UNIT TEST 4
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Which statement by a patient indicates a need for additional teaching about the “morning-after pill”? 1. “It has to be taken within 72 hours after unprotected sex.” 2. “It works by preventing ovulation, implantation, or fertilization.” 3. “It may cause nausea and vomiting, so I should take an antiemetic.” 4. “It can be used to terminate a first trimester pregnancy.” | show 🗑
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| Male reproductive disorders are commonly treated by a: 1. specialist. 2. urologist. 3. family practice provider. 4. nurse practitioner. | show 🗑
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| When should a female start having routine pelvic exams and Pap smears? 1. As soon as she becomes sexually active or at age 20 2. At age 16, if she has family history of cervical cancer 3. At age 21 4. Whenever she starts her menstrual periods | show 🗑
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| show | 1. Contraception will still need to be used until two sperm counts are negative.
3. Scrotal pain and swelling can be treated with NSAIDs and ice for the first 12–24 hours post-procedure.
4. Some form of scrotal support will help with discomfort.
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| Which information should be included when collecting sexual health information? (Select all that apply.) 1. Whether sexually active 2. Type of contraception used 3. History of sexually transmitted infections 4. History of urinary tract infections 5. Number of sexual partners | show 🗑
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| Pelvic relaxation syndrome may lead to: 1. abdominal pain. 2. cervical dysplasia. 3. metrorrhagia. 4. a cystocele. | show 🗑
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| show | 4. Has decreased vaginal lubrication.
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| Older women who are, or have been, on long-term hormone replacement therapy are at increased risk for: (Select all that apply.) 1. metrorrhagia. 2. breast cancer. 3. oligomenorrhea. 4. endometrial cancer. | show 🗑
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| show | 1. Vascular
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| show | 2. ensuring a welcoming and safe environment for all patients.
3. use neutral and inclusive language with all patients.
5. be aware of biases and communication barriers to care.
6. honor and respect whatever information the patient shares regarding sexual orientation and gender identity.
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| show | Vulva
Mons pubis
Labia majora-Outer Lips hair follicles are present
Labia minora-Inner Lips-No hair follicles
Clitoris
Urethral meatus
Vaginal vestibule-vaginal opening
Perineum
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| Female Reproductive System -Primary internal structures | show 🗑
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| Female Reproductive System -Accessory organs | show 🗑
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| show | Follicular phase-14 days
Luteal phase 15-28 days
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| Follicular phase | show 🗑
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| show | LH and progesterone are the primary hormones released in this phase.
The blood supply to the uterus increases in preparation for possible implantation of a fertilized ovum.
If fertilization and implantation do not occur, the lining of the uterus will degrade and be shed during menstruation, and the cycle begins again.
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| What is Menarche? | show 🗑
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| Female puberty usually begins | show 🗑
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| Perimenopausal | show 🗑
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| When is menopause confirmed? | show 🗑
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| show | 2.involving family members.
4.using a polite tone of voice.
5.respecting her privacy.
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| What are the 5 P's? | show 🗑
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| A patient presents to the clinic stating that she is having problems with heavy periods with bleeding between periods, painful bowel movements, and painful sexual intercourse. You expect her to be treated for: 1. an inflammation of the lower genital tract. 2. leiomyoma. 3. endometriosis. 4. menorrhagia. | show 🗑
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| An intrauterine medication to treat dysmenorrhea is: 1. an intrauterine device. 2. levonorgestrel-releasing system. 3. mefenamic acid. 4. COX-2 inhibitor. | show 🗑
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| show | 2. Trastuzumab (Herceptin)
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| show | 1. family history of relatives with breast cancer.
2. early menarche, late menopause.
3. late first pregnancy or no children.
4. abnormal cells in previous breast biopsy.
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| Osteoporosis (a decrease in bone mass) puts the postmenopausal woman at increased risk for bone fracture. Lifestyle activities that increase this risk include: (Select all that apply.) 1. inadequate lifetime intake of calcium and vitamin D. 2. taking vitamin C and iron supplements. 3. smoking. 4. sleeping 9–10 hours night. 5. excess alcohol and/or caffeine intake. | show 🗑
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| show | 4. a cystocele (a condition where the bladder bulges into the vagina).
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| show | 3. Hemoglobin and hematocrit
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| show | 2. cervical or uterine cancer.
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| show | 1. doing aerobic exercises when the discomfort first starts.
3. using a heating pad and doing pelvic rock exercises.
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| show | 4. production of prostaglandins.
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| show | 3. controlled weight loss and wearing a support bra.
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| Primary Dysmenorrhea | show 🗑
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| Secondary Dysmenorrhea | show 🗑
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| Which nursing intervention(s) would help relieve symptoms of dysmenorrhea? (Select all that apply.) 1.Pelvic-rock exercises 2.Cold compresses 3.Effleurage 4.Low-fat diet 5.Prostaglandin inhibitors (NSAIDS) | show 🗑
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| show | Inability to conceive a child after at least 1 year of active, unprotected sexual relations without contraceptive.
