NRNP 6552 Advanced Nurse Practice in Reproductive Health Care (Spring 2022)Week 6 Midterm, Exams of Nursing

Download NRNP 6552 Advanced Nurse Practice in Reproductive Health Care (Spring 2022)Week 6 Midterm and more Exams Nursing in PDF only on Docsity! P a g e 1 | 17 1 NRNP 6552 Week 6 Midterm Solutions (Summer 2021)- • • NRNP 6552 Advanced Nurse Practice in Reproductive Health Care (Spring 2022) Review Test Submission: Exam - Week 6 Midterm Question 1 1 out of 1 points The is a sensitive organ that is typically described as the female homologue of the penis. Ans: Clitoris Question 2 1 out of 1 points Normal vaginal discharge has a pH of: Ans: 3.8 and 4.5 Question 3 1 out of 1 points On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: Ans: Lichen Sclerosus Question 4 1 out of 1 points Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination) Question 5 P a g e 2 | 17 2 1 out of 1 points The most common STI in the United States is: Answer: Chlamydia Question 6 1 out of 1 points Ovarian failure is diagnosed when estrogen production is identified while the serum FSH is . Answer: B (Low Estrogen, High) Question 7 1 out of 1 points Approximately of infertility cases are due to female factors and are due to male factors. Answer: D - 55%. 35% Question 8 1 out of 1 points In women with PCOS, polycystic ovaries are due to: Answer: B (Chronic Anovulation) characterized by hyperandrogenaemia and hyperinsulinemia, which play a role in anovulation (Excess adipose tissues may lead to polycystic ovarian syndrom Question 9 1 out of 1 points The most common symptoms of uterine cancer are: Answer B. Abnormal uterine bleeding and postmenopausal bleeding. Question 10 1 out of 1 points Neisseria gonorrhea is a bacteria Answer: Gram-negative diplococci bacteria Question 11 0 out of 1 points P a g e 5 | 17 5 0 out of 1 points Evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: Answer: E (A, B, and C) Evidence from randomized trials support a variety of interventions for women of childbearing age which includes counseling, home visits, and mentoring support Question 23 1 out of 1 points The act that was established that mandated every American to carry health insurance is called: answer: The Patient Protection and Affordable Care Act (ACA) Question 24 1 out of 1 points All of the following are risk factors for UTI, except: Answer: B (infrequent sexual activity) Question 25 0 out of 1 points Reproductive coercion includes behaviors: Answer D. (Any of the above) Question 26 1 out of 1 points An appropriate medication for Herpes Simplex virus is: Answer: D (all of the above) The most effective treatments for persons infected with HSV are antiviral medications including acyclovir, famciclovir and valacyclovir. Question 27 1 out of 1 points Just prior to ovulation, rising levels of oestradiol increases the amount of cervical mucus, making it: Answer: C (thin and watery) Just prior to ovulation, your estrogen levels are rising. You may see more clear, stretchy, watery, and slippery mucus. This mucus may remind you of the consistency of egg whites. During ovulation. Question 28 P a g e 6 | 17 6 0 out of 1 points Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: Answer: D (none of the above) Question 29 0 out of 1 points The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age Answer: 45 years Question 30 1 out of 1 points An endometrial biopsy can be done in the office setting. It has a overall accuracy in diagnosing endometrial cancer. Answer: C - HIGH Question 31 0 out of 1 points The following are the four basic Caldwell-Moloy pelvic types. Answer: Gynecoid Android Anthropoid Platypelloid Question 32 1 out of 1 points The following is/are types of sexual violence. Answer: C (Threats of sexual violence) Question 33 1 out of 1 points Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: Answer: Vulvovaginal candidiasis (Yeast Infection) P a g e 7 | 17 7 Question 34 1 out of 1 points A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg Question 35 1 out of 1 points EBP stands for: Answer: Evidence Based Practice Question 36 1 out of 1 points Women in the following profession have a higher rate of UTI Answer: A (Nursing) Question 37 1 out of 1 points One of the reasons that substance use is a concern in LBQ and TGNC communities is: Answer: CULTURAL CONTEXT, bars and clubs scenes have long been safe spaces for gay, LBQ and TGNC people. Lack of support Internalized homophobia Discrimination and social stigma Question 38 0 out of 1 points Pelvic support structures include: Answer: D (all of the above) Question 39 1 out of 1 points The following is an appropriate sexual health assessment question: Answer: ANSWER: C – Are there any sexual problems. Question 40 1 out of 1 points The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: answer:D (All of the above) P a g e 10 | 17 10 1 out of 1 points The term used to describe painful cramps that occur with