Gyn Quiz — Practice Questions
A school nurse is presenting information on human development and sexuality.
When describing the role of hormones in sexual development, which hormone
does the nurse teach the class is the most important one for developing and
maintaining the female reproductive organs?
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A) Estrogen
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B) Progesterone
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C) Androgens
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D) Follicle-stimulating hormone
A premenopausal patient is complaining of vaginal spotting and sharp, colicky
lower abdominal pain. She informs the nurse that her period is 2 weeks late. The
nurse should recognize a need for this patient to be investigated for what health
problem?
● A) Trichomonas vaginalis
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B) Ectopic pregnancy
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C) Cervical cancer
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D) Fibromyalgia
A nurse presenting an educational event for a local community group is addressing
premenstrual syndrome (PMS). What treatment guideline should the nurse teach
this group?
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A) Avoid excessive fluid intake.
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B) Increase the frequency and intensity of exercise.
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C) Limit psychosocial stressors in order to reduce symptoms.
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D) Take opioid analgesics as ordered.
A nurse is collecting assessment data from a premenopausal patient who states
that she does not have menses. What term should the nurse use to document the
absence of menstrual flow?
● A) Amenorrhea
●
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B) Dysmenorrhea
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C) Menorrhagia
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D) Metrorrhagia
A patient in her late fifties has expressed to the nurse her desire to explore
hormone replacement therapy (HRT). Based on what aspect of the patients health
history is HRT contraindicated?
● A) History of vaginal dryness
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B) History of hot flashes and night sweats
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C) History of vascular thrombosis
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D) Family history of osteoporosis
The school nurse is presenting a class on female reproductive health. The nurse
should describe what aspect of Pap smears?
● A) The test may be performed at any time during the patients menstrual
cycle.
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B) The smear should be done every 2 years.
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C) The test can detect early evidence of cervical cancer.
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D) Falsepositive Pap smear results occur mostly from not douching before the
examination.
A 51-year-old woman has come to the OB/GYN clinic for her annual physical. She
tells the nurse that she has been experiencing severe hot flashes, but that she is
reluctant to begin hormone therapy (HT). What potential solution should the nurse
discuss with the patient?
● A) Sodium restriction
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B) Adopting a vegan diet
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C) Massage therapy
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D) Vitamin supplements
A newly pregnant patient is being assessed in an obstetric clinic. The patient
states that she has been experiencing intense abdominal pain and the nurse
anticipates that the patient will be assessed for ectopic pregnancy. In addition to
ultrasonography, what diagnostic test should the nurse anticipate?
● A) Computed tomography
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B) Human chorionic gonadotropin (hCG) testing
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C) Estrogen and progesterone testing
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D) Abdominal x-ray
An adolescent is brought to the clinic by her mother because of abnormal uterine
bleeding. The nurse should understand that the most likely cause of this
dysfunctional bleeding pattern is what?
● A) Lack of ovulation
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B) Chronic vaginitis
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C) A sexually transmitted infection
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D) Ectopic pregnancy
A patient states that PMS that is significantly disrupting her quality of life and that
conservative management has failed to produce relief. What pharmacologic
treatment may benefit this patient?
● A) An opioid analgesic
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B) A calcium channel blocker
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C) A monoamine oxidase inhibitor (MAOI)
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D) A selective serotonin reuptake inhibitor (SSRI)
The nurse is assessing a 53-year-old woman who has been experiencing
dysmenorrhea. What questions should the nurse include in an assessment of the
patients menstrual history? Select all that apply.
● A) Do you ever experience bleeding after intercourse?
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B) How long is your typical cycle?
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C) Did you have any sexually transmitted infections in early adulthood?
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D) When did your mother and sister get their first period.
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E) Do you experience cramps or pain during your cycle?
A 48-year-old woman presenting for care is seeking information about hormone
therapy (HT) for the treatment of her perimenopausal symptoms. The patients
need for relief from hot flashes and other symptoms will be weighed carefully
against the increased risks of what complications of HT? Select all that apply.
