Ch 52: Care of the Patient with a
Reproductive Disorder Midterm Exam
Questions And Already Passed Answers.
1. The nurse admits a patient, age 72, who is scheduled for a vaginal hysterectomy. In what position will
this patient be placed in the operating room for her surgery?
a. Lateral
b. Lithotomy
c. Trendelenburg
d. Supine - Answer ANS: B
The patient is placed in a lithotomy position, and the uterus is removed through the vagina.
REF: Page 1805 TOP: Hysterectomy
2. On the second postoperative day, a 63-year-old patient who has had an abdominal hysterectomy
complains of gas pains and abdominal distention. She has not had a bowel movement since surgery.
Which nursing intervention will best stimulate peristalsis and relieve distention?
a. Offering carbonated beverages
b. Encouraging ambulation at least four times per day
c. Administering a 1,000-mL soapsuds enema
d. Applying an abdominal binder - Answer ANS: B
Early ambulation is very helpful to return the bowel to normal function.
REF: Page 1806 TOP: Hysterectomy
3. A patient tells the nurse that his wife, who has been diagnosed with inoperable ovarian cancer, is
talking about dying and fear of death. He asks the nurse for suggestions that will be of assistance to his
wife. Which response by the nurse would be most helpful?
a. "Your wife will probably die of another disease before she dies of ovarian cancer."
,b. "Talk of death is normal at this time but will diminish in the future."
c. "Your wife is expressing an acceptance of utilizing hospice care."
d. "It is perfectly normal to want to talk about death. It is most helpful to support her by listening." -
Answer ANS: D
In patients with inoperable cancer, a nursing diagnosis of Fear related to diagnosis of cancer is
appropriate. Assisting patients with recognizing and clarifying fears and with developing coping
strategies for those fears by listening is helpful.
REF: Page 1805-1806, Nursing Diagnoses boxes TOP: Ovarian cancer
4. A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo- oophorectomy for
endometriosis. She asks the nurse if she will have "hot flashes."
The nurse's response is based on the knowledge that
a. only the uterus was removed, and the ovaries are still producing estrogen.
b. the patient is too young to have hot flashes associated with menopause.
c. the uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced
menopause.
d. the uterus and fallopian tubes were removed, and she will not experience "hot flashes." - Answer
ANS: C
A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus,
fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce
menopause and hot flashes may occur.
REF: Page 1805 TOP: Hysterectomy
5. On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with
her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will
not be in love with her anymore. The nurse bases subsequent nursing interventions on diagnosis?
a. Disturbed body image related to removal of her breast
b. Deficient knowledge related to inadequate education
c. Impaired social interaction related to depression
, d. Fear related to the cancer diagnosis and surgical intervention - Answer ANS: A
After losing a breast, many patients experience grief over the loss of a body part. The process of grieving
is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping
mechanisms.
REF: Page 1816, NCP 52-1
TOP: Mastectomy Step: Planning
6. The discharge instructions should include arm exercises for which postoperative patient?
a. Vaginal hysterectomy
b. Hydrocelectomy
c. Modified radical mastectomy
d. Unilateral orchiectomy - Answer ANS: C
Patients who have undergone a modified radical mastectomy should be instructed to avoid sleeping on
the involved arm. An exercise regimen, built up gradually, can help reduce lymphedema.
REF: Page 1815, Box 52-7, Figure 52- 16
TOP: Mastectomy Step: Planning
7. A 20-year-old college student regularly uses tampons while she is menstruating. She asks the nurse
what outstanding sign she should report that might indicate toxic shock syndrome. The most correct
response by the nurse would be to observe for
a. sudden hypotension.
b. malodorous vaginal discharge.
c. increased abdominal girth.
d. sudden elevated temperature. - Answer ANS: D
The patient may have an elevated temperature (up to 102° F).
REF: Page 1795 TOP: Toxic shock syndrome (TSS)
Reproductive Disorder Midterm Exam
Questions And Already Passed Answers.
1. The nurse admits a patient, age 72, who is scheduled for a vaginal hysterectomy. In what position will
this patient be placed in the operating room for her surgery?
a. Lateral
b. Lithotomy
c. Trendelenburg
d. Supine - Answer ANS: B
The patient is placed in a lithotomy position, and the uterus is removed through the vagina.
REF: Page 1805 TOP: Hysterectomy
2. On the second postoperative day, a 63-year-old patient who has had an abdominal hysterectomy
complains of gas pains and abdominal distention. She has not had a bowel movement since surgery.
Which nursing intervention will best stimulate peristalsis and relieve distention?
a. Offering carbonated beverages
b. Encouraging ambulation at least four times per day
c. Administering a 1,000-mL soapsuds enema
d. Applying an abdominal binder - Answer ANS: B
Early ambulation is very helpful to return the bowel to normal function.
REF: Page 1806 TOP: Hysterectomy
3. A patient tells the nurse that his wife, who has been diagnosed with inoperable ovarian cancer, is
talking about dying and fear of death. He asks the nurse for suggestions that will be of assistance to his
wife. Which response by the nurse would be most helpful?
a. "Your wife will probably die of another disease before she dies of ovarian cancer."
,b. "Talk of death is normal at this time but will diminish in the future."
c. "Your wife is expressing an acceptance of utilizing hospice care."
d. "It is perfectly normal to want to talk about death. It is most helpful to support her by listening." -
Answer ANS: D
In patients with inoperable cancer, a nursing diagnosis of Fear related to diagnosis of cancer is
appropriate. Assisting patients with recognizing and clarifying fears and with developing coping
strategies for those fears by listening is helpful.
REF: Page 1805-1806, Nursing Diagnoses boxes TOP: Ovarian cancer
4. A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo- oophorectomy for
endometriosis. She asks the nurse if she will have "hot flashes."
The nurse's response is based on the knowledge that
a. only the uterus was removed, and the ovaries are still producing estrogen.
b. the patient is too young to have hot flashes associated with menopause.
c. the uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced
menopause.
d. the uterus and fallopian tubes were removed, and she will not experience "hot flashes." - Answer
ANS: C
A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus,
fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce
menopause and hot flashes may occur.
REF: Page 1805 TOP: Hysterectomy
5. On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with
her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will
not be in love with her anymore. The nurse bases subsequent nursing interventions on diagnosis?
a. Disturbed body image related to removal of her breast
b. Deficient knowledge related to inadequate education
c. Impaired social interaction related to depression
, d. Fear related to the cancer diagnosis and surgical intervention - Answer ANS: A
After losing a breast, many patients experience grief over the loss of a body part. The process of grieving
is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping
mechanisms.
REF: Page 1816, NCP 52-1
TOP: Mastectomy Step: Planning
6. The discharge instructions should include arm exercises for which postoperative patient?
a. Vaginal hysterectomy
b. Hydrocelectomy
c. Modified radical mastectomy
d. Unilateral orchiectomy - Answer ANS: C
Patients who have undergone a modified radical mastectomy should be instructed to avoid sleeping on
the involved arm. An exercise regimen, built up gradually, can help reduce lymphedema.
REF: Page 1815, Box 52-7, Figure 52- 16
TOP: Mastectomy Step: Planning
7. A 20-year-old college student regularly uses tampons while she is menstruating. She asks the nurse
what outstanding sign she should report that might indicate toxic shock syndrome. The most correct
response by the nurse would be to observe for
a. sudden hypotension.
b. malodorous vaginal discharge.
c. increased abdominal girth.
d. sudden elevated temperature. - Answer ANS: D
The patient may have an elevated temperature (up to 102° F).
REF: Page 1795 TOP: Toxic shock syndrome (TSS)
