Sexual and Reproductive-Leik Questions and Answers 2024| Exam Review
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Nursing \\OBGYN
Sexual and Reproductive-Leik Questions and Answers 2024| Exam Review
1. Precocious puberty is defined as the onset of secondary sexual characteristics before the age of
A. age 7 in girls and age 8 in boys
B. age 8 in girls and age 9 in boys
C. age 9 in girls and age 10 in boys
D. age 9...
sexual and reproductive leik questions and answers
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Sexual and Reproductive-Leik Questions and Answers
2024| Exam Review
1. Precocious puberty is defined as the onset of secondary sexual characteristics before
the age of
A. age 7 in girls and age 8 in boys
B. age 8 in girls and age 9 in boys
C. age 9 in girls and age 10 in boys
D. age 9 for both girls and boys ** Answ** B. age 8 in girls and age 9 in boys
2. A major risk factor for Down syndrome in an infant is
A. Maternal age younger than 16 years
B. Maternal age older than 35 years
C. A positive fam history of Down syndrome
D. A positive fam history of genetic disease ** Answ** B. Maternal age older than 35
years
3. All of the following are correct statements regarding oral contraceptives except
A. the actual failure rate of oral contraceptives is 7%
B. desogestrel belongs to the progesterone family of drugs
C. the newer low-dose birth control pills do not require backup during the first week of
use
D. oral contraceptives are contraindicated for women 35 years or older who smoke **
Answ** C. the newer low-dose birth control pills do not require backup during the first
week of use
4. All of the following are complications of severe preeclampsia except
A. liver failure
B. hypertensive encephalopathy
,C. pulmonary edema
D. placenta previa ** Answ** D. placenta previa
5. Which of the following is the best method for diagnosing a Candida albicans infection
of the vagina in the primary care setting?
A. wet smear
B. tzanck smear
C. nucleic acid amplification test
D. clinical findings only ** Answ** A. wet smear
6. Which of the following is contraindicated in the care or pregnant women with placenta
previa?
A. echocardiogram
B. intravaginal ultrasound
C. abdominal ultrasound
D. pelvic ultrasound ** Answ** B. intravaginal ultrasound
7. A 48 year old woman is told by a physician that she is in perimenopause. All of the
following are possible findings except
A. hot flashes
B. irregular menstrual periods
C. severe vaginal atrophic changes
D. cyclic mood swings ** Answ** C. severe vaginal atrophic changes
8. The Pap smear result for a 22 year old sexually active college student whose partner
uses condoms inconsistently reveals a large number of white blood cells and blood
along with inflammatory changes. During the speculum exam, the cervix bled very
easily (friable), and a small amount of purulent discharge was present on the cervical
surface. No cervical motion tenderness was noted during the bimanual exam. What is
the next step in the management of this patient?
A. advise the patient be tested for chlamydia and gonorrhea
, B. instruct the pt to use metronidazole vaginal cream
C. tell the pt she needs a repeat Pap smear in 6 months
D. advise the pt to use a Betadine douche at bedtime for 3 days ** Answ** A. advise
the patient be tested for chlamydia and gonorrhea
9. A sexually active 16 year old girl is brought by her mother for a physical exam. During
the exam, the nurse practitioner notices some bruises on both breasts. All of the
following are important areas to evaluate in this patient during this visit except
A. depression
B. tanner stage
C. sexual history
D. STDs ** Answ** B. tanner stage
10. At what Tanner stage does puberty start?
A. I
B. II
C. III
D. IV ** Answ** B. II
11. A 44 year old woman who is undergoing treatment for infertility complains of not
having had a menstrual period for a few months. The night before, she started spotting
and is now having cramp-like pains in her pelvic area. Her BP is 160/80, pulse 110, and
is afebrile. Her labs reveal mild anemia with mild leukocytosis. On pelvic exam, the
uterine fundus is noted to be above the symphysis pubis. The cervical os is dilated at 3
cm. Which of the following is most likely?
A. inevitable abortion
B. threatened abortion
C. incomplete abortion
D. acute PID ** Answ** A. inevitable abortion
12. What is the most common cause of infertility among women in the US?
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