Women's Health Practice Quiz

Women's Health Practice Quiz During a breast exam of a 30-year-old nulliparous female, the provider palpates several rubbery mobile areas of breast tissue. They are slightly tender to palpation. Both breasts have symmetrical findings. There are no skin changes or nipple discharge. The patient is expecting her menstrual period in 5 days. Which will be recommended? A. Advise the patient to return in 6 months to have her breasts rechecked B. Refer her to a gynecology for further evaluation C. Schedule the patient for a mammogram D. Tell her to return 1 week after her period so her breasts can be rechecked - D. Tell her to return 1 week after her period so her breasts can be rechecked Which of the following should you expect to find on a wet-mount slide of a patient diagnosed with bacterial vaginosis? A. A large amount of leukocytes and epithelial cells B. A large amount of bacteria coating the squamous cells (Clue Cells) and very few leukocytes C. Epithelial cells and a small amount of blood D. Tzanck Cells - B. A large amount of bacteria coating the squamous cells (Clue Cells) and very few leukocytes A 44-year-old female complains of not having a menstrual period for a few months. She started spotting and is now having cramp-type pains in her pelvic area. On pelvic exam, the uterine fundus is found above the symphysis pubis. The cervical os is dilated at 3 cm. Which is the most likely? A. Incomplete abortion B. Threatened abortion C. Inevitable abortion D. Acute pelvic inflammatory disease (PID) - C. Inevitable abortion A sexually active woman is complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse anticipate being ordered? A. Pelvic ultrasound B. Complete blood count (CBC) C. Urine pregnancy test D. Flat plate of the abdomen - C. Urine pregnancy test When does menses occur? A. Every month regardless of whether or not pregnancy occurs B. Immediately prior to pregnancy C. Only at puberty D. If no pregnancy takes place - D. If no pregnancy takes place Human papillomavirus (HPV) infection of the larynx has been associated with: A. Esophageal stricture B. Laryngeal neoplasm C. Metaplasia of esophageal squamous cells D. Cervical cancer - B. Laryngeal neoplasm All of the following are infections that affect mostly the labia and vagina except: A. Chlamydia trachomatis B. Candidiasis C. Trichomoniasis D. Bacterial vaginosis - A. Chlamydia trachomatis The nurse is providing education to a group of women regarding the use of contraception. What is the ultimate goal? A. Promote health pregnancy outcomes B. Prevent the spread of sexually transmittable infections C. Use permanent contraception for all women over the age of 35 years D. Assure all women are placed on contraception - A. Promote health pregnancy outcomes All of the following measures have been found to help lower the risk of osteoporosis except: A. Performing weight-bearing exercises B. Eating low-fat dairy foods C. Vitamin D supplementation D. Drinking organic juice - D. Drinking organic juice You are admitting a patient to the office. She is complaining that she cannot get rid of a yeast infection no matter what she does. What is your best response? A. We may want to screen you for a diabetic condition. B. You probably did not place the cream in your vagina correctly C. The provider probably put you on the wrong medication D. You will keep a yeast infection because you are obese. - A. We may want to screen you for a diabetic condition. You are reviewing the information for the Basal Body Temperature. What statement made by the patient would signify that further information is needed? A. I will take my temperature during the fertile window period B. My temperature will be elevated if I ovulated C. I will not eat or drink anything prior to taking my temperature D. I will make sure I take my temperature every morning before rising - A. I will take my temperature during the fertile window period A patient is taking a progesterone only contraception. What is a possible healthcare concern for her? A. She has an increased risk for ectopic pregnancy B. She has a decreased risk for osteoporosis later in life C. She will not get pregnant as long as she is on the contraception D. Progesterone should not be used without estrogen due to uterine cancer risk - A. She has an increased risk for ectopic pregnancy A young woman is concerned about the odor coming from her vagina. She states she has douched many times to get rid of the smell. What is your best response? A. Douching should only be done after menses B. Douching will not kill bacteria that is in the vagina C. Douching modifies the vaginal flora leading to infections D. Douching should be done prior to coming into the office - C. Douching modifies the vaginal flora leading to infections A young patient has returned to the office for a contraception check at 3 months. She reports that she was seen in the ER for a migraine headache yesterday. What should occur at this visit? A. Take her immediately off the contraception and give a different method B. Gain more information regarding the migraine to include the presence of an aura C. Tell her she can continue the current form of birth control D. Arrange for her to see a neurologist immediately - B. Gain more information regarding the migraine to include the presence of an aura A patient is in the office stating she is not going to take anymore birth control. What action by the nurse is most appropriate? A. Tell her that she does not need to worry about a pregnancy until her menses returns to normal B. Tell her she cannot get pregnant because of the medications she is on C. Tell her to stop all of her current medications to prevent harm to a fetus D. Review her medication list to assure their safety in pregnancy - D. Review her medication list to assure their safety in pregnancy A patient comes into the office concerned that her husband will call the office regarding her recent Sexually Transmittable Infection. What should she be told regarding her HIPAA right to privacy? A. She should tell him everything since medical secrets are difficult to keep B. No information will be shared unless she has given him permission to receive it in writing C. He will be sent a general information sheet through the mail without her name on it D. He will be affected by the infection, so