Assessment of the Reproductive System (Concepts for Interprofessional Collaborative Care College Test

Assessment of the Reproductive System (Concepts for Interprofessional Collaborative Care College Test
MULTIPLE CHOICE
1. The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou test. What
instruction by the nurse is the most accurate?
a. The timing of the Pap smear does not matter.
b. Sexual intercourse will not interfere with the results.
c. Results can be interpreted immediately in the office.
d. Results are best if you do not douche 24 hours before the test.
ANS: D
In order to prevent false interpretation, the client must not douche or have sexual intercourse for at least 24
hours before the Pap smear. Timing is important, with the test scheduled between the clients menstrual periods
so that the menstrual flow does not interfere with laboratory analysis. The specimens are placed on a glass
slide and sent to the laboratory for examination and cannot be interpreted immediately.
2. The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is
cause for immediate action by the nurse?
a. Vaginal dryness
b. Need for a Papanicolaou test if none for 3 years
c. Bleeding from the vagina
d. Leakage of urine
ANS: C
Vaginal bleeding is not normal for the postmenopausal woman. Vaginal dryness and leakage of urine are
common findings in adults of this age range. Pap tests may not be needed for women over 65 who have had
regular cervical cancer testing with normal results.
3. The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy.
Which finding should be reported to the health care provider immediately?
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood on a perineal pad
d. Fatigue after anesthesia
ANS: B
Chills and fever could indicate an infection and should be reported immediately to the health care provider.
Mild cramping, spotting, and fatigue are normal findings after an endometrial biopsy.
4. A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the
gym to 2 hours each day. What is the nurses best response?
a. Do you want to talk about the need for that much exercise?
b. Exercise is healthy but can decrease body fat and cause irregular periods.

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