Chapter 8 Cancers of the Female Reproductive Tract

Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman Chapter 8 Cancers of the Female Reproductive Tract 1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion? A. use of oral contraceptives between ages 18 and 25 B. onset of painless, bright red postmenopausal bleeding C. menopause occurring at age 46 D. use of intrauterine device for 3 years Answer: B Rationale: Any episode of bright red painless bleeding occurringaabfirtbe.cromm/teenstopause needs to be investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age 52) is associated with endometrial cancer. Use of an intrauterine device is not associated with endometrial cancer. Question format: Multiple Choice Chapter 8: Cancers of the Female Reproductive Tract Cognitive Level: Analyze Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 272 2. A woman is to have a Papanicolaou test. When teaching the wao bmirba .cn oma /b teo stut this test, the nurse would emphasize which instruction to the client? A. "Refrain from sexual intercourse for 1 week before the test." B. "Wear cotton panties on the day of the test." C. "Avoid taking any medications for 24 hours." D. "Do not douche for 48 hours before the test." Answer: D Rationale: The nurse should instruct the woman not to douche for 48 hours before the test to prevent washing away cervical cells, which might be abnormal. Sabeixrbu.caolmi/ntetset rcourse should be avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a Papanicolaou test. Medications do not need to be withheld before the test. Question format: Multiple Choice Chapter 8: Cancers of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 281 3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus? A. hepatitis B. human papillomavirus C. cytomegalovirus D. Epstein-Barr virus Answer: B Rationale: Human papillomavirus is a major causative factor for cervical cancer. Hepatitis, cytomegalovirus, and Epstein-Barr virus are not associated with the development of cervical cancer. Question format: Multiple Choice Chapter 8: Cancers of the Female Reproductive Tract Cognitive Level: Understand Client Needs: Physiological Integrity: Reduction of Risk Potentiaalbirb Reference: p. 276