MN576
Primary Care of the Womens Health
Unit 1
Discussion
Screening Guidelines
Pick one women’s health screening guideline such as
mammogram, pap smear, bone mineral density scan, or colonoscopy, and outline
the current screening recommendations for age and frequency. Discuss any
reasons for potential deviations from routine screening frequency.
MN576
Primary Care of the Womens Health
Unit 2
Discussion
Vulnerability may arise from individual, community, or
larger population challenges and requires different types of policy
interventions—from social and economic development of neighborhoods and
communities, and educational and income policies, to individual medical
interventions. Values affect how society views the vulnerable—as victims or
sinners—and thus whether or not to provide public assistance. There are
programs available to help vulnerable populations gain access to opportunities
that support their full participation in society. Each provides a dedicated
source of financial and technical assistance for projects and activities in
their respective programming areas.
Explore federal agencies that are concerned with Women’s
Health. Which ones may be of benefit to vulnerable populations? Explore
nonprofit agencies that are concerned with Women’s Health. Share resources
aimed to benefit women in your state or area.
MN576
Primary Care of the Womens Health
Unit 3
Discussion
Although the menopause transition is primarily thought of as
a normal physiological transition, it is a time that encompasses the period of
time when women are experiencing changes in the menstrual cycle reflective of
endocrine changes. The physiologic processes can be difficult for providers to
describe. In 2001, the Stages of Reproductive Aging Workshop (STRAW) developed
a standardized approach to menopause terminology.
Please discuss the STRAW and the STRAW +10 definitions and
why it is important for providers to have common language when communicating
about the stages of menopause.
MN576
Primary Care of the Womens Health
Unit 4
Discussion
Many elements need to be considered individually by a woman,
man, or couple when choosing the most appropriate contraceptive method. Some of
these elements include safety, effectiveness, availability (including
accessibility and affordability), and acceptability. Although most
contraceptive methods are safe for use by most women, U.S. MEC provides
recommendations on the safety of specific contraceptive methods for women with
certain characteristics and medical conditions.
Compare and contrast two forms of contraception including
indications, contraindications, side effects, US Medical Eligibility Criteria
(USMRC), US Selected Practice Recommendations for Contraceptive Use (USSPR),
affordability, and mechanisms of action.
MN576
Primary Care of the Womens Health
Unit 5
Discussion
Both the U.S. Preventive Services Task Force and the Centers
for Disease Control and Prevention (CDC) recommend that all “baby boomers” –
people born from 1945 through 1965 – get a hepatitis C test.
Discuss the change in these guidelines, who is at risk, and
the ramifications for individuals that contract hepatitis C. and are not
identified and treated.
MN576
Primary Care of the Womens Health
Unit 6
Discussion
It's not at all uncommon to have fibrocystic breasts. More
than half of women experience fibrocystic breast changes at some point in their
lives. In fact, medical professionals have stopped using the term
"fibrocystic breast disease" and now simply refer to
"fibrocystic breasts" or "fibrocystic breast changes"
because having fibrocystic breasts isn't really a disease. Breast changes
categorized as fibrocystic are considered normal.
Discuss the symptoms and cause as well as the diagnosis and
treatment of women who present with fibrocystic breast. Include patient
education, suggested lifestyle changes and recommended self-management.
MN576
Primary Care of the Womens Health
Unit 7
Discussion
Pelvic pain can be acute or chronic and can be caused by any
number of conditions. In primary care, nurse practitioners should be able to
outline the basic approach to initial evaluation of and management of these
disorders.
As you have learned in this unit there are many causes of
pelvic pain. Select one of the causes of pelvic pain and describe the symptoms.
Why and who would you refer this patient to for consultation? What are the
steps to writing a referral and what is the NP’s responsibility for follow up?
MN576
Primary Care of the Womens Health
Unit 8
Discussion
Pregnancy is the period of time when a fetus develops inside
a woman's uterus and ends with the birth of the infant. There are a variety of
clinical laboratory tests and diagnostics typically used prior to and
throughout pregnancy. The tests and diagnostics provide useful information from
the time pregnancy is first considered through the initial days of the
newborn's life.
Discuss the most common screening test and diagnostics used
throughout pregnancy and the purpose of the tests. When during pregnancy are
tests performed and what is the protocol when an abnormal test or diagnostic is
found?
