OB : Ch 31

1. A patient presents to the emergency department with heavy vaginal bleeding. The nurse obtains information from the patient that this is not menstruating. How should the nurse document this finding in the patient's chart?

C. Menometrorrhagia

2. The nurse is assessing a 17-year-old female patient who has been brought into the office complaining of nausea, abdominal pain, and lightheadedness. Upon questioning from the nurse, the timing of these symptoms occurs prior to menses. What clinical condition should the nurse anticipate a work-up for?

B. Primary dysmenorrhea

A patient diagnosed with stage 1 endometriosis asks the nurse what treatment option would work best to resolve her symptoms. What is the best nursing response?

B. Combination oral contraceptives

A patient diagnosed with endometriosis is very upset at how this condition has impacted her life and ability to work and interact with her friends. How should the nurse respond to the patient's stated concerns?

D. Suggest that there are alternatives strategies that may alleviate some of her concerns.

5. A patient diagnosed with polycystic ovary syndrome (PCOS) is being evaluated at the clinic for response to therapy. What finding would best serve to indicate that therapy has been effective?

A. Hemoglobin A1c 7%

6. A patient diagnosed with polycystic ovary syndrome (PCOS) asks the nurse what she can do to lose weight. How should the nurse respond to the patient's concern?

B. "Combining calorie reduction with exercise is a combination approach that can work."

7. In reviewing the patient's chart, the nurse finds a notation referencing a Whiff test. What gynecological disorder does the nurse suspect?

C. Bacterial vaginosis

8. A 54-year-old menopausal female patient presents in the emergency department with moderate to severe vaginal bleeding and complaints of pain in her vulvar area. What priority treatment option should the nurse anticipate that the ER physician would order?

C. Referral to gynecologist

9. A group of nurses are helping to prepare educational materials for ovarian cancer symptoms to be distributed to community groups. What information should be included as it relates to PALM: Structural causes?

A. A bimanual exam can help detect abnormalities

10. A nurse is reviewing a patient's surgical history and notes that a total hysterectomy was performed. Which finding would indicate a need for this surgical intervention?

C. Cancer

11. A nurse is evaluating whether a patient understands how to perform a vulvar self-exam. Which patient statement indicates that additional teaching is needed?

D. "There should be no vaginal discharge present."

12. Which finding should the patient report to the physician if noted during a vulvar self-exam?

B. Changes in skin pigmentation

13. A patient has a frequent history of Candida infections in recent years. What finding in the patient's chart would indicate a potential etiology for this occurrence?

C. Hemoglobin A1c 10%

14. Nursing students are reviewing the key concepts related to toxic shock syndrome (TSS). Which statement made by a student indicates that additional teaching is needed?

D. "TSS is only associated with tampon use."

15. A patient diagnosed with endometriosis is being treated with leuprolide (Lupron). Which information should the nurse include in the plan of care?

A. BMD should be taken to establish baseline.

16. A patient calls the clinic and asks the nurse to clarify the results of a Vagisil Screening kit that the patient took at home. The patient reports a pH result of 7.0. How should the nurse interpret this finding?

C. The patient should make an appointment with their health-care provider

17. Which types of medications should a nurse anticipate, that can be used to treat a patient with a clinical diagnosis of endometriosis? Select all that apply.

C! "Combination oral contraceptive therapy."

D! "OTC NSAIDs as needed for symptom relief."

E! "Depo-Provera injection."

18. A 24-year-old female with a diagnosis of leiomyoma is concerned about the potential impact of medical therapy on childbearing ability. Which treatment options should be included in the plan of care? Select all that apply.

A! "Contraceptive therapy."

B! "Monitored follow-up every 3 to 6 months."

E! "Myomectomy."

19. A group of nursing students are reviewing the clinical diagnosis of endometriosis. Which anatomical sites may develop endometrial lesions? Select all that apply.

B! "Lungs."

C! "Bladder."

E! "Brain."

A nurse is reviewing the wet mount slide of a patient. What type of clinical condition should the nurse suspect?

A. Bacterial vaginosis