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NSG 6430 MIDTERM EXAM 2025-2025|QUESTIONS
&ANSWERS|A +GRADED
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? middle adolescence (14 to 16) 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? Prior ectopic pregnancy 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? Depo depletes skeletal mass, so it is necessary to take calcium supplements 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? Clarify which behaviors are included in Lakeisha's definition of "having sex" 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? well-circumscribed, rubbery and tender lesion
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? a fifty-one-year-old woman with COPD on long-term corticosteroid therapy 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 _____ Determine if a breast lesion is cystic or solid There are several phases to the menstrual cycle. What phase begins with menses cessation and ends with ovulation? proliferative phase
Karen is concerned that she may develop breast cancer. Which of the following is not an associated risk factor? breastfeeding 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? ovulation occurs on day 14+/- 2 days, before next period Which of the following characteristics is not associated with psychosocial development problems in adolescence? Late onset of pubertal sexual maturity
Nancy is an elevenyear- old presenting for an annual wellchild visit. When reviewing the physiology of puberty, you recall that the initiation of puberty begins physiologically with the release of GnRH by the ____. hypothalamus 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? Pregnancy 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 Puberty starts before eight years of age in a female 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? the average age of menarch is twelve years A twenty-four-yearold 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? migraines often occur less frequently during pregnancy due to hormonal changes
Which of the following choices represent a disorder of the reproductive tract that causes pain, erythema, dyspareunia, and a perineal mass? bartholin's cyst 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 malignancy thirty-two-yearold woman presents to your practice with a complaint of postcoital
bleeding. Which of the following must be included in the assessment of this patient? papanicolaonu smear 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? sleep disturbances 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? uterine fibroid The most effective interventions available to women's healthcare providers for reducing
Suzanne, a forty-six year- old client, reports shortened menstrual cycles for one year. The most likely diagnosis is perimenopause The nurse practitioner is caring for a menopausal patient reporting vaginal dryness with intercourse. How would this best be managed? vaginal estrogen 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 availability of guidelines for preventive care 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? breast cancer 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 _________. vaginal bleeding 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? colposcopy In caring for a menopausal client who has had a total hysterectomy, the nurse practitioner
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 __________. it softens; it turns bluish in color 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? migraine headaches The nurse practitioner understands that Group B Streptococcus and Escherichia coliare the primary causes of ____________ during pregnancy. urinary tract infections
After delivery, the nurse practitioner understands the process by which the uterus returns to a pre-pregnant state is called: invoution A patient has been diagnosed with secondary dysmenorrhea. Which of the following statements is true regarding the diagnosis? an underlying pathology causing pain symptoms during menstrual flow The nurse practitioner understands that which of the following pharmacologic therapies is an effective treatment for patients with PMS and PMDD? SSRIs The nurse practitioner understands that the following classification is used to standardize Abnormal Uterine Bleeding related to structural etiology: PALM
