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Chapter 54 Nursing Management Female Reproductive Problems

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Chapter 54 Nursing Management Female Reproductive Problems
Chapter 54: Nursing Management: Female Reproductive Problems
Test Bank
MULTIPLE CHOICE
1. A 34-year-old woman 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 appropriate?
a. “If you do not become pregnant within the next few years, you never will.”
b. “You may have more difficulty becoming pregnant after about age 35.”
c. “You have many years of fertility left, so there is no rush to have children.”
d. “You should plan to stop taking oral contraceptives several years before you want to become pregnant.”
ANS: B

The probability of successfully becoming pregnant decreases after age 35, although some patients may have no difficulty in becoming pregnant.
…show more content…
Which topic will the nurse include in the preoperative teaching for a patient admitted for an

abdominal hysterectomy?
a. Purpose of ambulation and leg exercises
b. Adverse effects of systemic chemotherapy
c. Decrease in vaginal sensation after surgery
d. Symptoms caused by the drop in estrogen level
ANS: A

Venous thromboembolism (VTE) is a potential complication after the surgery, and the nurse will instruct the patient about ways to prevent it. Vaginal sensation is decreased after a vaginal hysterectomy but not after abdominal hysterectomy. Leiomyomas are benign tumors, so chemotherapy and radiation will not be prescribed. Because the patient will still have her ovaries, the estrogen level will not decrease.
DIF: Cognitive Level: Apply (application)
REF:
1298
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
27. A 54-year-old patient is on the surgical unit after a radical abdominal hysterectomy. Which

finding is most important to report to the health care provider?
a. Urine output of 125 mL in the first 8 hours after surgery
b. Decreased bowel sounds in all four abdominal quadrants
c. One-inch area of bloody drainage on the abdominal

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