OB : Ch 33

1. A patient appears upset after her visit with the gynecologist because she believes that she has cancer. The nurse reviews the physician's notes from the office visit that indicates that there is metaplasia. What is the best nursing response?

C. Reassure the patient that this is a normal process of cellular growth.

2. A group of nursing students are reviewing female anatomy of the cervix. Which area would be most susceptible to cancer growths?

D. Transformation zone.

3. A 30-year-old female presents to the gynecologist office for a wellness checkup. What tests does the nurse anticipate that the health-care provider will perform?

B. Pregnancy test, urinalysis, Pap and HPV tests

4. Which patient should the nurse identify as requiring a Pap test based on current screening recommendations for cervical cancer?

D. 65-year-old female with a history of systemic lupus

5. A patient has been scheduled for a LEEP procedure based on results of a Pap test but is not quite sure what that entails. What is the best explanation that the nurse can provide to the patient?

C. Removal of abnormal tissue is done during this procedure.

6. A patient has had a conization procedure of the cervix performed. Which assessment finding would indicate to the nurse that follow up is needed by the health-care provider?

D. Menses started 1 week following procedure with heavy flow

7. Which of these findings would alert the nurse to an increased risk of a patient having human papillomavirus (HPV)?

B. 24-year-old female whose boyfriend is 40 years of age

8. Which statement if made by a nursing student concerning women having sex with women (WSW) would indicate that additional teaching was needed relative to human papillomavirus (HPV) infection?

D. WSW are more likely to be compliant with gynecological health screenings.

9. A nurse is assessing a group of women who have come to the family health clinic for wellness checkup. Which assessment finding should alert the nurse to a potential risk factor for the development of cervical cancer?

C. Gravida 4 para 4, all vaginal deliveries with no complication, delivered at term

10. Based on current research, which statement is accurate related to the HPV-cervical cancer link in women?

B. Compliance with Pap test screening helps to identify potential problems in a timely manner.

11. A 38-year-old female patient presents to the clinic stating that she is concerned about the possibility of getting cervical cancer due to a family history. The patient denies any physical complaints. What is the best nursing action?

A. Ask the patient about menstrual history, flow, and frequency.

12. Which finding observed by the nurse in a patient following radiation therapy would alert the nurse to a potential complication?

B. Skin tenting noted

13. Which patient would be at a potential risk for cancer if CA-125 antigen levels were increased?

C. 48-year-old female who has gone through surgical menopause

14. A group of nurses are reviewing information about ovarian cancer. What health promotion strategy would be most effective in educating the public about this disease?

B. Surgical intervention is required for staging and treatment

15. Which finding should alert the nurse to suspect that the patient may have ovarian cancer?

D. Protuberant abdomen

16. What information should the nurse include in a community presentation on ovarian cancer?

C. Being aware of one's body changes and report any concerns

17. Which statements are accurate related to cervical cytology screening grading? Select all that apply

A! "All categories indicate abnormal findings but may not represent cancer pathology."

B! "A CIS result does not indicate metastasis."

E! "Cancer identified via cervical screening is rarely seen in well-developed countries."

18. Which findings would indicate an increased risk for a patient to develop cervical cancer? Select all that apply.

C! "Trying to stop smoking has decreased from two packs a day to one pack a day."

E! "Sister was previously diagnosed and treated for cervical cancer."

19. Which findings are seen in a patient who has been diagnosed with subclinical HPV infection? Select all that apply.

A! "Cervical dysplasia is noted."

B! "Acetowhitening is present."

C! "Corresponding confirmed tissue biopsy."

20. Prioritize the following nursing actions that would be used for a patient who is to undergo a colposcopy. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)

4. Have patient empty their bladder

2. Assist to dorsal lithotomy position

1. Insertion of vaginal speculum

3. Lidocaine administration may be needed