NSG 6430 MIDTERM EXAM REVIEW

According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage ar ...

According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage are eating disorders most likely to surface? Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contraindication to using this appliance? You are meeting with twenty-two-year-old Emily to discuss birth control options. She has tried "the pill" in the past but failed to take it regularly. She is interested in depo because she only has to come in every three months for a shot. She also heard that one does not get a period on depo, and she likes the thought of that. Which of the following would be a specific consideration with depo that you would need to discuss? Lakeisha, seventeen years old, is seeing her regular nurse practitioner for a sports physical. While participating in a psychosocial screen, Lakeisha volunteers that she "hasn't had sex yet." What is the best initial response to Lakeisha's statement? Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following is not usually linked with carcinoma of the breast? Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, "This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I'm afraid I'll lose my job if I can't stop this. Sometimes, it's so bad. I just want to quit living. I need help!" Tanisha's symptoms are typical of what disorder? You are working in a women's health practice and decide to incorporate brief preconception counseling into every visit. Which of the following would not be included in brief preconception counseling? The National Osteoporosis Foundation has screening guidelines for DEXA scans. Which of the following women would be most in need of bone mineral density testing? Frankie is concerned that she has an ultrasound ordered after the results of her mammogram of been reviewed by the nurse practitioner. You emphasize that the primary role of a breast ultrasound is to _____ There are several phases to the menstrual cycle. What phase begins with menses cessation and ends with ovulation? Karen is concerned that she may develop breast cancer. Which of the following is not an associated risk factor? Elisabeth comes for a consultation. She has been in a committed relationship for five years now and wants to become pregnant. She is seeking information on the menstrual cycle and her "fertile period." Her cycle is twenty-eight days and regular. She and her partner have used condoms consistently to avoid pregnancy. Which of the following would be most valuable to her initially? Which of the following characteristics is not associated with psychosocial development problems in adolescence? Thalia is a fifteen-year-old who is referred to your women's health practice by her school counselor. She has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem? A nurse practitioner student is researching as to why menopausal women have an increased risk of heart disease. Which of the following lipid changes occur with estrogen withdrawal in menopause? Which of the following is an approved treatment for premenstrual dysphoric disorder (PMDD)? Nancy is an eleven-year-old presenting for an annual well child visit. When reviewing the physiology of puberty, you recall that the initiation of puberty begins physiologically with the release of GnRH by the ____. Luz is a fifteen-year-old girl who comes to your office stating, "I have not had my period for two months now." She experienced menarche at ten years of age, with regular cycles for the past two years. In your initial consideration of a differential diagnoses, what is the most likely etiology of this problem? A mother presents to the clinic with her female child who she is concerned about because her breasts are developing "when she is so young." When performing the initial assessment, it is Natasha is an eleven-year-old girl brought to your office for an annual well-child visit. When discussing the onset of puberty with Natasha and her mother, you would emphasize which of the following? A twenty-four-year-old woman in your practice has been trying to conceive. She comes in for a pregnancy test, and it is positive. LMP was five weeks ago. She is prone to migraines and has used Imitrex (sumatriptan) with good success. She asks you about what to do if she has a migraine during pregnancy. Which of the following would be an inappropriate intervention as part of your counseling? The nurse practitioner understands that premenstrual syndrome (PMS) occurs with greatest frequency and severity in the Cara is in the clinic for what you have diagnosed as dysfunctional uterine bleeding (DUB). She is concerned about why this is happening to her. You recall which of the following is the most common cause of DUB? While participating in a woman's health fair, a parent comes to you with the concern of her daughter participating prematurely in sex. Which of the following factors is strongly associated with early onset of unwanted sexual activity? Which of the following choices represent a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass? A woman has just stopped birth control pills in efforts to become pregnant. You recall that estrogen withdrawal reflects activity primarily from the_________. ovary You are completing a pelvic exam on thirty-two-year-old Nancy. You detect a left adnexal mass on the bi manual exam. With an adnexal mass, the practitioner must always suspect ________ until proven otherwise thirty-two-year-old woman presents to your practice with a complaint of postcoital bleeding. Which of the following must be included in the assessment of this patient? A patient is being rechecked after having a total hysterectomy performed and is having multiple problems since. Which of the following is/are early symptom(s) of estrogen withdrawal? Elba, a thirty-five-year-old woman, presents with a six-month history of hypermenorrhea, backache, and pelvic pressure. On examination, you discover twelve week- size uterus with irregular contour. Which of the following does this represent? The most effective interventions available to women's healthcare providers for reducing the incidence and severity of the leading causes of death and disability Strategies to protect teenagers from risks include all of the following except ___ A postmenopausal patient is prescribed hormonal therapy (HT). The nurse practitioner recalls that HT is indicated for the management of ________. A thirty-nine-year-old female has not had menses for over six months and has a negative pregnancy test. Which of the following characteristics puts her at risk for an early menopause? Suzanne, a forty-six-year-old client, reports shortened menstrual cycles for one year. The most likely diagnosis is The nurse practitioner is caring for a menopausal patient reporting vaginal dryness with intercourse. How would this best be managed? Jackie is a fifteen-year-old African American female who resides in a housing plan. You realize that barriers exist in providing preventive services to adolescents that include all of the following except Seventeen-year-old Stella presents with the chief complaint of unilateral breast tenderness and swelling. Which of the following would be the least likely etiology for this problem? The nurse practitioner is completing a follow-up visit on a woman who was previously prescribed hormonal therapy (HT), which she has not taken for the last month. The primary reason the patient discontinued HT is _________. 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? In caring for a menopausal client who has had a total hysterectomy, the nurse practitioner would include which of the following options? A woman has been diagnosed with polycystic ovary syndrome (PCOS). Management of PCOS includes all of the following except ___________. Elizabeth, twenty-four years old, is pregnant, and you are educating her on common problems during the first trimester. Which of the following is abnormal and requires immediate attention? The nurse practitioner is assessing a patient in her last month of pregnancy. Lightening typically occurs during this time, in which the height of the __________ drops slightly. The nurse practitioner is performing a pelvic exam on a new OB patient. The cervix shows Goodell's sign when __________; and it shows Chadwick's sign when __________. The nurse practitioner is providing prenatal education regarding pregnancy signs and symptoms. Which of the following is not a sign or symptom associated with pregnancy in the first 6 to 8 weeks? The nurse practitioner understands that Group B Streptococcus and Escherichia coliare the primary causes of ____________ during pregnancy. After delivery, the nurse practitioner understands the process by which the uterus returns to a pre-pregnant state is called: A patient has been diagnosed with secondary dysmenorrhea. Which of the following statements is true regarding the diagnosis? The nurse practitioner understands that which of the following pharmacologic therapies is an effective treatment for patients with PMS and PMDD? The nurse practitioner understands that the following classification is used to standardize Abnormal Uterine Bleeding related to structural etiology: The nurse practitioner student is studying the ovarian cycle of the woman. Which of the following phases are comprised in the ovarian cycle? Select all that apply. What is a good first question for the nurse practitioner to ask a woman who presents with a concern about abnormal bleeding?