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NR 602 My final Study set Questions and Answers 100% Pass A 16 year old sexually active female has a fever, bilateral lower abdominal pain,and malaise. A speculum and bimanual exam reveals adnexal tenderness. The urinalysis is normal and cervical cultures are pending. What medications will th...

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  • November 25, 2024
  • 54
  • 2024/2025
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  • nr 602 my final study set questions and answers 10

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NR 602 My final Study set Questions and
Answers 100% Pass


A 16 year old sexually active female has a fever, bilateral lower abdominal


pain,and malaise. A speculum and bimanual exam reveals adnexal

tenderness.


The urinalysis is normal and cervical cultures are pending. What

medications will the primary care pediatric nurse practitioner prescribe for

this patient? - ANSWER✔✔-PID- she is Sexually active+Adnexal

Tenderness and negative for UTI.


Ceftriaxone, doxycycline, and metronidazole




Rational- This is PID the treatment is Ceftriaxone 250 mg IM plus

Doxyclicline 100 mg BID for 14 days plus with or without Metronidazole

500 mg PO bid for 14 days.


4. A sexually active adolescent female tests positive for N. gonorrhea
Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/54

,and Chalmydia. She tells the primary care pediatric nurse practitioner that

she


wants to be treated today since she is moving out of town the next day.

What will the nurse practitioner order?What is the treatment for her -

ANSWER✔✔-Ceftriaxone 250 mg IM and azithromycin 1 g PO one time

each




Rational- Remember the G in Gonorehea for or Ceftriaxone and Chlamydia

you can give either Doxycycline 100 mg for 7 days or Azithromycin 1 g PO

x1 because she is moving she are giving this combination.


A 14yearold female has menometrorrhagia with moderate increase in

menstrual flow and irregular periods. Her hemoglobin is 13.1 g/dL. How

will this be managed? - ANSWER✔✔-Iron supplementation and

prostaglandin inhibitors




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/54

,Rationale: Her hemoglobin level is at 13.1 and the normal range for this age

group is 11.9-15. It is better to give Iron because of the bleeding and for

pain reliefe Prostoglandins such as Ibuprofen.


An adolescent female has heavy periods that are also irregular. The

physical exam is normal. A complete blood count reveals a hemoglobin of

8.9 g/dL. What test will the primary care pediatric nurse practitioner order

next? - ANSWER✔✔-Coagulation studies




Rational-The normal Hemoglobin range is 11.9-13.1 and she is outside the

range. We need to look for reasons of this.


An adolescent female has periods every 30 days that are consistently


heavy and last from 5 to 8 days. What is her diagnosis? - ANSWER✔✔-

Menorrhagia-




Rationale- The diagnosis for this is periods lasting longer than 7 days. Hers

are lasting 8 days. She is consistant with when her periods start so it won't

be menometrorrhagia because that is irregular periods.

Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 3/54

, A 16yearold female has not had a menstrual period yet and is concerned.

She


denies sexual activity. An exam reveals an adult sexual maturity rating.


Which laboratory test will the primary care pediatric nurse practitioner

order initially? - ANSWER✔✔-Pregnancy Test




Rationale- All people lie and the number one reason for Ammenorrhea is

pregnancy. After I rule out that then I can look at other things such as

nutrition, is she an athlete and is it Primary Amenorrhea which is failure to

have a period for 3 years or creast development or by age 15. or Secondary

Anemia which is no menstrual periods for 3 months or absent of period for

6 months for those on irregular periods.


A 16yearold female reports breast tenderness and a "lump." The primary

care pediatric nurse practitioner palpates a small fluidfilled mass in her

right breast. - ANSWER✔✔-Order an Ultra Sound of Breast




Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 4/54

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