NSG 6430 Midterm Exam 2024 Questions & Answers with Complete Solution

NSG 6430 Midterm Exam 2024 Questions & Answers with Complete Solution 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 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 A Pap smear result of atypical squamous cells of undetermined significance—rule out high-grade squamous intraepithelial lesion (ASCUS r/o HGSIL) will require which procedure next? - colposcopy A patient has been diagnosed with secondary dysmenorrhea. Which of the following statements is true regarding the diagnosis? - an underlying pathology causing pain symptoms during menstrual flow A patient is being rechecked after having a total hysterectomy performed and is having multiple problems since. Which of the following is/are early symptom(s) of estrogen withdrawal? - sleep disturbances A postmenopausal patient is prescribed hormonal therapy (HT). The nurse practitioner recalls that HT is indicated for the management of ________. - hot flashes A thirty-nine-yearold female has not had menses for over six months and has a negative pregnancy test. Which of the following characteristics puts her at risk for an early menopause? - current smoker 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 A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except ___________. - daily basal insulin to reduce blood sugar A woman has just stopped birth control pills in efforts to become pregnant. You recall that estrogen withdrawal reflects activity primarily from the_________. - ovary