Latest-Women's health exam study guide NURSING NSG 6430
2021-2022 100% Verified Question and Answers) TEST BANK
1. Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and
reports menstrual irregularity with amenorrhea, which is the most common cause of
amenorrhea?
Ectopic pregnancy
Adenomyosis
Coagulopathy
Anovulation
2. The Tanner scale of sexual maturity rating allows for accurate classification of physical
pubertal maturation. During the examination of your patient, you notice that the pubic hair
is increased in quantity, is darker, and is present in the typical female triangle but ina
smaller quantity. Which of the following Tanner stages does this description meet?
Tanner stage I
Tanner stage II
Tanner stage III
Tanner stage IV
3. A twenty-five-year-old patient presents with urinary frequency and urgency. These
symptoms have been occurring for three days without fever. A patient with interstitial
cystitis would most likely describe their symptoms as .
urinary urgency and frequency in the morning and at night
pain with urination with scant bleeding
terminal dysuria
urinary urgency only
4. The most common cause of chronic pelvic pain for women in the prime of their
reproductive years is
PID
Fibroids
CORRECT Endometriosis
Endometritis
5. A fifty-two-year-old female patient comes in for her annual well-woman
examination. Her LMP was fourteen months ago without any breakthrough
bleeding. She has also developed some hirsutism. You would document this as .
, secondary amenorrhea
menopause
perimenopause
polycystic ovary syndrome (PCOS)
6. Polycystic ovaries predispose women to a higher incidence of:
Adrenal tumors
Ovarian cancer
Endometrial cancer
Endometriosis
7. A definitive diagnosis of endometriosis cannot be made until which of these is
completed?
CT scan
Transvaginal ultrasound
Exploratory laparoscopy
MRI
8. After a thorough history, you note that Marie resides in a community with very high
risk factors. These include poverty, violence, and lack of recreational facilities. She
tells you that she “hangs out” at a convenience store near the apartment complex
she lives at with her mother.
“All the group hangs there,” she reports proudly. She shares that she has been
menstruating for two years now although she has irregular cycles. She also lets you
know that she has had coitus only one time and that he “pulled out.” She does not
want to get pregnant, and this is why she is here today.
What is your management plan for Marie today?
, Student Answer: CORRECT You will assess all predisposing factors that lead to premarital sex and the negative
consequences, tell Marie to be careful, and prescribe birth-control pills.
CORRECT One by one, you will plan to carefully address the risks (red flags) in Marie’s history. Your goal will be to
clarify and address misconceptions, as well as share valuable sex education in a sensitive, nonjudgmental way. You will let
her know you are her advocate and are very protective of her health. Without preaching, you want her to be aware of the
negative possibilities of premarital, unprotected sexual activities. You will also share a clear understanding of the risk of
STIs with Marie.
CORRECT After processing all of the history Marie has shared, you will write a referral for psychiatric evaluation and
tell her she needs ongoing counseling for her behavior at such a young age and she likely needs to learn to cope within
her environment (home and community).
CORRECT Your goal is to include healthy sexual-health decision making, including decisions regarding abstinence ,
birth- control efficacy and choice, and condom use. Depending on the need, you may include a referral to an effective
program for teens (for example, a program that deals with STI prevention and or a family-based intervention program
if available).
9. A well-woman visit for an adolescent should include which of the following?
A general health history and physical examination, including a breast examination, pelvic with Pap smear, screening
tests, counseling, immunizations, risk factors, and patient concerns
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and
pregnancy related) and psychosocial (fam ily 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
CORRECT Both b and c
10. A seventeen-year-old presents with an appointment for unilateral breast tenderness and swelling.
Which of the following would be the most likely etiology for this problem?
Breast cancer
Mastitis
Fibrocystic breast
Fibroadenoma
11. You are completing a pelvic exam on thirty-two-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.
Pelvic inflammatory disease (PID)
Malignancy
Pregnancy
Polycystic ovary disease X
12.Majority of urinary tract infections do not require consultation or a referral to a
specialist and are routinely treated in primary care practices. Which of the
following scenarios would indicate that a consultation or referral is indicated?
The presence of secondary sexually transmitted illness
A patient with two episodes occurring in one year
Patients that remain symptomatic after three days of treatment
Patients that show urine human chorionic gonadotropin (HCG) positive
13. Long-acting progestins may be used in patients as a contraceptive method. One of the long- acting
progestins is Depo-Provera. Which of the following best describes the mechanism of action of long-
acting progestins in contraception?
Decrease in cervical mucus production and thinning of the circle os
Thickening of cervical mucus and suppression of gonadotropin levels
Increased gonadotropin levels and thinning of the circle os
Anovulation caused by increased gonadotropin levels
14.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?
Prior ectopic pregnancy
15. TeYou are counseling an eleven-year-old girl, Amanda, and her mother about human papillomavirus
vaccine (HPV), Gardasil. Amanda is Tanner stage IV at this visit. In counseling this family, you tell
them that HPV vaccine .
is a series of three doses, six months apart
will protect Amanda from all strains of
HPV can cause seizures in some children
is not indicated in her age group as she is not yet sexually active
2021-2022 100% Verified Question and Answers) TEST BANK
1. Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and
reports menstrual irregularity with amenorrhea, which is the most common cause of
amenorrhea?
