NR 602 Final Exam Questions And Answers All Correct.

What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 co-test in a 26-year-old woman without a history of abnormal Pap smears? - correct answer Colposcopy A well woman visit for an adolescent should include which of the following - correct answer A general health history focusing on reproductive and sexual health concerns (mentors, gynecologic, and pregnancy related) and psychosocial (Family related, peer related, emotional, and physical as well as related to abuse, drug use and alcohol use) concerns Physical exam, screening test, and immunizations as indicated by the health history and gynecologic considerations for an extern only inspection of the genitalia A Bethesda System Pap smear report that reads LSIL is most consistent with which classification - correct answer CIN 1 A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up? - correct answer Routine screening A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have the next cervical cancer screening - correct answer Five years A young sexually active client of the family planning clinic is advised to have a Pap smear. She has never had a Pap smear before. What should the nurse include in the explanation of this procedure - correct answer The Pap smear can detect cancer of the cervix Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen. Which procedure will be required next - correct answer Repeat Pap and HPV screen Which of the following is not part of the criteria for an older woman to see if having any future Pap test performed - correct answer Over 55 years of age You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics. The purpose of the progesterone challenge is to a certain the presence of - correct answer Endogenous estrogen A 17-year-old female patient presents with amenorrhea for four months she did experience menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is noted that she has normal secondary sexual characteristics. The nurse practitioner will consider progesterone challenge to determine the presence of adequate - correct answer Endogenous estrogen A teenage patient presents with amenorrhea and moral secondary sex characteristics. The progesterone challenge is ordered. the purpose is to determine the presence of - correct answer Endogenous estrogen 18-year-old female complaining of secondary amenorrhea. On exam, there is a normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would necessitate further evaluation - correct answer Galactorrhea Primary amenorrhea is best described as - correct answer Failure to menstrate by 13 years old A nurse practitioner is participating in a woman's health fair. When educating the woman about risk factors for breast cancer which of the following statements is incorrect? - correct answer Fibrocystic breast disease When educating women about breast cancer risk factors which statement is incorrect - correct answer Fibrocystic breast disease A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of - correct answer 8.0 Changes and hormonal regulation during menopause result in the gradual cessation of menstruation. From which gland is Androstenedione secreted - correct answer Adrenals A Pap smear results of atypical squamous cells of undetermined significance rule out high-grade squamous intraepithelial lesion will require which procedure - correct answer Colposcopy A Pap smear results of atypical squamous cells of undetermined significance require which procedure next - correct answer Follow-up Pap smear A 25-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very painful sex is how she knew something wasn't right. She showered and when washing, she felt a P sized painful lump on the left side of her bottom. She tells you she looked at it with the mirror and it was very small but now it is the size of a ping-pong ball and getting worse. when you Inspect her genitalia you are amazed at the size and appearance of the lump you know what appears to be an abscess on the left medial side of the labia minora and there is some edema extending into the perineum. Your diagnosis for this presentation is - correct answer Bartholins cyst You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist you consult with regularly. You explain to her the likely treatment as follows: - correct answer A possible incision might be necessary and a catheter placed for 2 to 4 weeks to allow for drainage and appropriate healing A client at the woman's health clinic complains of swelling of the labia and throbbing pain in the labial area after sexual intercourse. For what condition does the nurse anticipate the client will be treated - correct answer Bartholinitis Which of the following choices represents a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass - correct answer Bartholin cyst A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of the vagina are the Bartolian glands. Which of the following describes the function of these glands - correct answer Production of alkaline secretions for sperm viability A 23-year-old woman presents to your practice with a chief complaint of postcoital bleeding. Which of the following would not be included in the initial assessment of this patient - correct answer Uterine biopsy A nurse practitioner is educating a woman who has a colposcopy. Which of the following most accurately describes a colposcopy - correct answer A procedure that visualizes the vagina, vulvar or cervical epithelium with magnification to identify abnormal areas that may need to be biopsied A 33-year-old woman presents to your clinic complaining of dark brown watery vaginal discharge and postcoital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on examination would be suspicious for cervical cancer - correct answer A very firm, easily friable cervix A 23-year-old woman comes to the clinic for a P