Table of Contents
NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum
NR 602 Week 1 iHuman Case 1 – Physical Exam (Renata Chapman)
Physical exam:
Skin, Hair, Nails – inspect skin overall
Skin is warm and dry with no lesions seen
Skin, Hair, Nails – inspect hair color, distribution, thickness
Thickness and distribution pattern typical for patient gender and age
Skin, Hair, Nails – inspect nails
Nails without ridging, pitting or peeling
Skin, Hair, Nails – test capillary refill – fingers
Normal capillary refill.
Skin, Hair, Nails – test capillary refill – toes
Normal capillary refill.
Skin, Hair, Nails – Quincke’s test
Blanching observed
HEENT – inspect/palpate scalp
…………… Continue
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NR 602 Week 1 Discussion: Introductions, Clinical Site Discussion
NR-602 Week 1 Introductions (Multiple Versions)
NR 602 Week 1 Clinical Site Discussion (Multiple Versions)
- Provide the following information (if more than one list them each separately):
- Name of site
- Location (city, state) of the practicum location
- Type of practice (i.e., IM, Peds, FP)
- Are there any age restrictions for patients at this office? (i.e., this office does not see children under the age of 12, etc.)
- What is your tentative clinical schedule at the practicum?
- Does your preceptor(s) have any other students at the same time?
- Discuss your feelings about starting your first practicum rotation (good or bad) and identify at least 3 possible factors which might be barriers to your success in completion of the clinical requirements.
If you require nursing coursework help, our experienced nursing paper writers are always available to assist you.
NR 602 Week 2 Activity: iHuman Case 2
Purpose
The iHuman assignments provide students with an opportunity to experience clinical scenarios that are relevant to the lesson content through virtual patient encounters. iHuman is a highly interactive and a dynamic way to enhance your learning.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
- Utilize interactive simulation technology to reinforce assessment and diagnostic reasoning skills in the care of a woman or pediatric patient (CO4).
Requirements
- Complete the week 2 module content prior to starting the iHuman assignment.
- Access iHuman by clicking the link provided below. Clicking the blue bar will launch the activity in a new browser window.
- Complete the case titled Case 2.
- This week your patient is a 25-year old woman presenting with symptoms of dysuria and vaginal discharge.
- Once you complete the case, click “Submit.”
- You will submit your iHuman Case Study completion score sheet to the corresponding iHuman submission assignment.
In NR602, iHuman assignments will be assessed on the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, Management Plan. A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade.
NR 602 Week 3 Immunization Case Study Assignment (Multiple Versions)
Purpose
The purpose of this assignment is to familiarize the student with the most recent guidelines and recommendations for vaccine-preventable illnesses in the United States.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
- Identify vaccines available in the US market for vaccine-preventable disease and describe their features.
- Identify contraindications and precautions for the use of vaccines available.
- Use recommendations from the Advisory Committee on Immunization Practice (ACIP) to identify target groups for receipt of each vaccine.
Requirements
- The Immunization assignment is worth 100 points and will … on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
- Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer when creating your assignment.
- Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 2-3 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
- Vaccination schedules should … directly from the Centers for Disease Control and Prevention: Resources for Healthcare Providers website and reflect the most current recommendations from the Advisory Committee on Immunization Practices (ACIP). Additional scholarly resources may be used and all sources must be cited appropriately.
Following the directions above, answer each of the following case scenario questions:
Case # 1
You are rotating in the newborn nursery. Your next admission is a term newborn born at 3.5 kg, and all maternal labs are negative. The infant’s exam is normal.
- What vaccine(s) should she receive and why?
- … would you do if the mother tested positive for Hepatitis B?
- What would you do if the mother’s Hepatitis B status was unknown?
Case # 2
Your first patient in primary care clinic is a healthy 2-month-old. She received Hep B #1 in the nursery. She is a term infant and parents have no concerns. Her exam is normal and there are no contraindications to giving her vaccines.
- Which vaccines should the child receive at this visit?
- When should she return and which ones would you administer at the next visit?
- Which vaccination combinations can … to minimize the number of needle injections, if available?
Case # 3
A healthy 5-year-old comes in with her mother for a well-child check in November. Her routine vaccines are up to date through 2 years old, but she has never received a vaccine for influenza. Her exam is normal.
- Which vaccines do you recommend at this visit?
- What anticipatory guidance should … given for a child receiving a flu vaccine at this age?
