NURS 5432 Module 2 & 3 Women-s Health exam with correct answers

NURS 5432 Module 2 & 3 Women's Health ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\




Primary Amenorrhea - correct answer✔✔The failure of any ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




menses to appear is termed "primary amenorrhea," and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




evaluation is commenced either (1) at age 14 years if neither ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




menarche nor any breast development has occurred or if height ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




is in the lowest 3% for ethnicity, or (2) at age 16 years if
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menarche has not occurred ||\\||\\ ||\\||\\ ||\\||\\




Secondary Amenorrhea - correct answer✔✔Secondary ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




amenorrhea is defined as the absence of menses for 3 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




consecutive months in women who have passed menarche. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Primary Amenorrhea symptoms and physical exam - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔Patients with primary amenorrhea require a ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




thorough history and physical examination to look for signs of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




the conditions noted above. Headaches or visual field
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abnormalities implicate a hypothalamic or pituitary tumor. Signs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




of pregnancy may be present. Blood pressure elevation, acne,
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and hirsutism should be noted. Short stature may be seen with
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an associated GH or thyroid hormone deficiency. Short stature
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with manifestations of gonadal dysgenesis indicates Turner
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,syndrome. Olfactory deficits are seen in Kallmann syndrome. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Obesity and short stature may be signs of Cushing syndrome. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Tall stature may be due to eunuchoidism or acromegaly.
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Hirsutism or virilization suggests excessive testosterone. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




An external pelvic examination plus a rectal examination should
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be performed to assess hymen patency and the presence of a
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uterus.


Primary Amenorrhea labs - correct answer✔✔The initial ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




endocrine evaluation should include serum FSH, LH, PRL, total ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




and free testosterone, TSH, FT4, and beta-hCG (pregnancy test).
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Girls who have a normal uterus and high FSH without the classic
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features of Turner syndrome may require a karyotype to ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




diagnose X chromosome mosaicism ||\\||\\ ||\\||\\ ||\\||\\




Secondary Amenorrhea labs - correct answer✔✔thyroid ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




function tests, prolactin, FSH, LH, total testosterone, serum ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




estradiol, Pregnancy test ||\\||\\ ||\\||\\




ACS and ACOG guidelines 21-29 years - correct answer✔✔ACS
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start at 25: ||\\||\\ ||\\||\\




Primary HPV alone q 5 years or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

, co-testing q 5 years or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




cytology alone q 3 years ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




ACOG start at 21:
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cytology alone q 3 years ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




ACS and ACOG guidelines 30-65 years - correct answer✔✔ACS:
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Primary HPV testing alone q 5 years or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




co-testing q 5 years or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




cytology alone q 3 years ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




ACOG:
co-testing q 5 years or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




cytology alone q 3 years or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




primary HPV testing alone q 5 years
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Pap and HPV testing over 65 years - correct answer✔✔not
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recommended and not recommended if hysterectomy ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\