NR 546 FINAL EXAM SCRIPT VERIFIED
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● hypospadias
Answer: abnormal congenital opening of the male urethra on the
undersurface of the penis
●● epispadias
Answer: congenital defect in which the urinary meatus is located on the
upper surface of the penis or on the side
●● nagele's rule
Answer: identify LMP, subtract 3 months, add 7 days and one year
●● difference between presumptive and positive s/s
Answer: presumptive (probable and noted on exam)
positive- directly linked to fetus
●● GTPAL
Answer: Gravida, Term, Preterm, Abortions, Living
,●● diffrence between gravida and para
Answer: gravida- number of pregancies the woman has had
para- number of births the woman has had
●● What does the T in GTPAL stand for?
Answer: term births- 37-42 weeks gestation
●● what does the P stand for in GTPAL
Answer: preterm- 20-37
●● what does the A in GTPAL stand for
Answer: spontaneous and/or elective abortions
●● what does the L in GTPAL stand for?
Answer: living children
●● what is quickening?
Answer: maternal sensation of fetal movement
●● when can provider feel movements versus when mother can
Answer: provider- after 24 weeks
mom- 18-24 weeks
, ●● When should fundal height be measured?
Answer: is gestational age is > 20 weeks= at this point fundus reaches
umbilicus
●● 1. A 44-year-old female mathematician presents to clinic with a
complaint of a mass in the right breast.Her partner noticed this mass 2
days ago, and the patient feels guilty because she has only had
onemammogram and does not engage in breast self-examination (BSE)
on any regular basis. She has nofamily history of breast cancer, and her
prior mammogram was ordered as a routine screening test atage 43 years
after a brief discussion with her primary care provider. After a thorough
investigationreveals a benign cyst, what advice should be given to this
patient about screening for breast cancer inher age group?
Answer: This patient was in compliance with the U.S. Preventive
Services Task Force (USPSTF)recommendations for her age group and
risk factors prior to her current complaint
●● A 42-year-old female website developer presents for an annual
preventive examination withquestions about breast cancer screening.
She is concerned about the radiation exposure associated
withmammography and is interested in magnetic resonance imaging
(MRI) as a possible alternative forroutine screening. She is otherwise
healthy with no family history of breast, ovarian, or colon cancer.Which
of the following is true about MRI as a screening modality for breast
cancer in the generalpopulation?
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● hypospadias
Answer: abnormal congenital opening of the male urethra on the
undersurface of the penis
●● epispadias
Answer: congenital defect in which the urinary meatus is located on the
upper surface of the penis or on the side
●● nagele's rule
Answer: identify LMP, subtract 3 months, add 7 days and one year
●● difference between presumptive and positive s/s
Answer: presumptive (probable and noted on exam)
positive- directly linked to fetus
●● GTPAL
Answer: Gravida, Term, Preterm, Abortions, Living
,●● diffrence between gravida and para
Answer: gravida- number of pregancies the woman has had
para- number of births the woman has had
●● What does the T in GTPAL stand for?
Answer: term births- 37-42 weeks gestation
●● what does the P stand for in GTPAL
Answer: preterm- 20-37
●● what does the A in GTPAL stand for
Answer: spontaneous and/or elective abortions
●● what does the L in GTPAL stand for?
Answer: living children
●● what is quickening?
Answer: maternal sensation of fetal movement
●● when can provider feel movements versus when mother can
Answer: provider- after 24 weeks
mom- 18-24 weeks
, ●● When should fundal height be measured?
Answer: is gestational age is > 20 weeks= at this point fundus reaches
umbilicus
●● 1. A 44-year-old female mathematician presents to clinic with a
complaint of a mass in the right breast.Her partner noticed this mass 2
days ago, and the patient feels guilty because she has only had
onemammogram and does not engage in breast self-examination (BSE)
on any regular basis. She has nofamily history of breast cancer, and her
prior mammogram was ordered as a routine screening test atage 43 years
after a brief discussion with her primary care provider. After a thorough
investigationreveals a benign cyst, what advice should be given to this
patient about screening for breast cancer inher age group?
Answer: This patient was in compliance with the U.S. Preventive
Services Task Force (USPSTF)recommendations for her age group and
risk factors prior to her current complaint
●● A 42-year-old female website developer presents for an annual
preventive examination withquestions about breast cancer screening.
She is concerned about the radiation exposure associated
withmammography and is interested in magnetic resonance imaging
(MRI) as a possible alternative forroutine screening. She is otherwise
healthy with no family history of breast, ovarian, or colon cancer.Which
of the following is true about MRI as a screening modality for breast
cancer in the generalpopulation?
