NURSING 6430 Week 4 Knowledge Check
WEEK 4 QUIZ
Question 1
The nurse practitioner is prescribing a depot medroxyprogesterone acetate (DMPA)
... [Show More] 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
Peaud’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 Less]