MN576
Primary Care of the Womens Health
Unit 9
Discussion
Healthcare for women in the primary care setting requires
up-to-date, gender-specific knowledge regarding disease prevention and disease
management. An average female has a life expectancy of eighty two years old. In
spite of that, there are several health problems in women that need to be
addressed and given attention at every primary care visit.
Discuss a primary care-focused visit devoted to wellness and
or disease affecting women and health-enhancing strategies that you would
include in the visit.
MN576
Primary Care of the Womens Health
Unit 10
Discussion
Depression is a common psychiatric disorder in children,
adolescents, adults, and the elderly. Primary care providers, not mental health
professionals, treat the majority of patients with symptoms of depression.
Persons who are depressed have feelings of sadness, loneliness, irritability,
worthlessness, hopelessness, agitation, and guilt that may be accompanied by an
array of physical symptoms as well as substance abuse. Identifying patients
with depression and substance abuse can be difficult in busy primary care
settings where time is limited, but certain depression/substance abuse
screening tools may help diagnose the disorder.
Discuss a screening tool that can be used in the primary
care setting that can help with the identification of patients with depression
and or substance abuse. What is your responsibility as a primary care provider
to this patient once a disorder has been identified?
MN576
Primary Care of the Womens Health
Unit 2
Assignment
Vulnerable populations, including the uninsured, immigrants,
and working poor, are at greater risk of developing health problems.
Historically, nurse practitioners have cared for this growing population.
The purpose of this Assignment is for you to gain an
understanding of the psychosocial needs of vulnerable female populations and
issues impacting culturally competent delivery of women’s health care. This is
a 5–7 page paper, excluding title page and references, written in 6th edition
APA format. Please review the grading rubric in course resources.
Directions
Select a vulnerable female population such as gender
identity; domestic violence; incarcerated women; immigrant, migrant or refugee
women; adolescents; or homeless women.
Introduce the group and why you selected it.
Outline the relevant group statistics related to the
population as well as the impact of the group on women’s health.
Analyze the psychosocial needs of the selected group.
Discuss the issues impacting culturally competent care
delivery for the group.
Describe the associated culturally and ethically competent
care methods the NP will employ in caring for the population.
Save your paper in the following format: Lastname Course
Assignment Number. Example: Henry MN576 Assignment 1
To view the Grading Rubric for this Assignment, please visit
the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as
displayed above);
consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar,
punctuation, etc.);
be well ordered, logical, and unified, as well as original
and insightful;
display superior content, organization, style, and
mechanics; and
use APA 6th Edition format.
be 5–7 pages in length.
MN576
Primary Care of the Womens Health
Unit 3
Assignment
The purpose of this Assignment is for you to design a method
of communicating age appropriate screening guidelines to the appropriate
population. This can either be a trifold brochure or a 10 slide PowerPoint
presentation.
Directions
1. Select a screening
test and the age appropriate population at risk.
2. Introduce
the screening and why you selected it.
3. Outline the
relevant group statistics related to the population as well as the impact of
the group on women’s health.
4. Discuss the issues impacting screening.
Save your
document in the following format: Lastname Course Assignment Number.
Example: Henry MN576
Unit 3 assignment
To view the Grading Rubric for this Assignment, please visit
the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
· be sure to read
the Assignment description carefully (as displayed above);
· consult the
Grading Rubric to make sure you have included everything necessary; and
· utilize spelling
and grammar check to minimize errors.
Your writing Assignment should:
· follow the
conventions of Standard English (correct grammar, punctuation, etc.);
· be well ordered,
logical, and unified, as well as original and insightful;
· display superior
content, organization, style, and mechanics; and
· use APA 6th
Edition format.
· be a trifold
brochure or a 10 slide PowerPoin®t presentation.
· include
references in APA format.
MN576
Primary Care of the Womens Health
Unit 6
Assignment
The i-Human® scenario below is designed to help you move
through a simulated clinical scenario about a patient presenting with a breast
complaint. Your work will be scored by i-HUMAN rubric below rubric below and
transferred to a grade in the Gradebook by faculty. This assignment is worth
100 points.
Grading criteria for assignment are:
History=30
Physical Exam=30
Differential Diagnosis=15
Ranking the Differential Diagnosis=10
Test Selection=15
For this activity, you will need to login to your i-Human
account. Instructions for logging-in are as follows:
· Go to https://ih2.i-human.com/.
· Log in with your credentials (username and password).
· Select “Assignments” from the menu options on the top left
of the screen.
· Press the green play button next to the Burns for
University case study.
· The case study will open; click Start to begin.
