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NR 602WEEK 8 FINAL EXAM ACTUAL QUESTIONS BANK (129 Q&A) / NR602
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EXAM QUESTIONS BANK (129 Q&A):NEWEST-2023 |CHAMBERLAIN
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ACOG guidelines regarding well women exams
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What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive
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high-risk HPV 16 cotest in a 26-year-old woman without a history of abnormal pap smears?
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• Colposcopy
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A well-woman visit for an adolescent should include which of the following?
• A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related)
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and psychosocial (family related, peer related, emotional, and physical as wellas related to abuse, drug use, and alcohol use)
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concerns
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Physical exam, screening tests, and immunizations as indicated by the health history and gynecologicconsiderations for an
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external-only inspection of the genitalia
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ACOG Pap smear guidelines
A Bethesda system Pap smear report that reads LSIL is most consistent with which classification?
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• CIN 1
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A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?
• Routine screening
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A female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age
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18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancer screening?
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• 5 years
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A young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She hasnever had a Pap smear before.
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What should the nurse include in the explanation of this procedure?
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• The Pap smear can detect cancer of the cervix
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Lab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV)screen. Which procedure will
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be required next?
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• Repeat Pap and HPV screen
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Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?
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• Over 55 years of age
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Amenorrhea (Primary and Secondary)
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You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics. The purpose of the
progesterone challenge is to ascertain the presence of?
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• Endogenous estrogen
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A 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but had not had a menstrual cycle
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since. On physical examination, it is noticed that she has normal secondary sexual characteristics. The nurse practitioner will consider a
progesterone challenge to determine the presence of adequate
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• Endogenous estrogen
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A teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge is ordered. The purpose is to
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determine the presence of ?
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• Endogenous estrogen
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A 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche at age 10, regular cycles for 2
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years. She has not menstruated now for 4 years. In your initial consideration of differential diagnoses, what is the most frequent etiology of this
problem:
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• Eating disorder
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18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out.
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What would necessitate further eval?
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• Galactorrhea
Primary amenorrhea is best described as:
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