e. "Do you have cancer on your mother's side of the family?"

Which woman has the highest risk for endometrial cancer? Select one: a. Woman who has been on birth control pills for 15 years b. Postmenopausal woman with hypertension c. Perimenopausal woman who has a cystocele d. Woman who has an intrauterine device (IUD)

Which diagnostic test is used to confirm a suspected diagnosis of breast cancer? a. Magnetic resonance imaging (MRI) b. Needle-localization biopsy c. Ultrasound d. Mammogram

A client in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems, as well as sensations of bearing down and of something in her vagina. What condition would the nurse suspect based upon this report? Select one: a. Genital fistulas b. Uterine prolapse c. cystocele and/or rectocele d. Pelvic relaxation

For which of the following reproductive cancers is high risk HPV infection thought to be primarily responsible? (Select all that apply). Select one or more: a. Cervical cancer b. vaginal cancer c. Endometrial cancer d. vulvar cancer e. Ovarian cancer

A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share? a. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles. b. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts c. It is a premalignant disorder characterized by lumps found in the breast tissue. d. Lumpiness is accompanied by tenderness after menses.

A postmenopausal woman has been diagnosed with two leiomyomas (fibroids). Which clinical finding is most commonly associated with the presence of leiomyomas? a. Abnormal uterine bleeding b. Acute abdominal pain c. Weight loss d. Diarrhea

A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenoma. How would the nurse explain the defining characteristics of a fibroadenoma? a. Inflammation of the milk ducts and glands behind the nipples b. Does not increase risk for breast cancer c. Thick, sticky discharge from the nipple of the affected breast d. Single lump in one breast that can increase in size e. Lumpiness in both breasts that develops 1 week before menstruation

The symptoms of mild to moderate urinary incontinence can be successfully decreased by a number of strategies. Which of these should the nurse instruct the client to use first? a. Surgery b. Medications c. Bladder training and pelvic muscle exercises or Kegels d. Pelvic floor support devices

A woman exhibits symptoms that may lead to a possible diagnosis of polycystic ovary syndrome (PCOS). While completing the initial assessment of the client, which clinical finding would the nurse not anticipate? a. Infertility b. Anorexia c. Irregular menses d. Hirsutism

Breast pain occurs in many women during their perimenopausal years. Which information is (are) priority for the nurse to share with the client? a. Distinguishing between cyclical and noncyclical pain is important. b. Breast pain is an early indication of cancer. c. Pain is almost always an indication of a solid mass. d. Assess for prior trauma or possible infection

After the Nurse Practitioner treats a 25 y/o's Bartholin cyst with incision and drainage procedure (I&D), the nurse is providing take-home instructions. The patient asks, "Will this happen again?" The nurse's best response is... a. "No, since it is drained it won't come back." b. "I cannot answer that question for you. Let me have the NP come and talk to you." c. "Bartholin cysts can recur. There is another procedure that can be done to reduce risk for recurrence. Would you like to talk to the NP about it." d. "If you take your antibiotics and not get an infection, recurrence is rare. Let's talk about how to prevent infection."

A postmenopausal woman has been diagnosed with two leiomyomas (fibroids). Which clinical finding is most commonly associated with the presence of leiomyomas? a. Weight loss b. Diarrhea c. Acute abdominal pain d. Abnormal uterine bleeding

Which of the following vaginitis conditions is a sexually transmitted infection? a. Bacterial vaginosis b. Trichomonas vaginitis c. Monolial vaginitis d. Atrophic vaginitis

Which of the following cancers has no accurate screening test for secondary prevention? a. Ovarian cancer b. Breast cancer c. Uterine cancer d. Cervical cancer

Researchers have found a number of common risk factors that increase a woman's chance of developing a breast malignancy. It is essential for the nurse who provides care to women of any age to be aware of which risk factors? (Select all that apply.) Select one or more: a. Nulliparity or first pregnancy after age 40 years b. Late menarche c. Age d. Family history e. Early menopause