NRNP 6552 Women's health final Graded A+, Exams of Nursing

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Question 1 1/

A The symphysis

pubis

B The umbilicus

C The xiphoid

process

D None of the

above

Question 2 0/

A Menarche after the age of 12

B Nulliparity

C Menopause at age 55 years or

older

D First full-term pregnancy after

age 30

Question 3 1/

A E. Coli

B Toxoplasmosis

C Cat-scratch

fever

D Tetanus

Question 4 1/

A The need for daily pill taking

All of the following are disadvantages of Combined Oral Contraceptives except:

Your patient is pregnant and has three cats. You educate her that she should have someone else clean the litter box as there is an infection that can spread through cat feces that can be harmful to the unborn baby. The infection is called:

The following are risk factors for breast cancer except:

In a woman who is 20 weeks pregnant, the fundus is typically the same height as:

B The ongoing cost of the method for some

individuals

C Side effects for some women

D Reduction in the risk of some types of

cancer

Question 5 0/

With irritable bowel syndrome (IBS), typically defecation:

A Makes the pain more

intense

B Provides relief from the

Pain

C Makes no difference in the

pain

D Causes intense cramping

Question 6 1/

The Tanner scale divides sexual physical maturity into stages

A Thre

e

B Five

C Seve

n

D Nine

Question 7 1/

Nonlatex condoms:

A Fit tighter on the penis than latex condoms

B Come in a variety of colors

C Have an increased risk of breakage or slippage during intercourse than

latex condom

D Lead to a greater incidence of allergies than latex condoms

A Maternal age equal or greater than

30 years

B Mother and father related by blood

C Maternal exposure to toxins

D Congenital blindness or deafness

Question 12 1/

A Remains the same as pre-pregnant

amounts

B Increases by 10%

C Increases by 30-50%

D Decreases by 20%

Question 13 0/

A Two semen analyses, approximately one

hour apart

B Two semen analyses, approximately one

month apart

C One complete semen analysis

D A fractionated semen analysis

Question 14 1/

A It is very important that she receive this vaccine today because you do not want her

to get chicken pox while she is pregnant.

B She should not get the vaccine today as it is contraindicated in pregnancy.

Maura is pregnant and comes in for a visit. She tells you that she has never had chicken pox and is wanting to know if she should get the varicella vaccine today. You let her know that:

A complete male evaluation usually includes:

During pregnancy, blood volume:

All of the following are risk factors for fetal genetic or development abnormalities in maternal, paternal, and family history except:

C Most health care providers leave it up to the patient and you are willing to do

whatever she requests.

D Adults never need this vaccine.

Question 15 1/

The following gonadotropins are responsible for regulating gynecologic organ activities.

A Testosterone and

androgen

B FSH and progesterone

C FSH and LH

D LH and prolactin

Question 16 1/

A You tell her you are pleased she remembered this important test and proceed with

the pap smear.

B You tell her that she hasn’t really needed to have a pap smear since age 50.

C You explain to her that this is important, and you also need to test for HPV.

D You explain to her that the USPTF and ASCCP recommend that in a woman with a

history of negative pap smears, the test can be discontinued at age 65

Question 17 1/

A There are a few products on the market which have proven to be very helpful in

making stretch marks disappear

B Despite^ advertiser’s^ claims, there is no magic cream to prevent them or make them

go away.

C Watching weight gain and eating nutritiously can help decrease their number and

severity

D B and C

Paula is 30 weeks pregnant and is in your office today. She is very concerned about her stretch marks. She wants to know if there is anything, she can put on them to make them go away. She has seen a few products on infomercials and wonders if they work. You tell her:

Clara is a 67 - year-old female who comes in requesting a pap smear. In gathering her history, she tells you all of her pap smear have been normal. Her last pap smear was at age 64.

C Tdap

D A and B

E A, B,

and C

Question 22 1/

A She must have all the recommended tests done or it can be

considered child abuse

B She is required to have all tests done, except for the HIV test

C She can “opt out” of any test

D She should make sure that her partner signs the consent for all the

tests done.

Question 23 1/

A If the woman will go to full term

B If the heart has any defects

C

Whether the fetal neural tube has

properly fused

D If the fetus is living

Question 24 1/

A Early in the pregnancy is ideal because the ultrasound dating is more accurate than

later in the pregnancy

B She should wait a couple of months as ultrasound dating is most accurate in the

second trimester of pregnancy

C An ultrasound really won’t be able to tell her that information

Taylor just found out she is pregnant. She has irregular periods so she is not exactly sure how far along she is, but she thinks it is pretty early. She asks you about an ultrasound to find out how many weeks she is. You tell her that:

During the second trimester, a test that is offered is the alpha-fetoprotein test. This test indicates:

When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know:

D An ultrasound is contraindicated this early in the pregnancy

Question 25 1/

A Toxoplasmosis

B Cytomegalovir

us

C Listeriosis

D Coliform

bacteria

Question 26 1/

A As infants

B In early

adolescence

C In their 20’s

D In their 50’s

Question 27 1/

A Can be used as an ongoing method of

contraception

B Provides STI protection

C Is the only method that can be used after

intercourse

D Is available by prescription only

Question 28 1/

A Souffle contractions

Contractions that may occur in early pregnancy are called:

Emergency contraception

It is believed that women acquire most of their bone mass

With prepackaged lunch meat, hot dogs, pate, and meat spreads there is an increased risk of:

D Raw alfalfa

sprouts

Question 32 1/

A generic prenatal vitamin supplement should be prescribed and should include:

A Iron, folic acid, and vitamins

B Mercury, folic acid, and vitamins

C Vitamins only with no other

supplements

D Iron and Vitamins with no other

supplements

Question 33 1/

A The tumor is confined to the ovaries or fallopian tube(s)

B The tumor involves one or both ovaries or fallopian tubes with pelvic extension or

primary peritoneal cancer

The tumor involves one or both ovaries or fallopian tubes, or primary peritoneal

C cancer, with cytologically and histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes, and pelvis;

. has extended to bowel, peritoneum, or lymph nodes

D Distant metastasis excluding peritoneal metastasis

Question 34 1/

When discussing contraception, LARC stands for:

A Less aggressive reversible

contraception

B Long awaited reversible

contraception

C Long acting reversible

contraception

D None of the above

Question 35 1/

When using FIGO staging for cancer of the ovary, fallopian tube, and peritoneum, Stage I means:

A Milk

products

B Eggs

C Cats

D Yeast

Question 36 0/

A 1-

B 4

C 6

D 12

Question 37 1/

A Pregnancy

B Breastfeedi

ng

C Males

D A and B

E A, B, and C

Question 38 1/

A 24

hours

Blood serum pregnancy tests can detect the presence of HCG days after fertilization.

The HPV vaccine is contraindicated in:

Transvaginal ultrasound can provide information about pregnancy viability weeks after the LMP.

Women who have a history of immediate hypersensitivity to should not receive the 4-valent or 9-valent HPV series.

ne

D A and B

E A, B, and C

Question 42 1/

When using the TNM system for staging cancers, the letters stand for:

A Tumor, nodes,

melanoma

B Tumor, nodes,

metastasis

C Tension, number,

metastasis

D Tumor, number,

metastasis

Question 43 1/

The bluish hue that the cervix takes on during pregnancy is called:

A Goodell’s sign

B Baby Blues sign

C Cervical ripening

sign

D Chadwick’s sign

Question 44 1/

A Linea alba

B Striae

gravidarum

C Linea nigra

D Melanin

Paula also asks you about the dark line that starts at her sternal notch and goes down toward the genitalia vertically. You tell her that is called and that is normal in pregnancy and may appear due to increasing levels of melanocyte-stimulating hormone.

Question 45 0/

Laboratory testing that might be indicated to rule out vaginal discharge include:

A STI testing

B Wet Mount

C Endocervical

curettage

D A and B

E A, B, and C

Question 46 1/

Ectopic pregnancy involves a pregnancy that implants:

A Outside of the uterus

B In the uterus

C Through in vitro

fertilization

D None of the above

Question 47 1/

The following are warning signs of pregnancy except:

A Bleeding more than light

spotting

B Severe abdominal pain

C Extreme nausea and

vomiting

D Braxton-Hicks contractions

Question 48 1/

Menarche usually occurs between the ages of:

A 9-

B 11-

D A and B

E A, B, and C

Question 52 1/

A MRI

B Diagnostic

mammography

C Ultrasound

D CT scan

Question 53 0/

The following is a type of permanent contraception:

A Hysteroscopy

B Vasectomy

C DMPA injections

D

Emergency

contraception

Question 54 1/

Fetal heart tones can typically be initially heard with a handheld doppler by:

A 6-8 weeks of

pregnancy

B 10-12 weeks of

pregnancy

C 14-16 weeks of

pregnancy

D 20-24 weeks of

pregnancy

Annabelle is a 17-year-old who came in to see you because she is concerned about a “lump” in her right breast. She first noticed it about a month ago and it has not changed in size since then. On exam you note the mass to be about 2 cm in diameter at about 7:00 on her breast. It feels well-delineated and is freely mobile. There is no nipple discharge. You decide to proceed with imaging. The best diagnostic imaging test for this patient would be:

Question 55 0/

A Semen

volume

B Total

motility

C pH

D A and B

E A, B, and C

Question 56 1/

A 11-

B 15-

C 25-

D 28-

Question 57 1/

A Mirena

B Nexplanon

C Liletta

D Oral

contraceptives

Question 58 0/

A 35 to

Men have little or no measurable decline in fertility before age:

The following are LARC methods of contraception except:

A woman with a normal BMI of 18.5-24.9 should ideally gain pounds during pregnancy.

W h e n pe rfo rm i n g a se m e n a n a l y sis, th e fo ll ow i n g i s/ a re m e a su red :

D Placed in the vagina at least 2 hours prior to intercourse and removed at least 6

hours after intercourse

Question 62 1/

DMPA should be administered:

A Every 4

weeks

B Every 9

weeks

C Every 13

weeks

D Every 24

weeks

Question 63 1/

Sometime in the last month of pregnancy, the fundal height drops slightly. This is called:

A Lightening

B Flexing

C Pubic

cradling

D Hegar’s

sign

Question 64 1/

When assessing fetal heart tones with the doppler, the normal range is:

A 60-80 BPM

B 100-

BPM

C

BPM

D 160-

BPM

Question 65 1/

The quadrivalent HPV vaccine protects against HPV genotypes

A 1, 2, 3, and 4

B A, X, C, F

C 6. 11, 16, 18

D Beta, magda, gamma, and

sigma

Question 66 1/

A In a supine

position

B On her left side

C On her right

side

D Face down

Question 67 0/

A Fat

B Carbohydrat

es

C Protein

D Purine

Question 68 1/

To reduce risk of illness during pregnancy, fish and shellfish should be:

A Served raw

B Cooked thoroughly

C Served at every meal

In a patient with irritable bowel syndrome, a diet that eliminates is recommended.

When a woman is lying down, it is best to lie to avoid hypotension and potential syncope.