· Complete all elements of the case study (history, physical
exam, assessment, etc.).
Once you have successfully completed the Assignment, take a
screenshot of the last screen of the activity, paste it into a Microsoft Word
document, save your document, and Submit your Assignment to the unit Dropbox
before midnight on the last day of the unit.
For help creating a screenshot, visit the website below.
Take a Screenshot. Retrieved from
http://www.take-a-screenshot.org
MN576
Primary Care of the Womens Health
Unit 8
Discussion
The i-Human® scenario below is designed to help you move
through a simulated clinical scenario about a pregnant patient. Your work will
be scored by i-HUMAN rubric below rubric below and transferred to a grade in
the Gradebook by faculty. This assignment is worth 100 points.
Grading criteria for assignment are:
History=30
Physical Exam=30
Differential Diagnosis=15
Ranking the Differential Diagnosis=10
Test Selection=15
For this activity, you will need to login to your i-Human
account. Instructions for logging-in are as follows:
· Go to https://ih2.i-human.com/.
· Log in with your credentials (username and password).
· Select “Assignments” from the menu options on the top left
of the screen.
· Press the green play button next to the Tina Sand for
University case study.
· The case study will open; click Start to begin.
· Complete all elements of the case study (history, physical
exam, assessment, etc.)
Once you have successfully completed the Assignment, take a
screenshot of the last screen of the activity, paste it into a Microsoft Word
document, save your document, and Submit your Assignment to the unit Dropbox
before midnight on the last day of the unit.
For help creating a screenshot, visit the website below.
Take a Screenshot. Retrieved from
http://www.take-a-screenshot.org
MN576
Primary Care of the Womens Health
Unit 9 Assignment
Health Promotion, Chronic and Acute Illness Paper
Purpose
The purpose of this Assignment is for you to gain an
understanding of health promotion, screening, diagnosis, and management of
common women’s health acute and chronic illnesses and to compare and contrast
common versus nontraditional treatment modalities.
Directions
Select one acute and one chronic women’s health issue (e.g.,
urinary tract infection and osteoporosis).
Describe and outline the issue, prevalence, and
significance.
Describe health promotion and screening for each issue.
Outline diagnostic tests or laboratories needed for each
issue. Elaborate on what you would expect or anticipate in the diagnostic
testing with each illness you choose.
List and describe common treatment or management modalities
for each issue.
Discuss patient education and follow up that is needed for
each issue.
Identify health screening and promotion needs for women
across the lifespan specific to the chronic illness.
For each selected issue, compare and contrast traditional
versus nontraditional treatment options.
Examine how you would collaborate with other members of the
health care team for best practice.
Please save your paper in the following format: Lastname
Course Assignment Number. Example: Henry MN576 Unit 9 Assignment
To view the Grading Rubric for this Assignment, please visit
the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed
above);
consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar,
punctuation, etc.);
be well ordered, logical, and unified, as well as original
and insightful;
display superior content, organization, style, and
mechanics; and
use APA 6th Edition format.
be 5-10 pages in length.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.
Make sure to save a copy of your work and be sure to confirm
that your file uploaded correctly.
MN576
Primary Care of the Womens Health
Unit 1
Seminar
Preparing for Women’sHealth Courses
This seminar will discuss pointers on managing the women’s
health courses including preparing for course work and patient encounters
Alternate Seminar Assignment
If you are unable to attend the live seminar, there will be
a written paper option (100 words or less) about the overall content of the
seminar. For this written assignment,
you will need to view the archived version before writing the paper. This assignment is worth 20 points.
MN576
Primary Care of the Womens Health
Unit 7 Seminar
Discussion and Review of i-Human Assignment
The follow up review i-Human Seminar is mandatory either by
live attendance or review of recording and alternative assignment. The Seminar
is worth 20 points.
Alternative Seminar Assignment
If you are unable to attend the live Seminar, there will be
a written paper option (100 words or less) about the overall content of the
Seminar. For this written assignment, you will need to view the archived
version before writing the paper. This assignment is worth 20 points.
MN576
Primary Care of the Womens Health
Unit 9
Seminar
Discussion and Review of I Human Assignment
The follow up review i-Human
Seminar is mandatory either by live attendance or review of recording
and alternative assignment. The Seminar
is worth 20 points.
Alternative Seminar Assignment
If you are unable to attend the live Seminar, there will be
a written paper option (100 words or less) about the overall content of the
Seminar. For this written assignment, you will need to view the archived
version before writing the paper. This assignment is worth 20 points.
