Education > EXAM > NR 661-Womans Health 2022 (All)

NR 661-Womans Health 2022

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What choice below has no precautions for oral contraceptive pill use? a. gallbladder disease b. 5 months postpartum and lactating c. blood pressure 160/100 d. varicose veins - ANSWER d. varicose... veins A 50 year old female believes that she is menopausal. She c/o hot flashes and has not had menses in 12 months. Which of the following test results would be expected during menopause? a. increased thyroid-stimulating hormone b. decreased follicle stimulating hormone c. hypoestrogenemia d. increased follicle stimulating hormone - ANSWER d. increased follicle stimulating hormone A 51 year old female patient presents with a 2 cm palpable breast mass. How should this be evaluated to determine whether it is solid or cystic in nature? a. mammogram b. ultrasound c. MRI d. clinical breast exam - ANSWER b. ultrasound Women who use diaphragms for contraception have an increased incidence of: a. sexually transmitted diseases b. pregnancy c. urinary tract infection d. pelvic inflammatory disease - ANSWER c. urinary tract infection A 22 year old female states that she has multiple sexual partners and inconsistently uses barrier protection. Which form of birth control should the nurse practitioner avoid proscribing in this patient? a. intrauterine device b. progestin-only pill c. diaphragm d. oral contraceptives - ANSWER a. intrauterine device A definitive diagnosis of osteoporosis can be made when: a. an x-ray indicates fragility fractures b. bone mineral density is 2.5 standard deviations below the mean c. T-score greater than 2.5 d. DXA scan indicates fragility fracture index - ANSWER b. bone mineral density is 2.5 standard deviations below the mean A patient who is 35 years old has identified a small, discrete mass in one breast. How should this be evaluated initially? a. ask whether the mass changes at the time of menses b order a mammogram and ultrasound to assess the mass c. have her return 3-10 days after next menses d. order a mammogram 3-10 days after next menses - ANSWER a. ask whether the mass changes at the time of menses The primary risk factor for development of breast cancer in women of average risk is: a. age b. smoking history c. number of live births d. exposure to estrogen - ANSWER a. age A patient who is scheduled for pelvic exam with PAP sear should be advised to avoid douching, sexual intercourse and tampon use before her exam. For how long should she be advised to avoid these activities for optimal evaluation? a. 24 hours b. 48 hours c. 36 hours d 1 week - ANSWER b. 48 hours A 17 year old presents with complaints of dysmenorrhea. Which finding below suggests that this is secondary dysmenorrhea? a. normal pelvic exam b. dysmenorrhea is not limited to menses c. unpredictable menses d. nausea with menses - ANSWER b. dysmenorrhea is not limited to menses A 22 year old female has been diagnosed with polycystic ovarian syndrome (PCOS). What is a common finding? a. low testosterone level b. elevated insulin levels c. positive pregnancy test d. elevated blood pressure - ANSWER b. elevated insulin levels After a vaginal exam, a patient received a prescription for metronidazole 500mg twice daily for 7 days. What was her likely diagnosis? a. bacterial vaginosis b. syphilis c. chlamydia d. gonorhea - ANSWER a. bacterial vaginosis A 20 year old female reports that her grandmother and mother have osteoporosis. What should she be encouraged to do to reduce her risk of osteoporosis? a. aerobic exercise, weight loss, low-fat diet b. smoking cessation, weight bearing exercise c. calcium supplementation, adequate vitamin A and C intake d. optimal caloric intake, vitamin D, supplementation - ANSWER b. smoking cessation, weight bearing exercise A mammogram in a healthy 50 year old female patient is an example of: a. primary prevention b. secondary prevention c. tertiary prevention d. quaternary prevention - ANSWER b. secondary prevention A 70 year old female has been in a mutually monogamous relationship for the past 33 years. She has never had an abnormal pap smear. What recommendations should be made regarding pap smears for her? a. they should be continued annually b. they should be preformed every 5 years c. they can be discontinued now d. they can be discontinued at age 75 years - ANSWER c. they can be discontinued now A patient who takes oral contraceptive pills is at increased risk of: a. gallbladder disease b. depression c. hypothyroidism d. varicose veins - ANSWER a. gallbladder disease The frequency for cervical screening depends on the patient and her age. what is the longest recommended time interval between cervical screens for a patient who is 