Download NURS 684 PRIMARY CARE WOMEN'S HEALTH FINAL EXAM and more Exams Nursing in PDF only on Docsity!
NURS 684 PRIMARY CARE WOMEN'S HEALTH FINAL EXAM
VERIFIED EXAM WITH ANSWERS
“A 22-year-old woman presents with c/o a non-tender mass in her left breast that does not change with her menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm firm,
rubbery non-tender mass. The most likely diagnosis is: - CORRECT ANSWER Fibroadenoma"
"In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise
her she needs a: - CORRECT ANSWER Tdap vaccination in her third trimester"
"The screening test for group B streptococcus requires that a specimen be obtained from the: -
CORRECT ANSWER Vaginal introitus and rectum"
"Routine gestational diabetes screening is recommended at: - CORRECT ANSWER Between
24 and 28 weeks gestation" "In the PLISSIT model, explaining the possible effect of an illness on sexual functioning is
considered: - CORRECT ANSWER Limited information"
"The terms gender identity and sexual orientation have similar meanings. - CORRECT
ANSWER False"
"Which of the following statements about women who have sex with women (WSW) is correct?
CORRECT ANSWER WSW tend to obtain routine gynecologic care less frequently than
women who are heterosexual." "Which of the following is part of the diagnostic criteria for female sexual interest/arousal
disorder? - CORRECT ANSWER Causes marked distress or interpersonal difficulty"
"Erectile dysfunction has been linked to which of the following components of metabolic
syndrome? - CORRECT ANSWER Abdominal obesity
Hypertension Hyperlipidemia All of the above"
"Specific gynecologic cancer screening recommendations have been established based on gender
identity. - CORRECT ANSWER False"
"Known teratogens include all of the following EXCEPT: - CORRECT ANSWER Insulin"
"A woman with hypertension that has been well controlled with an angiotensin converting enzyme inhibitor (ACEI) and who is otherwise healthy is interested in becoming pregnant in the
near future. Appropriate information would include: - CORRECT ANSWER She will need to
switch to another antihypertensive medication prior to becoming pregnant." "You are seeing a 29-year-old female for an annual well woman visit who is considering a pregnancy in the next year. She had a preterm birth 2 years ago and wants to know what she can
do to prevent this from happening again. Appropriate information would include: - CORRECT
ANSWER She should discuss with her OB/GYN provider the potential benefit of treatment with
progesterone with this next pregnancy." "A mother brings her infant into the office for a well-baby visit at 3 months of age. You ask how she is doing and she tells you she has been having difficulty sleeping with frequent nightmares and having panic attacks for no reason. Her affect at this visit is normal except for expressing worry about her symptoms and she appears to be bonding well with the baby. The baby is doing well now although he had to be resuscitated and then transported to a NICU at another hospital
immediately after birth because he was preterm and low-birth-weight. You suspect possible: -
CORRECT ANSWER Post-traumatic stress disorder"
"Noncontraceptive benefits of combination oral contraceptives include all of the following
EXCEPT: - CORRECT ANSWER Decrease in cervical cancer"
"Symptoms of epididymitis include all of the following EXCEPT: - CORRECT ANSWER
Sudden onset of severe pain" "According to U.S. Medical Eligibility Criteria for Contraceptive Use you should refrain from
providing combination oral contraceptives to a woman in which of the following situations: -
CORRECT ANSWER Breastfeeding and less than one month postpartum"
"A woman who has been on Depo Provera IM for 9 months presents for her injection. It has been 16 weeks since her last injection. The last time she had sex was 7 days ago. Appropriate
management would be: - CORRECT ANSWER Perform a sensitive urine pregnancy test and
give the injection if the test is negative"
"T/F? The position of the Nuva ring is very important and should be emphasized to the patient -
CORRECT ANSWER FALSE"
"T/F? If a patient is obese Plan B is not as effective - CORRECT ANSWER TRUE"
"T/F? When using the sponge, it is important to note that it is not as effective if the woman has
been pregnant before - CORRECT ANSWER TRUE"
"If a woman becomes pregnant while using an IUD, what is the next step? - CORRECT
ANSWER Removal if strings visible"
"T/F? The use of BC in postmenopausal women is pregnancy prevention - CORRECT
ANSWER FALSE- do not prescribe them IUD"
"What is an expected characteristic of cervical mucus? - CORRECT ANSWER Thin and
stretchy with ovulation"
"What type of BC is not appropriate for a 46-year-old woman who smokes? - CORRECT
ANSWER Nuva Ring"
"T/F? Insertion of either IUD at or after 4 weeks postpartum can be used without restrictions -
CORRECT ANSWER TRUE"
"A breastfeeding mother of an infant is using lactation as BC. What is important education to give
her? - CORRECT ANSWER Need another type at 6 months old"
"When considering offering HIV testing to clients, the nurse should keep which of the following in mind? A. Offer it all women who are being tested for STI's B. the testing is completely voluntary C. specific signed consent for testing should be required D. opt out HIV screening is recommended
E. antigen only tests are encouragedComprehensive Final - CORRECT ANSWER A. Offer it all
women who are being tested for STI's B. the testing is completely voluntary D. opt out HIV screening is recommended" "Mindy is a 35-year-old client with a family history of coronary heart disease and a body mass index (BMI) of 31. How often should Mindy have a lipid profile assessment performed?
