nr602 primary care of the childbearing and childrearing family
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Week 5 topic poss questions
Week 5: NR 602 Week 5-Possible Questions:
Chamberlain College of Nursing, Course Code: NR602 ,Course Title:
Primary Care of the Childbearing and Childrearing Family
1. Abnormal uterine bleeding – ch 39 lange
A 16 y.o. presents with menses every 16 days. You correctly classify her bleeding as
polymenorrhea
2. Dysfunctional Uterine Bleeding- Ch 39 lange
3. All Menstrual Cycle Phases
You should instruct a patient seeking information on breast self-examination that the best time to
perform a breast exam is ? during the follicular phase of the menstrual cycle
A 41-year-old patient comes in for her well-woman visit. On examination you note that her acne,
for which you have previously treated her, is worsening. Additionally you note enlargement of the
clitoris and an increase in facial and abdominal hair growth. When questioned, she admits that her
menstrual cycles have been increasingly irregular. The hormone excess disorder responsible for
her findings isandrogen -excess disorder
What is the effect of decreasing estrogen on the sleep cycle? Latent phase lengthened sleep period
shortened
Ovulation occurs approximately how long after urinary evidence of an LH surge?24 hrs
4. Anovulation
A 24-year-old patient with excessive hair growth, anovulation, and acne is seen for follow-up after
initiation of therapy with oral progesterone for treatment of oligomenorrhea. Although she now
has predictable menses, she complains of bloating and worsening acne and states she was happier
just not getting her period. You would stop the progesterone and try a course of oral contraceptive
pills in order todecrease ovarian androgen secretion
5. Atrophic Vaginitis
6. Cervical Cancer
7. Diagnostic Laboratory Procedures
Magnetic resonance imaging is most useful in detecting? Endometriosis that involves the
uterosacral ligament
About what percent of women undergoing laparoscopy for infertility are found to have
endometriosis? 20-40 %
Which of the following is the most appropriate initial test for infertility in the case of a 32-year-old
woman who has never been pregnant and who has a history of chronic pelvic pain and
dysmenorrhea whose partner has a normal semen analysis?Diagnostic laparoscopy
8. Endometrial Cancer
A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that
her mother died of endometrial cancer 1 year ago and says that she is afraid that she will die of the same
cancer. Which risk factor stated by the client after an education session on risk factors indicates that further
teaching is needed?Last onset of menarche
9. PMS (Premenstrual Syndrome)
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