| Question | Answer |
| Which of the following physiologic processes is caused by estrogens? | Promotion of ovarian follicle growth |
| Progesterone maintains pregnancy but also has which of the following local effects on the body?
Select all that apply. | Increase in basal body temperature
C) Increase in secretion of aldosterone by the adrenal cortex
D) Relaxation of smooth muscle |
| Which of the following clinical manifestations is most likely to accompany a diagnosis of
vulvodynia? | Vulvar pain |
| A 21-year-old college student has sought care because of the vaginal burning, itching, and
redness that have become worse in recent weeks. Which of the clinician's assessment questions is
most likely to apply to a diagnosis of vaginitis? | “Have you ever had a sexually transmitted infection?” |
| A client visited her health care provider and was diagnosed with acute cervicitis. A clinical
manifestation that accompanies acute cervicitis may include: | Mucopurulent drainage |
| When educating a group of teenagers about sexually transmitted infections (STIs), the school
nurse also mentions that cervical cancer has been associated with which of the following viral
infections? | Human papilloma |
| A 29-year-old client had a Papanicolaou smear performed during her most recent visit to her
primary care provider. This diagnostic procedure aims to identify: | Atypical cervix cellular changes |
| A client asks the health care provider to, “Explain this brachytherapy they want to do for my
cervical cancer again.” The response should include which of the following statements? | “They will insert a radioactive device into your vagina, position it next to the cervix, so
that curative levels of radiation are directly on the cancer site.” |
| OB/GYN clinic complaining of low abdominal pain, purulent cervical
discharge, and painful intercourse. The health care worker DX pelvic
inflammatory disease. The HCW educates the client about that fact that this disease may be
associated with: | STI polymicrobial infection |
| Endometriosis is characterized by painful hemorrhagic lesions in the pelvis, which may develop
into which of the following potential complications? | Pelvic adhesions |
| A client is complaining to the health care provider about several vague signs/symptoms. Which
of the following raises a “red flag” indicating the client may have developed endometrial cancer? | Painless abnormal bleeding |
| A client comes to the OB/GYN clinic complaining of difficulty in emptying the bladder and
frequency and urgency of urination. After examination, the health care provider will likely
diagnose: | Cystocele |
| As a result of endocrine disorder, the client with polycystic ovary syndrome will like exhibit
which of the following clinical manifestations? | Male pattern baldness
B) Metabolic syndrome with insulin resistance
C) Irregular menstrual cycles |
| When explaining polycystic ovary syndrome (PCOS) to a newly diagnosed client, the health care
worker states, “This ovarian dysfunction is caused by: | Elevated LH.” |
| While taking the history of a female client complaining of irregular, very painful bleeding
occurring after menopause, the health care provider is alert to which of the following high-risk
indicators of ovarian cancer? | Never had any children |
| Which of the following complaints by middle-aged women should prompt a care provider to
assess for the possibility of ovarian cancer? | “I'm having a lot of indigestion and bloating, which I've never had before.” |
| Which of the following would be considered a structural abnormality or disease process that
could cause menstrual pain known as secondary dysmenorrhea? Select all that apply. | Endometriosis
B) Uterine fibroids |
| A college student presents to the nurse's office complaining of premenstrual syndrome. Which of
the following clinical manifestations would confirm this diagnosis? Select all that apply. | Painful, edematous breasts
C) Abdominal bloating |
| Which of the following physiologic changes results in menopause? | Cessation of ovarian function and decreased estrogen levels |
| While breast-feeding her 3-month-old infant, the mother notices the breast area is hard, inflamed,
and tender to touch. The clinic nurse explains that this is likely caused by: | Ascending bacterial infection |
| Which of the following processes is a component of the pathogenesis of proliferative breast
lesions without atypia? | Growth of ductile or lobular epithelial cells |
| While undergoing annual breast exam assessing for any manifestations of breast cancer, the
nurse will discuss which of the following factors that place the client at high risk for cancer?
Select all that apply. | Late menopause
B) First child born when she was 40 years old
E) Currently smokes approximately 2 packs/day of cigarettes |
| A client with a family history of breast cancer has just learned that she carries the BRCA1 and
BRCA2 mutation. When educating this client about follow-up care, which of the following
statements would be most appropriate? | “You should have more frequent breast evaluations using an MRI rather than standard
mammography.” |
| A nurse is conducting a healthy living workshop for a group of women in their 20s. Which of the
following screening recommendations should the nurse provide to the participants? | Clinical breast examination every 3 years until age 40 |
| A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone
therapy. What is the goal of this pharmacologic treatment? | Blocking effects of estrogen on the growth of malignant cells |
