nr 602 primary care of the childbearing and childrearing family
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NR 602 MIDTERM EXAM, Chamberlain College of Nursing
Course Code: NR602
Course Title: Primary Care of the Childbearing and Childrearing
Family
,A Bethesda System Pap smear report that reads LSIL is most consistent
with which classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up?
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 5 years
Lab results on your 26-year-old patient show a negative Pap smear with a
positive HPV screen. Which procedure will be required next
Repeat Pap and HPV screen
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?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1%
cream TID c. Fluconazole tabs
150mg x1 dose
d. Erythromycin 500mg TID x10 days
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?
a. Bacterial vaginosis
b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
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?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by
17ho c. Failure of menstruation to occur
by 13yo
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:
, a. Trichomonas
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
49yo female c/o dark, watery brown vaginal discharge. Which best describes what might be seen on
physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID
dx?
a. Temp <100F
b. Absence of WBCs in
vag fluid c. Mucopurulent
vag discharge
When a patin is diagnosed with PMS, which intervention would be
recommended to help alleviate the symptoms?
B. Eating a diet low in simple sugars and high in proteins.
(Decrease caffeine, take diuretics but continue to consume fluids, regular
exercise, and analgesics).
is the condition in which functional endometrial tissue is found in
ectopic sites outside the uterus.
Endometriosis
is the condition in which endometrial glands and stoma are
found within the myometrium, interspersed between the smooth
muscle fibers.
Adenomyosis
Uterine are benign neoplasms of smooth muscle
origin. Leiomyomas
are firm, rubbery, sharply defined round masses in
breast tissue. Fibroadenomas
Endometriosis is the condition where endometrial tissue is found growing
outside of the uterus in the pelvic cavity. What are risk factors for
endometriosis?
D. Periods longer than 7 days and increased menstrual pain.
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?
B. Depo-Provera
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