NSG6430 midterm Exam; Fall 2022 100 questions & Answers.

NSG6430 midterm Exam; Fall 2022 100 questions & Answers. A thirty nine year old female has not had menses for over six months and has a negative pregnancy test. Which of the following characteristics puts her at risk for an early menopause? current smoker Sally a sixty one year old Caucasian female, presents to your practice for well-woman examination. She remarks that she feels like she is shrinking over the past year, despite keeping active and incorporating sources of calcium in her diet. Which of the following is not a risk factor for osteoporosis? used of combined oral contraception Suzanne, a forty six year old client reports shortened menstrual cycles for one year. The most likely diagnosis is perimenopause you are seeing a twenty two year old pregnant woman for routine antepartal care. she discloses that she forgets to take her prenatal vitamins. which of the following would not be part of your counseling and education you can just take a regular multivitamin in place of the prenatals a pathology report has been returned on a woman's breast mass malignancy. The most common type of invasive breast cancer is infiltrating ductal you are performing a pelvic exam on a forty seven year old woman when you notice a large soft bulge in the vaginal floor. the primary diagnosis is rectocele a young woman presents to your practice with vaginal itching and a white discharge. She denies sexual activity or douching. She has been in good health except for a recurrent strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and white patches; no odor is detected. Which of the following is the most likely cause of this problem candidiasis after antibiotic treatment the NP is prescribing an oral contraception to Sally. she is concerned about having one that has "two hormones: as the active ingredients. You instruct her that adding progestin to estrogen therapy will decrease the risk of endometrial cancer A twenty one year old woman presents for her initial well woman examination. She has never been sexually active and has a negative family history for gynecology problems. Personal history is negative for abuse and she exercises regularly and eats a balanced diet. Menstrual history reveals that she experienced menarche at fourteen years of age, has a regular twenty eight day cycle and denies dysmenorrhea. Which of the following would be included in her physical examination today pap smear Frankie is concerned that she has an ultrasound ordered after the results of her mammogram of been reviewed by the NP. You emphasize that the primary role of a breast ultrasound is to determine if a breast lesion is cystic or solid Alicia lived i foster care for several years before being placed in a new city. she is in the tenth grade. which of te following aspects of her life protect her from risk a female teacher with whom she can talk about her problems In reviewing mammogram results with a patient, the results reveal fibrocystic changes. These finding will most likely cause breast pain Mitzi, a twenty three year old is here for her well woman checkup. She asks about douching. Which of the following statements about douching is true douching may increase the risk of infection and ectopic pregnancy Lakeisha, seventeen years old, is seeing her regular NP 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 clarify which behaviors are included in Lakeisha's definition of having sex Thalia is a fifteen year old who is referred to your women's health practice by her school counselor. She has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem Assess Thailia's Tanner staging for breasts and date of menarche A college professor is creating a lecture about the prevention and diagnosis of osteoporosis. A point that needs to be included about measures that have no impact on osteoporosis is obtaining a spinal x-ray after a suspected osteoporotic compression fracture your are starting Ella, a twenty one year old on ortho tricyclen, a combined oral contraceptive. Which of the following would not be included in your instructions and advice oral contraceptives offer protection against breast cancer for as long as you are using them you are instructing a patient in the proper use of the diaphragm, a barrier contraceptive method. Which of the following would you include in your instructions the diaphragm is more effective when used with spermicidal jelly A postmenopausal patient is prescribed hormonal therapy (HT) The NP recalls that HT is indicated for the management of hot flashes The NP is completing a follow up visit on a woman who was previously prescribed hormonal therapy, which she has not taken for the last month. The primary reason the patient discontinued HT is vaginal bleeding The most effective interventions available to women's healthcare providers for reducing the incidence and severity of the leading causes of death and disability in this group are lifestyle changes A female patient has been diagnosed with a urinary tract infection and is currently using birth control. Which of the following contraceptive methods is associated with an increased incidence or a urinary tract infections diaphragm A woman has just stopped birth control pills in effort to become pregnant. You recall that estrogen withdrawal reflects activity primarily from the ovary a twenty-four-year old woman in your practice has been trying to conceive. she comes in for a pregnancy test, and it is positive. LMP was 5 weeks ago. She is prone to migraines and has used Imitrex (sumatriptan) with good success. She asks you about what to do if she has a migraine during pregnancy. Which of the following would be an inappropriate intervention as part of your counseling substitute ibuprofen at the onset of a headache; it is safe and effective A NP is educating a woman who has a colposcopy ordered. Which of the following most accurately describes a colposcopy a procedure that visualizes the vaginal, vulvar or cervical epithelium with magnification to identify abnormal areas that may need to be biopsied according to Neinstein all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. during which stage eating disorders most likely to surface middle adolescence (14 to 16 years) A fourteen year old patient is accompanied by her mother, who is concerned about irregular and infrequent periods. Her last menstrual period was two months ago. What would be the initial test performed urine Hcg A NP is educating a high school class about sexual education. Teaching should include that protective factors against repeat adolescent pregnancy include all of the following except continue sexual relationship with the same partner Karen is concerned that she may develop breast cancer, which of the following is not associated risk factor breastfeeding Which of the following is not included in diagnostic criteria for polycystic ovary syndrome diabetes insipidus A female patient has been diagnosed with polycystic ovary syndrome and weights 250 lbs. In addition to obesity PCOS is associated with which of the following clinical manifestations infertility A NP is completing a history on a woman who has been diagnosed with primary amenorrhea. Which of the following would not be a significant past medical history for this diagnosis Stein-Leventhal syndrome Leticia, 17 years old has just been diagnosed with primary dysmenorrhea. which of the following is responsible for the pain in this condition prostaglandin release and synthesis