menstruation is: Answer: D (Dysmenorrhea) Question 56 1 out of 1 points An umbrella term that describes all people with non-heterosexual gender identities is: Answer: A - Queer Question 57 1 out of 1 points A progesterone challenge test that produces withdrawal bleeding is indicative of: Answer: C (functioning ovaries) Question 58 1 out of 1 points Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the following answer: A (G3 T2 p0 A1 L2) Question 59 0 out of 1 points On vaginal exam you find that Polly’s cervix is in the most common position, which is: Answer: A ( Antiflexion) Question 60 0 out of 1 points Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. ANSWER: C (72 Hours) it should be 120 hours Question 61 1 out of 1 points For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. Answer: C (MRI) P a g e 11 | 17 11 Question 62 1 out of 1 points A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of answer: A (Premenstrual dysphoric disorder) Question 63 0 out of 1 points Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of: Answer: D (Molluscum contagiosum) Question 64 1 out of 1 points Pelvic muscle exercises, where the woman performs a repetitive pelvic floor muscle contraction regimen are known as: answer: B – Kegel Exercise 65 0 out of 1 points The USPTF, ACOG, and ACS all recommend pap tests to begin at: Answer: C – 21 YEARS Question 66 1 out of 1 points Martha is a 65-year-old woman who is a new patient to you. In telling you her history, she states that she has a history of a rare type of breast cancer. She cannot remember the name of it but tells you that it also involved itchy eczema-like nipple changes. With this info and your knowledge of breast cancer, you surmise that she may be referring to: Answer: C Pagets disease Question 67 0 out of 1 points In women, fertility declines gradually beginning at age and more rapidly after age . Answer: B. 32; 37 Question 68 1 out of 1 points P a g e 12 | 17 12 The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is: answer: A – The violence against women act (VAWA) Question 69 1 out of 1 points Patients identified as being at increased risk for Sexually Transmitted Infections need to receive information about risk factors and ways to reduce the likelihood of infection. This would include: Answer: D (A and B, use of latex condoms and being mutually monogamous) Question 70 1 out of 1 points “A movement to end sexism, sexist exploitation, and oppression” is a definition for: Answer: C - Feminism Question 71 1 out of 1 points Barriers for providers related to intimate partner violence screening include: Answer: D: A & C – discomfort with the topic and time constraints Question 72 1 out of 1 points Infertility related to is a common problem among women who are obese. ANSWER: B (ovarian dysfunction and anovulation) Question 73 0 out of 1 points Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as: Answer: E: A, B, and C Question 74 1 out of 1 points P a g e 15 | 17 15 for men. Answer: B (65; 70) Question 88 1 out of 1 points When using the FIGO staging classification for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: Answer: A (The tumor is confined to the ovaries or fallopian tubes) Question 89 1 out of 1 points When looking from a feminist perspective at research studies, one of the great concerns is that: Answer C: For many years, studies were done primarily on men with the findings being generalized to women. Question 90 1 out of 1 points When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include: Answer: B. HCG and ultrasound Question 91 0 out of 1 points Metabolic syndrome typically includes the following except: Answer: A (Sudden weight loss) Question 92 0 out of 1 points Lichen planus is typically treated with: Answer: D - Corticosteroids P a g e 16 | 17 16 Question 93 1 out of 1 points To avoid the development of Bartholin’s gland cysts, women should: Question 94 1 out of 1 points Endometrial polyps are most commonly identified by: Answer: a transvaginal ultrasound Question 95 0 out of 1 points The are easily sensitized and become engorged with blood during sexual arousal. Answer: A (Labia Minora) Question 96 0 out of 1 points Infected hair follicles on the vulvar skin that are small and scattered often occur because of: Answer: C. Shaving the pubic hair Question 97 1 out of 1 points The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. Answer: A - Montgomery Question 98 1 out of 1 points Nearly pregnant women have been abused by the partner. Answer: C (1 in 6) P a g e 17 | 17 17 Question 99 1 out of 1 points The following are risk factors for endometrial cancer. Answer: D: A and C (Age 40 and unopposed estrogen stimulation of the endometrium) Question 100 1 out of 1 points Hirsutism is defined as: D. Excessive terminal hair growth in women Question 101 A type of contraceptive that does not contain hormones is Answer: Paragard IUD Sunday, April 11, 2021 1:56:53 PM EDT