Download NSG 6330 Final Study Guide: Key Concepts in Women's Health and HIV and more Exams Study of Commodities in PDF only on Docsity!
NSG 6330 Final Study Guide
- How is HIV transmitted: Vertical transmission from a mother to her baby, blood transfusion, or exchange of any blood products
- Question : HIV risk factors are all of these except:
Unprotected sex or trauma with sexual activity or multiple partners IV drug use, including shared syringes Exchange of saliva: Exchange of saliva
- Whether you order diagnostic testing or refer the patient to an HIV- specific facility, laboratory confirmation for documentation for appropriate care ren- dered. The test confirming HIV infection is.
HIV-1/2 Ag/Ab combination
immunoassay enzyme-linked
immunosorbent HIV RNA CD4+
lymphocyte count
quantitative plasma HIV RNA: HIV-1/2 Ag/Ab combination immunoassay
- Treatment, although not curative, is critical for the best outcome possible. One important principle of antiretroviral therapy is:
Therapy should be started when symptoms first appear. Monotherapy is recommended. Response to drug therapy is monitored by HIV RNA levels. Response to drug therapy is monitored with CD4+ counts.: Response to drug therapy is monitored by HIV RNA levels.
- The HIV is positive, and the chest X-ray reflects bilateral infiltrates. The radiologist telephones you with a diagnosis of pneumonia. Further evaluation and report are sent to you with a diagnosis of pneumocystis pneumonia. What stage is this HIV presentation?
Acute HIV infection Early-stage infection AIDS Symptomatic but likely to begin a latency period: AIDS
- Women often tend to reschedule a well-woman visit, but they don't do
NSG 6330 Final Study Guide
so often with a problem such as pelvic pain. This symptom can present as an
This is likely a fatty tumor and will need to be surgically removed.
A possible incision might be necessary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
This is a folliculitis that has become infected and needs a needle aspiration and broad-spectrum antibiotic treatment.: A possible incision might be neces- sary and a catheter placed for two to four weeks to allow for drainage and appropriate healing.
- You are at the office and a thirty-year-old woman presents with an abrupt onset of pain when attempting to urinate. She is also complaining of frequency and urgency and thinks she may have seen some blood as well.You take her history and she tells you she had sex three days ago with her long-term significant other, but she realized she left her diaphragm in until today when these symptoms occurred. Her BP is unremarkable, pulse is 90, temperature is 99, no costovertebral angle tenderness (CVAT), and is experiencing slight suprapubic discomfort. You review her urine dip and you note 2+ blood, +nitrates, +leukocyte esterase. You send the urine for a microscopic and culture and sensitivity but your management plan is:
Pending the culture and sensitivities, you will treat accordingly.
Advise her to drink cranberry juice and you will give her a pain medication.
Provide broad spectrum antibiotic while waiting for culture and sensitivity lab to return for specific microbe.
Refer to a urologist.: Provide broad spectrum antibiotic while waiting for culture and sensitivity lab to return for specific microbe.
- The diagnosis of stress incontinence can be confirmed by.
your suspected etiology
the woman's symptom history to date
urodynamic evaluation
pelvic muscle evaluation: the woman's symptom history to date
- Anticholinergic medications are a type of treatment for which type of incontinence?
Urge incontinence Stress incontinence Vulvodynia Vestibulitis: Urge incontinence
- Treatment for stress incontinence can include: Student Answer:
Pelvic muscle exercises/kegel floor exercises Biofeedback Weight loss if obese All of the above: All of the above
- A well-woman visit for an adolescent should include which of the follow- ing?
A general health history and physical examination, including a breast exam- ination, pelvic with Pap smear, screening tests, counseling, immunizations, risk factors, and patient concerns
A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family relat- ed, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns
Physical exam, screening tests, and immunizations as indicated by the health history and gynecologic considerations for an external-only inspection of the genitalia
Both b and c: Both b and c
- A myriad of influencing factors can affect adolescent women in a positive or negative way. As an advanced practice nurse, you will need to be cognizant of such influences and address them from a health promotion/prevention lens. Today, Marie, a sixteen-year-old woman, arrives for a well-woman visit, hoping to begin birth control since "all her friends are using it."
you are her advocate and are very protective of her health. Without preaching, you want her to be aware of the negative possibilities of premarital, unprotected sexual activities. You will also share a clear understanding of the risk of STIs with Marie.
