NUR 684 WOMEN’S HEALTH TEST BANK LATEST VERSION FINAL PACK EXAM
QUESTIONS AND CORRECT ANSWERS| 100% CORRECT| GRADED A+| ASSURED
100% PASS
NUR 684 Exam 1
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: - ✔ANSWER Fibroadenoma
What is an amniocentesis? - ✔ANSWER A technique of prenatal diagnosis in which amniotic fluid,
obtained by aspiration from a needle inserted into the uterus, is analyzed to detect certain genetic and
congenital defects in the fetus
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: - ✔ANSWER Nipple always involved, itching common
Potential causes for galactorrhea include all of the following EXCEPT: - ✔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: - ✔ANSWER
Mammary duct ectasia
The single most preventable cause of intellectual disabilities is: - ✔ANSWER ETOH use during pg
The gestational age of greatest concern for taking a drug that can cause cardiac anomalies is: -
✔ANSWER 3-8 weeks
Determining the most accurate estimated date of birth (EDB) is best achieved - ✔ANSWER Obtaining
the first day of the last menstrual period
,(Naegele's Rule: Subtract 3 months from first day of LMP and add 7 days, can only be used on regular
menstrual cycles).
Relief from heartburn during pregnancy may be obtained by - ✔ANSWER Eating 5 or 6 small meals
each day
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: -
✔ANSWER Tdap vaccination in her third trimester
Expected findings during examination of the pregnant woman who is 10 weeks gestation would include:
- ✔ANSWER Softening of the cervix
Which of the following would NOT be a normal physical examination finding during pregnancy -
✔ANSWER Mildly enlarged, nodular thyroid
Which of the following is NOT a normal hormone related skin change during pregnancy? - ✔ANSWER
Itching and inflammation of extremities
Which of the following immunizations may be given during pregnancy? - ✔ANSWER Hepatitis B
vaccine
A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI= 21.0, normal weight category.
Which of the following represents the most appropriate weight for her by the end of her pregnancy? -
✔ANSWER 145 lbs
*Weight gain in pregnancy
-underweight (BMI < 18.5): 28-40 lbs
-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
-overweight (BMI 25-29.9): 15 to 25 lbs
A female client presents at the clinic stating her boyfriend told her he had Chlamydia. She had
unprotected sex 5 days ago. Her LMP was 3 weeks ago. A urine pregnancy test is negative. On
,examination you note that she has mucopurulent cervical discharge. Chlamydia and Gonorrhea tests are
done at this visit. The most appropriate treatment for this client is: - ✔ANSWER Azithromycin 1 Gm
to be taken while in the clinic
Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
Routine gestational diabetes screening is recommended at between - ✔ANSWER 24 and 28 weeks
gestation
The screening test for group B streptococcus requires that a specimen be obtained from the: -
✔ANSWER Vaginal introitus and rectum
Nutritional counseling for the pregnant woman should - ✔ANSWER include Iron supplements should
be taken between rather than with meals
ACOG recommended routine screening tests at the initial prenatal visit during the first trimester include:
- ✔ANSWER syphilis serology
During an ultrasound examination, a 32-week pregnant woman states she is feeling dizzy and
lightheaded. She is diaphoretic and pale. The woman is most likely experiencing: - ✔ANSWER Supine
hypotension
Correct information for the breastfeeding mother includes: - ✔ANSWER Some cramping and
increase in lochia flow is normal during feedings
A postpartum breastfeeding client who had an uncomplicated full term vaginal delivery is in the office
today for her six weeks postpartum checkup. Expected physical examination findings would include: -
✔ANSWER Decreased vaginal rugae
A client presents with complaint of an increased vaginal discharge with bad odor and no itching. On
examination a thin white discharge is noted at the vaginal opening and adhering to the vaginal walls. The
most likely findings on wet mount examination will be: - ✔ANSWER Clue cells (BV)
, If a 32-week fetus is in the head down position with its back on the woman's left side the fetal heart
tones should be heard best in what area of the woman's abdomen - ✔ANSWER Lower left quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement than
usual in the past 2 days. Your decision on the course of action will be based on your knowledge that: -
✔ANSWER The decrease in fetal movement she is feeling may be an indicator of fetal hypoxia
Which of the following is most likely to occur between 16 and 20 weeks of pregnancy? - ✔ANSWER
Quickening (perception of fetal movement)
The pregnant woman with a history of recurrent herpes genitalis should be advised that: - ✔ANSWER
She may take oral acyclovir starting at 36 weeks to reduce chance of viral shedding at delivery
CDC recommendations for follow up of a female treated for PID with ceftriaxone 250 mg IM and
doxycycline 100 mg orally bid for 14 days is: - ✔ANSWER See patient again within 72 hours after
initiation of treatment
CDC recommendations for management of male sex partners of women with PID include: - ✔ANSWER
Treat partner regardless of his or the woman's test results
The uterus is palpable at, or just above, the symphysis pubis at: - ✔ANSWER 12 weeks
Which of the following best describes the typical lesion(s) seen with primary syphilis - ✔ANSWER
Single indurated, firm, ulcer with serous exudate
Secondary symptoms: Flu-like symptoms (ex. fever, HA, malaise), generalized lymphadenopathy,
maculopapular rash on palms of hands & soles of feet, condyloma, patchy alopecia, mucous patches
(vagina, vulva, penis, tongue, lips, palate)
At 20 weeks a pregnant woman was seen and fundal height was 18 cm. At today's 24 week visit, her
fundal height is 20 cm. She is feeling regular fetal movement and fetal heart rate is 140 bpm. The most
appropriate management for this client is: - ✔ANSWER Ordering an ultrasound
QUESTIONS AND CORRECT ANSWERS| 100% CORRECT| GRADED A+| ASSURED
100% PASS
NUR 684 Exam 1
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: - ✔ANSWER Fibroadenoma
What is an amniocentesis? - ✔ANSWER A technique of prenatal diagnosis in which amniotic fluid,
obtained by aspiration from a needle inserted into the uterus, is analyzed to detect certain genetic and
congenital defects in the fetus
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: - ✔ANSWER Nipple always involved, itching common
Potential causes for galactorrhea include all of the following EXCEPT: - ✔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: - ✔ANSWER
Mammary duct ectasia
The single most preventable cause of intellectual disabilities is: - ✔ANSWER ETOH use during pg
The gestational age of greatest concern for taking a drug that can cause cardiac anomalies is: -
✔ANSWER 3-8 weeks
Determining the most accurate estimated date of birth (EDB) is best achieved - ✔ANSWER Obtaining
the first day of the last menstrual period
,(Naegele's Rule: Subtract 3 months from first day of LMP and add 7 days, can only be used on regular
menstrual cycles).
