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NURA 2100 Exam 1 Women's Health Questions and Answers

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NURA 2100 Exam 1 Women's Health Questions and Answers Rationale: TSS is caused by infection and is often associated with tampon use. Disseminated intravascular coagulation is a complication of TSS. Options 1, 2, and 4 are unrelated to the etiology of TSS. The clinic nurse has provided instruct...

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  • August 23, 2024
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  • 2024/2025
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NURA 2100 Exam 1 Women's Health
Questions and Answers

Rationale: TSS is caused by infection and is often associated with tampon use.
Disseminated intravascular coagulation is a complication of TSS. Options 1, 2, and 4
are unrelated to the etiology of TSS.

The clinic nurse has provided instructions regarding home care measures to a female
client diagnosed with pelvic inflammatory disease (PID). Which statement, if made by
the client, indicates an understanding of these measures?

1. "I need to avoid tight-fitting clothing."
2. "I need to douche once in the morning and once in the evening."
3. "I need to wear tampons instead of sanitary pads when I have my menstrual period."
4. "I need to see a health care provider (HCP) to get an intrauterine device for birth
control." - Answer-1. "I need to avoid tight-fitting clothing."

Rationale: The client who has been diagnosed with PID should avoid frequent douching
because this decreases the natural flora that controls the growth of infectious
organisms. The client should wear cotton undergarments, and clothes should not fit
tightly. Tampons, if worn, should be changed frequently but should not be used during
an acute infection. In fact, many HCPs recommend avoiding the use of tampons
indefinitely. Intrauterine devices increase the client's susceptibility to PID.

A female client is suspected of having a vaginal infection caused by the organism
Candida albicans. Which assessment question would elicit data associated with this
infection?

1. "Have you had any vaginal discharge?"
2. "Do you have any blood in your urine?"
3. "Have you had any flank pain or headaches?"
4. "Have you noticed any swelling in your feet?" - Answer-1. "Have you had any vaginal
discharge?"

Rationale: Clinical manifestations of a Candida infection include vaginal pain, itching,
and a thick white vaginal discharge. Hematuria, edema, flank pain, and headache are
clinical manifestations associated with urinary tract infections.

The nurse employed in a fertility clinic is providing information to a couple considering in
vitro fertilization. The nurse's explanation should most appropriately include which
description?

, 1. A fertilized ovum is transferred into the woman's uterus.
2. Ova and sperm are collected and immediately transferred into the woman's uterus.
3. Artificial insemination of sperm through the vagina with a syringe commonly is used.
4. Ova and sperm must be obtained from a donor other than the potential parents, and it
may take some time to locate the donor. - Answer-1. A fertilized ovum is transferred into
the woman's uterus.

Rationale: In vitro fertilization is a method of medically assisted reproduction for women
with nonpatent, diseased, or missing fallopian tubes or with infertility of unknown cause.
Ova and sperm are obtained from potential parents or donors, placed in a nutrient
medium, and allowed to incubate; then the fertilized ovum is transferred into the
woman's uterus. The woman houses the pregnancy throughout gestation and gives
birth. Option 3 describes the procedure for artificial insemination. Options 2 and 4 are
incorrect statements regarding this procedure.

The nurse is performing an assessment on a client who is suspected of having
mittelschmerz. The nurse would expect to note which assessment finding for this client?

1. Profuse vaginal bleeding
2. Pain that occurs during intercourse
3. Complaint of pain at the beginning of menstruation
4. Sharp pelvic pain occurring at 14 to 16 days after the first day of the last period -
Answer-4. Sharp pelvic pain occurring at 14 to 16 days after the first day of the last
period

Rationale: Mittelschmerz (middle pain) refers to pelvic pain that occurs midway between
menstrual periods or at the time of ovulation. The pain is caused by growth of the
dominant follicle within the ovary, or to rupture of the follicle and subsequent spillage of
follicular fluid and blood into the peritoneal space. The pain is fairly sharp in nature and
is felt on the right or left side of the pelvis. It generally lasts 1 to 3 days, and slight
vaginal bleeding may accompany the discomfort.

An adolescent seen in the health care clinic has been diagnosed with endometriosis.
The client asks the clinic nurse to describe this condition. Which response should the
nurse provide?

1. "It always causes infertility."
2. "It causes the cessation of menstruation."
3. "It is the presence of tissue outside the uterus."
4. "It is also is known as primary dysmenorrhea." - Answer-3. "It is the presence of
tissue outside the uterus."

Rationale: Endometriosis is defined as the presence of tissue outside the uterus that
resembles the endometrium in both structure and function. The response of this tissue
to the stimulation of estrogen and progesterone during the menstrual cycle is identical to
that of the endometrium. Endometriosis can lead to pelvic scarring, pain, and possible

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