NUR-634 Final Exam Test Prep (2019/2020

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• Drug use • Alcohol use • Question Points: 1.0 / 1.0 • A 17-year-old female presents to your office, complaining of a clear discharge from her right breast for 2 months. She states t... hat she noticed it when she and her boyfriend were “messing around” and he squeezed her nipple. She continues to have this discharge anytime she squeezes that nipple. She denies any trauma to her breasts. Her past medical history is unremarkable. She denies any pregnancies. Both of her parents are healthy. She denies using tobacco or illegal drugs and drinks three to four beers a week. On examination, her breasts are symmetric with no skin changes. You are able to express clear discharge from her right nipple. You feel no discrete masses and her axillae are normal. The remainder of her heart, lung, abdominal, and pelvic examinations are unremarkable. A urine pregnancy test is negative. What cause of nipple discharge is the most likely in her circumstance? • Benign breast abnormality • Breast cancer • Nonpuerperal galactorrhea • Pagets disease • Question Points: 1.0 / 1.0 • A 26-year-old flight attendant presents in for a third trimester prenatal visit. She has had prenatal care since her sixth week of pregnancy. She has no complaints today and her prenatal course has been unremarkable. Today her blood pressure and weight gain are appropriate, and her urine is unremarkable. You have a first-year medical student shadowing you, so you ask the student to get Doptones and measure the patient's uterus in centimeters. The nurse practitioner student promptly reports fetal heart tones of 140, but he is having difficulty obtaining the correct measurement. He knows one end of the tape goes over the uterine fundus. From what inferior anatomic position should the tape be placed? • Vagina • Clitoris • Pubic symphysis • Umbilicus [Show More]

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