Relief from heartburn during pregnancy may be obtained by - ✔ANSWER Eating 5 or 6 small meals
each day
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: -
✔ANSWER Tdap vaccination in her third trimester
Expected findings during examination of the pregnant woman who is 10 weeks gestation would include:
- ✔ANSWER Softening of the cervix
Which of the following would NOT be a normal physical examination finding during pregnancy -
✔ANSWER Mildly enlarged, nodular thyroid
Which of the following is NOT a normal hormone related skin change during pregnancy? - ✔ANSWER
Itching and inflammation of extremities
Which of the following immunizations may be given during pregnancy? - ✔ANSWER Hepatitis B
vaccine
A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI= 21.0, normal weight category.
Which of the following represents the most appropriate weight for her by the end of her pregnancy? -
✔ANSWER 145 lbs
*Weight gain in pregnancy
-underweight (BMI < 18.5): 28-40 lbs
-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
-overweight (BMI 25-29.9): 15 to 25 lbs
A female client presents at the clinic stating her boyfriend told her he had Chlamydia. She had
unprotected sex 5 days ago. Her LMP was 3 weeks ago. A urine pregnancy test is negative. On
,examination you note that she has mucopurulent cervical discharge. Chlamydia and Gonorrhea tests are
done at this visit. The most appropriate treatment for this client is: - ✔ANSWER Azithromycin 1 Gm
to be taken while in the clinic
Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
Routine gestational diabetes screening is recommended at between - ✔ANSWER 24 and 28 weeks
gestation
The screening test for group B streptococcus requires that a specimen be obtained from the: -
✔ANSWER Vaginal introitus and rectum
Nutritional counseling for the pregnant woman should - ✔ANSWER include Iron supplements should
be taken between rather than with meals
ACOG recommended routine screening tests at the initial prenatal visit during the first trimester include:
- ✔ANSWER syphilis serology
During an ultrasound examination, a 32-week pregnant woman states she is feeling dizzy and
lightheaded. She is diaphoretic and pale. The woman is most likely experiencing: - ✔ANSWER Supine
hypotension
Correct information for the breastfeeding mother includes: - ✔ANSWER Some cramping and
increase in lochia flow is normal during feedings
A postpartum breastfeeding client who had an uncomplicated full term vaginal delivery is in the office
today for her six weeks postpartum checkup. Expected physical examination findings would include: -
✔ANSWER Decreased vaginal rugae
A client presents with complaint of an increased vaginal discharge with bad odor and no itching. On
examination a thin white discharge is noted at the vaginal opening and adhering to the vaginal walls. The
most likely findings on wet mount examination will be: - ✔ANSWER Clue cells (BV)
, If a 32-week fetus is in the head down position with its back on the woman's left side the fetal heart
tones should be heard best in what area of the woman's abdomen - ✔ANSWER Lower left quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement than
usual in the past 2 days. Your decision on the course of action will be based on your knowledge that: -
✔ANSWER The decrease in fetal movement she is feeling may be an indicator of fetal hypoxia
Which of the following is most likely to occur between 16 and 20 weeks of pregnancy? - ✔ANSWER
Quickening (perception of fetal movement)
The pregnant woman with a history of recurrent herpes genitalis should be advised that: - ✔ANSWER
She may take oral acyclovir starting at 36 weeks to reduce chance of viral shedding at delivery
CDC recommendations for follow up of a female treated for PID with ceftriaxone 250 mg IM and
doxycycline 100 mg orally bid for 14 days is: - ✔ANSWER See patient again within 72 hours after
initiation of treatment
CDC recommendations for management of male sex partners of women with PID include: - ✔ANSWER
Treat partner regardless of his or the woman's test results
The uterus is palpable at, or just above, the symphysis pubis at: - ✔ANSWER 12 weeks
Which of the following best describes the typical lesion(s) seen with primary syphilis - ✔ANSWER
Single indurated, firm, ulcer with serous exudate
Secondary symptoms: Flu-like symptoms (ex. fever, HA, malaise), generalized lymphadenopathy,
maculopapular rash on palms of hands & soles of feet, condyloma, patchy alopecia, mucous patches
(vagina, vulva, penis, tongue, lips, palate)
At 20 weeks a pregnant woman was seen and fundal height was 18 cm. At today's 24 week visit, her
fundal height is 20 cm. She is feeling regular fetal movement and fetal heart rate is 140 bpm. The most
appropriate management for this client is: - ✔ANSWER Ordering an ultrasound
