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NR 602 WEEK 7 QUIZ (STUDY GUIDE, REVIEW)
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NR 602 WEEK 7 QUIZ (STUDY GUIDE, REVIEW)1. Amenorrhea (Primary and secondary)
• Abmormal uterine bleeding has multiple causes. When a women presents and reports menstrual irregularity
with amenorrhea , which is the most common cause of amenorrhea?
▪ Anovulation
• A teenage patient presents with amenorrhea and normal secondary sex characteristics. A progesterone
challenge is ordered. The purpose is to determine the presence of
▪ Endogenous estrogen
• A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was
normal. Which of the following may be the cause if etiology originates in the hypothalamus?
▪ Sheehan’s syndrome
• A 17-year-old female patient presents with amenorrhea for four months. She did experience menarche at
the age of fifteen but had not had a menstrual cycle since. On physical examination, it is noted that she has
normal secondary sexual characteristics. The nurse
▪ Endogenous estrogen
• Anna, aged twenty-five years, presents with dysmenorrhea. She states that her sister and her mother have
endometriosis and she would like to be evaluated for it as well. Which if the following is consistent with a
diagnosis of endometriosis?
▪ Infertility and dysmenorrhea
• You are completing a well visit on a 14 year-old female who is currently not menstruating. Primary
amenorrhea is best described as .
▪ Failure of menstruation to occur by age 15
• A progesterone challenge is ordered. The purpose is to determine the presence of
▪ amenorrhea
• The pituitary gland is responsible for a variety of functions with respect to hormonal regulation and is
composed of two lobes, the anterior and posterior sections. Which of the following list of hormones are
secreted by the anterior pituitary gland
▪ Growth hormone (GH) & thyroid stimulating hormone
• A nurse practitioner is educating a patient who has just been diagnosed with polycystic ovary syndrome
(PCOS). She needs to be aware that PCOS is associated with which of the following clinical
manifestations?
▪ Obesity
• A patient is coming to the clinic for a follow-up of some diagnostic testing that she had done. When you
review the chart, you find that she now has findings consistent with a diagnosis of polycystic ovary
syndrome (PCOS).You recall that PCOS is characterized by which of the following?
▪ Infertility
• A sixty-year-old woman has presented with the chief complaint of bleeding after intercourse. Which of the
following is not associated with postcoital bleeding or spotting in a postmenopausal woman?
This study source was downloaded by 100000859565436 from CourseHero.com on 01-16-2023 16:18:59 GMT -06:00
https://www.coursehero.com/file/36548287/Week-7-quiz-topics-questions-docx/
, NR 602 WEEK 7 QUIZ (STUDY GUIDE, REVIEW)
▪ PCOS
• A 16 year-old female is diagnosed with primary dysmenorrhea. She has taken over the counter ibuprofen in
800 mg increments every 8 hours during menses for the past 3 months with minimal relief of symptoms.
What intervention will provide greatest relief of dysmenorrhea symptoms?
▪ Combined with oral contraceptives
• A 22-year-old woman in the endocrine clinic is evaluated for amenorrhea, acne, and excessive hair growth.
She states that this is not a new problem but as she has gotten older, the changes have disturbed her more.
You do a full hormonal evaluation and diagnose her with adrenal hyperplasia for which you prescribe
prednisone (a glucocorticoid). On treatment, she is most likely to see an improvement in which of the
following?
▪ Ovulation
• Surgical removal of a unilateral Sertoli-Leydig cell tumor should result in the reversal of which of the
following symptoms?
▪ Amenorrhea
2. Dysmenorrhea (ENDOMETRIOSIS)
• Anna, aged 25 years, presents with dysmenorrhea. She states that her sister and her mother have
endometriosis and she would like to be evaluated for it as well. Which if the following is
consistent with a diagnosis of endometriosis?
▪ Infertility and dysmenorrhea
• The first line treatment of severe menstrual cramps that have been occurring for four months in a
patient with primary dysmenorrhea includes which of the following?
▪ Ibuprofen
• A patient who a nurse practitioner is seeing for the first time has the past medical history of
primary dysmenorrhea. She recalls that which of the following is considered as the primary
etiology?
▪ Prostaglandin production
• Lauren, twenty-three years old, presents to your office with a complaint of severe menstrual
cramps for four months since she quit using an oral contraceptive. Your tentative diagnosis is
primary dysmenorrhea. What would be the first-line treatment for this condition?
▪ Naproxen
• The most common cause of chronic pelvic pain for women in their reproductive years is
▪ Endometriosis
This study source was downloaded by 100000859565436 from CourseHero.com on 01-16-2023 16:18:59 GMT -06:00
https://www.coursehero.com/file/36548287/Week-7-quiz-topics-questions-docx/
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