● A) Anaphylaxis
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B) Osteoporosis
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C) Breast cancer
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D) Cardiovascular disease
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E) Venous thromboembolism
A community health nurse is leading a health education session addressing
menopause and other aspects of womens health. What dietary supplements
should the nurse recommend to prevent morbidity associated with osteoporotic
fractures?
● A) Vitamin B12 and vitamin C
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B) Vitamin A and potassium
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C) Vitamin B6 and phosphorus
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D) Calcium and vitamin D
The nurse is working with a patient who expects to begin menopause in the next
few years. What educational topic should the nurse prioritize when caring for a
healthy woman approaching menopause?
● A) Patient teaching and counseling regarding healthy lifestyles
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B) Referrals to local support groups
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C) Nutritional counseling regarding osteoporosis prevention
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D) Drug therapy options
A womans current health complaints are suggestive of a diagnosis of premenstrual
dysphoric disorder (PMDD). The nurse should first do which of the following?
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A) Assess the patients understanding of HT.
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B) Assess the patient for risk of suicide.
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C) Assure the patient that the problem is self-limiting.
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D) Suggest the use of St. Johns wort.
A 21-year-old woman has sought care because of heavy periods and has
subsequently been diagnosed with menorrhagia. The nurse should recognize
which of the following as the most likely cause of the patients health problem?
● A) Hormonal disturbances
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B) Cervical or uterine cancer
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C) Pelvic inflammatory disease
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D) A sexually transmitted infection (STI)
When teaching patients about the risk factors of cervical cancer, what would the
nurse identify as the most important risk factor?
● A) Late childbearing
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B) Human papillomavirus (HPV)
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C) Postmenopausal bleeding
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D) Tobacco use
A patient with ovarian cancer is admitted to the hospital for surgery and the nurse
is completing the patients health history. What clinical manifestation would the
nurse expect to assess?
● A) Fish-like vaginal odor
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B) Increased abdominal girth
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C) Fever and chills
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D) Lower abdominal pelvic pain
The nurse notes that a patient has a history of fibroids and is aware that this term
refers to a benign tumor of the uterus. What is a more appropriate term for a
fibroid?
● A) Bartholins cyst
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B) Dermoid Cyst
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C) Hydatidform mole
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D) Leiomyoma
A patient has ben diagnosed with PCOS. The nurse should encourage what health
promotion activity to address the patients hormone imbalance and infertility?
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A) Topical antibiotics as ordered
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B) Kegel exercises
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C) Increased fluid intake
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D)Weight loss
A patient has been diagnosed with endometriosis. When planning this patients
care, the nurse should prioritize what nursing diagnosis?
● A) Anxiety related to risk of transmission
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B) Acute pain related to misplaced endometrial tissue
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C) Ineffective tissue perfusion related to hemorrhage
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D) Excess fluid volume related to abdominal distention
Following a recent history of dyspareunia and lower abdominal pain, a patient has
received a diagnosis of pelvic inflammatory disease (PID). When providing health
education related to self-care, the nurse should address which of the following
topics? Select all that apply.
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A) Use of condoms to prevent infecting others
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B) Appropriate use of antibiotics
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C)Taking measures to prevent pregnancy
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D) The need for a Pap smear every 3 months
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E) The importance of weight loss in preventing symptoms
A public health nurse is participating in a campaign aimed at preventing cervical
cancer. What strategies should the nurse include is this campaign? Select all that
apply.
● A) Promotion of HPV immunization
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B) Encouraging young women to delay first intercourse
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C) Smoking cessation
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D) Vitamin D and calcium supplementation
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E) Using safer sex practices
A patient is being discharged home after a hysterectomy. When providing
discharge education for this patient, the nurse has cautioned the patient against
sitting for long periods. This advice addresses the patients risk of what surgical
complication?
● A) Pudendal nerve damage
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B) Fatigue
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C) Venous thromboembolism
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D) Hemorrhage