Female Reproductive Disorders NCLEX Questions
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Question 1 of 5.
The nurse enters the room of a 24-year-old client diagnosed with testicular cancer. The fiancée of the client asks the nurse, 'Will we be able to have children?' Which is the nurse’s best response?
A. Your fiancée will be able to father children like always.'
B. You will have to adopt children because he will be sterile.'
C. You and he should consider sperm banking prior to treatment.'
D. Have you discussed this with your fiancée? I can’t discuss this with you.'
Explanation: Sperm banking is recommended before testicular cancer treatment (e.g., orchiectomy, chemotherapy) to preserve fertility. Normal fertility is unlikely, sterility is not guaranteed, and discussing with the fiancée avoids privacy issues but is less proactive.
Question 2 of 5.
The client states that she examines her breasts in the shower and while lying down. The nurse recommends that the client should also inspect her breasts from which position?
A. Bending from the waist
B. Standing before a mirror
C. Arching the back
D. Leaning from side-to-side
Explanation: Standing before a mirror allows the client to visually inspect both breasts for changes in size, shape, or skin texture, which is a key component of breast self-examination (BSE).
Question 3 of 5.
The nurse correctly informs the client that fibrocystic lesions may become larger and more tender at what time?
A. The nurse has a normal cycle
B. After sexual intercourse
C. Nearer to beginning menopause
D. Just before menstruation
Explanation: Fibrocystic breast changes are hormone-dependent and typically worsen just before menstruation due to increased estrogen and progesterone levels, causing lesions to enlarge and become tender.
Question 4 of 5.
A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- A. Ovum is released.
- F. Corpus luteum forms.
- B. Progesterone decreases.
- E. Endometrium is shed.
Correct arrangement
Explanation: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
Question 5 of 5.
The nurse correctly places the client in which position when the physician is ready to perform the pelvic examination?
A. Sims' position
B. Trendelenburg's position
C. Fowler's position
D. Lithotomy position
Explanation: The lithotomy position, with the client's legs in stirrups, provides optimal access for the physician to perform a pelvic examination.
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