NSG 6330 Final Study Guide: Women's Health and HIV, Exams of Study of Commodities

This study guide covers key concepts in women's health and hiv, including transmission, risk factors, diagnosis, treatment, and common conditions like pelvic pain, bartholin's cysts, and urinary tract infections. it presents multiple-choice questions to test understanding of various aspects of female reproductive health and hiv management. The guide is valuable for nursing students preparing for exams.

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2024/2025

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NSG 6330 Final Study Guide
1. How is HIV transmitted: Vertical transmission from a mother to her
baby, blood transfusion, or exchange of any blood products
2. 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
3. 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
4. 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.
5. 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
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NSG 6330 Final Study Guide

  1. How is HIV transmitted: Vertical transmission from a mother to her baby, blood transfusion, or exchange of any blood products
  2. 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
  3. 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
  4. 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.
  5. 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

  1. Women often tend to reschedule a well-woman visit, but they don't do

NSG 6330 Final Study Guide

acute, or chronic, insult. When a woman presents with pelvic pain, the term can encompass many possibilities. Differentiating acute from chronic assists with narrowing down the possibilities but nonetheless can originate from more than one system as a referred pain or discomfort. The focus here will be of reproductive/pelvic origin. As you know, the most common cause of pelvic pain can be noted as en- dometriosis. But you also know that the most acute causes of pelvic pain are probably: Salpingo-oophoritis (fallopian tube/ovary) secondary to PID Gynecologic malignancy Adhesions Myomata uteri: Salpingo-oophoritis (fallopian tube/ovary)

  1. A twenty-five-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very painful sex is how she knew "something wasn't right." She showered and when washing, she felt a "pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse. When you inspect her external genitalia, you are amazed at the size and appearance of the "lump." You note what appears to be an abscess on the left medial side of the labia minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is: Lipoma Dermoid cyst Bartholin's cyst Skene's duct cyst: Bartholin's cyst
  2. Bartholin's Cyst: If a Bartholin duct gets blocked, fluid builds up in the gland. The blocked gland is called a Bartholin gland cyst
  3. You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist you consult with regularly. You explain to her the likely treatment as follows: She will need to take sitz baths three times per day and a broad- spectrum antibiotic.

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.

  1. 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.
  2. The diagnosis of stress incontinence can be confirmed by. your suspected etiology the woman's symptom history to date urodynamic evaluation

After a thorough history, you note that Marie resides in a community with very high risk factors. These include poverty, violence, and lack of recreational facilities. She tells you that she "hangs out" at a convenience store near the apartment complex she lives at with her mother. "All the group hangs there," she reports proudly. She shares that she has been menstruating for two years now although she has irregular cycles. She also lets you know that she has had coitus only one time and that he "pulled out." She does not want to get pregnant, and this is why she is here today. What is your management plan for Marie today? (Select those that apply.) You will assess all predisposing factors that lead to premarital sex and the negative consequences, tell Marie to be careful, and prescribe birth- control pills. One by one, you will plan to carefully address the risks (red flags) in Marie's history. Your goal will be to clarify and address misconceptions, as well as share valuable sex education in a sensitive, nonjudgmental way. You will let her know 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. 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). Your goal is to include healthy sexual-health decision making, including de- cisions regarding abstinence, birth-control efficacy and choice, and condom use. Depending on the need, you may include a referral to an effective program for teens (for example, a program that deals with STI prevention and or a family-based intervention program if available).: CORRECT You will assess all predisposing factors that lead to premarital sex and the negative consequences, tell Marie to be careful, and prescribe birth-control pills. CORRECT One by one, you will plan to carefully address the risks (red flags) in Marie's history. Your goal will be to clarify and address misconceptions, as well as share valuable sex education in a sensitive, nonjudgmental way. You will let

her know

CT scan Transvaginal ultrasound Exploratory laparoscopy MRI: Exploratory

laparoscopy

psychosocial development problems in adolescence?

Being different than others or feeling different Late onset of pubertal sexual maturity

Anatomical abnormality: Anovulation

  1. You are starting Ella, a twenty-one-year-old, on Ortho Tri-Cyclen, a com-

bined oral contraceptive. Which of the following would not be included in your

Combined oral contraceptive (COC) pill Depo-Provera

Ortho Evra patch NuvaRing: NuvaRing

  1. 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
  2. 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.
  3. 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
  4. Maria, fifty-two years old, comes in for her annual well-woman examination. LMP was fourteen months ago. You would document this as .