1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Female Reproductive Problems Chapter 54

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.While teaching a health promotion class to a group of women, the nurse identifies that which of the following patients is most at risk for cervical cancer? 1.A 40-year-old who began menstruating at age 9 2.A 32-year-old who has had about 10 sexual partners 3.A 38-year-old who has used oral contraceptives for 20 years 4.A 24-year-old recently diagnosed with genital herpes simplex virus type 2 (HSV-2)

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.A menopausal woman decides not to use hormone replacement therapy (HRT). To decrease the serious effects of menopause, the nurse teaches the patient to 1.supplement her diet with vitamin E. 2.maintain a high-protein, low-fat diet. 3.maintain a calcium intake of 800 mg daily. 4.engage in regular aerobic, weight-bearing exercise.

4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A total abdominal hysterectomy is scheduled for a 42-year-old woman with multiple uterine leiomyomas. During preoperative teaching, it is important for the nurse to inform the patient that 1.correct use of the patient-controlled analgesia (PCA) machine will prevent postoperative pain. 2.a retention catheter will be used to help her maintain bed rest during the first several postoperative days. 3.she will need to take estrogen replacement therapy postoperatively to prevent symptoms of surgical menopause. 4.leg exercises with early and frequent ambulation are necessary to prevent common complications of hysterectomy.