30-64 years old. a. 1 year b. 2 years c. 3 years d. 5 years - ANSWER d. 5 years When collecting cervical cells for a PAP smear, when are the endocervical cells typically collected? a. after the ectocervical specimen with a broom b. after the ectocervical specimen with a brush c. before the ectocervical specimen with a broom d. before the ectocervical specimen with a brush - ANSWER b. after the ectocervical specimen with a brush A young female adult presents with vaginal discharge and itching. Besides trichomoniasis and yeast what else should be included in the differential? a. bacterial vaginosis b. chlamydia c. herpes genitalis d. syphilis - ANSWER a. bacterial vaginosis A 24 year old female patient who is sexually active c/o vaginal itching. If she has bacterial vaginosis, she might complain of: a. a "fishy" vaginal odor after coitus b. a truncal rash c. frothy bloody vaginal discharge d. midcycle bleeding - ANSWER a. a "fishy" vaginal odor after coitus The first step in evaluating a breast lump is: a. history and physical exam b. mammogram c. ultrasound d. MRi - ANSWER a. history and physical exam The clinical syndrome resulting from replacement of normal vaginal flora with anaerobic bacteria is: a. candidal vaginitis b. bacterial vaginosis c. pelvic inflammatory disease d. herpes simplex - ANSWER b. bacterial vaginosis A female should be told to take her oral contraceptive pill (ocp) at bedtime if she experiences: a. weight gain b. headaches c. nausea d. spotting - ANSWER c. nausea Three of the following interventions are appropriately used to prevent osteoporosis after menopause. Which one is not? a. avoidance of corticosteroids b. performance of weight bearing activities for 40 min at least 5 days/week c. estrogen replacement therapy d. adequate calcium & vitamin D intake - ANSWER c. estrogen replacement therapy Athletic amennorrhea increases the risk of: a. osteoporosis b. an eating disorder c. covert hypothyroidism d. breast cancer - ANSWER a. osteoporosis A female patient who takes oral contraceptives has just completed her morning exercise routine. She c/o pain in her right calf. Her BP and HR are normal. She is not shout of breath. Her calf is red and warm to touch. What is NOT a part of the differential diagnosis? a. Deep vein thrombosis b. cellulitis c. calf muscle strain d. sciatica - ANSWER d. sciatica A 14 year old female has never menstruated. She and her mother are concerned. What is the most important for the NP to assess? a. stature b. tanner stage c. anemia d. family history of amenorrhe - ANSWER b. tanner stage A patient asks the NP's advice about an herb to help her with hot flashes. The NP knows these: a. are safe to use in all patients b. may be contraindicated in patients with a history of breast cancer c. substances have a mild estrogenic effect that will halt hot flashes d. help prevent osteoporosis - ANSWER b. may be contraindicated in patients with a history of breast cancer A 4 year old female is brought in to the clinic by her mother, who reports that she is constantly scratching "her private part" The patient states that it itches. On exam, the vagina is red and irritated. How should the NP proceed? a. call child protection for suspected sexual abuse b. prescribe a cortisone cream c. collect a vaginal swab of the external vagina for microscopic evaluation d. prescribe a topical antifungal - ANSWER c. collect a vaginal swab of the external vagina for microscopic evaluation A 16 year old female is diagnosed with primary dysmenorrhea. She has taken over the counter ibuprofen in 800mg increments every 8 hours during menses for the past 3 months, with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms? a. flurbiprofen during menses b. combined oral contraceptives c. daily multivitamin d. 30 minutes of regular exercise daily - ANSWER b. combined oral contraceptives Clue cells are found in patients who have: a. leukemia b. bacterial vaginosis c. epidermal fungal infections d. pneumonia - ANSWER b. bacterial vaginosis Which type of incontinence would NOT benefit from pelvic floor muscle training? a. stress b. urge c. mixed d. overflow - ANSWER d. overflow A 52 year old female presents to your clinic with a palpable mass in her right breast. Her last normal mammogram was 6 months ago. What is true about this lump? a. it is probably breast cancer b. it may not be a lump at all c. it is likely a fibroadenoma d. it is probably a benign lesion - ANSWER d. it is probably a benign lesion A 54 year old female presents with a small to moderate amount of vaginal bleeding of recent onset. She has been postmenopausal for approx. 2 years. What diagnosis is least likely? a. endometrial carcinoma [Show More]

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