NUR 684 Women's Health final 2025

A 22-year-old woman presents with c/o a non-tender mass in her left breast that does not change with her menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm firm, rubbery non-tender mass. The most likely diagnosis is: - Correct Answer-Fibroadenoma Potential causes for galactorrhea include all of the following EXCEPT: - Correct Answer-Heavy tobacco use A 50-year-old woman presents with complaint of a burning sensation behind both nipples and a spontaneous greenish brown nipple discharge. On examination you note bilateral multiduct sticky green nipple discharge with no masses or breast skin changes. The most likely diagnosis is: - Correct Answer-Mammary duct ectasia Differential diagnoses for a woman who presents with red moist patches or one or both breasts include eczema and Paget's disease of the nipple. Findings that fit with Paget's disease of the nipple include which of the following: - Correct Answer-Nipple always involved, itching common Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange) of the skin is indicative of: - Correct Answer-Inflammatory breast cancer A 54-year-old woman has a mammogram that is negative but shows that she has dense breasts. Appropriate information for this woman would include: - Correct Answer-Additional surveillance may be recommended depending on other breast cancer risk factors. Each offspring of an individual found to carry a BRCA mutation has a 50% chance of inheriting the same mutation. - Correct Answer-True In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise her she needs a: - Correct Answer-Tdap vaccination in her third trimester The screening test for group B streptococcus requires that a specimen be obtained from the: - Correct Answer-Vaginal introitus and rectum Routine gestational diabetes screening is recommended at: - Correct Answer-Between 24 and 28 weeks gestation Expected findings during examination of the pregnant woman who is 10 weeks gestation would include: - Correct Answer-Softening of the cervix Folic acid supplementation prior to conception has been shown to decrease the incidence of: - Correct Answer-Neural tube defects Advise for the postpartum woman who had gestational diabetes should include: - Correct Answer-She should have regular screening for type 2 diabetes A client presents with complaint of increased vaginal discharge with bad odor and itching. On examination a yellow, frothy discharge is noted. Findings on further evaluation of the vaginal discharge will likely include - Correct Answer-Motile trichomonads A 22-year-old female has a pap test report of ASC-H. The H indicates "cannot rule out HSIL" Recommended first steps in follow-up would include: - Correct Answer-Colposcopy A post-menopausal woman has a Pap test report of HSIL. Recommended initial management is: - Correct Answer-Colposcopy Which of the following would be an expected finding with adenomyosis? - Correct Answer-Boggy, tender, enlarged uterus Which of the following conditions places a woman at increased risk for endometrial cancer? - Correct Answer-Polycystic ovarian syndrome Of the following, which would be the best choice for a 55-year-old menopausal woman without a uterus who is having severe hot flashes and dyspareunia related to vulvovaginal atrophy? She has no contraindications to any of these medications. - Correct Answer-Transdermal estrogen patch In the PLISSIT model, explaining the possible effect of an illness on sexual functioning is considered: - Correct Answer-Limited information The terms gender identity and sexual orientation have similar meanings. - Correct Answer-False Which of the following statements about women who have sex with women (WSW) is correct? - Correct Answer-WSW tend to obtain routine gynecologic care less frequently than women who are heterosexual. Which of the following is part of the diagnostic criteria for female sexual interest/arousal disorder? - Correct Answer-Causes marked distress or interpersonal difficulty Erectile dysfunction has been linked to which of the following components of metabolic syndrome? - Correct Answer-Abdominal obesity Hypertension Hyperlipidemia All of the above Specific gynecologic cancer screening recommendations have been established based on gender identity. - Correct Answer-False Known teratogens include all of the following EXCEPT: - Correct Answer-Insulin A 20 year old female presents at the clinic with concern that she had spotting several days in her current pill cycle. She has been on the same combination oral contraceptives for two years without any problems. She states she has not missed any pills and her last period was normal. Appropriate initial management would include: - Correct Answer-Discuss her recent sexual history and do a test for Chlamydia if indicated Potential disadvantages of the progestin only implant (Nexplanon) include: - Correct Answer-May cause irregular bleeding of spotting Which of the following best describes the typical lesion(s) seen with genital herpes? - Correct Answer-Multiple vesicles and shallow ulcers Which of the following statements is correct? - Correct Answer-Women with interpregnancy intervals (IPIs) of less than 18 months are more likely to have premature and/or low birth weight infants than those with IPIs greater than 18 months. Which of the following statements concerning raloxifine (Evista) is correct? - Correct Answer-It is approved for both prevention and treatment of osteoporosis. A breastfeeding woman who