UNIVERSITY PRIMARY CARE FOR
WOMEN’S HEALTH FINAL EXAM
OVER 200 QUESTIONS AND
CORRECT ANSWERS
D
Lyla, a 45-year-old client who recently entered perimenopause, tells her
nurse that she has seen "natural" hormones advertised and asks about
them. Which of the following should the nurse tell Lyla about these
products? (Select all that apply.)
A. Unlike bioidentical hormones, they are derived from all-natural sources
B. They cause fewer side effects than do pharmaceutically manufactured
hormones
C. They are identical to the hormones produced in a woman's body They
are not as effective as bioidentical hormones
D. They are safer than pharmaceutically manufactured hormones
B,C
The nurse is providing counseling to Renee, a 37-year-old client who has
entered perimenopause prematurely. Which of the following should the
nurse tell Renee to expect as a result of this condition, compared with
women who enter perimenopause at the typical time? (Select all that
apply.)
A. Less severe menopause-related symptoms
B. Early loss of fertility
C. Increased risk for osteoporosis
,D. Decreased risk for cardiovascular disease
E. Increased life expectancy
B. 2.5
How many standard deviations below the mean bone-mineral density of a
young-adult reference population define osteoporosis diagnostically?
A. 1.5
B. 2.5
C. 3.5
D. 4.5
A. Primary
Trina has been diagnosed with osteoporosis. The disease occurred in her
gradually as she aged and became evident only after she entered
menopause. Which type of osteoporosis does Trina have?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
B. 30 to 35 years
At what age does peak bone mass occur in women?
A. 20 to 25 years
B. 30 to 35 years
C. 40 to 45 years
D. 50 to 55 years
,B,C
After the age of 35 years, bone formation occurs in response only to which
of the following? (Select all that apply.)
A. Secretion of growth hormone
B. Osteoclast activity
C. Functional load stress exerted on bone
D. Decrease in estrogen
E. Decrease in progesterone
A,C,D,E
Sandra is concerned about her risk for developing osteoporosis and wants
to know what she can do to help prevent it. Which of the following should
be mentioned by the nurse as examples of potentially modifiable risk
factors? (Select all that apply.)
A. Amenorrhea related to an eating disorder
B. Weight greater than 127 lb
C. Cigarette smoking
D. Low estrogen level
E. Sedentary lifestyle
A,B,C
Which of the following are nonmodifiable risk factors associated with
osteoporosis? (Select all that apply.)
A. Advanced age
B. Dementia
C. A history of fractures
D. Poor nutrition
E. Sedentary lifestyle
, B. Reduction in height
Which of the following reveal the presence of painless vertebral
compression fractures associated with osteoporosis?
A. Increase in waist circumference
B. Reduction in height
C. Increase in body mass index (BMI)
D. Decrease in orthostatic blood pressure
B,C,E
Which of the following should be stressed as an adequate intake for a
client by a nurse practitioner providing the client with nutrition guidance
related to prevention of osteoporosis? (Select all that apply.)
A. Carbohydrates
B. Calcium
C. Vitamin D
D. Chloride
E. Phosphorus
A,C,E
A client would like recommendations for weight-bearing or resistance
exercises that would be helpful in preventing osteoporosis. Which of the
following should the nurse suggest? (Select all that apply.)
A. Walking
B. Water aerobics
C. Weight lifting
D. Swimming
E. Dancing