Chapter 7 Benign Disorders of the Female Reproductive Tract

Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman Chapter 7 Benign Disorders of the Female Reproductive Tract 1. A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find? A. sporadic vaginal bleeding accompanied by chronic pelvic pain B. heavy leukorrhea with vulvar pruritus C. menstrual irregularities and hirsutism on the chin D. stress incontinence with feeling of low abdominal pressure Answer: D Rationale: Cystocele and rectocele are examples of pelvic organ apbrirobl.caopms/ete.sMt anifestations typically include stress incontinence and lower abdominal pressure or pain. Complaints of sporadic vaginal bleeding and chronic pelvic pain are associated with uterine fibroids. Leukorrhea and vulvar pruritus commonly are associated with an infection. Menstrual irregularities and hirsutism are associated with polycystic ovarian abs iry b.n cod mro /temste. Question format: Multiple Choice Chapter 7: Benign Disorders of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 240 2. To assist the woman in regaining control of the urinary sphinc a tebi r rba .cf o t mer/teb s l tadder surgery, the nurse should teach the client to perform which action? A. Perform Kegel exercises daily. B. Void every hour while awake. C. Limit the intake of fluid. D. Take a laxative every night. Answer: A Rationale: After bladder surgery, the client should perform Kegel exercises daily to strengthen the pelvic floor muscles. Bladder training with voiding every 3 toab5irbh.cooumr/tsesht elps to establish normal voiding intervals. Fluids should not be limited; however, the woman should avoid fluids that are irritants, such as caffeinated fluids, soda, and alcohol. Constipation is to be avoided, but a highfiber diet rather than daily laxative use is recommended. Question format: Multiple Choice Chapter 7: Benign Disorders of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potentiaalbirb Reference: p. 240 3. When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated? A. ambulating the client B. massaging the client's legs C. applying elasticized stockings D. encouraging range-of-motion exercises Answer: B Rationale: After an abdominal hysterectomy, massaging the client's legs would be contraindicated because the woman is at risk for venous stasis, thrombophlebitis, and thromboembolism. Ambulation, elasticized stockings, and range-of-motion exercises would be appropriate to reduce the woman's risk for thrombophlebitis. Question format: Multiple Choice Chapter 7: Benign Disorders of the Female Reproductive Tract