A mother presents to the clinic with her female child who she is concerned about because
her breasts are developing "when she is so young." When performing the initial assessment, it
is - ✔✔Puberty starts before eight years of age in a female
Natasha is an eleven-year-old girl brought to your office for an annual well-child visit.
When discussing the onset of puberty with Natasha and her mother, you would emphasize
which of the following? - ✔✔the average age of menarch is twelve years
A twenty-four-yearold woman in your practice has been trying to conceive. She comes in
for a pregnancy test, and it is positive. LMP was five weeks ago. She is prone to migraines and
has used Imitrex (sumatriptan) with good success. She asks you about what to do if she has a
migraine during pregnancy. Which of the following would be an inappropriate intervention as
part of your counseling? - ✔✔migraines often occur less frequently during pregnancy due to
hormonal changes
The nurse practitioner understands that premenstrual syndrome (PMS) occurs with
greatest frequency and severity in the - ✔✔late luteal phase
Cara is in the clinic for what you have diagnosed as dysfunctional uterine bleeding
(DUB). She is concerned about why this is happening to her. You recall which of the
following is the most common cause of DUB? - ✔✔anovulation
While participating in a woman's health fair, a parent comes to you with the concern of
, her daughter participating prematurely in sex. Which of the following factors is strongly
associated with early onset of unwanted sexual activity? - ✔✔dating a partner that is >3
years older than the teen
Which of the following choices represent a disorder of the reproductive tract that causes
pain, erythema, dyspareunia, and a perineal mass? - ✔✔bartholin's cyst
A woman has just stopped birth control pills in efforts to become pregnant. You recall that
estrogen withdrawal reflects activity primarily from the_________. - ✔✔ovary
You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left adnexal
mass on the bi manual exam. With an adnexal mass, the practitioner must always suspect
________ until proven otherwise - ✔✔malignancy
thirty-two-yearold woman presents to your practice with a complaint of postcoital
bleeding. Which of the following must be included in the assessment of this patient? -
✔✔papanicolaonu smear
A patient is being rechecked after having a total hysterectomy performed and is having
multiple problems since. Which of the following is/are early symptom(s) of estrogen
withdrawal? - ✔✔sleep disturbances
Elba, a thirty-five year- old woman, presents with a six month history of hypermenorrhea,
backache, and pelvic pressure. On examination, you discover twelve week- size uterus with
irregular contour. Which of the following does this represent? - ✔✔uterine fibroid
The most effective interventions available to women's healthcare providers for reducing
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