information will be given if requested - B. No information will be shared unless she has given him permission to receive it in writing A patient is in the office and asks the nurse how she knows she no longer has a Sexually Transmittable Infection. The information given is based on what fact? A. No need to treat for Gonorrhea if she was treated for Chlamydia B. Chlamydia effects the cervix, so she only needs re-screened if she is pregnancy C. Human Papillomavirus is a short lived infection and will never return D. Syphilis infection is contracted by deep kissing, so she should be retested if exposed - B. Chlamydia effects the cervix, so she only needs re-screened if she is pregnancy A pregnant woman has been diagnosed with Syphilis. She is concerned that the infection will get to her baby. The best counseling will include what? A. We will give her Rocephin IM which will treat the baby also B. We will give her PCN-G which will treat the baby also C. The baby is safe in-utero and will not require treatment D. We will treat the baby by giving her an injection of Ampicillin when she comes into the hospital for birth - B. We will give her PCN-G which will treat the baby also A 24 year old woman is admitted to the hospital with a diagnosis of Toxic Shock Syndrome. What is the likely source of this infection? A. Sex with a known drug user B. Ascending infection for cystitis C. Non-compliant with Bacterial Vaginosis treatment D. Tampon use - D. Tampon use A newly pregnant woman asks you about the safety of an abortion. Your best response is rooted in which fact? A. It is illegal to have an abortion beyond the 6th week. B. A fetus feels pain at any gestational age C. The earlier the abortion, the safest for the mother D. There is a social stigma toward any woman who has had an abortion - C. The earlier the abortion, the safest for the mother A patient has been taking her temperature for the last 3 months. What evidence can be presented that demonstrates no ovulation? A. Her menses are irregular B. She has had premenstrual syndrome (PMS) at regular intervals C. She has a Basal Body Temperature with no elevations mid-to-end of each cycle D. She has had no menses over that period of time - C. She has a Basal Body Temperature with no elevations mid-to-end of each cycle A 24 year old woman is seen in the office for Premenstrual Syndrome. What education would you include to decrease these symptoms? A. Take B6, Vit E and Calcium when symptoms begin B. Limit intake of alcohol during menses C. Decrease exercising until the symptoms resolve D. Consume large amounts of red meat mid-cycle - A. Take B6, Vit E and Calcium when symptoms begin You are talking to a patient on the telephone. She has a complaint of sudden onset chest pain with difficulty breathing. After reviewing her chart, what is your best response? A. Combined birth control can lead to clot formation. Refer her to the Emergency Room immediately. B. Placing the transdermal patch too near the breast can lead to breast cancer. She should come in for further education. C. Progesterone-only birth control can cause shortness of breath. Have her come into the office for birth control change. D. An IUD can lead to endometriosis. Schedule her for an ultrasound. - A. Combined birth control can lead to clot formation. Refer her to the Emergency Room immediately. A patient arrives to the clinic with her significant other. She has busing in variable stages of healing. What should be added to your assessment plan? A Have the patient return to the office alone in 1 week B. Obtain a serum sample for clotting factors C. Report the findings to the police department D. Ask the Significant Other to step out of the room during the exam - D. Ask the Significant Other to step out of the room during the exam The corpus luteum is responsible for the production of which hormone? A. Testosterone B. Estrogen C. Human Chorionic Gonadotropin (HCG) D. Progesterone - D. Progesterone Day 1 of a menstrual cycle begins with which event: A. Ovulation B. The first day of the menses C. The last day of bleeding no matter how light D. The first day of the secretory phase - B. The first day of the menses How long is a sperm able to survive in optimal conditions A. 8 hours B. 24 hours C. 72 hours D. 6 days - C. 72 hours Normal physiological changes that accompany ovulation include: A. Decrease in temperature by 1 degree F. approx 24-48 hours past ovulation B. Painful menstruation C. Mittelschmerz D. Spinnbarkheit a week after ovulation due to affects of progesterone - C. Mittelschmerz The Natural Family Method of birth control includes all of the following except: A. Calendar method B. Evaluation of cervical mucus C. Semen analysis D. Monitoring for temperature increases - C. Semen analysis Diaphragms are very effective at contraception. The client needs to be aware that these must be refitted if: A. Only after giving birth for the 3rd time B. Loss or gain of 10 pounds C. Never need to be refitted D. There is an abnormal PAP smear - B. Loss or gain of 10 pounds Which statement is true regarding an Intrauterine Device (IUD)? A. There is an associated risk for pelvic inflammatory infection for users. B. It is effective 100% if in place. C. A new IUD needs to be placed after 3 years of use. D. Women who want to become pregnant must use another form of birth control for 3 months after the IUD is removed. - A. There is an associated risk for pelvic inflammatory infection for users. Combined Oral Contraception includes which 2 hormones to prevent pregnancy? A. Prostaglandin and estrogen B. Progesterone and estrogen C. FSH and progesterone D. TSH and LH - B. Progesterone and estrogen A nurse in the office is counseling a couple regarding their fertility awareness. The woman brings in a chart that shows no temperature elevations since her last menstrual cycle. What does the nurse tell the couple? A. "This shows that you ovulated, but did not conceive." B. "An error was made in your recording of your temperature. Let's go over the instructions again." C. "This shows that you did not ovulate this cycle." D. "There is a chance you may be pregnant now!" - C. "This shows that you did not ovulate this cycle." True or False: It will not matter which contraception you put your patient on. If it is not taken as prescribed, it will not work. A. True B. False - A. True