MN576 Primary Care of the Womens Health
Unit 5 Midterm Exam
Random Section 1
Question 1
Lesbians may experience which of the following barriers to health care?
Question options:
1) Homophobia from the
healthcare provider
2) Incorrect knowledge
about health care needs of lesbians by healthcare providers
3) Lack of insurance
and/or access under partner’s coverage
4) All of the above
Question 2
Which of the following is not representative of the presentation of
secondary syphilis?
Question options:
1) generalized rash
2) chancre
3) arthralgia
4) lymphadenopathy
Question 3
In women who have experienced a spinal cord injury, temporary cessation
of menses is normal for up to one year following the injury.
Question options:
1) True
2) False
Question 4
When performing a bimanual exam all of the following are noted as
normal findings except:
Question options:
1) retoverted uterus
2) anteflexed uterus
3) fixed immobile
uterus
4) smooth, firm ovary
Question 5
Which of the following agents is most active against C. trachomatis?
Question options:
1) amoxicillin
2) metronidazole
3) azithromycin
4) ceftriaxone
Question 6
Which HPV types are most likely to cause genital condyloma acuminatum?
Question options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24
Question 7
A recommended treatment for rectal gonorrhea is:
Question options:
1) oral amoxicillin.
2) oral azithromycin.
3) oral ciprofloxacin.
4) ceftriaxone
injection.
Question 8
According to the CDC, women who have sex with women (WSW) are a diverse
group with variations in sexual identity, sexual behaviors, sexual practices,
and risk behaviors.
Question options:
1) True
2) False
Question 9
How long after contact do clinical manifestations of syphilis typically
occur?
Question options:
1) less than 1 week
2) 1 to 3 weeks
3) 2 to 4 weeks
4) 4 to 6 weeks
Question 10
The Pap test should not be considered a screening test for STDs.
Question options:
1) True
2) False
Question 11
Which of the following terms describes the mechanism of action of
imiquimod (Aldara)?
Question options:
1) keratolytic
2) immune modulator
3) cryogenic
4) cytolytic
Question 12
HCV infection is the most common chronic bloodborne infection in the
United States, with an estimated 2.7 million persons living with chronic
infection
Question options:
1) True
2) False
Question 13
About ____ of patients with genital warts have spontaneous regression
of the lesions?
Question options:
1) 10%
2) 25%
3) 50%
4) 75%
Question 14
Which of the following is a contraindication to
estrogen/progestin-containing methods (combined oral contraception [COC], patch
[Ortho Evra], or ring [NuvaRing])?
Question options:
1) mother with a
history of breast cancer
2) personal history of
hepatitis A at age 10 years
3) presence of factor V
Leiden mutation
4) cigarette smoking
one pack per day in a 22-year-old
Question 15
Presumptive treatment for PID should be initiated in sexually active
young women and other women at risk for STDs if they are experiencing pelvic or
lower abdominal pain, if no cause for the illness other than PID can be
identified, and if one or more of the following minimum clinical criteria are
present on pelvic examination:
Question options:
1) cervical motion
tenderness
2) uterine tenderness
3) adnexal tenderness.
4) All of the above
Question 16
The definition of menopause is
Question options:
1) Frequently skipping
period for one year
2) One year without a
period
3) Onset of hot flashes
and night sweats with irregular menstruation
4) None of the above
Question 17
Universal screening for chlamydia and gonorrhea in women ?35 years
entering juvenile and adult correctional facilities has been a long-standing
recommendation.
Question options:
1) True
2) False
Question 18
What percentage of anogenital and cervical cancers can be attributed to
HPV infection?
Question options:
1) less than 30%
2) at least 50%
3) at least 70%
4) 95% or greater
Question 19
Which of the following is not representative of the presentation of
primary syphilis?
Question options:
1) painless ulcer
2) localized
lymphadenopathy
3) flu-like symptoms
4) spontaneously
healing lesion
Question 20
A 22-year-old woman taking a 35-mcg ethinyl estradiol COC comes into
the office complaining of sudden onset of calf pain. She states she recently traveled abroad and
the pain started when she returned home. You suspect
Question options:
1) muscle fatigue
2) DVT
3) fibromyalgia
4) depression
Question 21
Which of the following is found in tertiary syphilis?
