Nokea
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.
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Which factor influences older women's reluctance to seek medical care for problems of the reproductive system?
- A. Embarrassment and cultural factors
- B. Denial
- C. Religious convictions
- D. Lack of free time
Correct Answer: A
Rationale: Many older women are reluctant to seek medical care for problems of the reproductive system. This may be related to cultural factors, embarrassment, or lack of knowledge.
A patient, age 36, is scheduled for a right modified radical mastectomy. She is withdrawn and does not initiate interaction with the nurse. Which activity is the most appropriate nursing action at this time?
- A. Carefully explain the postoperative activity restrictions.
- B. Show her a diagram of what the orchiectomy will accomplish.
- C. Assure her that she will have adequate future sexual functioning.
- D. Assess her concerns related to her diagnosis and treatment.
Correct Answer: D
Rationale: A common patient problem for a patient with a reproductive disorder is having concerns related to the diagnosis and treatment of breast cancer. It is beneficial to listen to the concerns about this treatment.
At which stage of life should a male be taught testicular self-examination (TSE)?
- A. childhood
- B. pre-adolescent
- C. puberty
- D. middle age adult
Correct Answer: C
Rationale: Young men should be taught to perform TSE monthly beginning at puberty.
Which action is the sixth step in the process of the menstrual cycle to produce menses?
- A. Egg matures in the graafian follicle.
- B. Corpus luteum is formed from old follicle.
- C. Estrogen from the maturing follicle causes vascularization of the uterine lining.
- D. Anterior pituitary releases luteinizing hormone (LH), releasing the ovum.
- E. Anterior pituitary releases follicle-stimulating hormone (FSH).
- F. Corpus luteum releases estrogen and progesterone.
- G. Corpus luteum disintegrates causing a decrease in progesterone.
Correct Answer: F
Rationale: The anterior pituitary releases FHS, which allows the egg to mature in the graafian follicle; estrogen from the maturing follicle causes vascularization of the uterine lining; the anterior pituitary releases LS to release the ovum into the fallopian tubes and into the uterus; corpus luteum (made up of the old graafian follicle) releases estrogen and progesterone. The corpus luteum disintegrates, causing a decrease in progesterone and the lining of the uterus is shed as menses.
Although menopause is a normal part of aging, why do some women enter menopause at an earlier age?
- A. Having become sexually active at an early age
- B. Living at high altitudes
- C. Excessive use of alcohol
- D. Morbid obesity
Correct Answer: B
Rationale: Early menopause may be brought on at an earlier age because of living in high altitudes, smoking, cancer treatment, and family history.