Exam (elaborations)
NSG 6430 Final Exam-with latest solutions-
- Course
- NSG 6430 (NSG6430)
- Institution
- South University
NSG 6430 Final Exam-with latest solutions-
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NSG 6430 Final Exam -with latest solutions-2023-2024Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the
most common cause of amenorrhea?
Ectopic pregnancy Adenomyosis
Coagulopath
y The Tanner scale of sexual maturity rating allows for accurate classification of physical pubertal maturation. During the examination of your patient, you notice that the pubic hair is increased in quantity, is darker, and is present in
the typical female triangle but in a smaller quantity. Which of the following Tanner stages does this description meet?
Tanner stage I Tanner stage II Tanner stage III Tanner stage IV
A twenty-five-year-old patient presents with urinary frequency and urgency. These symptoms have been occurring for three days without fever. A patient with interstitial cystitis would most likely describe their symptoms as .
urinary urgency and frequency in the morning and at night pain with urination with scant bleeding
terminal dysuria urinary urgency only
The most common cause of chronic pelvic pain for women in the prime of their reproductive years is A fifty-two-year-old female patient comes in for her annual well-woman examination. Her LMP
was fourteen months ago without any breakthrough bleeding. She has also developed some hirsutism. You would document this as .
secondary amenorrhea
menopause perimenopause
polycystic ovary syndrome (PCOS)
Polycystic ovaries predispose women to a higher incidence of:
Adrenal tumors Ovarian cancer Endometrial cancer
Endometriosis
A definitive diagnosis of endometriosis cannot be made until which of these is completed?
CT scan
Transvaginal ultrasound Exploratory laparoscopy
MRI
After a thorough history, you note that Marie resides in a community with very high risk factors. These include poverty, violence, and lack of recreational facilities. She tells you that she “hangs out” at a convenience store near the apartment complex she lives at with her mother.PID
Fibroids
CORRECT
Endometriosis “All the group hangs there,” she reports proudly. She shares that she has been menstruating for two years now although she has irregular cycles. She also lets you know that she has had coitus only one time and that he “pulled out.” She does not want to get pregnant, and this is why she is here today.
What is your management plan for Marie today?
Student Answer: CORRECT You will assess all predisposing factors that lead to premarital sex and the negative consequences, tell Marie to be careful, and prescribe birth-control pills.
CORRECT One by one, you will plan to carefully address the risks (red flags) in Marie’s history. Your goal will be to clarify and address misconceptions, as well as share valuable sex education in a sensitive, nonjudgmental way. You will let her know you are her advocate and are very protective of her health. Without preaching, you want her to be aware of the negative possibilities of premarital, unprotected sexual activities. You will also share a clear understanding of the risk of STIs with Marie.
CORRECT After processing all of the history Marie has shared, you will write a referral for psychiatric evaluation and tell her she needs ongoing counseling for her behavior at such a young age and she likely needs to learn to cope within her environment (home and community).
CORRECT Your goal is to include healthy sexual-health decision making, including decisions regarding abstinence, birth-
control efficacy and choice, and condom use. Depending on the need, you may include a referral to an effective program for
teens (for example, a program that deals with STI prevention and or a family-based intervention program if available).
A well-woman visit for an adolescent should include which of the following?
A general health history and physical examination, including a breast examination, pelvic with Pap smear, screening tests,
counseling, immunizations, risk factors, and patient concerns
A general health history focusing on reproductive and sexual health concerns (menses, 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 tests, and immunizations as indicated by the health history and gynecologic considerations
for an external-only inspection of the genitalia
CORRECT Both b and c
A seventeen-year-old presents with an appointment for unilateral breast tenderness and
swelling. Which of the following would be the most likely etiology for this problem? You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left adnexal mass
on the bimanual exam. With an adnexal mass, the practitioner must always suspect until proven otherwise.
Pelvic inflammatory disease (PID)
Malignancy
Pregnancy
Polycystic ovary disease X
Majority of urinary tract infections do not require consultation or a referral to a specialist and are routinely treated in primary care practices. Which of the following scenarios would indicate
that a consultation or referral is indicated?
The presence of secondary sexually transmitted illness
A patient with two episodes occurring in one year
Patients that remain symptomatic after three days of treatment Patients that show urine human chorionic gonadotropin (HCG) positive
. Long-acting progestins may be used in patients as a contraceptive method. One of the long-
acting progestins is Depo-Provera. Which of the following best describes the mechanism of action of long-acting progestins in contraception?
Decrease in cervical mucus production and thinning of the circle os Thickening of cervical mucus and suppression of gonadotropin levels Increased gonadotropin levels and thinning of the circle os Anovulation caused by increased gonadotropin levelsBreast cancer Mastitis Fibrocystic breast
Fibroadenoma
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