Chapter 19: Alterations in Women’s Health Multiple Choice
Identify the choice that best completes the statement or answers the question. ____
1. The nurse is assessing a 70-year-old female patient in the family practice clinic. The patient states that she has been experiencing sudden heavy vaginal bleeding the past 3 months. What is the expected diagnostic procedure for this patient? 1. Cervical conization 2. Colposcopy 3. Dilation and curettage 4. Endometrial biopsy
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2. A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient’s issue? 1. Endometrial biopsy 2. Dilation and curettage 3. Colposcopy 4. Laparoscopy
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3. The telephone triage nurse receives a call from a patient who is 5 days postoperative total abdominal hysterectomy. The patient states that her pain is not relieved with the medications and that she has noticed blood in her urine. The nurse instructs the patient to report immediately to the emergency department. What does the nurse suspect as the surgical complication? 1. Possible complication related to the anesthesia 2. Possible injury to the ureters or bladder 3. Possible hemorrhage from the internal incision 4. Possible peritoneal venous thromboembolism
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4. The nurse is providing preoperative education on the laparoscope-assisted vaginal hysterectomy. Which statement by the patient verifies understanding of the procedure? 1. “I will use a mild douche solution to keep the surgical area clean.” 2. “I’m relieved that I won’t have any visible scars on my abdomen.” 3. “I understand that there will be some light vaginal bleeding for several days.” 4. “I understand that I must remain on bedrest until cleared by the surgeon.”
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5. The nurse is providing care to the 24-year-old patient in the OB/GYN clinic. The patient states that she thinks she may be pregnant because she has missed three menstrual cycles. The patient says, “This couldn’t be happening at a worse time. I have been training heavily for a triathlon in 4 months.” Which response by the nurse is most appropriate? 1. “Secondary amenorrhea, or no menses for 3 months, is not always a sign of pregnancy; it may be due to your heavy athletic activity.” 2. “Pregnancy during times of stress such as heavy athletic activity can occur when precautions are not followed.” 3. “If the pregnancy test is negative, the physician will need to perform a diagnostic Copyright © 2019 F. A. Davis Company
