Women's Health A Primary Care Clinical Guide 5 Test Bank
Women's Health A Primary Care Clinical Guide 5 Test Bank
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
Chapter 1 Access to Women’s Health Care in the United States: Affordability, Equity, Rights
A. Pharmacists
B. Physical therapists
C. Registered nurses
D. Dental hygienists
Answer: D
A. Physicians
B. Dentists
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C. Pharmacists
O
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D
D. Physical therapists
Answer: B
A. Health aides
B. Physicians
D. Registered nurses
Answer: D
4. Which of the following are certifications available in advanced practice registered nursing?
(Select all that
apply.)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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E. Nurse practitioner
Answer: A, B, D, E
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D. 1-year certificate or diploma
D
D
Answer: D
6. What percentage of physicians and surgeons in the United States in 2014 were women?
A. 27%
B. 37%
C. 47%
D. 57%
Answer: B
A. General pediatrics
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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C. Orthopedic surgery
D. Urology
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
Answer: A
8. On an average, the income of female physicians is what percentage of that of male physicians?
A. 59%
B. 79%
C. 99%
D. 109%
Answer: A
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C. 4-year bachelor’s degree
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D
D. 2-year associate’s degree
Answer: A
10. Which of the following is the median income of dentists in the United States (2012)?
A. $89,310
B. $109,310
C. $129,310
D. $149,310
Answer: D
11. Which of the following are the current trends in dentistry? (Select all that apply.)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: B, D, E
B. Nursing aides
C. Occupational therapists
D. Paramedics
Answer: A
13. One in five workers in which of the following allied health occupation is at or below the
federal poverty
level?
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A. Medical assistant
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D
B. Home health aide
C. Radiology technician
D. Speech-language pathologist
Answer: B
14. Veronica is a registered nurse who pours herself into her job. She works long hours without
complaint andstrives to do her best. Often, she maintains a cheerful, caring, and kind demeanor on
the outside whilefeeling exhausted and frustrated on the inside. The effort it takes to maintain this
front before her patientsresults in a lot of stress. This phenomenon can best be described as which
of the following?
A. Identity crisis
B. Psychological disparity
C. Emotional dissonance
D. Gender discrimination
Answer: C
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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15. Tests of implicit racial bias among health professionals have revealed which of the following?
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: A
1. To enhance women’s health care in the 21st century, researchers should do which of the
following? (Select
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D. Translate research findings into clinical and public health practice
D
D
E. Focus on treatment approaches equally applicable to men and women
Answer: A, B, D
2. Historically, gender has been defined by which of the following? (Select all that apply.)
A. Self-identification
B. Appropriate roles
C. Division of labor
D. Economic power
E. Political influence
Answer: B, C, D, E
3. Hammarstrӧm et al. propose a model of sex and gender that includes which of the following
concepts?
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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C. Biologically determined sex based on the effects of sex hormones on reproductive organ
development
Answer: B, D, E
4. Which of the following is the best example of how gender bias has affected the health and health
care of
women?
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D. Disproportionately more psychotropic medications being prescribed to women than men
D
D
Answer: D
5. Krieger has proposed which of the following regarding sex, gender, and health? (Select all that
apply.)
A. Gender and sex played no significant role in determining health outcomes for women
B. Gender relations influence the expression and the interpretation of biological traits
D. Traditional perspectives on gender and sex have resulted in better health outcomes for women
than for
men
E. Equitable gender relationships have resulted in similar health outcomes in men and women
Answer: B, C
A. 1960s
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
B. 1970s
C. 1980s
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D. 1990s
Answer: B
7. Which of the following were the goals included in the report “Women’s Health Research:
Progress, Pitfalls,
and Promise,” which was published by the Office of Research on Women’s Health in 2010?
(Select all that
apply.)
B. Incorporate findings of sex and gender differences in the design of new technologies
C. Create strategic alliances to maximize domestic and global impact of women’s health research
D. Develop and implement new social networking technologies to promote men’s health and
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wellness
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research
E. Employ innovative strategies to build a well-trained, diverse, and vigorous women’s health
research
workforce
Answer: B, C, E
8. The National Institutes of Health (NIH) Revitalization Act of 1993 mandated that the NIH do
which of the
following?
Answer: B
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
9. Historical examples ofgender bias in medical textbooks include which of the following? (Select
all that
apply.)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B. A recommendation that women simulate orgasms if not orgasmic with their husbands
E. Portrayal of women as invincible to illness and age, as long as they make the rightchoices
Answer: A, B, D, E
10. Which of the following best describes the new model for health care for women?
A. Physician-centered
B. Authoritarian
C. Pluralistic
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D. Disease-oriented
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Answer: C
1:A 46-year-old patient is referred for the biopsy of a vaginal lesion. Vaginal biopsy typically
requires what
type of anesthesia?
a:General
b:Caudal
c:None
d:Conscious sedation
e:Pudendal
2:A 36-year-old patient is to undergo removal of her uterus for benign disease. Which of the
following is
an advantage of abdominal hysterectomy over vaginal hysterectomy?
a:
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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3:She undergoes removal of only her uterus. Which term refers to the surgical removal of only the
uterine
corpus?
a:Complete hysterectomy
b:Vaginal hysterectomy
cTotal hysterectomy
d:Subtotal hysterectomy
e:Radical hysterectomy
4:A 53-year-old is referred to you for the evaluation of an adnexal mass found at the time of annual
physical examination. In the initial evaluation of a possible adnexal mass, the most appropriate
imaging
technique is
a:computed axial tomography scanning
b:ultrasonography
c:flat plate of the abdomen
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d:magnetic resonance imaging
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e:positron emission tomography (PET) imaging
D
D
5:What is the most appropriate biopsy location for a 45-year-old woman with abnormal vaginal
bleedingfor 5 days and a normal physical examination?
a:Vulva
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A 35-year-old patient does not recall why she had a laparoscopy 3 years ago. Which of the
following
conditions is most likely to be associated with a laparoscopy for evaluation?
a:
Pelvic pain
b:
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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What is the most appropriate initial imaging study in an asymptomatic patient with 18-week-size
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fibroids?
