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Exam (elaborations)

NR 661-Womans Health

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NR 661-Womans Health

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  • March 8, 2022
  • 11
  • 2021/2022
  • Exam (elaborations)
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NR 661/NR 661-Womans Health
1. What choice below has no precautions for oral contraceptive pill use?



a. gallbladder disease
b. 5 months postpartum and lactating
c. blood pressure 160/100
d. varicose veins - d. varicose veins



2. A 50 year old female believes that she is menopausal. She c/o hot flashes and has not had
menses in 12 months. Which of the following test results would be expected during
menopause?



a. increased thyroid-stimulating hormone
b. decreased follicle stimulating hormone
c. hypoestrogenemia
d. increased follicle stimulating hormone - d. increased follicle stimulating hormone



3. A 51 year old female patient presents with a 2 cm palpable breast mass. How should this be
evaluated to determine whether it is solid or cystic in nature?



a. mammogram
b. ultrasound
c. MRI
d. clinical breast exam - b. ultrasound



4. Women who use diaphragms for contraception have an increased incidence of:



a. sexually transmitted diseases
b. pregnancy
c. urinary tract infection
d. pelvic inflammatory disease - c. urinary tract infection



5. A 22 year old female states that she has multiple sexual partners and inconsistently uses
barrier protection. Which form of birth control should the nurse practitioner avoid proscribing
in this patient?

, NR 661/NR 661-Womans Health
a. intrauterine device
b. progestin-only pill
c. diaphragm
d. oral contraceptives - a. intrauterine device



6. A definitive diagnosis of osteoporosis can be made when:



a. an x-ray indicates fragility fractures
b. bone mineral density is 2.5 standard deviations below the mean
c. T-score greater than 2.5
d. DXA scan indicates fragility fracture index - b. bone mineral density is 2.5 standard
deviations below the mean



7. A patient who is 35 years old has identified a small, discrete mass in one breast. How should
this be evaluated initially?



a. ask whether the mass changes at the time of menses
8. b order a mammogram and ultrasound to assess the mass
9. c. have her return 3-10 days after next menses
10. d. order a mammogram 3-10 days after next menses - a. ask whether the mass changes at the
time of menses



11. The primary risk factor for development of breast cancer in women of average risk is:



a. age
b. smoking history
c. number of live births
d. exposure to estrogen - a. age



12. A patient who is scheduled for pelvic exam with PAP sear should be advised to avoid
douching, sexual intercourse and tampon use before her exam. For how long should she be
advised to avoid these activities for optimal evaluation?



a. 24 hours
b. 48 hours

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