Ectopic pregnancy
Adenomyosis
Coagulopathy
Anovulation
2. The Tanner scale of sexual maturity rating allows for accurate classification of physical
pubertal maturation. During the examination of your patient, you notice that the pubic hair
is increased in quantity, is darker, and is present in the typical female triangle but ina
smaller quantity. Which of the following Tanner stages does this description meet?
Tanner stage I
Tanner stage II
Tanner stage III
Tanner stage IV
3. A twenty-five-year-old patient presents with urinary frequency and urgency. These
symptoms have been occurring for three days without fever. A patient with interstitial
cystitis would most likely describe their symptoms as .
urinary urgency and frequency in the morning and at night
pain with urination with scant bleeding
terminal dysuria
urinary urgency only
4. The most common cause of chronic pelvic pain for women in the prime of their
reproductive years is
PID
Fibroids
CORRECT Endometriosis
Endometritis
5. A fifty-two-year-old female patient comes in for her annual well-woman
examination. Her LMP was fourteen months ago without any breakthrough
bleeding. She has also developed some hirsutism. You would document this as .
, secondary amenorrhea
menopause
perimenopause
polycystic ovary syndrome (PCOS)
6. Polycystic ovaries predispose women to a higher incidence of:
Adrenal tumors
Ovarian cancer
Endometrial cancer
Endometriosis
7. A definitive diagnosis of endometriosis cannot be made until which of these is
completed?
CT scan
Transvaginal ultrasound
Exploratory laparoscopy
MRI
8. After a thorough history, you note that Marie resides in a community with very high
risk factors. These include poverty, violence, and lack of recreational facilities. She
tells you that she “hangs out” at a convenience store near the apartment complex
she lives at with her mother.
“All the group hangs there,” she reports proudly. She shares that she has been
menstruating for two years now although she has irregular cycles. She also lets you
know that she has had coitus only one time and that he “pulled out.” She does not
want to get pregnant, and this is why she is here today.
What is your management plan for Marie today?
, Student Answer: CORRECT You will assess all predisposing factors that lead to premarital sex and the negative
consequences, tell Marie to be careful, and prescribe birth-control pills.
CORRECT One by one, you will plan to carefully address the risks (red flags) in Marie’s history. Your goal will be to
clarify and address misconceptions, as well as share valuable sex education in a sensitive, nonjudgmental way. You will let
her know you are her advocate and are very protective of her health. Without preaching, you want her to be aware of the
negative possibilities of premarital, unprotected sexual activities. You will also share a clear understanding of the risk of
STIs with Marie.
CORRECT After processing all of the history Marie has shared, you will write a referral for psychiatric evaluation and
tell her she needs ongoing counseling for her behavior at such a young age and she likely needs to learn to cope within
her environment (home and community).
CORRECT Your goal is to include healthy sexual-health decision making, including decisions regarding abstinence ,
birth- control efficacy and choice, and condom use. Depending on the need, you may include a referral to an effective
program for teens (for example, a program that deals with STI prevention and or a family-based intervention program
if available).
9. A well-woman visit for an adolescent should include which of the following?
A general health history and physical examination, including a breast examination, pelvic with Pap smear, screening
tests, counseling, immunizations, risk factors, and patient concerns
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and
pregnancy related) and psychosocial (fam ily 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
CORRECT Both b and c
10. A seventeen-year-old presents with an appointment for unilateral breast tenderness and swelling.
Which of the following would be the most likely etiology for this problem?
Breast cancer
Mastitis
Fibrocystic breast
Fibroadenoma
11. You are completing a pelvic exam on thirty-two-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.
Pelvic inflammatory disease (PID)
Malignancy
Pregnancy
Polycystic ovary disease X
12.Majority of urinary tract infections do not require consultation or a referral to a
specialist and are routinely treated in primary care practices. Which of the
following scenarios would indicate that a consultation or referral is indicated?
The presence of secondary sexually transmitted illness
A patient with two episodes occurring in one year
Patients that remain symptomatic after three days of treatment
Patients that show urine human chorionic gonadotropin (HCG) positive
13. Long-acting progestins may be used in patients as a contraceptive method. One of the long- acting
progestins is Depo-Provera. Which of the following best describes the mechanism of action of long-
acting progestins in contraception?
Decrease in cervical mucus production and thinning of the circle os
Thickening of cervical mucus and suppression of gonadotropin levels
Increased gonadotropin levels and thinning of the circle os
Anovulation caused by increased gonadotropin levels
14.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?
Prior ectopic pregnancy
15. TeYou are counseling an eleven-year-old girl, Amanda, and her mother about human papillomavirus
vaccine (HPV), Gardasil. Amanda is Tanner stage IV at this visit. In counseling this family, you tell
them that HPV vaccine .
is a series of three doses, six months apart
will protect Amanda from all strains of
HPV can cause seizures in some children
is not indicated in her age group as she is not yet sexually active
