Title: Module 1 Quiz
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 1

Q: The client is experiencing lymphedema in the arm on the operative side after a modified radical mastectomy. Which statement indicates correct understanding of managing this problem?
- I will reduce my intake of salt and water
- I will elevate my arm on a pillow at night
- I will try to drink at least 3 liters of fluid each day
- I will wear long sleeves to prevent sun exposure.
A: I will elevate my arm on a pillow at night

Q: Which factors are considered to be indicative of a moderately increased risk of the development of breast cancer? (SELECT ALL THAT APPLY)
- High post-menopausal bone density
- Family history of one first-degree relative
- Genetic factors
- First child born after age 30
A: High post-menopausal bone density; Family history of one first-degree relative

Q: The nurse is teaching a woman's group about gynecologic cancers. Which does the nurse teach are risk factors? (SELECT ALL THAT APPLY)
- Multiple sex partners
- Obesity
- Smoking
- Delayed first intercourse
A: Multiple sex partners; Obesity; Smoking

Q: Which intervention is essential for the nurse to perform for a client who had a total abdominal hysterectomy?
- Instruct the client on a low-fat diet
- Monitor for the onset of osteoporosis
- Assess for problems with intercourse
- Teach exercises to prevent incontinence
A: Assess for problems with intercourse

Q: Which is the major reason for the high rates of mortality associated with ovarian cancer?
- The causative oncovirus is resistant to chemotherapy and radiation
- No symptoms are obvious during the early stages of the disorder
- Radiation therapy is ineffective because the ovaries are located deep in the pelvis
- Ovarian cancer occurs mostly in women over the age of 70 who have other health problems.
A: No symptoms are obvious during the early stages of the disorder

Q: When the history of a female client is taken, which client statement does the nurse refer to the health care provider?
- I had a fibroadenoma of the breast when I was 22 years old
- I had my first child when I was 26 years old, and my second when I was 32.
- I stopped using oral contraceptives when I was no longer sexually active.
- I had my menopause 2 years ago, and have started to have vaginal bleeding again
A: I had my menopause 2 years ago, and have started to have vaginal bleeding again

Q: Which symptom experienced by a woman in her 20s alerts the nurse to the possibility of endometriosis?
- Bleeding between periods
- Cessation of menstruation
- Premenstrual tension headache
- Pain before the onset of the menstrual flow
A: Pain before the onset of the menstrual flow

Q: Which of the following behaviors is indicative that a pregnant woman is being abused? SELECT ALL THAT APPLY.
- Denies that injuries occurred even with visible bruising
- Gives an implausible explanation for any injuries
- Maintains eye contact while answering questions
- Allows her partner to answer the nurse's questions
A: Denies that injuries occurred even with visible bruising; Gives an implausible explanation for any injuries; Allows her partner to answer the nurse's questions

Q: A woman's chart reads, "multiple, small, benign implantations throughout the pelvic cavity." The nurse understands this to most likely be:
- Endometriosis
- Pelvic Inflammatory Disease
- Endometritis
- Toxic Shock Syndrome
A: Endometriosis

Q: At 58 yrs of age, a GYN client present for her annual pap smear. She states her LMP (last menstrual period) was "4 months ago, but before that, it was every other month". The nurse can conclude that she is now ______________ .
- pregnant
- perimenopausal
- menopausal
- suffering from amenorrhea
A: perimenopausal

Q: A client asks the nurse to express an opinion on the value of taking hormone replacement therapy (HRT). The nurse should be aware that it is recognized that HRT is effective in which of the following situations?
- No woman should ever take HRT
- Women experiencing severe menopausal symptoms
- Women with severe coronary artery disease
- Women with a history of breast cancer
A: Women experiencing severe menopausal symptoms

Q: Which of the following instructions should be given to your client scheduled to have a routine pelvic examination with a pap smear at the Gyn office?
- Douche the morning of the exam.
- Refrain from sexual intercourse for at least 7 days prior to the exam.
- Do not douche for at least 24 hours prior to the exam
- Heavy vaginal bleeding occurs after exams
A: Do not douche for at least 24 hours prior to the exam

Q: A 21 year old sexually active female present to the emergency department with complaints of: "pain, a fever for 3-4 days, and lots of foul smelling vaginal discharge" Assessment reveals abdominal discomfort in both lower quadrants upon palpation, and pain rating of "9/10". She states she uses tampons, and believed she may have left one in for over two days!
The nurse suspects:
- ectopic pregnancy
- chlamydia
- toxic shock syndrome
- endometriosis
A: toxic shock syndrome

Q: _____________ is present in a woman's history, and should defer the midwife from suggesting an intrauterine device (IUD) hormone contraception.
- Pelvic Inflammatory Disease
- Depression
- History of smoking
- Multiple sex partners
A: Pelvic Inflammatory Disease

Q: Injectable progestins (Depo-Provera) are a good contraception choice for women who:
- Want menstrual regularity and predictability
- Have a history of thrombotic problems
- Have difficulty remembering to take oral contraceptives daily
- Want a less expensive form of birth control
A: Have difficulty remembering to take oral contraceptives daily

Q: Factors identified as predisposing a woman to yeast infections include (SELECT ALL THAT APPLY)
- Anitbiotic therapy
- Wearing cotton underwear
- Diabetes
- Immunosuppressed states
A: Anitbiotic therapy; Diabetes; Immunosuppressed states

Q: A client with pelvic inflammatory disease (PID) from gonorrhea asks how this can cause sterility. Which is the nurse's best response?
- The infection damages the ovary so that less estrogen is secreted and ovulation is not possible
- The infection remains in your body and can infect your baby, so its best if you don't become pregnant
- If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently
- The infection causes such damage to the cervix that it cannot contain a pregnancy inside the uterus
A: If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently

Q: Which should be the nursing focus for a female client during the initial outbreak of genital herpes simplex?
- Instruction on condom use
- Promotion of comfort
- Prevention of pregnancy
- Institution of isolation
A: Promotion of comfort

Q: A client has been diagnosed with chlamydia. Which medication will the nurse anticipate to be prescribed?
- Doxyxycline (Vibramycin)
- Ceftriaxone (Rocephine)
- Acyclovir (Zovirax)
- Podophyllin (Pododerm)
A: Doxyxycline (Vibramycin)

Q: The nurse is caring for a client recovering from a laparoscopy. Which assessment finding is considered a priority by the nurse?
- Slight drainage from the incision site
- Grogginess after anesthesia
- Discomfort from the catheter
- Reports of shoulder pain
A: Reports of shoulder pain