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Nurs 7310 Exam 1 Module 1, 2, 3 Questions With Complete Solutions A clinical breast exam is suggested Q___ years in ages ______, and yearly after age _____. Correct Answers 1-3, 25-39, 40 A fecal occult test should be done to screen for colon cancer how often? Correct Answers yearly A flexible sigmoidoscopy should be done how often ___? Correct Answers Q5-10yrs area between the original SCJ and new SCJ where columnar epithelium (ectropion) has been replaced by metaplastic squamous epithelium Correct Answers transformation zone bilateral vulvar glands that secrete fluid to lubricate the vagina Correct Answers Bartholian glands care given between pregnancies to lower risk of complications that occurred in previous pregnancies Correct Answers interconception care Colon cancer screening should start at age ___ for AA, and ____ for everyone else Correct Answers 45, 50 During birth through premenarchal years the SCJ is located at or near what landmark? Correct Answers external os estrogen secreted by the placenta; strongest form of estrogen Correct Answers estriol
eversion of the ectocervix of SCJ along w/ columnar epithelium Correct Answers ectropion Fasting glucose testing should start at age _____ and be done _____. Correct Answers 45, Q3yrs founds near urethral meatus, bilateral vulvar glands that secrete fluid to lubricate urethra Correct Answers skene glands How long before the LH surge does FSH peak? Correct Answers 12-14hrs How much folate should a women intake per day during pregnancy/lactation? Correct Answers 600mg How often should a colonoscopy be done on someone with low risk? Correct Answers Q10yrs HPV vaccine if received before age ____ requires ___ doses at least ____mo apart. Correct Answers 15, 2, 6- HPV vaccine received after age 15 requires ____ doses given over ____mo Correct Answers 3, 6 If HPV vaccine is given before age 15, but is ____ mo apart than a 3rd dose is required Correct Answers < In a anteverted uterus, the cervix will appear at the ____ position. Correct Answers 6
organization that oversees and establishes standards for training for all NP programs Correct Answers NONPF P in GTPAL referes to what? Correct Answers births between 20 and 36.6 weeks part of cervix that is visible during a pelvic exam Correct Answers ectocervix Peak height velocity occurs ____ years after thelarche and _____ before menarche. Correct Answers 2, 1 Preconception should be provided for people over age ___ or who are thinking of becoming pregnant in the next ______years? Correct Answers 25, 1- T in GTPAL refers to what? Correct Answers births after 37weeks the muscle that surrounds the opening of the vagina and extends from clitoris to anus Correct Answers bulbocavernosus muscle The presence of what allows the corpus luteum to live longer than 14 days? Correct Answers hcg TSH screening should begin at age ____ and be done ____. Correct Answers 50, Q5yrs Weakest estrogen that is the primary estrogen of menopause Correct Answers estrone
What are bone effects of estrogen? Correct Answers more osteoblast activity What are breast effects of estrogen? Correct Answers stromal tissue, ducts, fat What are breast effects of progesterone? Correct Answers lobule, alveoli development What are GI effects of progesterone? Correct Answers slowed motility, constipation What are metabolic effects of estrogen? Correct Answers increase in metabolic rate, SQ fat increase What are psych effects of progesterone? Correct Answers labile/depressed mood What are renal effects of progesterone? Correct Answers bloating, water retention What are skin effects of estrogen? Correct Answers soft, increased vasculature What are the 5 P's of sexual history taking? Correct Answers partners, practices, prevention (pregnancy), protection, past hx What are the renal effects of estrogen? Correct Answers sodium and water retention
What is the cervical screening recommendation for people over 30? Correct Answers pap and HIV Q5yrs What is the ectropion replaced by during metaplasia? Correct Answers metaplastic squamous epithelium What is the longest you should wait between pregnancies? Correct Answers 60mo What is the main estrogen of the reproductive years? Correct Answers estradiol What is the most common presenting symptom of endometrial cancer? Correct Answers post menopausal vaginal bleeding What is the most important determinant for risk of thrombophilias? Correct Answers personal hx of VTE or 1st degree relative What is the optimal spacing between pregnancies? Correct Answers 18-23mo What is the recommended amount of folate for any woman of reproductive age? Correct Answers 400mcg What is the recommended amount of folate for any women at high risk for NTD or with a hx of a seizure disorder? Correct Answers 4mg What is the variation in menstrual cycle (Follicular phase) length due to? Correct Answers FSH receptibility
What is the WHNP certifying organization? Correct Answers National certification corporation What parts of the clitoris are made out of erectile tissue? Correct Answers gland, crux What screening tool is used with mammography in high risk clients? Correct Answers MRI What supplements should be suggested for the male partner in preconception counseling? Correct Answers multivitamin, 500 iu vit c, 25mg zinc What tissue do Sertoli cells act on? Correct Answers Mullerian ducts What tissue does Leydig cells send testosterone to? Correct Answers Wolffian ducts What type of cell makes up the ectocervix? Correct Answers stratified squamous epithelium What type of cell makes up the endocervix? Correct Answers simple columnar epithelium (mucus secreting) What type of cell produces Mullerian Inhibiting Hormone in sex differentiation of the female? Correct Answers Sertoli cells What type of cell produces Testosterone in sex differentiation of the male? Correct Answers Leydig cells
Who establishes a WHNP's scope of practice? Correct Answers State board of nursing
