Chapter 62 Female Reproductive Dysfunction: Nursing Management

Chapter 62  Female Reproductive Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client tells the nurse that she experiences heavy menstrual bleeding. The nurse would document this condition as being:
1.
dysmenorrhea.
2.
menorrhagia.
3.
metrorrhagia.
4.
polymenorrhea.

ANS: 2
Menorrhagia is heavy menstrual bleeding. Metrorrhagia is bleeding between menses. Dysmenorrhea is pain during the menstrual cycle, and polymenorrhea is having menstrual cycles at 2- to 3-week intervals.

PTS: 1 DIF: Apply REF: Dysmenorrhea; Dysfunctional Uterine Bleeding

2. A client tells the nurse that she has not had menstrual cycles for 2 months since she has been training for a marathon. The nurse would document this client’s lack of regular menstrual cycles as being:
1.
dysmenorrhea.
2.
primary amenorrhea.
3.
oligomenorrhea.
4.
secondary amenorrhea.

ANS: 4
Secondary amenorrhea is when a woman has normal menstrual cycles but then stops. Dysmenorrhea is pain during the menstrual cycle, and oligomenorrhea is the absence of menstrual cycles for 3 months or longer. Primary amenorrhea is the lack of a menstrual cycle by age 16.

PTS: 1 DIF: Apply REF: Amenorrhea

3. The nurse is documenting that a female client is menopausal because the client has not had a menstrual cycle in:
1.
6 months.
2.
9 months.
3.
12 months.
4.
15 months.

ANS: 3
Women are considered menopausal if they have not had a menstrual cycle for 12 months. A perimenopausal state may exist prior to actual menopause.

PTS: 1 DIF: Apply REF: Menopause

4. A female client is prescribed estrogen (Alora) for hot flashes associated with menopause. Which of the following should the nurse instruct this client regarding this medication?
1.
“Hot flashes can increase.”
2.
“Weight gain can occur.”
3.
“Breast tenderness and spotting are side effects.”
4.
“Abdominal pain is to be expected.”

ANS: 3
The nurse should instruct the client prescribed estrogen (Alora) that side effects include breast tenderness, nausea, depression, headache, and spotting (bleeding). Hot flashes do not increase with this medication. Weight gain is not a documented side effect of this medication. Abdominal pain is not an expected side effect of this medication.

PTS: 1 DIF: Apply
REF: Table 62-1 Medications Used to Treat Menstrual Disorders