- Are there any contraindications for the vaccines that you recommended today?
Case # 4
An 11-year-old girl presents for a routine well-child check. Her immunizations are up to date. Her exam is normal and there are no contraindications to giving her vaccines.
- Which vaccine(s) do you recommend at this visit?
- The mother is states that she only wants her daughter to have “the one … for school this year but not the others”. How should the Nurse Practitioner counsel the mother and the patient?
- The mother is agreeable to proceed with vaccine administration today. Are additional doses needed? If yes, state which ones and when.
NR 602 Week 4 Pediatric Clinical Pearl Case Study Assignment (TOPICS: Safety, Temper Tantrums and Discipline, Sleep Routines, Car Seat Safety, Healthy Teeth)
Purpose
The purpose of the assignment is to guide students in identifying behaviors and interactions that commonly occur during the health history portion of a well-child exam. In doing so, students can develop strategies to improve anticipatory guidance and health education by using effective, non-biased, and non-judgmental communication.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Synthesize information in which addresses child health promotion, developmental surveillance, observation of parent-child interaction, anticipatory guidance, social determinants of health, and/or cultural competence. As you view the video, observe the parent-child and the parent-provider interactions. Pay particular attention to the parent’s responses to the provider’s questions making note of inappropriate and appropriate responses. Choose five (5) topics from the following categories to complete the assignment:
- Cognitive Developmental Milestones
- Physical Developmental Milestones
- Social-Emotional Developmental Milestones
- Safety (Chosen Topic)
- Alcohol/Substance Use
- Environmental Health Risks
- Temper Tantrums and Discipline (Chosen Topic)
- Sleep Routines (Chosen Topic)
- Car Seat Safety (Chosen Topic)
- Healthy Teeth (Chosen Topic)
You will develop and complete a table for each one of the five (5) categories using the example below as a guide. (Note: There are at least 10 categories addressed in the video, you must choose five (5) and create a separate table for each one). For each of the tables, complete each section:
Issue: Category name
- Negative interaction/behavior: What did you see or hear that was inappropriate?
- Positive interaction/behavior: What did you see that was appropriate?
- Guidelines/recommendation: What does the research recommend?
- Scholarly reference: Must be in APA format within the table.
Professional/Ethical Communication: How will provide non-judgmental and non-bias education regarding the issue identified? Needs to be at least 3 sentences. Helpful Hints: Acknowledge how they feel, state the facts, and provide education or re-frame the approach.
Scholarly references should be peer-reviewed, preferably a Clinical Practice Guideline (CPG), intended for providers (MDs, NPs) and no more than 5 years old (unless it is a clinical practice guideline’s most recent update).
NR 602 Week 4 Midterm Study Guide (Exam Points)
- Question: A Bethesda System Pap smear report that reads LSIL is most consistent with which classification
- Question: A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?
- Question: A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have the next cervical cancer screening
- Question: Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen. Which procedure will be required next
- Question: 9yo female has completed course of amox for strep throat. LMP was 2wks ago, says it was normal. On exam, there’s erythema of extern. genitalia w/small amount of white discharge. Micro wet prep reveals few clue cells, but many budding hyphae. No WBCs. Which one would be the most appropriate treatment?
- Question: Woman c/o vaginal itching, white discharge. She is in good health except for recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and nonmalodorous white patches. Which is the most likely cause?
- Question: 18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out. What would necessitate further eval?
- Question: Primary amenorrhea is best described as:
- Question: 25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents:
- Question: Treatment options for condyloma acuminatum include:
- Question: 49yo female c/o dark, watery brown vaginal discharge. Which best describes what might … on physical exam in pt’s with cervical cancer?
- Question: 22yo female c/o pelvic pain. Exam reveals cervical motion and uterine tenderness. Which supports PID dx?
- Question: When a patin is diagnosed with PMS, which intervention would … to help alleviate the symptoms?
- Question: ______ is the condition in which functional endometrial tissue is found in ectopic sites outside the uterus.
- Question: _______ is the condition in which endometrial glands and stoma are … within the myometrium, interspersed between the smooth muscle fibers.
- Question: Uterine ______ are benign neoplasms of smooth muscle origin.
- Question: ________ are firm, rubbery, sharply defined round masses in breast tissue.
- Question: Endometriosis is the condition where endometrial tissue is … growing outside of the uterus in the pelvic cavity. What are risk factors for endometriosis?
