NUR 684 - Test 3 Questions And Accurate
Answers Latest Update
Cervical cancer screening recommendations-ANSWER Pap smear alone every 3 years
(21-65 years old)
OR
Pap smear + HPV test every 5 years (30-65 years old)
Cervical cancer screening for women with history of CIN2 or a more serious
diagnosis?-ANSWER Should continue routine screening for at least 20 years after
spontaneous regression or treatment
Colorectal cancer screening recommendations-ANSWER Starting at age 45-50 until 75
guaiac fecal occult blood test (annually) OR stool DNA tests (every 3 years)
OR
-colonoscopy every 10 years
Breast cancer screening recommendations - ANSWER Beginning at age 40-50
Can stop at 74 years old
Mammograms every 1-2 years
Diabetes screening recommendations - ANSWER Every 3 years starting at age 45
Herpes zoster vaccine - ANSWER 2 doses of recombinant zoster vaccine (RZV) 2-6
months apart for adults aged 50 or older
,^regardless of history of prior herpes zoster or receipt of zoster vaccine live (ZVL)
(Zostavax)
Pneumococcal vaccine - ANSWER First, PCV13
<1 year apart>
Second, PPSV23
Tdap vaccine - ANSWER -One dose of Tdap vaccine for adults who have not previously
received Tdap
-Td booster every 10 years
Menopause (define) - ANSWER Permanent cessation of ovulation and menses confirmed
after 12 consecutive months without a period
Average age of natural menopause in North America - ANSWER 52 years old
Early menopause (define) - ANSWER Cessation of ovulation and menses before age 40;
spontaneous or induced
Menopause transition (define) - ANSWER Period of time when menstrual cycle and
endocrine changes commence and concludes with the final menstrual period (FMP)
^can last 2-8 years
Perimenopause (define) - ANSWER Extends from beginning of menopause transition
until 12 months after final menstrual period
"Early" menopause transition - ANSWER Variable duration; menstrual cycle length
varies (persistent difference of seven or more days in length of consecutive cycles)
"Late" menopause transition - ANSWER 1-3 year duration; intervals of amenorrhea > 60
days
, ^vasomotor symptoms likely
Predominant event leading to menopause? - ANSWER Ovarian aging with follicular
atresia
Pre-menopausal hormone changes? - ANSWER Estradiol decreases --> FSH increases
^hormone levels fluctuate, so cannot rely on these measurements to determine
menopause
Generally rely on what to determine menopause? - ANSWER **Cessation of menses**
-Age
-Hypoestrogenic symptoms
Is menopause responsible for weight gain? - ANSWER NO!
~may be responsible for changes in fat distribution~
Menopause & skin changes - ANSWER -Acne
-Skin becomes thinner & drier
-Hair becomes thinner & drier
-Hirsutism/virilization
Menopause & bone integrity - ANSWER Decrease in estrogen causes increased bone
loss; greatest loss in first few years after menopause then slows but continues
Menopause & genital changes - ANSWER -Increased vaginal pH > 5.0
Answers Latest Update
Cervical cancer screening recommendations-ANSWER Pap smear alone every 3 years
(21-65 years old)
OR
Pap smear + HPV test every 5 years (30-65 years old)
Cervical cancer screening for women with history of CIN2 or a more serious
diagnosis?-ANSWER Should continue routine screening for at least 20 years after
spontaneous regression or treatment
Colorectal cancer screening recommendations-ANSWER Starting at age 45-50 until 75
guaiac fecal occult blood test (annually) OR stool DNA tests (every 3 years)
OR
-colonoscopy every 10 years
Breast cancer screening recommendations - ANSWER Beginning at age 40-50
Can stop at 74 years old
Mammograms every 1-2 years
Diabetes screening recommendations - ANSWER Every 3 years starting at age 45
Herpes zoster vaccine - ANSWER 2 doses of recombinant zoster vaccine (RZV) 2-6
months apart for adults aged 50 or older
,^regardless of history of prior herpes zoster or receipt of zoster vaccine live (ZVL)
(Zostavax)
Pneumococcal vaccine - ANSWER First, PCV13
<1 year apart>
Second, PPSV23
Tdap vaccine - ANSWER -One dose of Tdap vaccine for adults who have not previously
received Tdap
-Td booster every 10 years
Menopause (define) - ANSWER Permanent cessation of ovulation and menses confirmed
after 12 consecutive months without a period
Average age of natural menopause in North America - ANSWER 52 years old
Early menopause (define) - ANSWER Cessation of ovulation and menses before age 40;
spontaneous or induced
Menopause transition (define) - ANSWER Period of time when menstrual cycle and
endocrine changes commence and concludes with the final menstrual period (FMP)
^can last 2-8 years
Perimenopause (define) - ANSWER Extends from beginning of menopause transition
until 12 months after final menstrual period
"Early" menopause transition - ANSWER Variable duration; menstrual cycle length
varies (persistent difference of seven or more days in length of consecutive cycles)
"Late" menopause transition - ANSWER 1-3 year duration; intervals of amenorrhea > 60
days
, ^vasomotor symptoms likely
Predominant event leading to menopause? - ANSWER Ovarian aging with follicular
atresia
Pre-menopausal hormone changes? - ANSWER Estradiol decreases --> FSH increases
^hormone levels fluctuate, so cannot rely on these measurements to determine
menopause
Generally rely on what to determine menopause? - ANSWER **Cessation of menses**
-Age
-Hypoestrogenic symptoms
Is menopause responsible for weight gain? - ANSWER NO!
~may be responsible for changes in fat distribution~
Menopause & skin changes - ANSWER -Acne
-Skin becomes thinner & drier
-Hair becomes thinner & drier
-Hirsutism/virilization
Menopause & bone integrity - ANSWER Decrease in estrogen causes increased bone
loss; greatest loss in first few years after menopause then slows but continues
Menopause & genital changes - ANSWER -Increased vaginal pH > 5.0