Question options:
1) arthralgia
2) lymphadenopathy
3) macular or papular
lesions involving the palms and soles
4) gumma
Question 22
A 30-year-old woman presents without symptoms but states that her male
partner has dysuria without penile discharge. Examination reveals a friable
cervix covered with thick yellow discharge. This description is most consistent
with an infection caused by:
Question options:
1) Chlamydia
trachomatis.
2) Neisseria
gonorrhoeae.
3) human papillomavirus
(HPV).
4) Trichomonas
vaginalis.
Question 23
Puberty consists of a series of predictable events, and the sequence of
changes in secondary sexual characteristics has been categorized by several
groups. The staging system utilized most frequently used to describe these
events is Tanner staging.
Question options:
1) True
2) False
Question 24
Adolescent girls are not candidates for IUD use for contraception
Question options:
1) True
2) False
Question 25
Which of the medications can be prescribed to a patient to treat and or
prevent osteoporosis in the postmenopausal patient and should be taken weekly.
Question options:
1) Actonel 150 mg
2) Fosamax 70 mg
3) NSAIDs
4) Calcium
Question 26
Recommendations for adolescents with disabilities include a
comprehensive sex education program that should be tailored to fit their
specific needs.
Question options:
1) True
2) False
Question 27
Treatment options for bacterial vaginosis include all of the following
except:
Question options:
1) oral metronidazole.
2) clindamycin cream.
3) oral clindamycin.
4) oral azithromycin.
Question 28
Routine screening for C. trachomatis on an annual basis is recommended for
all sexually active females aged <25 years .
Question options:
1) True
2) False
Question 29
Physical examination of a 19-year-old woman with a 3-day history of
vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a
white, clumping discharge. Expected microscopic examination findings include:
Question options:
1) a pH greater than 6.
0.
2) an increased number
of lactobacilli.
3) hyphae.
4) an abundance of
white blood cells.
Question 30
Treatment of vulvovaginitis caused by Candida albicans includes:
Question options:
1) metronidazole gel.
2) clotrimazole cream.
3) hydrocortisone
ointment.
4) clindamycin cream.
Question 31
During a breast exam you note all of the findings below as normal
except:
Question options:
1) asymetrical size
2) a supernumerary
nipple
3) hyperpigmentation
4) breasts that move up
symmetrically with raising the arms
Question 32
Which of the following agents is active against N. gonorrhoeae?
Question options:
1) ceftriaxone
2) metronidazole
3) ketoconazole
4) amoxicillin
Question 33
A female patient who has not reached menarche by age 15 should be
considered for a diagnosis of
Question options:
1) oligomenorrhea
2) amenorrhea
3) primary amenorrhea
4) secondary amenorrhea
Question 34
Cervical cancer can be prevented with regular screening tests, like the
Pap test and the HPV DNA test (HPV test). All women should start getting
regular Pap tests at age 21 years.
Question options:
1) True
2) False
Question 35
When charting on a patient whom you have noted a breast lump it is
important to document
Question options:
1) tenderness
2) size
3) location
4) mobility
5) all of the above
Question 36
In assessing a woman with disabilities, which of the following terms
should be avoided?
Question options:
1) Crippled
2) Handicapped
3) Mentally retarded
4) All of the above
Question 37
Screening for osteoporosis with DEXA scan should begin
Question options:
1) age 50
2) one year after
menopause
3) age 65
4) age 60
Question 38
What is the approximate incubation period for Neisseria gonorrhoea?
Question options:
1) 1 to 5 days
2) 7 to 10 days
3) 18 days
4) 28 days
Question 39
In patients who are allergic to azithromycin, an alternative treatment
to chlamydia is
Question options:
1) Doxycycline 100mg
twice daily for 7 days
2) Macrobid 100mg twice
daily for 5 days
3) BactimDS 1 PO BID for 3 day
4) All of the above
Question 40
Complementary and alternative medicine (CAM) is defined as a group of
therapies that are not considered part of Western culture and include all of
the following except:
Question options:
1) Congugated estrogen
2) Aromatherapy
3) Tai Chi
4) Yoga
Question 41
A preferred treatment option for trichomoniasis is:
Question options:
1) oral metronidazole.
2) clindamycin vaginal
cream
3) topical acyclovir.
4) oral azithromycin.
Question 42
Which HPV types are most often associated with cervical and anogenital
cancer?
Question options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24
Question 43
The average onset of perimenopause is between the ages of:
Question options:
1) 35 to 40 years.
2) 40 to 45 years.
3) 45 to 50 years.
4) 50 to 55 years.
