NRNP 6552 Midterm Exam: Gynecology and Women's Health, Exams of Nursing

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NRNP 6552 Midterm Exam /

NRNP6552 Midterm Exam (

Versions) (Total 200+ Q & A)(2024-

2025):Walden university

NRNP 6552 Midterm Exam

Question 1

1 out of 1 points

The is a sensitive organ that is typically described as the female homologue of the penis. Ans: Clitoris

Question 2

1 out of 1 points

Normal vaginal discharge has a pH of: Ans: 3.8 and 4.

Question 3

1 out of 1 points

On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with: Ans: Lichen Sclerosus

Question 4

1 out of 1 points

Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: answer: C (white, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBC on microscopic examination)

Question 5

When females go through puberty, the changes that occur are initiated by the production of: Answer: B (oestrogen)

Question 12

1 out of 1 points

The most common pathogen leading to urinary tract infection is: Answer: Escherichia coli (E. coli).

Question 13

0 out of 1 points

All organizations recommend beginning screening mammograms in average-risk women at age Answer: 40 – 44 years

Question 14

1 out of 1 points

When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Answer: YES

Question 15

1 out of 1 points

The new guideline for systolic blood pressure cut-off for hypertension is: Answer: D (Systolic BP should not be lowered to below 120 mm Hg. Diastolic BP should not be lowered to below 70 mm Hg)

Question 16

1 out of 1 points

Menopause is defined as: Answer: D (none of the above)

Question 17

1 out of 1 points

First line pharmacologic treatment for women with PCOS is/are: Answer: COCs (Ethinyl estradiol + levonorgestrel, norgestimate – vienva, aviane, marzia, levein, amethyst)

Question 18

1 out of 1 points

Clinicians are required to report certain STIs to their state public health officials. These include: answer: Nationally notifiable STIs include chancroid, chlamydia, gonorrhea, hepatitis, HIV, and syphilis

Question 19

1 out of 1 points

Symptoms of Polycystic Ovary Syndrome (PCOS) include all of the following except: Answer: D – Hypopigmentation of the extremities

**- irregular periods or no periods at all.

• difficulty getting pregnant (because of irregular ovulation or failure to ovulate)
• excessive hair growth (hirsutism) – usually on the face, chest, back or buttocks.
• weight gain.
• thinning hair and hair loss from the head.
• oily skin or acne.**

Question 20

0 out of 1 points

Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her: answer: A I will advice Josefina that, the test determines your typical blood sugar levels and their proximity to normal. When you're first diagnosed, you get these checkups every three months, then every six months until you're stable. This can be done by your primary care physician or a diabetic nurse. Every diabetic should see a doctor at least every three months. Routine visits enable your doctor to monitor your status and if required, modify your treatment strategy. weight, feet, heart , diet, Eyes , neuropathy, circulation ,blood , thyroid, electrolytes, cholesterol, blood pressure and other tests should be performed on an annual basis. For patients with diabetes, one reason for hospitalization and unplanned hospital readmission is severe dysglycemia (uncontrolled hyperglycemia -- high blood sugar, or hypoglycemia -- low blood sugar), says new research published in the Journal of General Internal Medic

Question 21

1 out of 1 points

The test for the fishy odor that occurs in bacterial vaginosis is called the: Answer: Whiff Test

Question 22

0 out of 1 points

Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of: Answer: D (none of the above)

Question 29

0 out of 1 points

The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age Answer: 45 years

Question 30

1 out of 1 points

An endometrial biopsy can be done in the office setting. It has a overall accuracy in diagnosing endometrial cancer. Answer: C - HIGH

Question 31

0 out of 1 points

The following are the four basic Caldwell-Moloy pelvic types. Answer: Gynecoid Android Anthropoid Platypelloid

Question 32

1 out of 1 points

The following is/are types of sexual violence. Answer: C (Threats of sexual violence)

Question 33

1 out of 1 points

Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is: Answer: Vulvovaginal candidiasis (Yeast Infection)

Question 34

1 out of 1 points

A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include D. All of the above Answer: Metformin, oral contraceptives, and spironolactone Answer: tetracycline 500 mg, doxycycline 100 mg, minocycline100 mg orally, or amoxicillin 500 mg

Question 35

1 out of 1 points

EBP stands for: Answer: Evidence Based Practice

Question 36

1 out of 1 points

Women in the following profession have a higher rate of UTI Answer: A (Nursing)

Question 37

1 out of 1 points

One of the reasons that substance use is a concern in LBQ and TGNC communities is: Answer: CULTURAL CONTEXT, bars and clubs scenes have long been safe spaces for gay, LBQ and TGNC people. Lack of support Internalized homophobia Discrimination and social stigma

Question 38

0 out of 1 points

Pelvic support structures include: Answer: D (all of the above)

Question 39

1 out of 1 points

The following is an appropriate sexual health assessment question: Answer: ANSWER: C – Are there any sexual problems.