- Question: An 18 yr old woman presents at the clinic complaining new-onset breakthrough bleeding, even though she is on contraceptive. What contraceptive use, along with new onset-onset breakthrough bleeding, has been associated with pelvic inflammatory disease?
- Question: A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of
- Question: Pap smear results of atypical squamous cells of undetermined significance require which procedure next
- Question: A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the client confides that her mother had died of endometrial cancer one year ago and says that she is afraid that she would die of the same cancer. Which risk factor … by the client after an education session on wrist factors indicate that brother teaching is needed
- Question: The frequency for cervical screening depends on the patient and her age. What is the longest … time interval between cervical screens for patients who are 65 years old or younger
- Question: Jenna was … with condyloma acuminatum. Treatment options for Jenna will include all of the following except
- Question: I can roll over grasp a rattly, and reach for things and have begun feeding myself finger foods, but i can’t wave bye-bye yet. How old am I?
- Question: I can walk well on tiptoes, my speech is 50% understandable, I know six body parts, but can’t balance on one foot for 2 seconds. I am:
- Question: Most children can independently dress themselves by age
- Question: A 35-year-old smoker is … for birth control choices. Patient has a history of pelvic inflammatory disease along with an embolic episode after her last pregnancy. Which of the following methods of birth control would you recommend
- Question: A 20-year-old woman visiting the clinic says that she wishes to begin using Depot Medroxyprogesterone acetate (Depo-Provera) as a form of birth control what important information said the nurse include when teaching the client about Depo-Provera
- Question: A client seeking advice about contraception asked the nurse about how an Intrauterine device prevent pregnancy how should the nurse respond
- Question: A nurse is teaching a group of women about the side effects of different types of contraceptives. What frequent side effect associated with the use of an IUD should the nurse discussed during the teaching session
- Question: A nurse is teaching a female client about the side effects of estrogen in an oral contraceptive. Which common side effect identified by the client indicates to the nurse at the teaching was effective
- Question: A nurse is canceling a female client with type one diabetes to request a contraceptive information. What contraceptive method should the nurse recommend
- Question: The client asked the nurse about the use of an IUD for contraception. What information should the nurse include in the response
- Question: Sylvia is 44-year-old woman with dysfunctional uterine bleeding and is an able to use oral contraceptives. Which of the following medications can be use for management of DUB
- Question: Which is not a common cause of irregular menstrual bleeding
- Question: A na, 25-year-old, presents with dysmenorrhea. She states that her sister and mother have endometriosis, so she would like to … for it. Which of the following is consistent with a diagnosis of endometriosis
- Question: A 16-year-old female is … with primary dysmenorrhea. She has taken over the counter ibuprofen 800 mg increments every eight hours during mentors for the past three months with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms
- Question: My 24-year-old female presents to the practice with a painless 2 cm lobular mass in the right breast that is freely mobile and firm. This has … on self breast examination, and she reports it has been unchanged for the past three months. The best course of action by the nurse practitioner would …
- Question: A nurse is caring for a client who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the healthcare provider will most likely prescribe
- Question: For the patient with chronic bacterial vaginosis, the nurse practitioner will prescribe
- Question: Women with a history of P ID have an increased risk for all of the following except
- Question: Which of the following is the best method to diagnose a vaginal trichomonas infection
- Question: A 30-year-old woman who is sexually active complains of a large amount of milk like vaginal discharge for several weeks. A micro scopic slide reveals a large number of cells that have blurred margins. Very few white blood cells are … The vaginal pH is at six. What is most likely
- Question: A 25-year-old woman complains of dysuria, severe vaginal up your ride is, and a malodorous vaginal discharge. Pelvic examination reveals a strawberry colored cervix and frothy yellow discharge. Microscopic examination of the discharge reveals multiple organisms that have flagella. The correct pharmacological therapy for the condition is
- Question: You are completing a pelvic exam on 32-year-old and Nancy. You detect a left adnexal mass on the bimanual exam. With an adnexal mass, the practitioner much always suspect
- Question: A young woman presents to your practice with vaginal itching and white discharge. She denied sexual activity or douching. She has been in good health except for recurrent strep throat. Pelvic examination reveals a tender vulvovaginal area with edema and white patches, no odor is detected. Which of the following is the most likely cause of this problem
- Question: A 24-year-old female presents to the office with a complaint of vaginal itching in addition to thick mucoid discharge. She also has some mild urinary discomfort. The wet mount preparation using potassium hydroxide reveals a negative whiff test and few clue cells. There was no trichomonas … but the WBCs were too numerous to count. Which of the following would be the most likely diagnosis in the patient
- Question: A 25-year-old woman comes to clinic complaining of increased vaginal discharge, milky gray in color with a fishy odor that both she and her husband have noticed. I wet smear is … and the presence of clue cells confirmed. Which type of infection does the nurse suspect
- Question: Which of the following statements is accurate regarding the usefulness of mammo in screening and detection of breast cancer?
