NSG6430 Final Exam South University NSG 6430 Final Exam Study Guide

NSG6430 Final Exam South University NSG 6430 Final Exam

Study Guide:

Question 1 The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the lower portion of the patient’s

uterus is soft. This is known as:

: A) Hegar's Sign B) Chadwick's Sign C) Nightingale's Sign D)

Goodell's Sign Question 2 Your female patient presents for vaginal discharge with an odor, and has noticed painless “bumps” on her vaginal area.Sexual history includes past male partners and her current female partner. On exam you note beefy red papules and an ulcerative lesion on her vulva, granular tissue and scarring, and inguinal adenopathy.

You suspect she has:

• HSV-2 B) Granuloma Inguinale C) Chancroid D) Molluscum

Contagiosum Question 3 The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing

factors in daily life is:

• the interview B) a voiding diary C) the physical exam D) the

patient's response to non-pharmacologic treatments Question 4 The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non- pharmacological, non-invasive methods of treatment at this time.

Which of the following should be included in the patient's plan of care?Select all that apply.

• Bladder training B. Kegel exercises C. Eliminate caffeine and

alcohol consumption D. Use of bulking agents Question 5 The physical examination of any woman suspected of

being abused or battered includes all of the following except:

• a thorough inspection for signs of injury, past and present B) a

physical assessment just like that of any other adult female C) a focus on the patient's physical appearance, not her behavior D) the use of body maps and diagrams to accurately portray the patient's physical condition Question 6 The most effective means of obtaining the history of

abuse is to use a communication model that:

• avoids having the patient's children present during the discussion
• signals someone is interested and that the woman is not alone C)

emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient D) allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story Question 7 Clinicians should routinely consider intimate partner violence (IPV) as a possible diagnosis for women who present with all

of the following except:

• chronic stress-related symptoms B) denial of any physical health

problems C) central nervous system (CNS) symptoms D) gynecologic problems, especially multiple ones

Question 8 The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships,

make up a woman's:

• sexual health B) gender identit C) gender role behaviors D)

psychosocial orientation Question 9 Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for Lesbian, Gay, Bixsexual, or Transgender (LGBT) patients?

• Avoid the heterosexual assumption by using gender-neutral

language. B) Explain whether and how information will be documented in the patient's medical record. C) Ignore the sexual status or gender identity of all patients. D) Offer mainstream referrals that are culturally sensitive to SGMs.Question 10 Which one of the following is the definition of the term "gender identity"?

• People who respond erotically to both sexes B) A self-label,

regardless of biologic or natal sex C) People who are similar in age, class, and sexual status D) A label for behavior not usually associated with one's natal sex Question 11 Which one of the following statements about sexually transmitted infections (STIs) is false?

• Lesbians are at very low risk for development of STIs and vaginal

infections. B) HIV has been identified in case studies of women who report sex only with women. C) Transgender women (Male to Female) have extremely high rates of HIV infection. D) Risky behaviors for STIs include sex during menses.

Question 12 Among the midlife health issues of women, the number

one cause of mortality in the United States is:

• primary osteoporosis B) cardiovascular disease C) overweight and

obesity D) cancer Question 13 Lifestyle approaches to manage menopause related

vasomotor symptoms include:

• sleeping more than 8 hours per night B) avoiding spicy foods, hot

drinks, caffeine, and alcohol C) decreasing levels of physical activity

• more than 1,000 international units/day of vitamin E

Question 14 The standard for managing moderate to severe

menopausal symptoms is:

• lifestyle changes, such as dieting and exercising B) nonhormone

products, such as antidepressant medications C) alternative care, such as acupuncture, combined with organic herbs D) prescription systemic hormone products, such as estrogen and progestogen Question 15 The nurse practitioner is managing an adolescent with a

• cm functional ovarian cyst that was confirmed on a recent

ultrasound. What plan of care should be anticipated for this patient?

• Repeat bimanual exam in 1 week B) Refer for surgical consult C)

Repeat ultrasound in 2 months D) Stop all ovulatory inhibitor meds Question 16 Non-pharmacologic therapy for chronic pelvic pain

includes the following: Select all that apply.