Question 1 of 9
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A patient with polycystic ovarian syndrome may experience symptoms caused by which hormonal imbalance?
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- Decreased estrogenExcess (not decreased) estrogen occurs.
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- Increased testosteronePolycystic ovarian syndrome is a congenital condition in which many cysts develop on one or both ovaries and produce excess estrogen; high levels of testosterone occur.
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- Increased progesteroneProgesterone is not affected by polycystic ovarian syndrome.
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- Increased human chorionic gonadotropin (HCG)Polycystic ovarian syndrome does not affect HCG.
Question 2 of 9
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A female patient reports fullness in the pelvis, backache, dyspareunia, and stress incontinence. What does the nurse suspect is the most likely causing the symptoms?
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- RectoceleA rectocele is more likely to cause constipations, soiling, or painful defecation.
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- Urinary tract infection (UTI)A UTI can lead to pelvic and back discomfort if it has spread to the kidneys; however, it is unlikely to cause stress incontinence.
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- Uterine prolapseA uterine prolapse is most likely to cause pelvic fullness, backache, dyspareunia, and stress incontinence in women.
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- EndometriosisEndometriosis is known to cause painful periods, pelvic pain and cramping, and infertility. It can lead to dyspareunia as well.
Question 3 of 9
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A patient was diagnosed with a rectocele. Which surgical option would be appropriate?
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- ColporrhaphyA colporrhaphy will repair the walls of the vagina if the rectum has prolapsed into the vagina.
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- ConizationConization is the removal of the cone of abnormal or early cancerous tissue.
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- Dilation and evacuationD&E is used to scrape away the inner lining of the uterus via the cervix.
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- FistulectomyA fistulectomy is the surgical repair of a fistula to prevent the passage of feces and urine into the vagina.
Question 4 of 9
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Which factor increases the risk for developing ovarian cancer? Select all that apply. One, some, or all responses may be correct.
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- Asbestos exposureExposure to asbestos, talc powder, pelvic irradiation, or mumps has been linked to the development of ovarian cancer.
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- BreastfeedingBreastfeeding can prevent ovarian cancer.
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- Hormone therapyHormone therapy has been linked to the development of ovarian cancer.
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- Term pregnanciesOne or more term pregnancies can prevent the development of ovarian cancer.
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- Presence of BRCA1 geneInheriting the BRCA1 or BRCA2 gene have been associated with the development of ovarian cancer.
Question 5 of 9
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A patient is scheduled to undergo a salpingectomy. The nurse understands this procedure involves the removal of which organ?
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- VulvaThe removal of all or part of the vulva is called a vulvectomy.
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- UterusThe removal of the entire uterus is called a hysterectomy.
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- OvaryThe removal of an ovary is called an oophorectomy.
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- Fallopian tubeThe removal of a fallopian tube is called a salpingectomy.
Question 6 of 9
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A nurse is educating a patient regarding abnormal uterine bleeding. Which statement by the patient indicates a need for further education?
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- “The doctor will monitor my labs because I am losing blood.”Monitoring the hemoglobin and hematocrit is essential because of the excessive amount of bleeding.
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- “It is likely this is related to my menstrual cycle.”Abnormal uterine bleeding is not related to the menstrual period.
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- “My polycystic ovarian syndrome (PCOS) could be causing this.”Bleeding from continuous estrogen production can occur as a result of PCOS.
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- “I might have to start a medication to get the bleeding under control.”Severe bleeding may be treated with IV Premarin until the bleeding stops or slows down significantly.
Question 7 of 9
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Which method of treating uterine fibroids can have a negative effect on fertility?
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- MyolysisMyolysis is laser or electrosurgical destruction of the fibroids and may preserve fertility.
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- MyomectomyA myomectomy is the removal of the fibroids from the uterine wall and allows for positive pregnancy outcomes in the future.
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- Hysteroscopic endometrial ablationA hysteroscopic endometrial ablation is a nonsurgical technique that involves resection of fibroids, followed by scraping and burning of the tissue and significantly reduces future fertility.
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- MRgFUSMagnetic resonance-guided focused ultrasound surgery (MRgFUS) helps reduce the symptoms of premenopausal uterine fibroids with a rapid return to quality of life and secures female fertility.
Question 8 of 9
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The nurse is educating a student about the difference between bacterial vaginosis and a yeast infection. Which statement made by the student indicates an understanding of the information?
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- Bacterial vaginosis infections are often caused by Candida.Candida is the causative organism responsible for yeast infections.
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- Yeast infections often cause a fishy odor.Bacterial vaginosis often causes a fishy odor.
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- Bacterial vaginosis can cause vulvar edema.Yeast infections generally cause redness, excoriation, and edema from the scratching, whereas bacterial vaginosis does not invade the vaginal wall.
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- Yeast infections can cause horrible itching.This is accurate and the most prominent symptom of a yeast infection.
Question 9 of 9
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Which assessment finding would a nurse expect to see in a patient with toxic shock syndrome (TSS)? Select all that apply. One, some, or all responses may be correct.
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- HR = 62Tachycardia will most likely occur with a fever. This is a normal to slow heart rate.
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- BP = 90/50Hypotension is a common symptom of TSS.
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- Peeling skin on the palmsPeeling skin on the palms or soles is a late symptom of TSS.
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- Localized rashA diffuse, red, macular rash resembling a sunburn is likely to occur with TSS.
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- ConfusionConfusion and disorientation can occur as a result of encephalopathy because of TSS.
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- Temperature = 102.5°FA sudden, spiking fever is likely to occur with TSS.
