answers
Adenomyosis (AUB-A) p. 517 Ans✓✓✓ -small areas of endometrial tissue within
the myometrium
-risk factors include muliparity, miscarriage, curettage, endometrial resection,
cesarean birth or tamoxifen use
Alcohol consumption and women p. 82, 151 and 155 Ans✓✓✓ *"Unhealthy
alcohol use" includes risky drinking, alcohol misuse, hazardous drinking and
alcohol use disorder
*Screening for all women (including pregnant women) 18 years and older
-5.3 million women have alcohol use disorder (more than 7 drinks/week or 3
drinks/day)
-"How many times in the past year have you had four or more drinks in a day?"
-Do not screen adolescents younger than 18
*Brief intervention for at-risk drinkers:
-Five A's framework: ask, advise, assess, assist and arrange follow-up
Amenorrhea p. 519 Ans✓✓✓ -absence of menses for at least 3 cycles or six
months, by age 14 w/no growth or 16 w/growth
-common causes: pregnancy, hypothalamic amenorrhea, and PCOS
American College of Nurse-Midwives (who can they treat) definition of scope of
practice Ans✓✓✓ Midwives provide comprehensive assessment, diagnosis and
treatment. They conduct physical examinations; prescribe medications including
contraceptive methods and controlled substances; admit, manage and discharge
patients; order and interpret laboratory and diagnostic tests.
, American College of Obstetricians and Gynecologists recommendations Ans✓✓✓
*The periodic well-woman care visit should include screening, evaluation and
counseling, and immunizations based on age and risk factors
-Gestational diabetes, HPV, STIs, HIV, contraception, breastfeeding, intimate
partner violence
Body mass index (BMI) overweight p. 109 Ans✓✓✓ Formula: weight (lb) / [height
(in)]2 x 703
Normal 19-24
Overweight 25-29
Obese 30-39
Extreme Obesity 40-54
BRCA 1 and BRCA 2 p. 159 Ans✓✓✓ Only women with a family history associated
with an increased risk (breast, ovarian, tubal or peritoneal cancer); genetic
counseling
Breast cancer screening recommendation Ans✓✓✓ Mammogram every 2 years
from women aged 50-74
CDC HIV testing recommendations Ans✓✓✓ At least once a year. (knowledge
check states at each visit).
Common areas for breast malignancies p. 111 Ans✓✓✓ upper outer quadrant
Common women's health issues p. 78 Ans✓✓✓ -