Nokea
The nurse is assessing a 42-year-old patient who presents to the gynecology office with complaints of pelvic pressure, backaches, menorrhagia, and urinary frequency. The health care provider has diagnosed the patient with leiomyoma of the uterus. What are the treatment options for this condition? Select all that apply.
- A. Routine pelvic examinations to assess rate of disease process
- B. Oral contraceptives to control the bleeding and pain
- C. Myomectomy for women who desire pregnancy
- D. Hysterectomy for women who do not desire pregnancy
Correct Answer: B
Rationale: - Oral contraceptives are a common treatment option for leiomyoma of the uterus to help control the bleeding and pain associated with the condition.
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A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation for this physiologic change?
- A. Overproduction of colostrum
- B. Accumulation of milk in the lactiferous ducts and glands
- C. Hyperplasia of mammary tissue
- D. Congestion of veins and lymphatic vessels
Correct Answer: D
Rationale: Breast engorgement is caused by the temporary congestion of veins and lymphatic vessels.
A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related?
- A. Endometriosis
- B. PMS
- C. Primary dysmenorrhea
- D. Secondary dysmenorrhea
Correct Answer: A
Rationale: Endometriosis can cause severe pelvic pain dysmenorrhea dyspareunia and infertility. These symptoms are most indicative of endometriosis.
Which statement is the most complete and accurate description of medical abortions?
- A. Medical abortions are performed only for maternal health.
- B. They can be achieved through surgical procedures or with drugs.
- C. Medical abortions are mostly performed in the second trimester.
- D. They can be either elective or therapeutic.
Correct Answer: D
Rationale: Medical abortions can be either elective (the woman's choice) or therapeutic (for maternal or fetal health). They are typically performed in the first trimester using medication.
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
- A. “I will avoid wearing a bra until I feel better.”
- B. “I should take steps to stop smoking cigarettes.”
- C. “Applying an ice pack to my breasts can help reduce pain.”
- D. “I should take the prescribed antibiotics until I feel better.”
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.
What is the most common reproductive tract cancer associated with pregnancy?
- A. Cervical
- B. Uterine
- C. Ovarian
- D. Fallopian tube
Correct Answer: A
Rationale: The incidence of cervical cancer concurrent with pregnancy is reported to be 1 in 2000 pregnancies, making it the most common reproductive tract cancer associated with pregnancy.