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Chapter 53: Female Reproductive and Genital Problems Lewis: Medical- Surgical Nursing Test Bank Exam Practice Questions and Answers
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Chapter 53: Female Reproductive and Genital Problems Lewis: Medical- Surgical Nursing Test Bank Exam Practice Questions and Answers A 34-yr-old patient who is discussing contraceptive options with the nurse says, "I want to have children but not for a few years." Which response by the nurse is...

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  • October 23, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 53 female reproductive and genital proble

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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 53: Female Reproductive and
Genital Problems Lewis: Medical-
Surgical Nursing Test Bank Exam
Practice Questions and Answers

A 34-yr-old patient who is discussing contraceptive options with the nurse says, "I want to have children

but not for a few years." Which response by the nurse is accurate?




a. "If you do not become pregnant within the next few years, you never will."


b. "Women often have more difficulty becoming pregnant after about age 35."


c. "Stop taking oral contraceptives several years before you want to have a child."


d. "You have many more years of fertility left, so there is no rush to have children." - Ans:✔✔-ANS: B


The probability of successfully becoming pregnant decreases after age 35 years, although some patients

may have no difficulty in becoming pregnant. Oral contraceptives do not need to be withdrawn for

several years for a woman to become pregnant. Although the patient may be fertile for many years, it

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




would be inaccurate to indicate that there is no concern about fertility as she becomes older. Although

the risk for infertility increases after age 35 years, not all patients have difficulty in conceiving.


DIF: Cognitive Level: Apply (application) REF: 1242 TOP: Nursing Process: Implementation MSC: NCLEX:

Health Promotion and Maintenance


The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a couple. The woman tells the

nurse that they cannot afford IVF on her husband's salary. The man replies that if his wife worked

outside the home, they would have enough money. Which nursing diagnosis is appropriate?




a. Decisional conflict related to inadequate financial resources


b. Ineffective sexuality patterns related to psychological stress


c. Defensive coping related to anxiety about lack of conception


d. Ineffective denial related to frustration about continued infertility - Ans:✔✔-ANS: C


The statements made by the couple are consistent with the diagnosis of defensive coping. No data

indicate that ineffective sexuality and ineffective denial are problems. Although the couple is quarreling

about finances, the data do not provide information indicating that the finances are inadequate.


DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process: Diagnosis MSC: NCLEX:

Psychosocial Integrity


Page 2/37

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




(Page 519).


A young patient who is trying to become pregnant asks the nurse how to determine when she is most

likely to conceive. The nurse explains that




a. ovulation is unpredictable unless there are regular menstrual periods.


b. ovulation prediction kits can provide accurate information about ovulation.


c. she will need to bring a specimen of cervical mucus to the clinic for testing.


d. she should take her body temperature daily and have intercourse when it drops. - Ans:✔✔-ANS: B


Ovulation prediction kits indicate when luteinizing hormone (LH) levels first rise. Ovulation occurs about

28 to 36 hours after the first rise of LH. This information can be used to determine the best time for

intercourse. Body temperature rises at ovulation. Postcoital cervical smears are used in infertility testing,

but they do not predict the best time for conceiving and are not obtained by the patient. Determination

of the time of ovulation can be predicted by basal body temperature charts or ovulation prediction kits

and is not dependent on regular menstrual periods.


DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process: Implementation MSC: NCLEX:

Health Promotion and Maintenance


.


Page 3/37

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




A patient has an induced abortion with suction curettage at an ambulatory surgical center. Which

instructions will the nurse include when discharging the patient?




a. "Avoid contraceptives until your reexamination."


b. "Heavy vaginal bleeding is expected for 2 weeks."


c. "Abstain from sexual intercourse for the next 2 weeks."


d. "Irregular menstrual periods are expected for a few months." - Ans:✔✔-ANS: C


Because infection is a possible complication of this procedure, the patient is advised to avoid intercourse

until the reexamination in 2 weeks. Patients may be started on contraceptives on the day of the

procedure. The patient should call the doctor if heavy vaginal bleeding occurs. No change in the

regularity of the menstrual periods is expected.


DIF: Cognitive Level: Apply (application) REF: 1243 TOP: Nursing Process: Implementation MSC: NCLEX:

Health Promotion and Maintenance


A patient is scheduled for an induced abortion using instillation of hypertonic saline solution. Which

information will the nurse plan to discuss with the patient before the procedure?




a. The patient will require a general anesthetic.
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