NURS 6551 Midterm Exam . Questions and Answers

Question 1 Which of the following is a diagnostic label that is listed in the Diagnostic and Statistical Manual IV-TR? a. Premenstrual dysphoric disorder b. Premenstrual magnification c. Dysmenorrhea d. Premenstrual syndrome Question 2 About half of all pregnancies in the United States are unintended and occur most frequently in women who: a. Are married or divorced b. Have finished high school c. Are between the ages of 18 and 24 d. Are members of the majority group Question 3 What is one factor that can reduce the risk for the development of ovarian cancer? a. Multiple pregnancies b. Transvaginal ultrasounds c. Identification of recurrence d. Weight loss Question 4 What percentage of toxic shock syndrome cases are related to menses? a. 50% b. 25% c. 75% d. 90% 4. Which contraceptive methods have inherent failure rates? a. None b. Some c. All d. All except sterilization 5. Why do adolescents have the highest risk of developing pelvic inflammatory disease (PID)? a. They have the highest risk for bacterial vaginosis. b. They are the least at risk for developing other STIs. c. They are the most sexually active. d. They have decreased immunity to infectious organisms. 6. Exercise-induced amenorrhea is probably due to the combination of low body fat and decreased secretion of: a. Estrogen b. Prolactin c. Progesterone d. GnRH 7. What can result from an imbalance in the vaginal flora? a. Herpes simplex virus b. Human papillomavirus c. Chlamydia d. Bacterial vaginosis 8. The most effective means of obtaining the history of abuse is to use a communication model that: a. Avoids having the patient’s children present during the discussion b. Signals someone is interested and that the woman is not alone c. Emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient d. Allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story 9. What is the most common STI in the United States? a. Gonorrhea b. Chlamydia c. Syphilis d. Herpes simplex virus Question 5 Tubal sterilization for women who have completed their families is highly effective, but there are disadvantages such as: a. Women are less likely to use condoms or return for health services. b. There is a decreased risk of ovarian cancer and pelvic inflammatory disease. c. There is a high likelihood of complications and side effects. d. The surgery is not covered by insurance. Question 6 Women who report experiencing the most severe symptoms of PMS tend to be: a. In their late 40s b. In their early 20s c. In their late teens d. In their late 30s Question 7 What is the definition of primary amenorrhea? a. The cessation of menses for an interval of 6 months b. The failure to begin menses by age 14 c. The cessation of menses due to outflow tract obstruction d. The failure to begin menses by age 16 Question 8 How many stages does the Tanner scale use to stage sexual maturity? a. 3 stages b. 5 stages c. 6 stages d. 8 stages Question 9 Which contraceptive methods have inherent failure rates? a. None b. Some c. All d. All except sterilization Question 10 What is the most common type of menstrual dysfunction related to hyperandrogenism? a. Painful menstruation b. Absence of menses c. Irregular bleeding d. Early menopause Question 11 Combined oral contraceptives (COCs) are among the most extensively studied medications available. Which one of the following statements about their use has been found to be true? a. Broad-spectrum antibiotics may enhance their efficacy. b. They do not increase the risk of venous thromboembolism. c. They decrease the relative risk of ovarian and endometrial cancers. d. Among possible side effects are acne, hirsuitism, and benign breast conditions. Question 12 Many patients experiencing intimate partner violence (IPV) meet the criteria for diagnosing PTSD. Those criteria include all of the following except: a. Experiencing a traumatic event b. Re-experiencing the traumatic event c. Numbness and avoidance d. Hypovigilance Question 13 Which of the following is an ethical issue that is specifically associated with pre-implantation testing with ART? a. Ownership of frozen embryos after the couple has divorced b. A surrogate deciding she does not want to relinquish the infant c. Genetic engineering and the ability to reject embryos affected by inherited disorders d. The implantation of multiple embryos, which can create high risk for the embryos and the woman Question 14 The is probably the most widely used intimate partner violence (IPV) screen. a. Three-QUESTION AAS (McFarlane et al., 1992) b. Campbell’s Danger Assessment (2003) c. Sheridan’s HARASS Instrument d. Helton’s nine-QUESTION AAS Question 15 What is the term for the absence of menses for 3 to 6 months in a woman who has previously menstruated and is not pregnant, breastfeeding, or menopausal? a. Primary amenorrhea b. Initial dysmenorrhea c. Secondary amenorrhea d. Primary dysmenorrhea Question 16 Among women age 55 years and older: a. Macromastia is the most common cause of breast masses. b. Breast masses are presumed malignant until proven otherwise. c. Most breast masses decrease in size over time and many resolve completely. d. Diagnostic imaging of a breast mass and tissue sampling should be deferred. Question 17 Both very young and elderly sexual assault victims: a. Are addressed in most state mandatory reporting laws b. never has any difficulty describing the incident and related symptoms c. Require the same equipment for proper examination that others do d. Have fewer injuries than victims of other age groups Question 18 What is the major source of normal vaginal secretions? a. Bartholin’s glands b. Apocrine glands c. Sebaceous glands d. Cervical mucosa Question 19 Which one of the following statements about intimate partner violence (IPV) is false? a. It refers to an escalating pattern of abuse. b. It includes emotional abuse, such as disregarding what a woman wants. c. It includes using physical force to make a woman engage in a sexual act against her will. d. It refers to a current or former spouse or dating partner of the opposite sex, not someone of