The nurse will plan to teach the female patient with genital ...

[Bob-Dole]

The nurse will plan to teach the female patient with genital warts about the
 
  a. importance of regular Pap tests.
  b. increased risk for endometrial cancer.
  c. appropriate use of oral contraceptives.
  d. symptoms of pelvic inflammatory disease (PID).

Question 2

A 49-year-old woman tells the nurse that she is postmenopausal but has occasional spotting. Which initial response by the nurse is most appropriate?
 
  a. A frequent cause of spotting is endometrial cancer.
  b. How long has it been since your last menstrual period?
  c. Breakthrough bleeding is not unusual in women your age.
  d. Are you using prescription hormone replacement therapy?

[Jody Vaughn]

Answer to Question 1

ANS: A
Genital warts are caused by the human papillomavirus (HPV) and increase the risk for cervical cancer. There is no indication that the patient needs teaching about PID, oral contraceptives, or endometrial cancer.

Answer to Question 2

ANS: D
In postmenopausal women, a common cause of spotting is hormone therapy (HT). Because breakthrough bleeding may be a sign of problems such as cancer or infection, the nurse would not imply that this is normal. The length of time since the last menstrual period is not relevant to the patient's symptoms. Although endometrial cancer may cause spotting, this information is not appropriate as an initial response.