Question 44
When performing a pelvic examination the first part of the external
genitalia exam is
Question options:
1) speculum examination
2) palpation
3) inspection
4) cervical sampling
Question 45
A patient presents to you with a chief complaint of primary
dysmenorrhea, which nonpharmacologic intervention might you recommend she try
first?
Question options:
1) participating in
physical activity
2) increase iron rich
foods to replace blood that is lost
3) use of a heating pad
on the pelvis for cramping
4) use of an NSAID
Question 46
Treatment options for patients with condyloma acuminatum include all of
the following except:
Question options:
1) topical acyclovir.
2) cryotherapy.
3) podofilox.
4) trichloroacetic
acid.
Question 47
Which of the following best describes lesions associated with condyloma
acuminatum?
Question options:
1) verruciform
2) plaque-like
3) vesicular-form
4) bullous
Question 48
When counseling a woman about COC use, you advise that:
Question options:
1) long-term use of COC
is discouraged because the body needs a "rest" from birth control
pills from time to time.
2) fertility is often
delayed for many months after discontinuation of COC.
3) there is an increase
in the rate of breast cancer after protracted use of COC.
4) premenstrual
syndrome symptoms are often improved with use of COC.
Question 49
In assessing a 13 year old female, you know that the presence of breast
bud with elevation of breast and
papilla; enlargement of areola indicate which Tanner Stage?
Question options:
1) Stage1
2) Stage 2
3) Stage 3
4) Stage 4
Question 50
A 24-year-old woman presents with a 1-week history of thin,
green-yellow vaginal discharge with perivaginal irritation. Physical
examination findings include vaginal erythema with petechial hemorrhages on the
cervix, numerous white blood cells, and motile organisms on microscopic
examination. These findings most likely represent:
Question options:
1) motile sperm with
irritative vaginitis.
2) trichomoniasis.
3) bacterial vaginosis.
4) condyloma
acuminatum.
MN576
Primary Care of the Womens Health
Unit 10
Final Exam
Question 1
Increased folic acid intake before conception is likely to
reduce the risk of which of the following birth defects?
Question options:
1) congenital
cataract
2) pyloric
stenosis
3) clubfoot
4) open
neural tube defects
Question 2
Down syndrome is the clinical manifestation of trisomy ___.
Question options:
1) 13
2) 15
3) 18
4) 21
Question 3
Malignant thyroid nodules are more common in women than men.
Question options:
1) True
2) False
Question 4
Identify the corresponding characteristic of Goodell sign
Question options:
1) blue–violet
vaginal color
2) softening
of uterus isthmus
3) softening
of vaginal portion of the cervix
Question 5
Medications most commonly pass through the placenta via:
Question options:
1) facilitated
transport.
2) passive
diffusion.
3) capillary
pump action.
4) mechanical
carrier state.
Question 6
HDL levels are a better predictor of CAD in women than LDL.
Question options:
1) True
2) False
Question 7
Anxiety in response to a challenging life event is a natural
response by the body to:
Question options:
1) help a
person focus on the issue at hand.
2) diminish
the fight-or-flight response.
3) impair
decision-making under duress.
4) provide
transient improvement in physical capabilities.
Question 8
In Down syndrome, which of the following is true?
Question options:
1) Most
infants affected with Down syndrome are born to women older than age 35 years.
2) Down syndrome
is noted in about 1 in 10,000 live births.
3) Down
syndrome is associated with decreased maternal serum AFP level.
4) Antenatal
serum analysis is sufficient to make the diagnosis.
Question 9
Physical examination of a 19-year-old woman with a 3-day
history of vaginal itch reveals moderate perineal excoriation, vaginal
erythema, and a white, clumping discharge. Expected microscopic examination
findings include:
Question options:
1) a pH
greater than 6. 0.
2) an
increased number of lactobacilli.
3) hyphae.
4) an
abundance of white blood cells.
Question 10
In Edwards syndrome, which of the following statements is
true?
Question options:
1) Edwards
syndrome is more common than Down syndrome.
2) Most
affected infants with Edwards syndrome die during the first year of life.
3) Edwards
syndrome is unlikely to cause developmental disability.
4) Edwards
syndrome is associated with elevated AFP.
Question 11
Patient presentation possibly common to anxiety and
depression includes:
Question options:
1) feeling
of worthlessness.
2) psychomotor
agitation.
3) dry
mouth.
4) appetite
disturbance.
Question 12
A patient has been prescribed adjuvant tamoxifen therapy
following breast cancer. What common side effect might she experience?
