NSG 6430 (NSG 6430)

During a pelvic exam on a seventy-year-old, the nurse practitioner notices the position of the cervix at the introitus. The diagnosis is most likely _____. correct answer: uterine prolapse While participating in a woman's health fair, a parent comes to you with the concern of her daughter participating prematurely in sex. Which of the following factors is strongly associated with early onset of unwanted sexual activity? correct answer: Dating a partner that is >3 years older than the te...

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is: correct answer: A voiding dairy The nurse practitioner is counseling a 57-year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? (Select all) correct answer: Bladder training Kegel exercis...

Which STI is confirmed with the Western Blot? correct answer: HIV Which 2 STI's are treated with metronidazole 500mg BID for 7 days? correct answer: Bacterial Vaginosis and Trichomoniasis Which STI present with clue cells on a saline wet mount correct answer: Bacterial vaginosis Which STI is treated with 2 grams of metronidazole as a single dose? correct answer: Tricomoniasis What is the screening test for HIV? correct answer: EIA or Elisa What is the confirmed test used aft...

Normal BMI - 18.5-25 Overweight BMI - 25-29 Obese BMI - >30 Morbidly obese BMI - >40 Decreasing kcal by BMI? - BMI <35, dec kcal by 500 per day BMI >35 dec kcal by 500-1,000 per day First medication for HIV? - AZT or Zidovudine in 1987 Mother-child HIV transmission? - Vertical transmission Screening test for HIV? - EIA- enzyme immunoassay confirmatory test: western HIV risks- percutaneous exposure and exposure to mucous membranes - percutaneous exposure to H...

What 3 hormonal axes are attributed to most physical changes in adolescents? correct answer: 1) Hypothalamic-pituitary-gonadal (HPG) axis 2) Hypothalamic-pituitary-adrenal axis (HPA) 3) Growth hormone (GH) axis What hormones are attributed to Hypothalamic-pituitary-GONADAL (HPG) axis? correct answer: 1. Gonadotropin-releasing hormone (GnRH), also called luteinizing hormone-releasing hormone (LHRH) 2. Luteinizing hormone (LH) 3. Follicle stimulating hormone (FSH) 4. Estrogen 5. T...

Primary Amenorrhea correct answer: Absence of menses: by age 15 years Often secondary to: dysfunction in the hypothalamus, pituitary, ovaries (HPO axis), uterus, or vagina DYSMENORRHEA correct answer: Painful cramping: associated with menstruation caused by spasmodic uterine contractions Most common GYN problem: in adolescents & adult females HISTORY: is KEY!!! Primary versus Secondary Primary Dysmenorrhea: Absence of pelvic pathology correct answer: CAUSE: Excessive Prostagla...

what choice below has no precautions for oral contraceptive pill use? gallbladder disease 5 months postpartum/lactating BP 160/100 varicose veins correct answer: gallbladder disease One of the major components of gallstones estrogen. The patient underlying gall bladder disease--should not receive oral contraceptives as this will increase estrogen exposure and theoretically form gallstones. Herbs that may be contraindicated if the patient has a history of breast cancer correct answer...

A fifty-two year-old female patient comes in fro her annual well-women examination. Her LMP was fourteen months ago without any breakthrough bleeding. She as also developed some hirsutism. You would document this as: correct answer: Menopause A 24-year-old female presents to the office with a complaint of vaginal itching in addition to thick mucous discharge. She also has some mild urinary discomfort. A wet mount preparation using potassium hydroxide (KOH) reveals a negative whiff test and n...

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is. A) the interviewB) a voiding diaryC) the physical examD) the patient's response to non-pharmacologic treatment correct answer: B) a voiding diary The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the foll...

Adolescence correct answer: Biologically as onset of puberty; extending 8-10 years beyond (ages 11-21) Early Adulthood correct answer: Late adolescence (age 18) to perimenopausal years (35-50) What ages are biomedically optimal for reproduction? correct answer: ages 18-35 Number 1 killer of women? correct answer: Cardiac disease Two crises during early adulthood? correct answer: *development of intimacy versus isolation: entering life partnership with another individual *Abilit...