- Question: PMS occurs with greatest frequency and severity in the:
- Question: 28yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1wk before her menses onset. What is most important info to obtain from this pt to determine if the pt has PMS?
- Question: What phase of menstrual cycle begins with menses cessation and ends w/ovulation?
- Question: What phase of menstrual cycle begins with ovulation and ends w/menstruation?
- Question: While the vital signs of a pregnant client in her third trimester are being … the client complains of feeling faint, dizzy, and agitat ed. Which nursing intervention is appropriate?
- Question: A pregnant client has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct inter pretation of these symptoms by the health care provider?
- Question: What is the reason for vascular volume increasing by 40% to 60% during pregnancy?
- Question: Physiologic anemia often occurs during pregnancy because of:
- Question: A client in her first trimester complains of nausea and vomiting. She asks, Why does
- Question: What is the most common symptom of vulvovaginal candidiasis?
NR 602 Week 4 Midterm Review
- Signs of pregnancy (presumptive, probable, positive)
- Presumptive signs include:
- Probable signs include:
- Positive signs include:
- Pregnancy and fundal height measurement
- Naegele’s rule
- Menstrual cycle physiology
- Vaccines in Pregnancy
- Emergency contraception
NR 602 Week 6 Activity: iHuman Case 4
Purpose
The iHuman assignments provide students with an opportunity to experience clinical scenarios that are relevant to the lesson content through virtual patient encounters. iHuman is a highly interactive and a dynamic way to enhance your learning.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
- Utilize interactive simulation technology to reinforce assessment and diagnostic reasoning skills in the care of a woman or pediatric patient (CO4).
Requirements
- Complete the week 6 module content prior to starting the iHuman assignment.
- Access iHuman by clicking the link provided below. Clicking the blue bar will launch the activity in a new browser window.
- Complete the case titled Case 4.
- This week, you have an 18-year-old male who is known to be an injection-drug user. He presents with high fever and rash, and is found to have a loud systolic murmur, splinter hemorrhages, and Janeway lesions. His echocardiogram shows a mitral-valve vegetation; his blood cultures grow methicillin-resistant Staphylococcus aureus.
4. Once you complete the case, click “Submit.”
5. You will submit your iHuman Case Study completion score sheet to the corresponding iHuman submission assignment.
In NR602, iHuman assignments will … on the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, Management Plan. A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade.
NR 602 Week 8 Discussion with Responses: Marginalized Women and Childbearing Families: (2 Versions)
- As an … practice nurse, what are three actions you can take to mitigate social impacts to … women?
- What role does policy at either government, state, or local level play in the marginalization of women and childbearing families?
- Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level).
- Discuss how policy impacts marginalized group either positively or negatively.
NR 602 Week 8 Final Exam Solved (Taken 2020)
- Question: A sexually active 18-years old presents with postcoital spotting, dysuria and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
- Question: One of the leading causes of female infertility, Stein-Leventhal syndrome is
- Question: HIV test is indicated for a (n)
- Question: Which of the following contraceptive methods would be best for a woman with sickle cell anemia?
- Question: A Patient taking metronidazole and cimetidine at the same time is at risk for:
- Question: A 58-year old woman complain of severe vulvular pruritis. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be
- Question: Measuring waist circumference is most appropriate when the client’s BMI place her in which of the following categories?
- Question: The levonogestrel releasing IUC may be a better choice then the copper releasing IUC for a woman who:
- Question: A 30-year old is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm firm, pelvic mass anterior to the uterus. The most likely diagnosis is
- Question: First line treatment for polycystic ovary syndrome is
- Question: A 45-year old female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What diagnosis best fits these findings?
- Question: If you diagnose a cervical gonococcal infection, which other infection is probably present?