A. Every year B. Every 5 years C. Every 7 years
D. Every 10 years - CORRECT ANSWER B. Every 5 years"
"The nurse is reviewing contraception options for Olivia, a 37- year old client who gave birth 3 weeks ago. Olivia is interested in trying a combined oral contraceptives but it not sure whether it would be safe for her. Which of the following would be contraindications for Olivia beginning COCs now, given her situation? A. Breast feeding B. Smoking C. History of irregular menses D. family history of ovarian cancer
E. Current breast cancer - CORRECT ANSWER A. Breastfeeding
B. Smoking E. Current Breast Cancer" "The prenatal clinician is working in an ambulatory public health setting. For which of the
following might the provider order expedited partner therapy? - CORRECT ANSWER
Chlamydia" "A woman at 35 weeks gestation reports pain during the active straight leg test. What is this
indicative of? - CORRECT ANSWER Symphysis seperation"
"Which of the following is true regarding chronic htn w/ super imposed preeclampsia? -
CORRECT ANSWER ACOG recommends labor and birth at 37 weeks gestation?"
"A woman at 32 weeks gestation reports sensations of uncomfortable jumpy and itching leg for
the last 2 weeks, usually during the night. Which test is essential to obtain? - CORRECT
ANSWER serum ferritin"
"Which of the following is true regarding Beta HCG in the first trimester? - CORRECT
ANSWER It doubles every 2-3 weeks until approximately 10 weeks?"
"Noninvasive prenatal testing is offered to? - CORRECT ANSWER "
"Prenatal care had its origins in screening for? - CORRECT ANSWER Preeclampsia"
"Systemic 1st generation antihistamines such as diphenhydramine and chlorpheniramine incur
what risk when used during pregnancy? - CORRECT ANSWER ?"
"A 22-year-old female has a pap test report of ASC-H. The H indicates "cannot rule out HSIL"
Recommended first steps in follow-up would include: - CORRECT ANSWER Colposcopy"
"A post-menopausal woman has a Pap test report of HSIL. Recommended initial management is:
CORRECT ANSWER Colposcopy"
"Which of the following would be an expected finding with adenomyosis? - CORRECT
ANSWER Boggy, tender, enlarged uterus"
"Which of the following conditions places a woman at increased risk for endometrial cancer? -
CORRECT ANSWER Polycystic ovarian syndrome"
"Of the following, which would be the best choice for a 55-year-old menopausal woman without a uterus who is having severe hot flashes and dyspareunia related to vulvovaginal atrophy? She has
no contraindications to any of these medications. - CORRECT ANSWER Transdermal
estrogen patch" "A 20 year old female presents at the clinic with concern that she had spotting several days in her current pill cycle. She has been on the same combination oral contraceptives for two years without any problems. She states she has not missed any pills and her last period was normal.
Appropriate initial management would include: - CORRECT ANSWER Discuss her recent
sexual history and do a test for Chlamydia if indicated"
"Potential disadvantages of the progestin only implant (Nexplanon) include: - CORRECT
ANSWER May cause irregular bleeding of spotting"
"Which of the following best describes the typical lesion(s) seen with genital herpes? -
CORRECT ANSWER Multiple vesicles and shallow ulcers"
"Which of the following statements is correct? - CORRECT ANSWER Women with
interpregnancy intervals (IPIs) of less than 18 months are more likely to have premature and/or low birth weight infants than those with IPIs greater than 18 months."
"Which of the following statements concerning raloxifine (Evista) is correct? - CORRECT
ANSWER It is approved for both prevention and treatment of osteoporosis."
"A breastfeeding woman who had an uncomplicated full term vaginal delivery is in the office today for her six weeks postpartum checkup. Expected physical examination findings would
include: - CORRECT ANSWER Decreased vaginal rugation"
"Which of the following statements concerning HPV vaccination is correct? - CORRECT
ANSWER It is safe to administer it at the same visit as other recommended vaccines."
