NSG 6430 Final Review questions and answers

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. The nurse practitioner understands that which of the following pharmacologic therapies is an effective treatment for patients with PMS and PMDD? SSRIs The nurse practitioner understands that the following classification is used to standardize Abnormal Uterine Bleeding related to structural etiology: PALM The nurse practitioner student is studying the ovarian cycle of the woman. Which of the following phases are comprised in the ovarian cycle? Select all that apply. Follicular & Luteal What is a good first question for the nurse practitioner to ask a woman who presents with a concern about abnormal bleeding? What is a normal pattern for you? The NP is prescribing a depot medroxyprogesterone acetate (DMPA) injection for a patient. This medication is given at _______ week intervals. 12 When comparing COCs to the contraceptive patch and vaginal ring, which of the following statements by the NP is correct? The ring, patch, and COCs have the same theoretical efficacy. Although barrier contraception methods are less effective in preventing pregnancy than more modern methods, the NP understands that interest in barrier methods is on the rise because they: can help protect against STIs, including HIV The nurse practitioner is discussing contraceptive efficacy with a patient. This term refers to: The likelihood of pregnancy when a method is used exactly as prescribed. A patient is being counseled about emergency contraceptive methods. All of the following methods may be used for emergency contraception except: Progestin implant A patient is diagnosed with cyclic mastalgia. Which of the following statements is true regarding the diagnosis? it is caused by hormonal changes associated with menstruation The nurse practitioner understands that a woman's lifetime risk of being diagnosed with breast cancer is: 1 in 8 The nurse practitioner understands that a patient with hyperandrogenism may present with which of the following? acne associated with menstrual dysfunction For women younger than 35, infertility is defined as failure to achieve a successful pregnancy after __________ of regular unprotected intercourse. 12 months The nurse practitioner is examining a woman with excessive terminal hair growth, which is known as: hirsutism, The nurse practitioner is assessing a patient in her last month of pregnancy. Lightening typically occurs during this time, in which the height of the __________ drops slightly. fundus The nurse practitioner is performing a pelvic exam on a new OB patient. The cervix shows Goodell's sign when __________; and it shows Chadwick's sign when __________. it softens; it turns bluish in color The nurse practitioner is providing prenatal education regarding pregnancy signs and symptoms. Which of the following is not a sign or symptom associated with pregnancy in the first 6 to 8 weeks? Migraine headaches The nurse practitioner understands that Group B Streptococcus and Escherichia coliare the primary causes of ____________ during pregnancy. UTIs After delivery, the nurse practitioner understands the process by which the uterus returns to a pre-pregnant state is called: involution Lichen sclerosis is a benign, chronic, progressive disease of the skin in which the most common symptom reported by the patient is: vulvar pruritis The nurse practitioner educates a patient recently diagnosed with a functional ovarian cyst that it will resolve within: 6 months A patient presents with intense pelvic pain that is less than three months' duration. The correct term for this type of pain is: acute pelvic pain The nurse practitioner student was taught to use the mnemonic "OLD CAARTS" when performing a pain history on a patient. What does the "S" stand for? severity Janice is being evaluated due to her complaint of chronic pelvic pain. The nurse practitioner informs her that one of the most common gynecological-related causes of chronic pelvic pain is: endometriosis The nurse practitioner student is preparing for an upcoming exam and understands that the Tanner Scale includes ____ stages of sexual maturity 5 What approach does Health People 2020 use to achieve its goals and objectives? Social determinants of health The nurse practitioner is performing a speculum exam on a 42 year-old female patient. Which reproductive anatomy should be assessed during the speculum exam? Select all that apply. cervix and vagina The nurse practitioner is interviewing a new patient to the practice. Which of the following should not be a part of taking a health history? Counseling for tobacco-use cessation The nurse practitioner is reviewing the U.S. Preventative Services Task Force (USPSTF) recommendations. What does a service grade of D represent? Service is found to be either of no benefit or potentially harmful Kristin presents for an office visit due to an abnormal discharge with a fishy odor. What is the likely diagnosis for Kristin based on her presenting symptoms? Bacterial Vaginosis Which organism causes 90% of vulvovaginal candidiasis episodes in women? Candida albicans The nurse practitioner is reviewing reproductive anatomy and understands that the Bartholin's glands are located within the posteriorlateral vulvar vestibule at ______ and _______. 5:00 and 7:00 Microscopic exam of the vaginal secretions of a patient with chlamydia may reveal the presence of numerous _____________. white blood cells The nurse practitioner understands that an alternative term sometimes used in place of intimate partner violence is ___________. domestic violence Which of the following tests should the nurse practitioner order for HIV confirmation? Western blot Which one of the following is the definition of the term gender identity? A self-label, regardless of biologic or natal sex Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for LBQT patients? Ignore the sexual status or gender identity of all patients. The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman's: sexual health The nurse practitioner may include any of the following methods when managing sexual arousal disorders in women except: treatments that decrease blood flow to the genital tissues. The nurse practitioner is counseling a patient about midlife health issues in women and informs the patient that the number one cause of mortality in the United States is Cardiovascular disease. The nurse practitioner understands that an age-related anatomic change that can lead to urinary incontinence is: The decline in number of urethral striated muscle fibers Pelvic muscle contraction that is strategically timed to increase intraurethral pressure just before and after the event that causes urinary incontinence? Knack maneuver