South University - NURSING 6430: WEEK 4 QUIZ. All Answers, 100%

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Question 1 The nurse practitioner is prescribing a depot medroxyprogesterone acetate (DMPA) injection for a patient. This medication is given at _______ week intervals. 3 6 9 12 Question... 2 Although barrier contraception methods are less effective in preventing pregnancy than more modern methods, the nurse practitioner understands that interest in barrier methods is on the rise because they: can help protect against STIs, including HIV are coitus dependent and require planning are nonallergenic and male controlled involve the use of hormones Question 3 A woman is interested in starting Depo-Provera injections for contraception. What would be the most likely side effect that she should be educated about? Irregular bleeding Dysmenorrhea Breast tenderness Headache Question 4 Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following assessment findings is/are associated with carcinoma of the breast? Select all that apply. Scaly lesions similar to eczema on one areola and nipple Peau d’orange dimpling of skin over one breast Unilateral retraction and deviation of nipple Discrete, smooth, and mobile lesion Question 5 There are several phases to the menstrual cycle. What phase begins with ovulation and ends with menstruation? Ovulatory phase Follicular phase Proliferative phase Luteal phase Question 6 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? Depression Premenstrual syndrome (PMS) Bipolar disorder Premenstrual dysphoric disorder (PMDD) Question 7 Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB? Ethinyl estradiol Medroxyprogesterone Musculoskeletal relaxants Conjugated estrogen Question 8 Your fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate? Oral estrogen 1.25 mg daily for three weeks Oral progestin 5 mg every other day for three cycles Medrol 16 mg dose pack Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycle Question 9 A female patient has been diagnosed with polycystic ovary syndrome (PCOS) and weighs 250 pounds. In addition to obesity, PCOS is associated with which of the following clinical manifestations? Select all that apply. Unexplained weight loss Dry, flaking skin Menstrual irregularity Hirsutism Question 10 The nurse practitioner is counseling an eleven-year-old girl, Kayleigh, and her mother about the human papillomavirus vaccine (HPV), Gardasil. Kayleigh is Tanner stage IV at this visit. In counseling this family, the nurse practitioner tells them that the HPV vaccine ______. is a series of three doses over a six month period will protect Kayleigh from all strains of HPV can cause seizures in some children is not indicated in her age group as she is not yet sexually active Question 11 The nurse practitioner understands that women with polycystic ovarian syndrome have an increased risk for: is a series of three doses over a six month period Adrenal tumors Endometrial cancer Endometriosis Question 12 The nurse practitioner is instructing a patient on the proper use of the diaphragm, a barrier contraceptive method. Which of the following would the nurse practitioner include in the instructions? The diaphragm should be removed within one hour after intercourse. The diaphragm may be inserted up to twenty-four hours prior to intercourse The diaphragm is more effective when used with spermicidal jelly. Douching is safe immediately upon removal of the diaphragm. Question 13 Abnormal uterine bleeding (AUB) has multiple causes. When a woman presents and reports menstrual irregularity with amenorrhea, which is the most common cause of amenorrhea? Ectopic pregnancy Adenomyosis Coagulopathy Anovulation Question 14 Polycystic ovaries predispose women to a higher incidence of: Adrenal tumors Ovarian cancer Endometrial cancer Endometriosis Question 15 A well-woman visit for an adolescent should include which of the following? Select all that apply. A general health history and physical examination, including a breast examination, pelvic with Pap smear, counseling, and assessment of risk factors A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as well as related to abuse, drug use, and alcohol use) concerns Screening tests and immunizations as indicated by the health history External-only inspection of the genitalia Question 16 A 42-year-old female presents to your office with complaint of a palpable breast mass that she noticed while performing her breast self-examination. After taking her history, you perform a clinical breast examination which reveals a solitary, 3 cm, mobile, non-painful, rubbery mass. On the basis of her clinical breast examination, what is most likely her diagnosis? Fibrocystic breast changes Fibroadenoma Intraductal papilloma Invasive breast cancer Question 17 Which of the following contraceptives would not be a reasonable method for a 40-year-old patient that smokes 1 pack of cigarettes per day and has a history of hypertension? Contraceptive patch Depo-Provera Mirena IUD Nexplanon Question 18 The nurse practitioner is counseling a patient on the proper use of the vaginal contraceptive ring. Which of the following statements is true? The ring should be replaced weekly throughout the month. The ring can be removed during intercourse for up to 6 hours. The ring should be cleaned daily with soap and water. The ring should be left in place for three weeks then removed during the fourth week for menses. [Show More]

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