"An 18-year-old female presents with genital warts. Appropriate tests to consider include: -
CORRECT ANSWER HIV test"
"The most variable phase in the ovarian cycle in terms of days it lasts is the: - CORRECT
ANSWER Follicular phase"
"Which of the following statements by a client indicates that she needs additional instructions on
use of the contraceptive vaginal ring? - CORRECT ANSWER I should insert a new ring every
seven days."
"A common side effect of oral tolterodine (Detrol) for treatment of urge incontinence is: -
CORRECT ANSWER Dry Mouth"
"A 25-year-old female who is planning for a first pregnancy asks if there are any tests for infections she should have before she gets pregnant. Appropriate advice would include that she
should consider testing for: - CORRECT ANSWER HIV infection"
"Risk factors for ovarian cancer include: - CORRECT ANSWER Nulliparity"
"Which of the following could be a sign or symptom of either PID or an ectopic pregnancy in a
sexually active, reproductive age woman? - CORRECT ANSWER Cervical motion tenderness
Spotting Pelvic mass All of the above"
"Increased production of __________________ is associated with primary dysmenorrhea. -
CORRECT ANSWER Prostaglandin"
"The results of bone densitometry test on a 65 year-old-woman is a T-score of - 2.0. This indicates
she has: - CORRECT ANSWER Bone loss that is at the level for a diagnosis of osteopenia"
"A woman who was late starting a new pack of her combination oral contraceptives (COCs) and had unprotected sex is given ulipristal acetate (Ella) for emergency contraception. She should be
advised to: - CORRECT ANSWER Abstain from sex or use a barrier method for five days and
then restart COCs"
"Genital warts increase the risk for which type of cancer? - CORRECT ANSWER Cervical"
"S/S of ovarian cancer - CORRECT ANSWER USu asymptomatic, or symptoms are vague
-Abd pain -bloating -pelvic pain -frequency -constipation -abnormal discharge/bleeding"
"T/F? Copper IUD thins endometrial lining and cervical mucus - CORRECT ANSWER TRUE"
"T/F? A patient with PID receiving tx must have their IUD removed immediately - CORRECT
ANSWER FALSE-can keep in unless s/s do not improve"
"T/F? The longer a patient has had a vasectomy, the more difficult it is the reverse. - CORRECT
ANSWER TRUE"
"A patient has missed their progestin-only pill (POP) for three hours. What is appropriate
education to give them? - CORRECT ANSWER Use back-up method"
"A patient is having spotting during their active pills. What is important to rule out? - CORRECT
ANSWER Chlamydia"
"A patient with a BMI of 28 would like the Depo shot for her contraceptive use. What is important
to tell her? - CORRECT ANSWER Depo shot decreases risk of endometrial cancer"
"T/F? When doing a pap, it is important to insert the brush so that the bristles are fully in the os
CORRECT ANSWER TRUE"
"Which patient is a category 2 classification for COC? - CORRECT ANSWER Healthy 40-year-
old"
"T/F? COC pills decrease the risk for ovarian cancer - CORRECT ANSWER TRUE"
"When discussing IUD type it is important to note: - CORRECT ANSWER How heavy their
menstrual bleeding is"
"T/F? Nexplanon may cause irregular or prolonged bleeding - CORRECT ANSWER True"
"A patient has had unprotected sex and wants to use emergency contraception. What is
important education? - CORRECT ANSWER Effective sooner rather than alter, should be
within five days ("other than Friday night")"
"Important for copper IUD vs LNG IUD? - CORRECT ANSWER LNG has more favorable SEs,
can have heavy bleeding with copper"
"Important things to remember when starting a patient on the Depo shot - CORRECT
ANSWER Start when patient is on period, take BP"
"T/F? 30% of US pregnancies are unplanned - CORRECT ANSWER FALSE-50%"
"A 28-year-old has atypical squamous cells (ASC-H) found on their pap. What is the most
appropriate course of action? - CORRECT ANSWER Send for colposcopy"
"T/F? COC decreases risk for cervical cancer. - CORRECT ANSWER FALSE- ALL but"
"T/F? HPV increases risk for vulvar cancer - CORRECT ANSWER TRUE"
Which of the following are risk factors associated with hypothyroidism? -tumor of thyroid -age 60 + -male gender -family hx
-surgical removal of thyroid - CORRECT ANSWER -tumor of thyroid
-age 60+ -surgical removal of thyroid" "Risk factors the nurse is instructing a client on risk factors associated with being infected with HIV. Which of the following should the nurse mention? SATA A. Being male B. lesions being present within the vagina C. being pregnant D. having sex during menstruation
E. douching - CORRECT ANSWER B. lesions being present within the vagina
C. being pregnant D. having sex during menstruation E. douching" "Carol is a client who is being assessed for risk for anal HPV infection. Which of the following are factors that would increase Carol's risk for having anal HPV? SATA