Question options:
1) nausea
and vomiting
2) vomiting,
weight loss and hair loss
3) hot
flashes, weight gain and blood clots
4) diarrhea
Question 13
Women who experienced gestational diabetes are at higher
risk of developing Type 2 Diabetes later in life.
Question options:
1) True
2) False
Question 14
Use of St. John's wort is known to impact the effectiveness
of all of the following medications except:
Question options:
1) oral
contraceptives.
2) fluoroquinolones.
3) cyclosporine.
4) select
antiretrovirals.
Question 15
Parotid Gland Enlargement is noted in:
Question options:
1) Anorexia
nervosa
2) Bulimia
nervosa
3) Both
anorexia nervosa and bulimia nervosa
Question 16
Identify the corresponding characteristic of Chadwick sign
Question options:
1) blue–violet
vaginal color
2) softening
of uterus isthmus
3) softening
of vaginal portion of the cervix
Question 17
In treating a person with panic disorder using an SSRI, the
NP should consider that there is:
Question options:
1) considerable
abuse potential with these medications.
2) no
significant therapeutic advantage over TCAs.
3) a
reduction in number and severity of panic attacks.
4) significant
toxicity in overdose.
Question 18
Gallbladder disease occurs primarily in healthy women 40 to
65 years of age.
Question options:
1) True
2) False
Question 19
Concerning the use of alcohol during pregnancy, which of the
following statements is most accurate?
Question options:
1) Although
potentially problematic, maternal alcohol intake does not increase the risk of
miscarriage.
2) Risk to
the fetus from alcohol exposure is greatest in the third trimester.
3) No level
or time of exposure is considered to be safe.
4) Risk of
fetal alcohol syndrome is present only if alcohol exposure has occurred
throughout the pregnancy.
Question 20
The recommended frequency of prenatal visits in weeks 28 to
32 of pregnancy is every:
Question options:
1) 1 week.
2) 2 weeks.
3) 3 weeks.
4) 4 weeks.
Question 21
The most likely causative pathogen in a 23-year-old woman
with PID is:
Question options:
1) Escherichia
coli.
2) Enterobacteriaceae.
3) trachomatis.
4) Pseudomonas.
Question 22
A 25-year-old woman presents in the 10th week of gestation
requesting antenatal screening for Down syndrome. What advice should the NP
give?
Question options:
1) Because
of her age, no specific testing is recommended.
2) She
should be referred for second-trimester ultrasound.
3) Screening
that combines nuchal translucency measurement and biochemical testing is
available.
4) She
should be referred to a genetic counselor.
Question 23
The typical female onset of hypothyroidism is between which
ages?
Question options:
1) 20 and 30
years
2) 30 and 60
years
3) over 60
years
Question 24
Identify the correct uterine size during the 8th week of
pregnancy
Question options:
1) Size of a
baseball
2) Size of a
softball or grapefruit
3) Size of a
large lemon
4) Size of a
tennis ball or orange
Question 25
The presence of an adnexal mass in the woman with PID most
likely indicates the presence of:
Question options:
1) uterine
fibroids.
2) an
ectopic pregnancy.
3) ovarian
malignancy.
4) a
tubo-ovarian abscess.
Question 26
Elevated inhibin-A is noted when a pregnant woman is at
increased risk of having an infant with:
Question options:
1) Down
syndrome.
2) Edwards
syndrome.
3) open
neural tube defect.
4) hemolytic
anemia.
Question 27
Identify the correct uterine size during the 10th week of
pregnancy
Question options:
1) Size of a
baseball
2) Size of a
softball or grapefruit
3) Size of a
large lemon
4) Size of a
tennis ball or orange
Question 28
Identify the corresponding characteristic of Hegar sign
Question options:
1) blue–violet
vaginal color
2) softening
of uterus isthmus
3) softening
of vaginal portion of the cervix
Question 29
Which of the following is an over-the-counter herbal
preparation used to relieve symptoms of depression?
Question options:
1) valerian
root
2) melatonin
3) kava kava
4) St.
John's wort
Question 30
The most common form of acquired anemia during pregnancy is:
Question options:
1) iron
deficiency.
2) folate
deficiency.
3) vitamin
B12 deficiency.
4) primary
hypoproliferative.