- Question: A 24-year old female presents to your office with a request for combination contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that:
- Question: The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
- Question: A 16-year old woman has not yet begun menstruating but does have secondary sexual characteristics. She is best described as having:
- Question: The glands located posteriorly on each side of the vaginal orifice are the:
- Question: Typical characteristics of vulvodynia include:
- Question: The most common type of invasive breast carcinoma is:
- Question: A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says everything is fine. On exam, you find grayish-white vaginal discharge, greenish cervical discharge, and cervical motion tenderness. All of the following are differential diagnoses except?
- Question: A 26-year old woman presents with multiple painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
- Question: A 26- year old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow- up would include:
- Question: USPSTF recommendations for routine breast cancer screening include:
- Question: A 22- year old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted, along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
- Question: The American cancer society recommends yearly mammogram screening beginning at age:
- Question: According to USPSTF recommendations, an 80 year old female should get
- Question: A 22 year old female has a Pap test report of HSIL. Recommended first stems in follow up would include:
- Question: Characteristics of polycystic ovary syndrome include:
- Question: A 22 year old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid stimulating hormone and negative pregnancy test. The next action will be to:
- Question: A 66 year old woman with a history of pruritis presents with an ulceration of the vulva. The most likely diagnosis is:
- Question: A 17 year old client presents at the clinic with the following reason for seeking care: “I have been sick for three days. I feel sick to my stomach and have diarrhea”. Which of the following would be the most appropriate to document as her reason for visit/ chief complaint?
- Question: A 16 year old patient comes to the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis is:
- Question: Characteristic “strawberry spots” on the cervix may be seen with:
- Question: When examining the cervix of a 20 year old female, you note that most of the cervix is pink, but there is a small ring of dark-red tissue surrounding the os. This is most likely:
- Question: A twenty-one year old woman comes to your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control methods would be least likely to meet her needs for contraception management?
- Question: Dysfunctional uterine bleeding is usually associated with
- Question: Pelvic findings on examination of a 22- year old nulliparous woman is uterus 7cm in length and ovaries 3cm x 2cm x 1cm. These findings are consistent with
- Question: In a premenopausal woman, the biggest heart attack risk factor is
- Question: Iris is a 32 y/o married woman with three children. She comes in for information on using copper T IUD for contraception. Which of the following would be a contraindication to using this appliance?
- Question: A nurse practitioner is screening a female for prescribing contraception fir the first time. Which of the following is an absolute contraindication for estrogen-containing contraception?
- Question: Jackson, age 37, has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg and has lipid levels within normal limits. You advise that she should
- Question: A 24 year old woman presents with complaint of nontender mass in her breast that does not change with the menstrual cycle. On examination, you notice a freely movable, 0.5cm x 1cm, rubbery nontender mass. The most likely diagnosis is
- Question: Turner’s syndrome can be suspected when the patient has primary amenorrhea and
- Question: Primary dysmenorrhea can best be treated with
- Question: What is the position of the uterus when the cervix is on the anterior vaginal wall?
- Question: According to ACOG guidelines, which of the following examination and screening tests should be a part of the routing well-woman visit every year for the females age 30 to 39 years?
- Question: A woman who is currently pregnant, has has two full-term deliveries, and has had one first trimester abortion would be considered
- Question: Aa vaginal pH less than 4.5 is expected finding in a
- Question: A 68 year old had her last cervical cancer screening fone at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she
- Question: The new ACOG Pap smear guidelines reflect a change in all of the following except
- Question: During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
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- Question: Turner’s syndrome can … suspected when the patient has primary amenorrhea and
- Question: A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would be least likely to meet her needs for contraceptive management?
- Question: The most common type of invasive breast carcinoma is
- Question: Measuring waist circumference is most appropriate when the client’s BMI places her in which of the following categories?
- Question: The American Cancer Society recommends yearly mammogram screening beginning at
- Question: A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says that everything is fine. On examination, you find grayish-white vaginal discharge, greenish cervical discharge and cervical motion tenderness. All of the following differential diagnoses except?
- Question: Which of the following contraception would be best for a woman with sickle cell anemia?
- Question: During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
- Question: When examining the cervix of a 20-year-old-female, you note that most of the cervix is pink but there is a small ring of dark-red tissue surrounding the os. This is most likely?
- Question: A sexually active 18-year-old presents with postcoital spotting, dysuria, and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
- Question: A 68-year-old female had her last cervical cancer screening done at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she:
- Question: A 22-year-old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid-stimulating hormone and negative pregnancy test. The next action will to:
- Question: A nurse practitioner is screening a female for prescribing contraception for the first time. Which of the following conditions is an absolute contraindication to estrogen-containing contraception?
