NSG6430 Midterm Exam
, NSG6430 Midterm Exam
1. Iris is a thirty-two-year-old married woman with three children. She comes in for
information on using the copper T intrauterine device (IUD) for contraception. Which of
the following would be a contraindication to using this appliance?
Nulliparity
Heart disease
Prior ectopic pregnancy
History of multiple births
2. You are meeting with twenty-twoyear- old Emily to discuss birth control options. She
has tried “the pill” in the past but failed to take it regularly. She is interested in depo
because she only has to come in every three months for a shot. She also heard that one does
not get a period on depo, and she likes the thought of that. Which of the following would be
a specific consideration with depo that you would need to discuss?
Depo offers no protection from STIs.
Depo depletes skeletal mass, so it is necessary to take calcium supplements.
, As with any hormonal birth control, changes in weight can occur.
Depo does not offer pregnancy protection for those who are obese.
3. You are working in a women’s health practice and decide to incorporate brief
preconception counseling into every visit. Which of the following would not be included in
brief preconception counseling?
Maternal assessment
Risk screening
Immunizations
Medication management
4. The National Osteoporosis Foundation has screening guidelines for DEXA scans. Which
of the following women would be most in need of bone mineral density testing?
Student Answer: A sixty-year-old postmenopausal woman receiving hormone replacement
therapy (HRT)
A fifty-year-old woman who is having irregular menstrual cycles
A fifty-one-year-old woman with COPD on long-term corticosteroid therapy
A forty-nine-year-old, obese Caucasian woman who smokes
5. Lakeisha, seventeen years old, is seeing her regular nurse practitioner for a sports
physical. While participating in a psychosocial screen, Lakeisha volunteers that she “hasn’t
had sex yet.” What is the best initial response to Lakeisha’s statement?
, NSG6430 Midterm Exam
1. Iris is a thirty-two-year-old married woman with three children. She comes in for
information on using the copper T intrauterine device (IUD) for contraception. Which of
the following would be a contraindication to using this appliance?
Nulliparity
Heart disease
Prior ectopic pregnancy
History of multiple births
2. You are meeting with twenty-twoyear- old Emily to discuss birth control options. She
has tried “the pill” in the past but failed to take it regularly. She is interested in depo
because she only has to come in every three months for a shot. She also heard that one does
not get a period on depo, and she likes the thought of that. Which of the following would be
a specific consideration with depo that you would need to discuss?
Depo offers no protection from STIs.
Depo depletes skeletal mass, so it is necessary to take calcium supplements.
, As with any hormonal birth control, changes in weight can occur.
Depo does not offer pregnancy protection for those who are obese.
3. You are working in a women’s health practice and decide to incorporate brief
preconception counseling into every visit. Which of the following would not be included in
brief preconception counseling?
Maternal assessment
Risk screening
Immunizations
Medication management
4. The National Osteoporosis Foundation has screening guidelines for DEXA scans. Which
of the following women would be most in need of bone mineral density testing?
Student Answer: A sixty-year-old postmenopausal woman receiving hormone replacement
therapy (HRT)
A fifty-year-old woman who is having irregular menstrual cycles
A fifty-one-year-old woman with COPD on long-term corticosteroid therapy
A forty-nine-year-old, obese Caucasian woman who smokes
5. Lakeisha, seventeen years old, is seeing her regular nurse practitioner for a sports
physical. While participating in a psychosocial screen, Lakeisha volunteers that she “hasn’t
had sex yet.” What is the best initial response to Lakeisha’s statement?