CORRECT After processing all of the history Marie has shared, you will write a referral for psychiatric evaluation and tell her she needs ongoing counseling for her behavior at such a young age and she likely needs to learn to cope within her environment (home and community).
- Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea?
Ectopic pregnancy Adenomyosis Coagulopathy Anovulation: Anovulation
- Anovulation: when the ovaries do not release an oocyte during a menstrual cycle. Therefore, ovulation does not take place. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. Chronic anovulation is a common cause of infertility.
- The most common cause of chronic pelvic pain for women in the prime of their reproductive years is:
PID
Fibroids Endometriosis Endometritis: Endometriosis
- Polycystic ovaries predispose women to a higher incidence of: Adrenal tumors Ovarian cancer Endometrial cancer Endometriosis: Endometrial cancer
- A definitive diagnosis of endometriosis cannot be made until which of these is completed? CT scan Transvaginal ultrasound Exploratory laparoscopy MRI: Exploratory
laparoscopy
Being different than others or feeling different Late onset of pubertal sexual maturity
Sexual identity as GLBTQ Having a disability or chronic health condition: Late onset of pubertal sexual maturity
- During a pelvic exam on a seventy-year-old, the nurse practitioner notices the position of the cervix at the introitus. The diagnosis is most likely.
cystocele rectocele urethral prolapse uterine prolapse: uterine prolapse
- While participating in a woman's health fair, a parent comes to you with the concern of her daughter participating prematurely in sex. Which of the following factors is strongly associated with early onset of unwanted sexual activity?
Dating a partner that is >3 years older than the teen Planning on attending college in the near future Poor academic performance in school Presence of strong religious convictions: Dating a partner that is >3 years older than the teen
- Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for con- traception. Which of the following would be a contraindication to using this appliance?
Nulliparity Heart disease Prior ectopic pregnancy History of multiple births: Heart disease
- Cara is in the clinic for what you have diagnosed as dysfunctional uterine bleeding (DUB). She is concerned about why this is happening to her. You recall which of the following is the most common cause of DUB?
Endocrine disorders Stress Anovulation Anatomical abnormality: Anovulation
- You are starting Ella, a twenty-one-year-old, on Ortho Tri-Cyclen, a com-
instructions and advice?
Try to take the pill at the same time every day. If you miss one day, double up the next day.
You need to use backup protection consistently for the first month to avoid pregnancy.
Breakthrough bleeding may occur in the first few cycles. Please do not stop taking the pill due to this. If you are uncomfortable with this, come in for a follow-up appointment to discuss other options.
Oral contraceptives offer protection against breast cancer for as long as you are using them.: Oral contraceptives offer protection against breast cancer for as long as you are using them.
- A woman comes to the clinic with the chief complaint of disruption of urine flow. Which of the following is not a risk factor for pelvic floor relaxation?
Obesity Menopause Vaginal delivery Cesarean section: Cesarean section
- The nurse practitioner understands that premenstrual syndrome (PMS) occurs with greatest frequency and severity in the.
late luteal phase follicular phase proliferative phase ovulatory phase: late luteal phase
- A twenty-one-year-old woman comes into your practice seeking birth con- trol. 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 choic- es would be least likely to meet her needs for contraceptive management?
Combined oral contraceptive (COC) pill Depo-Provera
Ortho Evra patch NuvaRing: NuvaRing
- A pregnant client in your practice is experiencing nausea and vomiting in her first trimester. Which of the following would you suggest to alleviate the problem?
Avoiding all carbonated beverages, including sodas and seltzer
water Eating small meals at frequent intervals, avoiding spicy or fatty
foods Avoiding eating the first thing on awakening in the morning
Taking additional iron and prenatal vitamins: Eating small meals at frequent intervals, avoiding spicy or fatty foods
- 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?
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 menar- che.: The average age of menarche is twelve years.
