NR602 / NR 602 Primary Care of the Childbearing and Childrearing Family Week 6 Quiz Bank | Latest, 2020/2021 | Chamberlain College

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NR602 / NR 602 Primary Care of the Childbearing and Childrearing Family Week 6 Quiz Bank | Latest, 2020/2021 | Chamberlain College 1. During a breast exam of a 30-year-old nulliparous female, the n... urse practitioner palpates several rubbery mobile areas of breast tissue. They are slightly tender to palpation. Both breasts have symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her menstrual period in 5 days. Which of the following would you recommend? A. Referral to a gynecologist for further evaluation B. Tell her to return 1 week after her period so her breasts can be rechecked C. Advise the patient to return in 6 months to have her breasts rechecked D. Schedule the patient for a mammogram 2. A patient asks why she needs a breast ultrasound when she already has had a mammogram. Which of the following would be the best response of the use? A. To locate small lesions prior to surgery B. As a screening test for breast cancer C. To determine if a breast lesion is cystic or solid D. For definitive diagnosis of breast cancer 3. A woman is experiencing a milky white nipple discharge. Galactorrhea is usually a finding with which other diagnosis? A. Fibrocystic breast disease B. Mastalgia C. Hyperprolactinemia D. Breast cancer 4. A nurse practitioner is reviewing the chart of a woman who has findings consistent with polycystic ovary syndrome (PCOS). the diagnostic criteria for PCOS include all of the following except: A. Irregular menstrual cycles B. hyperandrogenism C. infertility PCOS D. weight loss 5. Pelvic pain is a common complaint in young women. Which of the following is not a first-line diagnostic test for evaluation of pelvic pain? A. Urine human choronic gonadottropin (HCG) B. CBC with differential C. CT of pelvis D. Pelvic ultrasound 6. A nurse practitioner is participating in a women's health fair. When educating the women about risk factors for breast cancer, which of the following statements is incorrect? A. Pregnancy after age of thirty-five years B. Late menopause after age of fifty-seven years C. Fibrocystic breast disease D. History of maternal breast cancer 7. A thirty-three-year-old woman presents to your clinic complaining of a dark brown, watery vaginal discharge and post-coital bleeding. There is a strong history of multiple unprotected sexual encounters. Which of the following findings on examination would be suspicious for cervical cancer? A. A soft, pink cervix with no ulcerations B. A very firm, erasily friable cervix C. An anteverted cervix D. Diarrhea 8. When educating a patient about the rationale for obtaining a mammogram, which of the following statements is false? A. Mammography is a cost-effective method to screen for breast cancer B. Mammography detects all breast cancers C. Mammography should be accompanied by breast examination D. Negative mammography shuold not delay biopsy of a clinically suspicious mass 9. A fifty-five-year-old postmenopausal female patient presents with pain in the upper outer quadrant of her left breast for over one month now. the best course of action would be to: A. Reassure the patient that pain is often not a presenting symptom of breast cancer B. Teach the patient breast self-examination C. Order laboratory studies as most likely this is secondary to a hormonal fluctuation D. Perform a breast examination and order a mammogram 10. A twenty-five-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 "pea-sized" painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but now it is the size of a ping-pong ball and getting worse. When you inspect her external genitalia, you are amazed at the size and appearance of the "lump." You note 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: A. Lipoma B. Dermoid cyst C. Bartholin's cyst [Show More]

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