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Test Bank Guidelines for Nurse Practitioners in Gynecologic Settings 12th Edition Hawkins, Roberto-Nichols, Stanley-Haney. $14.49   Add to cart

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Test Bank Guidelines for Nurse Practitioners in Gynecologic Settings 12th Edition Hawkins, Roberto-Nichols, Stanley-Haney.

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Test Bank Guidelines for Nurse Practitioners in Gynecologic Settings 12th Edition Hawkins, Roberto-Nichols, Stanley-H

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  • November 12, 2024
  • 130
  • 2024/2025
  • Exam (elaborations)
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  • Nurse Practitioners
  • Nurse Practitioners
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lOMoAR cPSD| 41562175

, lOMoAR cPSD| 41562175




Guidelines jfor jNurse jPractitioners jin jGynecologic jSettings, j12th
jEditionjTestbank/Studyguide




Chapter j1. jWell-Woman jInitial/Annual jGynecologic jExam
1. Due jto jthe jeffects jof jcyclic jovarian jchanges jin jthe jbreast, jwhen jis jthe jbest jtime jfor jbreast
jself- jexamination j(BSE)?

a. Between j5 jand j7 jdays jafter jmenses jceases
b. Day j1 j of jthe jendometrial jcycle
c. Midmenstrual jcycle
d. Any jtime jduring ja jshower jor
jbathjANS: jA
The jphysiologic jalterations j in jbreast jsize jand jactivity jreach jtheir jminimal jlevel japproximately j5
to j7 jdays jafter jmenstruation jceases. jTherefore, jBSE jis jbest jperformed jduring jthis jphase jof
jthe jmenstrual jcycle. jDay j1 jof jthe jendometrial jcycle jis jtoo jearly jto jperform jan jaccurate
jBSE. jAfter jthe jmidmenstrual jcycle, jbreasts jare jlikely jto jbecome jtender jand jincrease jin jsize,
jwhich jis jnot jthejideal jtime jto jperform jBSE. jLying jdown jafter ja jshower jor jbath jwith ja jsmall
jtowel junder jthe jshoulder jof jthe jside jbeing jexamined jis jappropriate jteaching jfor jBSE. jA
jsecondary jBSE jmay jbe jperformed jwhile jin jthe jshower.
2. Individual jirregularities j in jthe jovarian j(menstrual) jcycle jare jmost joften jcaused jby jwhat?
a. Variations jin jthe jfollicular j(preovulatory) jphase
b. Intact jhypothalamic-pituitary jfeedback jmechanism
c. Functioning jcorpus jluteum
d. Prolonged jischemic
jphasejANS: jA
Almost jall jvariations jin jthe jlength jof jthe jovarian jcycle jare jthe jresult jof jvariations jin jthe jlength jof
the jfollicular jphase. jAn jintact jhypothalamic-pituitary jfeedback jmechanism jwould jbe jregular,
jnotjirregular. jThe jluteal jphase jbegins jafter jovulation. jThe jcorpus jluteum jis jdependent jon jthe
jovulatory jphase jand jfertilization. jDuring jthe jischemic jphase, jthe jblood jsupply jto jthe
jfunctional jendometrium jis jblocked, jand jnecrosis jdevelops. jThe jfunctional jlayer jseparates
jfrom jthe jbasal jlayer, jand j menstrual jbleeding jbegins.
3. How jwould jthe jphysiologic jprocess jof jthe jsexual jresponse jbest jbe jcharacterized?
a. Coitus, jmasturbation, jand jfantasy
b. Myotonia jand jvasocongestion
c. Erection jand jorgasm
d. Excitement, jplateau, jand
jorgasmjANS: jB
Physiologically, jaccording jto jMasters j(1992), jsexual jresponse jcan jbe janalyzed jin jterms jof jtwo
processes: jvasocongestion jand jmyotonia. jCoitus, jmasturbation, jand jfantasy jare jforms jof
jstimulation jfor jthe jphysical jmanifestation jof jthe jsexual jresponse. jErection jand jorgasm joccur
jin

