*NURSING > STUDY GUIDE > NR 602 week 8 Poss questions (Latest 2020) - Chamberlain College of Nursing (Already graded A) (All)

NR 602 week 8 Poss questions (Latest 2020) - Chamberlain College of Nursing (Already graded A)

Document Content and Description Below

NR 602 week 8 Poss questions (Latest 2020) - Chamberlain College of Nursing (Already graded A) ACOG guidelines regarding well women exams What is the ASCCP recommended management for an ASCUS (... atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of abnormal pap smears? • Colposcopy A well-woman visit for an adolescent should include which of the following? • A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns 
Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic considerations for an external-only inspection of the genitalia  ACOG Pap smear guidelines A Bethesda system Pap smear report that reads LSIL is most consistent with which classification? • CIN 1 A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up? • Routine screening A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age 18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer screening? • 5 years A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the nurse include in the explanation of this procedure? • The Pap smear can detect cancer of the cervix Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV) screen. Which procedure will be required next? • Repeat Pap and HPV screen Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed? • Over 55 years of age Amenorrhea (Primary and Secondary) You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics. The purpose of the progesterone challenge is to ascertain the presence of? • Endogenous estrogen A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is noticed that she has normal secondary sexual characteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequate • Endogenous estrogen A teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge is ordered. The purpose is to determine the presence of ____________? • Endogenous estrogen A 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at age 10, regular cycles for 2 years. She has not menstruated now for 4 years. In your initial consideration of differential diagnoses, what is the most frequent etiology of this problem: • Eating disorder 18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval? • Galactorrhea Primary amenorrhea is best described as: • Failure to menstruation to occur by 13 yr A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal. Which of the following may be the cause if etiology originates in the hypothalamus? • Sheehan’s syndrome American Cancer Society recommendations A nurse practitioner is participating in a women’s health fair. When educating the women about risk factors for breast cancer, which of the following statements is incorrect? • Fibrocystic breast disease When educating women about breast cancer risk factors, which statement is incorrect? • Fibrocystic breast disease A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of • 8.0 Androgen insensitivity/resistance syndrome Changes in hormonal regulation during menopause result in the gradual cessation of menstruation. From which gland is Androstenedione secreted? • Adrenals ASCUS/HSIL results from Paper Test Report A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next? • Colposcopy A Pap smear result of atypical squamous cells of undetermined significance (ASCUS) will require which procedure next? • Follow up pap smear Bartholin glands and cysts A 25-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a "pea-sized" painful lump on the left - - - - - - - - -- - • Chlamydia and gonorrhea Stein-Leventhal Syndrome The Stein-Leventhal syndrome is characterized by each of the following except • Many corpora lutea present in the ovaries Turner’s syndrome
Which of the following is NOT a characteristic of Turner syndrome? • Increased risk for leukemia Which of the following statements is NOT true about Turner syndrome? • Unlike Down syndrome, risk does not increase with an increase in maternal age Which of the following is common treatment for individuals with Turner syndrome? • Estrogen therapy. This helps the girls with breast development and their menstrual cycle. Does the X chromosome more commonly come from the mother or father in girls with Turner syndrome? • The x more commonly comes from mom USPSTF recommendations regarding breast exams Uterine Prolapse During a pelvic exam on a seventy-year-old, the nurse practitioner notices the position of the cervix at the introitus. The diagnosis is most likely _____. • Uterine prolapse Uterine prolapse is caused by a relaxation of the ? • Cardinal ligaments UTI In women, most urinary tract infections occur through: • Ascending contamination from the urethra A woman with a lower urinary tract infection is least likely to experience which of the following symptoms? • Fever Approximately what percent of women will suffer a urinary tract infection at some point in their lives? • 60% Urinary tract infections are commonly seen in primary care. A 25-year-old female presents with a new onset of dysuria and suprapubic pain for the last twenty-four hours. The examination reveals only mild tenderness without any peritoneal signs on the lower abdomen. A urinalysis reveals the presence of WBCs. The urine is sent for a culture and sensitivity. In addition to Escherichia coli one might typically expect to see the presence of which bacterium? • Klebisiella Vulvar carcinoma/ Pelvic mass What percent of vulvar carcinomas are of the squamous cell type? • 90% Paget disease of the vulva may be associated with carcinoma of the • Skin In patients with vulvar carcinoma, what is the most common presenting complaint? • Vulvar pruritus The spread of squamous cell carcinoma of the vulva is best characterized by which of the following? • Spread of the disease is typically to the regional lymph nodes What is the recommended procedure for the evaluation of a chronic vulvar ulcer? • Biopsy The most common cause of the delay in diagnosing vulva carcinoma is the • Failure to biopsy lesions 35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam, you discover 12wk size uterus w/irregular contour. What does this represent? • Uterine fibroid You are completing a pelvic exam on 32-year-old Nancy. You detect a left adnexal mass on the bimanual exam. With an adnexal mass, the practitioner must always suspect ________ until proven otherwise. • Malignancy Vulvodynia A 28-year-old happily married woman presents with new-onset insertional dysparenunia. The most likely diagnosis is o Vulvar vestibulitus All of the following medications may be used for neuropathic pain management of vulvodynia, except: o SSRI’s The nurse practitioner understands that which of the following lab tests is appropriate for the patient who presents with symptoms of dysesthetic vulvodynia? o RPR A 14-year-old is brought to the clinic by her mother. The mother explains to the nurse that her daughter has just started using tampons but is not yet sexually active. The mother states “I am very concerned because my daughter is having a lot of stabbing pain and burning.” What might the nurse suspect is the problem with the 14-year-old? • Vulvodynia [Show More]

Last updated: 1 year ago

Preview 1 out of 22 pages

Add to cart

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

We Accept:

We Accept

Reviews( 0 )

$14.00

Add to cart

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
51
0

Document information


Connected school, study & course


About the document


Uploaded On

May 30, 2020

Number of pages

22

Written in

Seller


seller-icon
Martin Freeman

Member since 4 years

485 Documents Sold


Additional information

This document has been written for:

Uploaded

May 30, 2020

Downloads

 0

Views

 51

Document Keyword Tags

More From Martin Freeman

View all Martin Freeman's documents »

Recommended For You

Get more on STUDY GUIDE »

$14.00
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·