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| Secondary infertility | show 🗑
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| Leiomyoma | show 🗑
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| NSAIDS for dysmenorrhea (why) | show 🗑
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| show | Risk factors include the prolonged use of high-absorbency tampons, cervical caps, or diaphragms.
Symptoms:
Sudden spiking fever, flu-like symptoms, hypotension, generalized rash resembling a sunburn, and peeling skin on the palms or soles
Treatment:
Hospitalization and intensive care with supportive treatments and intravenous antimicrobials.
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| show | 1. “Eliminate alcohol and caffeine.”
3. “Reduce fat in the diet.”
4. “Take nonsteroidal anti-inflammatory agents.”
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| show | Family history of relative with breast cancer
Early menarche, late menopause
Late first pregnancy or no children
Abnormal cells in previous breast biopsy
Obesity
Environmental exposure to hormone-modulating chemicals, polycyclic aromatic hydrocarbons
Inherited BRCA1 or BRCA2 gene
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| What can happen if a nurse does a BP reading in the arm on the same side of a patient that has a mastectomy and lymph node removal? | show 🗑
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| show | Do not assess blood pressure in the affected arm.
Do not give injections or do venipuncture in the affected arm.
Provide meticulous skin care.
Teach the patient to wear gloves in the kitchen and when gardening to prevent skin irritation or injury.
Teach the patient to avoid heavy lifting.
Wear a compression garment during strenuous activities.
Elevate and exercise the arm daily.
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| Testicular examination environment | show 🗑
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| When discussing prostate cancer with a patient who has a strong family history of the disorder and BPH, the nurse tells him that which medication is used to help prevent prostate cancer? 1. Finasteride 2. Doxazosin 3. Terazosin 4. Tamsulosin | show 🗑
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| When considering complementary and alternative therapy for prostate cancer, which is true? 1. Plant extracts should not be taken if the patient is receiving hormone therapy. 2. It is best to train the body to hold urine for an increasingly longer duration. 3. Research has proven that saw palmetto helps relieve symptoms. 4. Surgery is the only way to improve symptoms. | show 🗑
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| show | 1. Hematuria
2. Incontinence
4. Urinary tract infections
5. Urinary retention
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| show | 2. “Prostate cancer is a very slow-growing cancer.”
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| show | 3. Potential for bleeding due to surgery.
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| show | 4. Prostate needle biopsy
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| Nocturia is a common symptom experienced by males, resulting from: 1. use of condoms for contraception. 2. BPH. 3. a high-fiber diet. 4. taking an antiestrogen agent | show 🗑
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| Silodosin (Rapaflo) is prescribed, and the nurse explains to the patient that it: 1. lowers testosterone levels. 2. lowers PSA levels. 3. decreases the prostate size by 50%. 4. promotes relaxation of smooth muscle. | show 🗑
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| The nurse teaches a patient that a potential side effect of tamsulosin (Flomax) is postural hypotension and that he should: 1. take his blood pressure each day. 2. change positions slowly to prevent dizziness. 3. call the office if he starts having headaches. 4. rest for half an hour each afternoon. | show 🗑
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| show | 2. Avoid bladder stimulants such as alcohol and spicy foods.
3. Avoid strenuous exercise for 2–3 weeks after surgery.
4. Keep follow-up appointments.
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| show | 2. Provide perineal and Foley care after insertion.
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| show | Impotence: The inability to consistently achieve or maintain an erection that is firm enough for sexual intercourse
Treatment:
Phosphodiesterase (PDE-5) taken about 1 h before intercourse
Complementary and alternative therapies
Sexual therapy
Penile implants
Negative pressure (vacuum constrictive devices)
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| What is the primary intervention for ED? | show 🗑
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| show | Occurs when the ejaculation reflex is not controlled and the release of semen occurs before release is desired
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| Retrograde ejaculation | show 🗑
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| Hydrocele | show 🗑
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| Varicocele | show 🗑
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| show | Twisting of the testes and spermatic cord
Signs include sudden acute scrotal pain and an absence of the cremasteric reflex- a superficial reflex found in males that involves the contraction of the cremaster muscle, resulting in the elevation of the testicle.
To prevent testicular ischemia and necrosis, emergency surgery can be performed to secure the testicle within the scrotum, or to remove the testicle if necessary.
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| Epididymitis | show 🗑
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| Orchitis | show 🗑
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| show | Type I: acute bacterial prostatitis
Type II: chronic bacterial prostatitis
Type III: nonbacterial prostatitis or chronic pelvic pain syndrome
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| show | Flat muscular surface anterior to the anus
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| show | Form the pathway for the ovum
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| show | Tube that conducts sperm from the testes to the vas deferens
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| show | Attaches the testes to the body
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| show | Hollow pear-shaped organ with a thick muscular wall
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| show | Onset of menstruation
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| show | Produce a fluid that nourishes sperm
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| Prostate gland | show 🗑
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| show | Milk production
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| show | Male sex hormones
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| show | Benign Prostatic Hyperplasia. It is a condition where the prostate gland, located below the bladder in men, enlarges and can press on the urethra, causing urinary problems.
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| PSA | show 🗑
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| show | Testicular Self-Examination
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| TURP | show 🗑
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