- Question: Characteristics of polycystic ovary syndrome include:
- Question: According to USPSTF recommendations, an 80-year-old female should have:
- Question: A 36-year-old- is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm- firm pelvic mass anterior to the uterus. The most likely diagnosis is:
- Question: Typical characteristics of vulvodynia include:
- Question: If you diagnose a cervical gonoccocal infection, which other infection is probably present?
- Question: HPV testing is indicated for a (n)
- Question: A vaginal pH less than 4.5 is an expecting finding in a:
- Question: USPSTF recommendations for routine breast cancer screening include:
- Question: The new ACOG pap smear guidelines reflect a change in all of the following except:
- Question: A 16-year-old- woman has not yet begun menstruating but does have pubic hair. She is best described as having:
- Question: Dysfunctional uterine bleeding is usually associated with
- Question: A 17-year-old client presents at the clinic with the following reason for seeking care. “I have been sick for three days. I feel sick to my stomach and I have diarrhea”. Which of the following would be most appropriate to document as her reason for her visit/chief complaint?
- Question: First line treatment for polycystic ovary syndrome is:
- Question: A 24-year-old woman presents with complaints of nontender mass in her left breast that does not change with the menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm, firm, rubbery nontender mass. The most likely diagnosis is:
- Question: According to ACOG guidelines, which of the following physical examination and screening tests should be part of the routine well-woman visit every year for females ages 30 to 39 years?
- Question: In a premenopausal woman, the biggest heart attack risk factor is:
- Question: A 16-year-old patient comes the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and a blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis:
- Question: What is the position of the uterus when the cervix is on the anterior vaginal wall?
- Question: A 26-year-old woman presents with multiple, painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
- Question: A woman who is currently pregnant, has had two full-term deliveries, and had one first-trimester abortion would be considered.
- Question: Pelvic findings on examination of a 22-year-old nulliparous woman are uterus 7 cm in length and ovaries 3cmx2x1cm. These findings are consistent with:
- Question: A 66-year-old- woman with a history of pruritus presents with an ulceration of the vulva. The most likely diagnosis is:
- Question: Characteristic “strawberry spots” on the cervix may be seen with
- Question: A 45 year-old-female presents with complaint of lower abdominal pain with urinary urgency and frequency for the past three months. The pain is worse during sexual intercourse and relieved somewhat when she urinates. Physical exam reveals suprapubic tenderness as well as tenderness along the anterior vaginal wall and urethra. The remainder of her exam is normal. What best fits these findings?
- Question: Primary dysmenorrhea can best be treated with:
- Question: Jackson, age, 37 has been on birth control pills for approximately 15 years. She is a smoker, has a blood pressure of 110/70mmHg, and has lipid levels with normal limits. You advise that she should:
- Question: The CDC recommendation for follow-up of a female treated for PID with a recommended outpatient regimen is:
- Question: One of the leading causes of female infertility Stein-Leventhal syndrome is
- Question: Iris is a thirty-two-year-old married women 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?
- Question: A 26-year-old female has a Pap test report of ASC-US. This is her first abnormal Pap test. Recommended first steps in follow-up would include:
- Question: A 22-year-old female presents with complaint of malodorous vaginal discharge and vulvar itching. On examination, a watery, yellowish-green vaginal discharge is noted along with vulvar and vaginal erythema. The most likely findings on a wet mount examination will be:
- Question: A patient taking metronidazole and cimetidine at the same time is at increased risk for:
- Question: A 22-year-old-female has a Pap test report of HSIL. Recommended first steps in follow-up would include
- Question: The glands located posteriorly on each side of the vaginal orifice are the:
- Question: The levonorgestrel-releasing IUD may be a better choice than the cooper-releasing IUD for a woman who has
- Question: 58-year-old woman complaints of severe vulvar pruritus. On examination of the vulva, you note thinning of the epidermis and loss of pigmentation, as well as maculopapular lesions. You suspect the diagnosis may be:
- Question: A 24-year-old female presents to your office with a request for combination oral contraceptives. Her current medications include a bronchodilator for asthma. Management for this client should include advising her that:
NR 602 Week 8 Final Study Guide (Multiple Versions)
NR 602 Week 8 Final Exam Study Topics
NR-602 Week 8 Final Guide (Summer 20)
NR 602 Week 8 Women’s Health Study Topics
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