Question 40

1 out of 1 points

The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: answer:D (All of the above)

Question 47

1 out of 1 points

When conducting qualitative research, data can be derived from: Answer: E. (A,B and C)

Question 48

1 out of 1 points

The only antimicrobial medications that are effective against Trichomoniasis vaginalis are: answer: A (Tinidazole or metronidazole)

Question 49

1 out of 1 points

Most malignancies in breast tissue occur in: Answer: Upper Outer quadrant

Question 50

1 out of 1 points

Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely: Answer: C (Colostrum, which is commonly noted toward the end of the pregnancy)

Question 51

1 out of 1 points

The contraceptive implant that is currently available in the U.S. is: Answer: D - Nexplanon

Question 52

1 out of 1 points

The is often considered the most important muscle of the pelvic floor. ANSWER: D – Levator Ani

Question 53

1 out of 1 points

The following symptoms are consistent with PMS except: Answer: D (uncontrollable fits of laughter)

Question 54

1 out of 1 points

The following symptoms are associated with peri-menopause and menopause. Answer: D (Fatigue and Headache)

Question 55

1 out of 1 points

The term used to describe painful cramps that occur with menstruation is: Answer: D (Dysmenorrhea)

Question 56

1 out of 1 points

An umbrella term that describes all people with non-heterosexual gender identities is: Answer: A - Queer

Question 57

1 out of 1 points

A progesterone challenge test that produces withdrawal bleeding is indicative of: Answer: C (functioning ovaries)

Question 58

1 out of 1 points

Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the following answer: A (G3 T2 p0 A1 L2)

Question 59

0 out of 1 points

On vaginal exam you find that Polly’s cervix is in the most common position, which is: Answer: A ( Antiflexion)

Question 60

0 out of 1 points

Emergency contraception therapy may be given to a woman who seeks treatment immediately following sexual assault. It may be given within hours of the assault. ANSWER: C (72 Hours) it should be 120 hours

Question 61

1 out of 1 points

For women at high risk for breast cancer, ACS recommends annual screening with mammography and beginning at age 30. Answer: C (MRI)

The name of the act in the U.S. that addresses domestic violence, dating violence, sexual assault, stalking, and human trafficking is: answer: A – The violence against women act (VAWA)

Question 69

1 out of 1 points

Patients identified as being at increased risk for Sexually Transmitted Infections need to receive information about risk factors and ways to reduce the likelihood of infection. This would include: Answer: D (A and B, use of latex condoms and being mutually monogamous)

Question 70

1 out of 1 points

“A movement to end sexism, sexist exploitation, and oppression” is a definition for: Answer: C - Feminism

Question 71

1 out of 1 points

Barriers for providers related to intimate partner violence screening include: Answer: D: A & C – discomfort with the topic and time constraints

Question 72

1 out of 1 points

Infertility related to is a common problem among women who are obese. ANSWER: B (ovarian dysfunction and anovulation)

Question 73

0 out of 1 points

Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as: Answer: E: A, B, and C

Question 74

1 out of 1 points

Uterine fibroids are also known as: ANSWER: D (A & B) – Myomas and Leiomyomatas

Question 75

1 out of 1 points

A waiting period of between bariatric surgery and pregnancy is recommended. Answer: C: 12 – 24 months.

 Question 76

0 out of 1 points

Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: answer: A (compensatory hyperinsulinemia)

Question 77

1 out of 1 points

The endometrial cycle has three phases, which are: Answer: C (Proliferative, secretory and menstrual)

Question 78

1 out of 1 points

The frontline analgesics for painful menstrual cramps are: Answer: C(NSAIDS)

Question 79

1 out of 1 points

Angela just adopted an 11-year-old from another country. Unfortunately, there are no records of previous immunizations on this child. When discussing immunizations, you mention that the child needs several, including the MMR. Angela asks you what MMR stands for. You tell her: Answer: C (Mumps, measles and rubella)

Question 80

for men. Answer: B (65; 70)

Question 88

1 out of 1 points

When using the FIGO staging classification for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: Answer: A (The tumor is confined to the ovaries or fallopian tubes)

Question 89

1 out of 1 points

When looking from a feminist perspective at research studies, one of the great concerns is that: Answer C: For many years, studies were done primarily on men with the findings being generalized to women.

Question 90

1 out of 1 points

When concerned about ectopic pregnancy in a patient with abdominal pain, two diagnostic aids include: Answer: B. HCG and ultrasound

Question 91

0 out of 1 points

Metabolic syndrome typically includes the following except: Answer: A (Sudden weight loss)

Question 92

0 out of 1 points

Lichen planus is typically treated with: Answer: D - Corticosteroids

Question 93

1 out of 1 points

To avoid the development of Bartholin’s gland cysts, women should:

Question 94

1 out of 1 points

Endometrial polyps are most commonly identified by: Answer: a transvaginal ultrasound

Question 95

0 out of 1 points

The are easily sensitized and become engorged with blood during sexual arousal. Answer: A (Labia Minora)

Question 96

0 out of 1 points

Infected hair follicles on the vulvar skin that are small and scattered often occur because of: Answer: C. Shaving the pubic hair

Question 97

1 out of 1 points

The glands are oil-producing glands on the areola that protect and lubricate the nipple during lactation. Answer: A - Montgomery

Question 98

1 out of 1 points

Nearly pregnant women have been abused by the partner. Answer: C (1 in 6)

ultrasound

Question 3 1/

Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as:

A

Challenging behaviors in others that promote

violence

B

Engaging in healthy professional and personal

relationships

C Learning^ to^ identify^ risk^ factors^ for^ sexually^ abusive

behaviors

D B and C

E A, B, and C

Question 4 1/

A waiting^ period^ of^ between^ bariatric^ surgery^ and^ pregnancy^ is^ recommended.

A

months

B

months

C

months

D 3-5 years

Question 5 1/

Barriers for providers related to intimate partner violence screening include:

A Discomfort with the topic

B

Having too much power that might be

intimidating

C Time constraints

D A and C

E A, B, and C

Question 6 1/

Hirsutism is defined as:

A

Excessive terminal hair loss in

women

B Excessive nail growth in women

C Brittle nail growth in women

D

Excessive terminal hair growth in

women

Question 7 0/

A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include

A Clindamycin

B Minocycline

C Metformin