NR 509 Week 7 Quiz / NR509 Week 7 Quiz (2019): Advanced Physical Assessment: Chamberlain (Already graded A)

NR 509 Week 7 Quiz / NR509 Week 7 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 7 / NR509 Advanced Physical Assessment Quiz 7 (Latest): Chamberlain NR 509 Week 7 Advanced Physical Assessment Quiz / NR509 Week 7 Advanced Physical Assessment Quiz (Latest): Chamberlain Question 1. A 65-year-old patient remarks that she just can’t believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her? After menopause, only women with large breasts experience sagging. After menopause, sagging is usually due to decreased muscle mass within the breast. After menopause, a diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag. Question 2. During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her breast for about 2 weeks. In trying to find the cause of the rash, which of these would be important for the nurse to determine? Is the rash raised and red? Does it appear to be cyclic? Where did it first appear—on the nipple, the areola, or the surrounding skin? What was she doing when she first noticed the rash, and do her actions make it worse? Question 3. The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman bend over and touch her toes. lie down on her left side and notice any retraction. shift from a supine position to a standing position; notice any lag or retraction. slowly lift her arms above her head and note any retraction or lag in movement. Question 4. During an annual physical exam, a 43-year-old patient states that she doesn’t perform monthly breast self-examinations (BSE). She tells the nurse that she believes that mammograms “do a much better job than I ever could to find a lump.” The nurse should explain to her that BSEs may detect lumps that appear between mammograms. breast self-examination is unnecessary until the age of 50 years. she is correct; mammography is a good replacement for breast self-examination. she doesn’t need to perform breast self-examination as long as a physician checks her breasts yearly. Question 5. While examining a 75-year-old woman, the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated. This condition is known as dimpling. retraction. peau d’orange. benign breast disease. Question 6. During an examination of a 7-year-old girl, the nurse notices that the girl is showing breast budding. What should the nurse do next? Ask her if her periods have started. Assess the girl’s weight and body mass index (BMI). Ask the girl’s mother at what age she started to develop breasts. Nothing; this is a normal finding. Question 7. The nurse is discussing breast self-examination with a postmenopausal woman. The best time for postmenopausal women to perform breast self-examination is the same day every month. daily, during the shower or bath. 1 week after her menstrual period. every year with her annual gynecologic examination. Question 8. During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? Breasts should always be symmetric. This finding is probably due to breastfeeding and is nothing to worry about. This finding is not unusual, but the nurse should verify that this change is not new. This finding is very unusual and means she may have an inflammation or growth. Question 9. A 46-year-old woman is in the clinic for her annual gynecologic examination. She voices a concern about ovarian cancer because her mother and sister died of it. The nurse knows that which of these statements is correct regarding ovarian cancer? Ovarian cancer rarely has any symptoms. The Pap smear detects the presence of ovarian cancer. Women at high risk for ovarian cancer should have annual transvaginal ultrasonography for screening. Women over age 40 years should have a thorough pelvic examination every 3 years. Question 10. A nurse is assessing a patient’s risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be “You know that it’s important to use condoms for protection, right?” “Do you use a condom with each episode of sexual intercourse?” “Do you have a sexually transmitted infection?” “You are aware of the dangers of unprotected sex, aren’t you?” Question 11. During the interview with a female patient, the nurse gathers data that indicate that the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion? “I have noticed that my muscles ache at night when I go to bed.” “I will be very happy when I can stop worrying about having a period.” “I have been noticing that I sweat a lot more than I used to, especially at night.” “I have only been pregnant twice, but both times I had breast tenderness as my first symptom.” Question 12. During an examination, the nurse observes a female patient’s vestibule and expects to see the urethral meatus and vaginal orifice. vaginal orifice and vestibular (Bartholin) glands. urethral meatus and paraurethral (Skene) glands. paraurethral (Skene) and vestibular (Bartholin) glands. Question 13. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which of these conditions? Candidiasis Trichomoniasis Atrophic vaginitis Bacterial vaginosis Question 14. The nurse has just completed an inspection of a nulliparous woman’s external genitalia. Which of these would be a description of a finding within normal limits? Redness of the labia majora Multiple nontender sebaceous cysts Discharge that is sticky and yellow-green Gaping and slightly shriveled labia majora Question 15. The nurse is preparing for an internal genitalia examination of a woman. Which order of the examination is correct? Bimanual, speculum, rectovaginal Speculum, rectovaginal, bimanual Speculum, bimanual, rectovaginal Rectovaginal, bimanual, speculum Question 16. A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate instructions from the nurse are “If you are menstruating, please use pads to avoid placing anything into the vagina.” “Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment.” “If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you.” “We would like you to use a mild saline douche before your examination. You may pick this up in our office.” Question 17. A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. There is also inguinal lymphadenopathy present. The most likely cause of these lesions is pediculosis pubis. contact dermatitis. human papillomavirus. herpes simplex virus type 2. Question 18. During a prenatal visit at 30 weeks of gestation, the patient mentions to the nurse, “The baby has not moved very much since yesterday.” The nurse notices that fetal movement is not as active as it was the last visit, and notifies the physician. What should the nurse prepare to do next? Admit the woman to a hospital. Administer a nonstress test for fetal monitoring. Start an intravenous infusion. Have the patient walk around the hallways and then check fetal movement again. Question 19. When performing the examination of a woman who is 8 weeks pregnant, the nurse notices that the cervix is a bluish color. The nurse would document this finding as _____ sign. Hegar’s Homans’ Chadwick’s Goodell’s Question 20. A woman who is 28 weeks pregnant has edema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store. She is worried about her legs. What is the nurse’s best response? “You will be at risk for development of varicose veins when your legs are edematous.” “I would like to listen to your heart sounds. Edema can indicate a problem with your heart.” “Edema is usually the result of too much salt and fluids in your diet. You may need to try to cut down on salty foods.” “As your baby grows, it slows blood return from your legs, causing the swelling. This often occurs with prolonged standing.” Question 21. When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32 weeks pregnant, which of these would be considered a normal finding on a 0 to 4 scale? Absent DTRs 2 4 Brisk reflexes and the presence of clonus Question 22. During a history interview, a 38-year-old woman shares that she is thinking about having another baby. The nurse knows that which statement is true regarding pregnancy after age 35 years? Fertility does not start to decline until age 40 years. The occurrence of Down syndrome is much more frequent after age 35 years. Genetic counseling and prenatal screening are not routine until after age 40 years. Women older than 35 years who are pregnant have the same rate of pregnancy-related complications as those who are younger than 35 years. Question 23. The nurse knows that the best time to assess a woman’s blood pressure during an initial prenatal visit is at the end of the examination when she will be the most relaxed. at the beginning of the interview as a nonthreatening method of gaining rapport. during the middle of the physical examination when she is the most comfortable. before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination. Question 24. When performing an examination of a woman who is 34 weeks pregnant, the nurse notices that as the woman raises her head and shoulders off of the bed, there is a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles. Which response by the nurse is correct? Document the presence of diastasis recti. Discuss this condition with the physician because it will most likely need to be surgically repaired. Suspect that the woman has a hernia from the increased pressure within the abdomen from pregnancy. Tell the woman that she may have a difficult time with delivery because of the weakness in her abdominal muscles. Question 25. A patient who is 24 weeks pregnant asks about wearing a seat belt while driving. Which response by the nurse is correct? “Seat belts should not be worn during pregnancy.” “Place the lap belt below the uterus and use the shoulder strap at the same time.” “Place the lap belt below the uterus but omit the shoulder strap during pregnancy.” “Place the lap belt at your waist above the uterus and use the shoulder strap at the same time.”