Question 31
Hypokalemia is noted in:
Question options:
1) Anorexia
nervosa
2) Bulimia
nervosa
3) Both
anorexia nervosa and bulimia nervosa
Question 32
Identify the correct uterine size during the 12th week of
pregnancy
Question options:
1) Size of a
baseball
2) Size of a
softball or grapefruit
3) Size of a
large lemon
4) Size of a
tennis ball or orange
Question 33
Examples of neural tube defects include all of the following
except:
Question options:
1) anencephaly.
2) spina
bifida.
3) encephalocele.
4) omphalocele.
Question 34
Maternal iron requirements are greatest during what part of
pregnancy?
Question options:
1) first
trimester
2) second
and third trimesters
3) equal
throughout pregnancy
4) preconception
Question 35
The NP is in an ideal position to provide counseling to both
members of a couple involved in domestic violence, particularly if both members
of the couple are members of the NP's practice panel.
Question options:
1) True
2) False
Question 36
In providing primary care for a patient with posttraumatic
stress disorder (PTSD), you consider that all of the following are likely to be
reported except:
Question options:
1) agoraphobia.
2) feeling
of detachment.
3) hyperarousal.
4) poor
recall of the precipitating event.
Question 37
IBS patients typically report
Question options:
1) nausea
2) heartburn
3) dyspepsia
4) All of
the above
Question 38
Among the preferred first-line pharmacological treatment
options for patients with PTSD include the use of:
Question options:
1) methylphenidate
(Ritalin®).
2) oxazepam
(Serax®).
3) lithium
carbonate.
4) sertraline.
Question 39
Women with PID typically present with all of the following
except:
Question options:
1) dysuria.
2) leukopenia.
3) cervical
motion tenderness.
4) abdominal
pain.
Question 40
The prevalence rate of hypertension is nearly equal between
men and women ages 45 to 64, but after women have a much higher rate of
hypertension.
Question options:
1) True
2) False
Question 41
Treatment of vulvovaginitis caused by Candida albicans
includes:
Question options:
1) metronidazole
gel.
2) clotrimazole
cream.
3) hydrocortisone
ointment.
4) clindamycin
cream.
Question 42
Lanugo is noted in:
Question options:
1) Anorexia
nervosa
2) Bulimia
nervosa
3) Both
anorexia nervosa and bulimia nervosa
Question 43
Which of the following therapeutic agents is commonly used
to help with sleep difficulties such as insomnia associated with PTSD?
Question options:
1) duloxetine
2) bupropion
3) mirtazapine
4) zolpidem
Question 44
In advising a perimenopausal woman about HT, you consider
that it may:
Question options:
1) reduce
the risk of venous thrombotic events.
2) significantly
reduce serum triglyceride levels.
3) worsen
hypertension in most women.
4) help
preserve bone density.
Question 45
Women with bacterial vaginosis typically present with:
Question options:
1) vulvitis.
2) pruritus.
3) dysuria.
4) malodorous
discharge.
Question 46
A transvaginal ultrasound in the woman with PID will likely
show:
Question options:
1) tubal
thickening with or without free pelvic fluid.
2) cervical
thickening.
3) endometrial
thinning.
4) inflammation
of the ovaries.
Question 47
When initiating SSRI therapy for a patient with panic
disorder, the NP should consider all of the following except:
Question options:
1) start
with a low dose and slowly escalate doses as necessary.
2) preferable
to use agents that are more energizing than less energizing.
3) select
agents with a low rate of insomnia and akathisia.
4) SSRI
therapy can precipitate panic attacks with early use.
Question 48
A 24-year-old woman presents with a 1-week history of thin,
green-yellow vaginal discharge with perivaginal irritation. Physical
examination findings include vaginal erythema with petechial hemorrhages on the
cervix, numerous white blood cells, and motile organisms on microscopic
examination. These findings most likely represent:
Question options:
1) motile
sperm with irritative vaginitis.
2) trichomoniasis.
3) bacterial
vaginosis.
4) condyloma
acuminatum.
Question 49
A 24-year-old woman has a new onset of panic disorder. As
part of her clinical presentation, you expect to find all of following except:
Question options:
1) peak
symptoms at 10 minutes into the panic attack.
2) history
of agoraphobia.
3) report of
chest pain during panic attack.
4) history
of thought disorder.
Question 50
A 45-year-old woman just had a normal Pap test result and
has an absence of high-risk HPV. You recommend her next Pap test in:
Question options:
1) 1 year.
2) 3 years.
3) 5 years.
4) 7 years.
Question 51
Dysrhythmias is noted in:
Question options:
Anorexia nervosa
Bulimia nervosa
Both anorexia nervosa and bulimia nervosa
