NSG6430 Womens Health Final Exam With Complete Solution

NSG6430 Womens Health Final The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is. A) the interviewB) a voiding diaryC) the physical examD) the patient's response to non-pharmacologic treatment - B) a voiding diary The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? Select all that apply. Question 2 options:Bladder training, Kegel exercises, Eliminate caffeine, and alcohol consumption Use of bulking agents - Bladder training, Kegel exercises, Eliminate caffeine and alcohol consumption The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the lower portion of the patient's uterus is soft. This is known as: Question 3 options:A)Hegar's SignB)Chadwick's SignC)Nightingale's SignD)Goodell's Sign - A. Hegars sign Your female patient presents for vaginal discharge with an odor, and has noticed painless "bumps" on her vaginalarea. Sexual history includes past male partners and her current female partner. On exam you note beefy red papules and an ulcerative lesion on her vulva, granular tissue and scarring, and inguinal adenopathy. You suspectshe has: Question 4 options:A)HSV-2B)Granuloma InguinaleC)ChancroidD)Molluscum Contagiosum - C. Chancroid The physical examination of any woman suspected of being abused or battered includes all of the following except: Question 5 options: A) a thorough inspection for signs of injury, past and present B) a physical assessment just like that of any other adult female C) a focus on the patient's physical appearance, not her behavior D) the use of body maps and diagrams to accurately portray the patient's physical condition - C) a focus on the patient's physical appearance, not her behavior The most effective means of obtaining the history of abuse is to use a communication model that: Question 6 options: A) avoids having the patient's children present during the discussion B) signals someone is interested and that the woman is not alone C) emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient D) allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story - D) allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story Clinicians should routinely consider intimate partment violence (IPV) as a possible diagnosis for women who present with all of the following except: Question 7 options: A) chronic stress-related symptoms B) denial of any physical health problems C) central nervous system (CNS) symptoms D) gynecologic problems, especially multiple ones - B) denial of any physical health problems The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman's: Question 8 options: A) sexual health B) gender identit C) gender role behaviors D) psychosocial orientation - A) sexual health Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for Lesbian, Gay, Bixsexual, or Transgender (LGBT) patients? Question 9 options: A) Avoid the heterosexual assumption by using gender-neutral language. B) Explain whether and how information will be documented in the patient's medical record. C) Ignore the sexual status or gender identity of all patients. D) Offer mainstream referrals that are culturally sensitive to SGMs. - C) Ignore the sexual status or gender identity of all patients. Which one of the following is the definition of the term "gender identity"? Question 10 options: A) People who respond erotically to both sexes B) A self-label, regardless of biologic or natal sex C) People who are similar in age, class, and sexual status D) A label for behavior not usually associated with one's natal sex - B) A self-label, regardless of biologic or natal sex Which one of the following statements about sexually transmitted infections (STIs) is false? Question 11 options: A) Lesbians are at very low risk for development of STIs and vaginal infections. B) HIV has been identified in case studies of women who report sex only with women. C) Transgender women (Male to Female) have extremely high rates of HIV infection. D) Risky behaviors for STIs include sex during menses. - A) Lesbians are at very low risk for development of STIs and vaginal infections. Among the midlife health issues of women, the number one cause of mortality in the United States is: Question 12 options: A) primary osteoporosis B) cardiovascular disease C) overweight and obesity D) cancer - B) cardiovascular disease Lifestyle approaches to manage menopause related vasomotor symptoms include: Question 13 options: A) sleeping more than 8 hours per night B) avoiding spicy foods, hot drinks, caffeine, and alcohol C) decreasing levels of physical activity D) more than 1,000 international units/day of vitamin E - B) avoiding spicy foods, hot drinks, caffeine, and alcohol The standard for managing moderate to severe menopausal symptoms is: Question 14 options: A) lifestyle changes, such as dieting and exercising B) nonhormone products, such as antidepressant medications C) alternative care, such as acupuncture, combined with organic herbs D) prescription systemic hormone products, such as estrogen and progestogen - D) prescription systemic hormone products, such as estrogen and progestogen The nurse practitioner is managing an adolescent with a 4 cm functional ovarian cyst that was confirmed on a recent ultrasound. What plan of care should be anticipated for this patient? Question 15 options: A) Repeat bimanual exam in 1 week B) Refer for surgical consult C) Repeat ultrasound in 2 months D) Stop all ovulatory inhibitor meds - C) Repeat ultrasound in 2 months Non-pharmacologic therapy for chronic pelvic pain includes the following: Select all that apply. Question 16 options: A) Vitamin B6 B) Physical therapy C) Aerobic and nonaerobic exercise D) Antidepressants - B) Physical therapy C) Aerobic and nonaerobic exercise The nurse practitioner understands that all of the following organisms are responsible for infection of the Bartholin's gland except: Question 17 options: Streptococcus faecalis Klebsiella Staphylococcus aureus E. Coli - Klebsiella