- Suzanne, a forty-six-year-old client, reports shortened menstrual cycles for one year. The most likely diagnosis is.
anovulatory bleeding menopause perimenopause breakthrough bleeding: perimenopause
- Maria, fifty-two years old, comes in for her annual well-woman examination. LMP was fourteen months ago. You would document this as.
secondary amenorrhea menopause
her on common problems during the first trimester. Which of the following is abnormal and requires immediate attention?
Nausea and vomiting (aka "morning sickness") Fatigue and tiredness
Back ache in the lumbar area Vaginal bleeding: Vaginal bleeding
- Beth, a sixty-two-year-old woman, is seen for a follow-up discussion of DEXA scan result of minus 1.5 standard deviation (SD) at the hip. Her PMH includes a recent myocardial infarction and a fractured wrist at fifty-eight years of age. Which of the following would not be an option for her?
Continuous conjugated estrogen 0.625 mg and medroxyprogesterone acetate (MPA) 2.5 mg (Prempro) p.o. daily
Counseling on smoking cessation and alcohol consumption
Ibandronate (Boniva) 150 mg p.o. once monthly in the a.m.
Encouraging weight-bearing exercises and increased calcium intake: Contin- uous conjugated estrogen 0.625 mg and medroxyprogesterone acetate (MPA) 2.5 mg (Prempro) p.o. daily
- A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except.
oral contraceptives to establish a regular menstrual
cycle a planned program of regular exercise
consult with dietician for weight management
daily basal insulin to reduce blood sugar: daily basal insulin to reduce blood sugar
- A nurse practitioner 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
A procedure to visualize the uterine cavity through a small, fiber-optic scope introduced through the cervix
A procedure to remove a sample of endometrial tissue with a curette or an
A procedure to visualize the abdominal and pelvic cavity by fiber-optic endo- scope via a subumbilical incision: A procedure that visualizes the vaginal, vulvar, or cervical epithelium with magnification to identify abnormal areas that may need to be biopsied
- Lakeisha, seventeen years old, is seeing her regular nurse practitioner 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?
Congratulate her for abstaining and move on to another topic.
Clarify which behaviors are included in Lakeisha's definition of "having sex."
Demonstrate condom use and give Lakeisha some condoms for future part- ners.
Encourage Lakeisha to be screened for STIs.: Clarify which behaviors are includ- ed in Lakeisha's definition of "having sex."
- A fourteen-year-old patient is accompanied by her mother, who is con- cerned about irregular and infrequent periods. Her last menstrual period was two months ago. What would be the initial test performed?
Urine HCG Serum beta HCG Hemoglobin and hematocrit Chlamydia culture: Urine HCG
- Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following is not usually linked with carcinoma of the breast?
Scaly lesions similar to eczema on one areola and nipple
Peau d'orange dimpling of skin over breast
Unilateral retraction and deviation of nipple
Well-circumscribed, rubbery, and tender lesion: Well-circumscribed, rubbery, and tender lesion
- Frankie is concerned that she has an ultrasound ordered after the results of her mammogram of been reviewed by the nurse practitioner.You emphasize that the primary role of a breast ultrasound is to.
screen for breast cancer
definitively diagnose breast
cancer
determine if a breast lesion is cystic or solid
locate small lesions before surgery: determine if a breast lesion is cystic or solid
- A patient is complaining of a milky nipple discharge. Galactorrhea is usually a finding with which other diagnosis?
Cancer Mastalgia Hyperprolactinemia Fibroma: Hyperprolactinemia
- The nurse practitioner is completing a follow-up visit on a woman who was previously prescribed hormonal therapy (HT), which she has not taken for the last month. The primary reason the patient discontinued HT is.
weight gain vaginal bleeding breast tenderness mood changes: vaginal bleeding
- A nurse practitioner is educating a high school class about sexual educa- tion. Teaching should include that protective factors against repeat adolescent pregnancy include all of the following except:
Use of effective contraception Participation in specialized adolescent parent program Continued sexual relationship with the same partner Continued school attendance: Continued sexual relationship with the same part- ner
- A pathology report has been returned on a woman's breast mass malig- nancy. The most common type of invasive breast cancer is.
