NR 602 Week 4 Midterm Study Guide (Complete Solution)

NR 602 Week 4 Midterm Study Guide (Exam Points) Question: A Bethesda System Pap smear report that reads LSIL is most consistent with which classification Question: A single Pap smear reading of ASCUS in a patient negat ...

NR 602 Week 4 Midterm Study Guide (Exam Points) Question: A Bethesda System Pap smear report that reads LSIL is most consistent with which classification Question: A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up? Question: 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 Question: Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen. Which procedure will be required next Question: 9yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On exam, there’s erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate treatment? Question: Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most likely cause? Question: 18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval? Question: Primary amenorrhea is best described as: Question: 25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents: Question: Treatment options for condyloma acuminatum include: Question: 49yo female c/o dark, watery brown vaginal discharge. Which best describes what might … on physical exam in pt’s with cervical cancer? Question: 22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID dx? Question: When a patin is diagnosed with PMS, which intervention would … to help alleviate the symptoms? Question: ______ is the condition in which functional endometrial tissue is found in ectopic sites outside the uterus. Question: _______ is the condition in which endometrial glands and stoma are … within the myometrium, interspersed between the smooth muscle fibers. Question: Uterine ______ are benign neoplasms of smooth muscle origin. Question: ________ are firm, rubbery, sharply defined round masses in breast tissue. Question: Endometriosis is the condition where endometrial tissue is … growing outside of the uterus in the pelvic cavity. What are risk factors for endometriosis? Question: An 18 yr old woman presents at the clinic complaining new-onset breakthrough bleeding, even though she is on contraceptive. What contraceptive use, along with new onset-onset breakthrough bleeding, has been associated with pelvic inflammatory disease? Question: A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of Question: Pap smear results of atypical squamous cells of undetermined significance require which procedure next Question: A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother had died of endometrial cancer one year ago and says that she is afraid that she would die of the same cancer. Which risk factor … by the client after an education session on wrist factors indicate that brother teaching is needed Question: The frequency for cervical screening depends on the patient and her age. What is the longest … time interval between cervical screens for patients who are 65 years old or younger Question: Jenna was … with condyloma acuminatum. Treatment options for Jenna will include all of the following except Question: I can roll over grasp a rattly, and reach for things and have begun feeding myself finger foods, but i can’t wave bye-bye yet. How old am I? Question: I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but can’t balance on one foot for 2 seconds. I am: Question: Most children can independently dress themselves by age Question: A 35-year-old smoker is … for birth control choices. Patient has a history of pelvic inflammatory disease along with an embolic episode after her last pregnancy. Which of the following methods of birth control would you recommend Question: A 20-year-old woman visiting the clinic says that she wishes to begin using Depot Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what important information said the nurse include when teaching the client about Depo-Provera Question: A client seeking advice about contraception asked the nurse about how an Intrauterine device prevent pregnancy how should the nurse respond Question: A nurse is teaching a group of women about the side effects of different types of contraceptives. What frequent side effect associated with the use of an IUD should the nurse discussed during the teaching session Question: A nurse is teaching a female client about the side effects of estrogen in an oral contraceptive. Which common side effect identified by the client indicates to the nurse at the teaching was effective Question: A nurse is canceling a female client with type one diabetes to request a contraceptive information. What contraceptive method should the nurse recommend Question: The client asked the nurse about the use of an IUD for contraception. What information should the nurse include in the response Question: Sylvia is 44-year-old woman with dysfunctional uterine bleeding and is an able to use oral contraceptives. Which of the following medications can be use for management of DUB Question: Which is not a common cause of irregular menstrual bleeding Question: A na, 25-year-old, presents with dysmenorrhea. She states that her sister and mother have endometriosis, so she would like to … for it. Which of the following is consistent with a diagnosis of endometriosis Question: A 16-year-old female is … with primary dysmenorrhea. She has taken over the counter ibuprofen 800 mg increments every eight hours during mentors for the past three months with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms Question: My 24-year-old female presents to the practice with a painless 2 cm lobular mass in the right breast that is freely mobile and firm. This has … on self breast examination, and she reports it has been unchanged for the past three months. The best course of action by the nurse practitioner would … Question: A nurse is caring for a client who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the healthcare provider will most likely prescribe Question: For the patient with chronic bacterial vaginosis, the nurse practitioner will prescribe Question: Women with a history of P ID have an increased risk for all of the following except Question: Which of the following is the best method to diagnose a vaginal trichomonas infection Question: A 30-year-old woman who is sexually active complains of a large amount of milk like vaginal discharge for several weeks. A micro scopic slide reveals a large number of cells that have blurred margins. Very few white blood cells are … The vaginal pH is at six. What is most likely Question: A 25-year-old woman complains of dysuria, severe vaginal up your ride is, and a malodorous vaginal discharge. Pelvic examination reveals a strawberry colored cervix and frothy yellow discharge. Microscopic examination of the discharge reveals multiple organisms that have flagella. The correct pharmacological therapy for the condition is Question: You are completing a pelvic exam on 32-year-old and Nancy. You detect a left adnexal mass on the bimanual exam. With an adnexal mass, the practitioner much always suspect Question: A young woman presents to your practice with vaginal itching and white discharge. She denied sexual activity or douching. She has been in good health except for recurrent strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and white patches, no odor is detected. Which of the following is the most likely cause of this problem Question: A 24-year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation using potassium hydroxide reveals a negative whiff test and few clue cells. There was no trichomonas … but the WBCs were too numerous to count. Which of the following would be the most likely diagnosis in the patient Question: A 25-year-old woman comes to clinic complaining of increased vaginal discharge, milky gray in color with a fishy odor that both she and her husband have noticed. I wet smear is … and the presence of clue cells confirmed. Which type of infection does the nurse suspect Question: Which of the following statements is accurate regarding the usefulness of mammo in screening and detection of breast cancer? Question: PMS occurs with greatest frequency and severity in the: Question: 28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk before her menses onset. What is most important info to obtain from this pt to determine if the pt has PMS? Question: What phase of menstrual cycle begins with menses cessation and ends w/ovulation? Question: What phase of menstrual cycle begins with ovulation and ends w/menstruation? Question: While the vital signs of a pregnant client in her third trimester are being … the client complains of feeling faint, dizzy, and agitat ed. Which nursing intervention is appropriate? Question: A pregnant client has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct inter pretation of these symptoms by the health care provider? Question: What is the reason for vascular volume increasing by 40% to 60% during pregnancy? Question: Physiologic anemia often occurs during pregnancy because of: Question: A client in her first trimester complains of nausea and vomiting. She asks, Why does Question: What is the most common symptom of vulvovaginal candidiasis?