NR 602 FINAL EXAM REVISION Q&A
NR 602 FINAL EXAM REVISION Q&A
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman witho...
nr 602 final exam revision qampa acog guidelines regarding well women exams what is the asccp recommended management for an ascus atypical squamous cells of und
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NR 602 FINAL EXAM REVISION Q&A
ACOG guidelines regarding well women exams
What is the ASCCP recommended management for an ASCUS
(atypical squamous cells of undetermined significance) pap result
with a positive high-risk HPV 16 cotest in a 26-year-old woman
without a history of abnormal pap smears?
Colposcopy
A well-woman visit for an adolescent should include which of the
following?
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
ACOG Pap smear guidelines
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
A young sexually active client at the family planning clinic is
advised to have a Papanicolaou (Pap) smear. She has never had a
Pap smear before. What should the nurse include in the
explanation of this procedure?
The Pap smear can detect cancer of the cervix
,2
Lab results on your 26-year-old patient show a negative Pap
smear with a positive human papillomavirus (HPV) screen. Which
procedure will be required next?
Repeat Pap and HPV screen
Which of the following is not part of the criteria for an older
woman to cease having any future Pap tests performed?
Over 55 years of age
Amenorrhea (Primary and Secondary)
You are evaluating a 17-year-old Emily who presented with
amenorrhea and normal secondary sex characteristics. The
purpose of the progesterone challenge is to ascertain the
presence of?
Endogenous estrogen
A 17-year-old female patient presents with amenorrhea for 4
months she did experience menarche at age 15 but had not had a
menstrual cycle since. On physical examination, it is noticed that
she has normal secondary sexual characteristics. The nurse
practitioner will consider a progesterone challenge to determine
the presence of adequate
Endogenous estrogen
A teenage patient presents with amenorrhea and moral
secondary sex characteristics. A progesterone challenge is
ordered. The purpose is to determine the presence of
____________?
Endogenous estrogen
A 16year old girl who comes to your office with a history of
secondary amenorrhea. She experienced menarche at age 10,
regular cycles for 2 years. She has not menstruated now for 4
years. In your initial consideration of differential diagnoses, what
is the most frequent etiology of this problem:
Eating disorder
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?
Galactorrhea
Primary amenorrhea is best described as:
Failure to menstruation to occur by 13 yr
A nurse practitioner is caring for a woman with primary and
secondary amenorrhea. The pelvic exam was normal. Which of
, 3
the following may be the cause if etiology originates in the
hypothalamus?
Sheehan’s syndrome
American Cancer Society recommendations
A nurse practitioner is participating in a women’s health fair.
When educating the women about risk factors for breast cancer,
which of the following statements is incorrect?
Fibrocystic breast disease
When educating women about breast cancer risk factors, which
statement is incorrect?
Fibrocystic breast disease
A woman with lobular carcinoma in situ has a relative risk of
developing invasive breast cancer of
8.0
Androgen insensitivity/resistance syndrome
Changes in hormonal regulation during menopause result in the
gradual cessation of menstruation. From which gland is
Androstenedione secreted?
Adrenals
ASCUS/HSIL results from Paper Test Report
A Pap smear result of atypical squamous cells of undetermined
significance—rule out high-grade squamous intraepithelial lesion
(ASCUS r/o HGSIL) will require which procedure next?
Colposcopy
A Pap smear result of atypical squamous cells of undetermined
significance (ASCUS) will require which procedure next?
Follow up pap smear
Bartholin glands and cysts
A 25-year-old presents with a report of a very tender area
just near her introitus and to the left of her perineum. Very painful
sex is how she knew "something wasn't right." She showered and
when washing, she felt a "pea-sized" painful lump on the left side
of her "bottom." She tells you she looked at it with a mirror and it
was very small, but now it is the size of a ping-pong ball and
getting worse.
When you inspect her external genitalia, you are amazed at the
size and appearance of the "lump."
You note what appears to be an abscess on the left medial side of
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