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D. increased blood pressure 28. A 31-year-old woman came to gynecologic unit with complaints of lower abdominal pain, pain during coitus, abnorma l vaginal discharge . and fever. On physical examination, the nurse found uterine and adnexa tenderness. What is the most likely confirmatory manifestation for this patient?(Tikimt 2013/October 2020) A. Pain during coitus B. Lower abdominal pain C Abnormal vaginal discharge D. Uterine and adnexal tenderness 29. A woman came to a gynecologic : OPD with complaints of excessive and irregular uterine bleeding 1. The woman cannot remember when her menstrual period started. The amount and duration of bleeding also vary during each cycle. What is the most likely explanation of this finding? (Tikimt 2013/October 2020) A. Menorrhagia B. Metrorrhagia C. Polymenorrhea D Menometrorrhagia

C. Irregular bleeding D. Increased blood pressure 28. A 31-year-old woman came to gynecologic unit with complaints of lower abdominal pain, pain during coitus, abnormal vaginal discharge . and fever. On physical examination, the nurse found uterine and adnexa tenderness. What is the most likely confirmatory manifestation for this patient?(Tikimt 2013/Octobe 2020) A. Pain during coitus B. Lower abdominal pain C Abnormal vagina l discharge D. Uterine and adnexal tenderness 29.A woman came to a gynecologic OPD with complaints of excessive and irregular uterine bleeding . The woman cannot remember when her menstrual period started. The amount and duration of bleeding also vary during each cycle. What is the most likely explanation of this finding?(Tikimt 2013/Octobe r 2020) A. Menorrhagia B. Metrorrhaqia C. Polymenorrhea D . Menometrorrhagia 30.An adolescent girl came with complaints of difficulty and pain during sexual intercourse. She has regular menstrual period with abdomina I cramps. On pelvic examination: a nurse identified I loses of hymen membrane and a membrane like structure with small perforation on middle third of vagina. The nurse suspected that her problem is vaginal congenital anomalies. What is the most likely manifestation for diagnosis of this condition? (Tikimt

25. A lactating mother came to the family clinic seeking contraception for the first time. The nurse discussed about contraception option, the and side effects. But the monitor was confused to decide the type of contraception she wants to use. What is the priority counseling approach to be applied in this condition? (Tikimt 2013/October 2020) A. Keep two-way communication B. Remain non judgmental C. Ensure privacy D. Show empathy 26.A mother who uses an Implant contraceptive came with complaints of changed bleeding pattern headaches , abdominal pain , breast tenderness and nausea. The mother reported that her menstruation period become sometimes absent and little in amount on other time. What is the priority intervention for this woman? (Tikimt 2013/October 2020) A. Switch contraception B. Provide counseling C. Check for pregnancy D. Remove the contraception

25. A lactating mother came to the family planning I clinic seeking contraception for the first time. The nurse discussed about contraception option, the benefits , and side effects. But the monitor was confused to decide the type of contraception she wants to use. What is the priority counseling approach to be applied in this condition? (Tikimt 2013/October 2020) A. Keep two-way communication B. Remain non judgmental C. Ensure privacy D. Show empathy 26.A mother who uses an Implant contraceptive came with complaints of changed bleeding pattern,headache , abdominal pain , breast tenderness ; and nausea. The mother reported that her menstruation period become sometimes absent and little in amount on other time. What is the priority intervention for this woman? (Tikimt 2013/October 2020) A. Switch contraception B. Provide counseling C. Check for pregnancy D. Remove the contraception

23. A 46-year-old woman was admitted for chemotherapy of stage IC ovarian cancer.On admission, she had persistent abdominal distension and pelvic pain. She has loss of appetite, nausea , vomiting, increased urinary urgency and frequency. What is the priority nursing management for this woman? (Hidar 20121 December 2019 ) A. Administering mild opioids B. Paracentesis for abdominal distention C. Patient education on catheterization D. Terminal stage symptom control 24. A six month lactating mother came to health center for family planning service. After assessing her eligibility and providing counseling,the nurse inserts jadelle in September 2012 E.C. Before the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose. What would be the most appropriate appointment date for the next visit?(Tikimt 2013/October2020) A. September 2014 B. September 2015 C. September 2016 D. September 2017