Chapter 23 Reproductive System Health

Chapter 23  Reproductive System Health

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse in an OB-GYN clinic takes a complete history from the 68-year-old before the physician sees the client. Which of the following is appropriate when taking a sexual history from the client?
A)
Ask questions that the client will not be embarrassed to answer.
B)
Ask open-ended questions specific to sexual functioning.
C)
Write down everything the client says during the interview.
D)
When possible include the sex partner in the interview.
Ans:
B

Feedback:

A complete and private history is essential to pinpoint specific areas that require further investigation. The interview should include a review of function, signs, and symptoms.

Origin:  Chapter 23- Reproductive System Health, 2
Chapter:  23
Client Needs:  D4
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Nursing process
Objective:  2
Page and Header:  317, Atrophic Vaginitis
2.
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during intercourse and asks, “What should I use as a lubricant?” Which of the following should the nurse recommend?
A)
Petroleum jelly
B)
Water-soluble lubricant
C)
Body cream or body lotion
D)
Saliva
Ans:
B

Feedback:

Nurses should advise the older woman to avoid douches and the use of perfumed soaps and sprays to the genitalia, wear cotton underwear, keep the genital area clean and dry, and use water-soluble lubricants.

Origin:  Chapter 23- Reproductive System Health, 3
Chapter:  23
Client Needs:  B
Cognitive Level:  Application
Difficulty:  Easy
Integrated Process:  Nursing process
Objective:  3
Page and Header:  315, Assessment Guide 23-1
3.
The nurse assesses the reproductive system of an older adult. Which of the following questions should the nurse consider including in the interview?
A)
“Do you ever have secretions, blood, or other discharge from your genitals?”
B)
“Does your partner have satisfying orgasms?”
C)
“When was the last time you had sexual intercourse?”
D)
“With whom do you have sexual intercourse?”
Ans:
A

Feedback:

The older adult can have orgasms and satisfying sexual experiences. You may need to ask the client about sexual encounters to determine sexual dysfunction, but with whom and when are not pertinent.

Origin:  Chapter 23- Reproductive System Health, 4
Chapter:  23
Client Needs:  B
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Teaching/learning
Objective:  2
Page and Header:  315, Reproductive System Health Promotion
4.
The nurse practitioner discusses breast self-exam with a 78-year-old woman. Which of the following statements if made by the patient indicate understanding of the material?
A)
“I need to get a mammogram every 5 years.”
B)
“I will call you if I find any lump in my armpit.”
C)
“I won’t be concerned if my nipple leaks.”
D)
“My home health nurse will check me.”
Ans:
B

Feedback:

Lump, hard knot, or thickening inside the breast or underarm area is warning sign of breast cancer. Mammograms are recommended every year for women over 50 years of age. Each woman knows her own body better than a home health nurse does.

Origin:  Chapter 23- Reproductive System Health, 5
Chapter:  23
Client Needs:  B
Cognitive Level:  Application
Difficulty:  Moderate
Integrated Process:  Teaching/learning
Objective:  1
Page and Header:  315, Effects of Aging on the Reproductive System
5.
A nurse is discussing sexual health with a 74-year-old female resident of an assisted living facility. Which of the nurse’s following teaching points should be included in the discussion?
A)
“Because the vagina becomes drier and its lining thinner with age, sexual experiences are normally not possible.”
B)
“A lot of changes occur with age, but most of these are chemical and hormonal rather than changes to body parts and structures.”
C)
“There are many changes to your reproductive system that accompany normal aging, but none of them rules out the possibility of still having satisfying experiences sexually.”
D)
“It’s certainly possible for you to maintain a satisfying sexual relationship even though the hormones that affected you when you were younger no longer have an effect.”
Ans:
C

Feedback:

Numerous changes to the female reproductive system accompany age, though they do not rule out satisfying sexual experiences. Changes are anatomical in nature in addition to being chemical and hormonal and hormones continue to have an effect on the reproductive system when they are present.