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two jof jthe jfour jphases jof jthe jsexual jresponse jcycle. jExcitement, jplateau, jand jorgasm jare
jthree jofjthe jfour jphases j of jthe jsexual jresponse jcycle.
4. Which jaction jwould jbe jinappropriate jfor jthe jnurse jto jperform jbefore jbeginning jthe
jhealthjhistory jinterview?

a. Smile jand jask jthe jclient jwhether jshe jhas jany jspecial jconcerns.
b. Speak jin ja jrelaxed jmanner jwith jan jeven, jnonjudgmental jtone.
c. Make jthe jclient jcomfortable.
d. Tell jthe jclient jher jquestions jare
jirrelevant.jANS: jD
The jwoman jshould jbe jassured jthat jall jof jher jquestions jare jrelevant jand jimportant. jBeginning jany
client jinteraction jwith ja jsmile jis jimportant jand jassists jin jputting jthe jclient jat jease. jIf jthe
jnurse jspeaks jin ja jrelaxed jmanner, jthen jthe jclient jwill jlikely jbe jmore jrelaxed jduring jthe
jinterview. jThejclients jcomfort jshould j always jbe jensured jbefore jbeginning j the jinterview.
5. The jnurse jguides ja jwoman jto jthe jexamination jroom jand jasks jher jto jremove jher jclothes
jandjput jon jan jexamination jgown jwith jthe jfront jopen. jThe jwoman jreplies, jI jhave jspecial
jundergarments jthat jI jdo jnot jremove jfor jreligious jreasons. jWhich jis jthe jmost jappropriate
jresponse jfrom jthe j nurse?

a. You jcant jhave jan jexamination jwithout jremoving jall jyour jclothes.
b. Ill jask jthe jphysician jto jmodify jthe jexamination.
Tell jme jabout jyour jundergarments. j Ill jexplain jthe jexamination jprocedure, jand jthen jwe
c. can jdiscuss jhow jyou jcan jcomfortably jhave jyour jexamination.
d. I jhave jno jidea jhow jwe jcan jaccommodate jyour
jbeliefs.jANS: jC
Explaining jthe jexamination jprocedure jreflects jcultural jcompetence jby jthe jnurse jand jshows
respect jfor jthe jwomans jreligious jpractices. jThe jnurse jmust jrespect jthe jrich jand junique
jqualities jthat jcultural jdiversity jbrings jto jindividuals. jThe jexamination jcan jbe jmodified jto
jensure jthat jmodesty jis jmaintained. j In jrecognizing j the jvalue jof jcultural jdifferences, jthe jnurse
jcan jmodify jthejplan jof jcare jto jmeet jthe jneeds jof jeach jwoman. jTelling jthe jclient jthat jher
jreligious jpractices jare jdifferent jor jstrange j is j inappropriate jand jdisrespectful jto jthe jclient.
6. A jwoman jarrives jat jthe jclinic jfor jher jannual jexamination. jShe jtells jthe jnurse jthat jshe
jthinks jshe jhas ja jvaginal jinfection, jand jshe jhas jbeen jusing jan jover-the-counter jcream jfor jthe
jpast j2 jdays
to jtreat jit. jHow jshould jthe jnurse jinitially jrespond?
Inform jthe jwoman jthat jvaginal jcreams jmay jinterfere jwith jthe jPapanicolaou j(Pap) jtest
a. for jwhich jshe jis jscheduled.
b. Reassure jthe jwoman jthat jusing jvaginal jcream jis jnot ja jproblem jfor jthe
jexamination.jAsk jthe jwoman jto jdescribe jthe jsymptoms jthat jindicate jto jher jthat

jshe jhas ja jvaginal
c. infection.
d. Ask jthe jwoman jto jreschedule jthe jappointment jfor jthe
jexamination.jANS: jC
An jimportant jelement jof jthe jhealth jhistory jand jphysical jexamination jis jthe jclients jdescription jof
any jsymptoms jshe jmay jbe jexperiencing. jThe jbest jresponse jis jfor jthe jnurse jto jinquire jabout
jthejsymptoms jthe jwoman jis jexperiencing. jWomen jshould jnot jdouche, juse jvaginal jmedications,
jor

