NSG 6430 MIDTERM EXAM / NSG6430 MIDTERM EXAM (NEWEST, UPDATED) | COMPLETE SOLUTION| SOUTH U
Grade Details - All Questions
Question 1. Question :
Jackie is a fifteen-year-old African American female who resides in a
housing plan. You realize that barriers exist in providing preventive
services to adolescents that include all of the following except:
Student Answer: Reluctance of adolescents to seek care
Concept that adolescents are “healthy” and don’t need services
Concerns about lack of confidentiality
Availability of guidelines for preventive care
Points Received: 0 of 4
Comments:
Question 2. Question :
A twenty-one-year-old woman comes into your practice seeking birth
control. She has only recently become sexually active and has
consistently used condoms for safe sex. Your history reveals that she
does not use tampons during her menses and has very little knowledge
about female reproductive anatomy. Based on this information, which of
the following birth control choices would be least likely to meet her
needs for contraceptive management?
Student Answer: Combined oral contraceptive (COC) pill
Depo-Provera
Ortho Evra patch
NuvaRing
Points Received: 4 of 4
Comments:
Question 3. Question :
Natasha is an eleven-year-old girl brought to your office for an annual
well-child visit. When discussing the onset of puberty with Natasha and
her mother, you would emphasize which of the following?
Student Answer: Pubic hair develops before breast buds.
Breast development delayed beyond twelve years of age may be
considered pathological.
The average age of menarche is twelve years.
, It usually takes about three-and-half years to go from breast buds to
menarche.
Points Received: 0 of 4
Comments:
Question 4. Question :
A mother presents to the clinic with her female child who she is
concerned about because her breasts are developing “when she is so
young.” When performing the initial assessment, it is important to recall
that precocious puberty is present if _________.
Student Answer: delay in any of the Tanner stages takes longer than two years between
stages
the adolescent has had sexual relations before menarche
puberty starts before eight years of age in a female
the growth spurt in a female occurs after puberty is complete
Points Received: 4 of 4
Comments:
Question 5. Question :
Sheryl, a twelve-year-old, complains of a vaginal discharge for the past
eight to nine months. She tells you her underpants are frequently wet.
When she wipes after urinating, there is “white stuff” on the tissue.
Sheryl denies urinary problems, genital itching, or odor. She also
denies sexual activity. Her menses has not yet started, but she reports
that she “started to develop” her breasts a little past age ten. Her
vaginal discharge is most likely a result of _______.
Student Answer: a fungal infection
a chlamydia infection
retained foreign body
physiologic leukorrhea
Points Received: 4 of 4
Comments:
Question 6. Question :
Alicia lived in foster care for several years before being placed in a new
, city. She is in tenth grade. Which of the following aspects of her life
protect her from risk?
Student Answer: Her recent move to a new city and school
Occasional alcohol use while at parties
Friendships with two teen girls who have “been around the foster care
system”
A female teacher with whom she can talk about her problems
Points Received: 4 of 4
Comments:
Question 7. Question :
Nakia is a sixty-five-year-old obese female with type II diabetes
mellitus. She presents to your office with a complaint of vaginal itching
and burning for two weeks now. She has not been sexually active for
five years since her partner died of heart failure. She has tried douching
and OTC Vagisil cream with no relief. On physical examination, the
vulva is deep red with some thick white adherent material. Which of the
following conditions would be the most likely cause of her symptoms?
Student Answer: Trichomoniasis
Lichen simplex
Atrophic vaginitis
Candidiasis
Points Received: 4 of 4
Comments:
Question 8. Question :
Luz is a fifteen-year-old girl who comes to your office stating, “I have
not had my period for two months now.” She experienced menarche at
ten years of age, with regular cycles for the past two years. In your
initial consideration of a differential diagnoses, what is the most likely
etiology of this problem?
Student Answer: Disordered eating
Pregnancy
Anovulatory cycles
Grade Details - All Questions
Question 1. Question :
Jackie is a fifteen-year-old African American female who resides in a
housing plan. You realize that barriers exist in providing preventive
services to adolescents that include all of the following except:
Student Answer: Reluctance of adolescents to seek care
Concept that adolescents are “healthy” and don’t need services
Concerns about lack of confidentiality
Availability of guidelines for preventive care
Points Received: 0 of 4
Comments:
Question 2. Question :
A twenty-one-year-old woman comes into your practice seeking birth
control. She has only recently become sexually active and has
consistently used condoms for safe sex. Your history reveals that she
does not use tampons during her menses and has very little knowledge
about female reproductive anatomy. Based on this information, which of
the following birth control choices would be least likely to meet her
needs for contraceptive management?
Student Answer: Combined oral contraceptive (COC) pill
Depo-Provera
Ortho Evra patch
NuvaRing
Points Received: 4 of 4
Comments:
Question 3. Question :
Natasha is an eleven-year-old girl brought to your office for an annual
well-child visit. When discussing the onset of puberty with Natasha and
her mother, you would emphasize which of the following?
Student Answer: Pubic hair develops before breast buds.
Breast development delayed beyond twelve years of age may be
considered pathological.
The average age of menarche is twelve years.
, It usually takes about three-and-half years to go from breast buds to
menarche.
Points Received: 0 of 4
Comments:
Question 4. Question :
A mother presents to the clinic with her female child who she is
concerned about because her breasts are developing “when she is so
young.” When performing the initial assessment, it is important to recall
that precocious puberty is present if _________.
Student Answer: delay in any of the Tanner stages takes longer than two years between
stages
the adolescent has had sexual relations before menarche
puberty starts before eight years of age in a female
the growth spurt in a female occurs after puberty is complete
Points Received: 4 of 4
Comments:
Question 5. Question :
Sheryl, a twelve-year-old, complains of a vaginal discharge for the past
eight to nine months. She tells you her underpants are frequently wet.
When she wipes after urinating, there is “white stuff” on the tissue.
Sheryl denies urinary problems, genital itching, or odor. She also
denies sexual activity. Her menses has not yet started, but she reports
that she “started to develop” her breasts a little past age ten. Her
vaginal discharge is most likely a result of _______.
Student Answer: a fungal infection
a chlamydia infection
retained foreign body
physiologic leukorrhea
Points Received: 4 of 4
Comments:
Question 6. Question :
Alicia lived in foster care for several years before being placed in a new
, city. She is in tenth grade. Which of the following aspects of her life
protect her from risk?
Student Answer: Her recent move to a new city and school
Occasional alcohol use while at parties
Friendships with two teen girls who have “been around the foster care
system”
A female teacher with whom she can talk about her problems
Points Received: 4 of 4
Comments:
Question 7. Question :
Nakia is a sixty-five-year-old obese female with type II diabetes
mellitus. She presents to your office with a complaint of vaginal itching
and burning for two weeks now. She has not been sexually active for
five years since her partner died of heart failure. She has tried douching
and OTC Vagisil cream with no relief. On physical examination, the
vulva is deep red with some thick white adherent material. Which of the
following conditions would be the most likely cause of her symptoms?
Student Answer: Trichomoniasis
Lichen simplex
Atrophic vaginitis
Candidiasis
Points Received: 4 of 4
Comments:
Question 8. Question :
Luz is a fifteen-year-old girl who comes to your office stating, “I have
not had my period for two months now.” She experienced menarche at
ten years of age, with regular cycles for the past two years. In your
initial consideration of a differential diagnoses, what is the most likely
etiology of this problem?
Student Answer: Disordered eating
Pregnancy
Anovulatory cycles
