The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which
finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine
c. Bleeding from the vagina
- The nurse is developing a teaching plan for a client who is scheduled for her first
Papanicolaou test. What instruction by the nurse is the most accurate?
a. “The timing of the Pap smear does not matter.”
B. “Sexual intercourse will not interfere with the results.”
c. “Results can be interpreted immediately in the office.”
D. “Results are best if you do not douche 24 hours before the test.”
D. “Results are best if you do not douche 24 hours before the test.”
The nurse is reviewing discharge instructions with a client who has just experienced an
endometrial biopsy. Which finding would be reported to the primary health care provider
immediately?
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood
d. Fatigue after anesthesia
b. Slight chills and fever
A client is concerned about her irregular menstrual periods since she has increased her daily
workouts at the gym to 2 hours each day. What is the nurses’ best response?
a.“Do you want to talk about the need for that much exercise?”
B. “Exercise is healthy but can decrease body fat and cause irregular periods.”
C. “Bingeing and purging can cause electrolyte problems in your body.”
D. “Anorexic behavior can result in decreased estrogen levels.”
B. “Exercise is healthy but can decrease body fat and cause irregular periods.”
A client is having a hysterosalpingogram. What action by the nurse is most important?
a. Assist the client in sitting up after the procedure.
B. Provide the client with a pad to avoid dye stains on the clothes.
C. Teach her to take all antibiotics prescribed until finished.
D. Inform the client that the procedure may cause shoulder pain.
a. Assist the client in sitting up after the procedure.
The mother of an 18-year-old girl asks the nurse which screening her daughter would receive now based on evidence-based recommendations. Which suggestion by the nurse is best?
a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
D. No screenings at this time
D. No screenings at this time
A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client
alerts the nurse of the need for further teaching?
a. The surgeon told me that carbon dioxide would be infused into my pelvic cavity.”
b. “There will be one or more small incisions in order to visualize all of the organs.”
c. “There will be some shoulder pain after the procedure that may last 48 hours.”
d.“I can return to jogging my 3-mile (5 km) routine in a few days.”
d.“I can return to jogging my 3-mile (5 km) routine in a few days.”
A 67-year-old male client had serum laboratory tests performed during his annual examination. The
nurse reviews his results, as follows: testosterone: 680 ng/dL (23.6 nmol/L); prostate-specific antigen:
10 ng/mL (10 mcg/L); prolactin: 5 ng/mL (217.4 pmol). What action by the nurse is best?
a. Assess for possible galactorrhea with breast discharge.
b.Note the possibility of a testicular tumor.
c. Communicate that results were normal.
D. Prepare the client for further diagnostic testing.
D. Prepare the client for further diagnostic testing.
A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
a. Thinning of pubic hair
b. Increased size of the uterus
c. Decreased size of the clitoris
d. Loss of tone of the pelvic ligaments
b. Increased size of the uterus
The nurse is assessing a client for reproductive health problems. What assessments are most
important? (Select all that apply.)
a. Bleeding
b. Pain
c. Sexual orientation
d. Masses
e. Discharge
A B D e
The nurse is reviewing discharge plans with a client who is recovering from a cervical biopsy. Which
statements indicate good understanding by the client? (Select all that apply.)
a. “I can return to work this afternoon.”
B. “I cannot carry my toddler for 2 weeks.”
C. “I cannot douche until the biopsy site is healed.”
D. “I need to wait for about 2 weeks to have intercourse.”
e. “I can use a regular tampon this evening for bleeding.”
F. “I cannot wash my perineum for 24 hours.”
B C D