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have jsexual jintercourse jfor j24 jto j48 jhours jbefore jobtaining ja jPap jtest. jAlthough jthe jwoman
jmayjneed jto jreschedule ja jvisit jfor jher jPap jtest, jher jcurrent jsymptoms jshould jstill jbe
jaddressed.
7. Preconception jand jprenatal jcare jhave jbecome jimportant jcomponents jof jwomens jhealth.
jWhatjis jthe jguiding jprincipal jof jpreconception jcare?

a. Ensure jthat jpregnancy jcomplications jdo jnot joccur.
b. Identify jthe jwoman jwho jshould jnot jbecome jpregnant.
c. Encourage jhealthy jlifestyles jfor jfamilies jdesiring jpregnancy.
d. Ensure jthat jwomen jknow jabout jprenatal
jcare.jANS: jC
Preconception jcounseling jguides jcouples jin jhow jto javoid junintended jpregnancies, jhow jto
identify jand jmanage jrisk jfactors jin jtheir jlives jand jin jtheir jenvironment, jand jhow jto
jidentifyjhealthy jbehaviors jthat jpromote jthe jwell-being jof jthe jwoman jand jher jpotential
jfetus.
Preconception jcare jdoes jnot jensure jthat jpregnancy jcomplications jwill jnot joccur. jIn jmany
jcases, jproblems jcan jbe jidentified jand jtreated jand jmay jnot jrecur jin jsubsequent jpregnancies.
jFor jmany jwomen, jcounseling jcan jallow jbehavior jmodification jbefore jany jdamage jis jdone,
jor ja jwoman jcanjmake jan jinformed jdecision jabout jher jwillingness jto jaccept jpotential jhazards.
jIf ja jwoman jis jseeking jpreconception jcare, j then jshe jis j likely jaware jof jprenatal jcare.
8. Ovarian jfunction jand jhormone jproduction jdecline jduring jwhich jtransitional jphase?
a. Climacteric
b. Menarche
c. Menopause
d. Pubertyj
ANS: jA
The jclimacteric jphase jis ja jtransitional jperiod jduring jwhich jovarian jfunction jand jhormone
production jdecline. jMenarche jis jthe jterm jthat jdenotes jthe jfirst jmenstruation. jMenopause
jrefersjonly jto jthe jlast jmenstrual jperiod.Puberty jis ja jbroad jterm jthat jdenotes jthe jentire
jtransitional jperiod jbetween jchildhood jand jsexual jmaturity.
9. Which jstatement jindicates jthat ja jclient jrequires jadditional jinstruction jregarding jBSE?
a. Yellow jdischarge jfrom jmy jnipple jis jnormal jif jIm jhaving jmy jperiod.
b. I jshould jcheck jmy jbreasts jat jthe jsame jtime jeach jmonth, jafter jmy jperiod.
c. I jshould jalso jfeel jin jmy jarmpit jarea jwhile jperforming jmy jbreast jexamination.
d. I jshould jcheck jeach jbreast jin ja jset jway, jsuch jas jin ja jcircular
jmotion.jANS: jA
Discharge jfrom jthe jnipples jrequires jfurther jexamination jfrom ja jhealth jcare jprovider. jThe jbreasts
should jbe jchecked jat jthe jsame jtime jeach jmonth. jThe jarmpit jshould jalso jbe jexamined. jA
jcircularjmotion jis jthe jbest jmethod jduring jwhich jto jascertain jany jchanges j in jthe jbreast jtissue.
10. A jblind jwoman jhas jarrived jfor jan jexamination. jHer jguide jdog jassists jher jto jthe
jexaminationjroom. jShe jappears jnervous jand jsays, jIve jnever jhad ja jpelvic jexamination. jWhat
jresponse jfrom jthe jnurse jwould jbe jmost jappropriate?

a. Dont jworry. jIt jwill jbe jover jbefore jyou jknow jit.
b. Try jto jrelax. jIll jbe jvery jgentle, jand jI jwont jhurt jyou.

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