NSG 6430 UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔Thalia is a fifteen-year-old who is referred to your women's health practice by her
school
counselor. She has macromastia and has been teased and ridiculed by her classmates
at
school. Which of the following would be the first step in dealing with this problem? -
✔✔Assess Thalia's Tanner staging for breasts and date of menarche
✔✔A nurse practitioner student is researching as to why menopausal women have an
increased risk of heart disease. Which of the following lipid changes occur with estrogen
withdrawal in menopause? - ✔✔decrease in HDL with and increase in LDL and
triglycerides
✔✔Which of the following is an approved treatment for premenstrual dysphoric disorder
(PMDD)? - ✔✔Drospirenone/ethinly estradiol/levomefolate calcium (Beyaz)
✔✔Nancy is an elevenyear- old presenting for an annual wellchild visit. When reviewing
the
physiology of puberty, you recall that the initiation of puberty begins physiologically with
the
release of GnRH by the ____. - ✔✔hypothalamus
✔✔Luz is a fifteen-year old girl who comes to your office stating, "I have not had my
period for
two months now." She experienced menarche at ten years of age, with regular cycles
for the
past two years. In your initial consideration of a differential diagnoses, what is the most
likely
etiology of this problem? - ✔✔Pregnancy
✔✔A mother presents to the clinic with her female child who she is concerned about
because
her breasts are developing "when she is so young." When performing the initial
assessment, it
is - ✔✔Puberty starts before eight years of age in a female
✔✔Natasha is an eleven-year-old girl brought to your office for an annual well-child visit.
When discussing the onset of puberty with Natasha and her mother, you would
emphasize
which of the following? - ✔✔the average age of menarch is twelve years
, ✔✔A twenty-four-yearold woman in your practice has been trying to conceive. She
comes in
for a pregnancy test, and it is positive. LMP was five weeks ago. She is prone to
migraines and
has used Imitrex (sumatriptan) with good success. She asks you about what to do if she
has a
migraine during pregnancy. Which of the following would be an inappropriate
intervention as
part of your counseling? - ✔✔migraines often occur less frequently during pregnancy
due to hormonal changes
✔✔The nurse practitioner understands that premenstrual syndrome (PMS) occurs with
greatest frequency and severity in the - ✔✔late luteal phase
✔✔Cara is in the clinic for what you have diagnosed as dysfunctional uterine bleeding
(DUB). She is concerned about why this is happening to her. You recall which of the
following is the most common cause of DUB? - ✔✔anovulation
✔✔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? - ✔✔dating a partner that is >3
years older than the teen
✔✔Which of the following choices represent a disorder of the reproductive tract that
causes
pain, erythema, dyspareunia, and a perineal mass? - ✔✔bartholin's cyst
✔✔A woman has just stopped birth control pills in efforts to become pregnant. You
recall that
estrogen withdrawal reflects activity primarily from the_________. - ✔✔ovary
✔✔You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left
adnexal
mass on the bi manual exam. With an adnexal mass, the practitioner must always
suspect
________ until proven otherwise - ✔✔malignancy
✔✔thirty-two-yearold woman presents to your practice with a complaint of postcoital
bleeding. Which of the following must be included in the assessment of this patient? -
✔✔papanicolaonu smear
✔✔A patient is being rechecked after having a total hysterectomy performed and is
having
ANSWERS GRADED A+
✔✔Thalia is a fifteen-year-old who is referred to your women's health practice by her
school
counselor. She has macromastia and has been teased and ridiculed by her classmates
at
school. Which of the following would be the first step in dealing with this problem? -
✔✔Assess Thalia's Tanner staging for breasts and date of menarche
✔✔A nurse practitioner student is researching as to why menopausal women have an
increased risk of heart disease. Which of the following lipid changes occur with estrogen
withdrawal in menopause? - ✔✔decrease in HDL with and increase in LDL and
triglycerides
✔✔Which of the following is an approved treatment for premenstrual dysphoric disorder
(PMDD)? - ✔✔Drospirenone/ethinly estradiol/levomefolate calcium (Beyaz)
✔✔Nancy is an elevenyear- old presenting for an annual wellchild visit. When reviewing
the
physiology of puberty, you recall that the initiation of puberty begins physiologically with
the
release of GnRH by the ____. - ✔✔hypothalamus
✔✔Luz is a fifteen-year old girl who comes to your office stating, "I have not had my
period for
two months now." She experienced menarche at ten years of age, with regular cycles
for the
past two years. In your initial consideration of a differential diagnoses, what is the most
likely
etiology of this problem? - ✔✔Pregnancy
✔✔A mother presents to the clinic with her female child who she is concerned about
because
her breasts are developing "when she is so young." When performing the initial
assessment, it
is - ✔✔Puberty starts before eight years of age in a female
✔✔Natasha is an eleven-year-old girl brought to your office for an annual well-child visit.
When discussing the onset of puberty with Natasha and her mother, you would
emphasize
which of the following? - ✔✔the average age of menarch is twelve years
, ✔✔A twenty-four-yearold woman in your practice has been trying to conceive. She
comes in
for a pregnancy test, and it is positive. LMP was five weeks ago. She is prone to
migraines and
has used Imitrex (sumatriptan) with good success. She asks you about what to do if she
has a
migraine during pregnancy. Which of the following would be an inappropriate
intervention as
part of your counseling? - ✔✔migraines often occur less frequently during pregnancy
due to hormonal changes
✔✔The nurse practitioner understands that premenstrual syndrome (PMS) occurs with
greatest frequency and severity in the - ✔✔late luteal phase
✔✔Cara is in the clinic for what you have diagnosed as dysfunctional uterine bleeding
(DUB). She is concerned about why this is happening to her. You recall which of the
following is the most common cause of DUB? - ✔✔anovulation
✔✔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? - ✔✔dating a partner that is >3
years older than the teen
✔✔Which of the following choices represent a disorder of the reproductive tract that
causes
pain, erythema, dyspareunia, and a perineal mass? - ✔✔bartholin's cyst
✔✔A woman has just stopped birth control pills in efforts to become pregnant. You
recall that
estrogen withdrawal reflects activity primarily from the_________. - ✔✔ovary
✔✔You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left
adnexal
mass on the bi manual exam. With an adnexal mass, the practitioner must always
suspect
________ until proven otherwise - ✔✔malignancy
✔✔thirty-two-yearold woman presents to your practice with a complaint of postcoital
bleeding. Which of the following must be included in the assessment of this patient? -
✔✔papanicolaonu smear
✔✔A patient is being rechecked after having a total hysterectomy performed and is
having