D
D
a:
Positron emission tomography (PET)
b:
computed tomography (CT)
c:
Transabdominal ultrasonography
d:
Sonohysterography
e:
Magnetic resonance imaging (MRI)
10:
A 20-year-old patient at 6 weeks of gestation is suspected of having an ovarian neoplasm. The
most
appropriate initial imaging technique is
a:
Computed tomography (CT)
b:
Positron emission tomography (PET)
c:
transvaginal ultrasonography
d:
transabdominal ultrasonography
e:
Magnetic resonance imaging (MRI)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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11:
A healthy, asymptomatic, nulliparous 36-year-old woman requests your advice because she has
been
unsuccessful at achieving pregnancy over the last 13 months, despite regular menses. Performing
an
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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initial physical examination, you detect a firm, non-tender, multinodular uterus whose size
corresponds
to that at approximately 8 to 10 weeks of pregnancy, which is consistent with leiomyomata uteri.
The
remainder of the medical history and physical examination is within normal limits, as is her
husband's
semen analysis. Normal ovulatory status has been documented by basal body temperature
monitoring
and luteal-phase progesterone measurement. Your next best step is to recommend
a:
normal pelvic ultrasonography
b:
hysterosalpingogram (HSG)
c:
in vitro fertilization - embryo transfer (IVF-ET)
d:
myomectomy
e:
arterial embolization of the fibroids
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12:
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O
A 36-year-old woman with regular, monthly, 5-day menstrual cycles presents with a 2-year history
O
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D
of
severe right-sided pelvic pain. Pelvic examination reveals no abnormalities. She reports insomnia,
loss of
appetite, and decreased libido. The patient once considered evaluation for infertility but now does
not
desire childbearing. She has had three laparoscopic procedures in the last 18 months that showed
minmal peritoneal adhesions, with no change in the pain. Appropriate management of this includes
a:
repeat diagnostic laparoscopy
b:
barium enema, intravenous pyelography, and plevic ultrasonography
c:
presacral neurectomy
d:
transabdominal hysterectomy and bilateral salpingo-oophorectomy
e:
psychological counseling with antidepressant therapy
13:
A 63-year-old woman with 6 months of early satiety and increased abdominal girth has an
abdominal
fluid wave and a palpable 12 cm nodular right adnexal mass. The next BEST step would be for her
to
obtain
a:
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
a diagnostic laparoscopy
b:
a staging laparotomy and debulking for her presumed ovarian cancer
c:
a CT scan to get the exact dimensions of the mass
d:
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
chemotherapy
e:
an ultrasonography to determine if the mass is cystic or solid
14:
A 42-year-old woman, G2P2, who had a laparoscopic tubal fulguration 7 years ago, has abnormal
uterine
bleeding. Her menstrual cycle has been 28-30 days with a menstrual flow of 5-6 days. During the
last 6
months, the interval has varied from 14 to 35 days and the menstrual flow has lasted from 1 to 14
days.
The uterus is irregular and firm and consistent in size with an 8-week gestation. Both ovaries are
palpably normal in size. Urine pregnancy test is negative. The most appropriate next step in
management is
a:
endometrial sampling
b:
laparoscopy
c:
transabdominal ultrasonography
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d:
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pelvic CT
O
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D
e:
hysteroscopy
15:
A 19-year-old primigravid woman is seen because of vaginal bleeding. Her LMP was about 11
weeks ago;
the vagina contains a small amount of dark blood and the cervix is long and closed. The uterus is
enlarged and not tender. A pelvic ultrasonography demonstrates an intrauterine gestational sac but
no
fetal pole is identified. The patient is distraught but declines surgical management. Of the
following, the
most appropriate management of this patient's condition is
a:
combination oral contraceptive pills
b:
methotrexate intramuscular injection
c: depot medroxyprogesterone acetate
d: oral broad-spectrum antibiotic thearpy
e:
mifepristone pills and vaginal misoprostol
ANS: [cddbc eaecc beaae]
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
Chapter 4 Assessing Adolescent Women’s Health Renee Sieving, Sarah Stoddard, Deborah A.
Raines
1. The teen birthrate is highest among which major racial or ethnic group?
A. Latinos
B. African Americans
C. Whites
D. Asians
Answer: A
A. 14%
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B. 19%
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D
C. 24%
D. 29%
Answer: A
3. Which of the following are examples of protective factors for adolescents? (Select all that
apply.)
B. Physical inactivity
Answer: A, C, E
4. Rachel is a talkative, open 13-year-old who is in for a physical exam today by herself. In talking
with
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Rachel, the nurse should recognize which of the following as characteristics typical of this stage of
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
C. Mood swings
E. Transition to adulthood
Answer: A, C, D
5. Lydia is a teenager who is in the process of researching college programs. She thinks she would
like to be a
lawyer. She is also searching for a summer job to save up to buy a car. Which stage of
development is
A. Preadolescence
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B. Early adolescence
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C. Middle adolescence
D. Late adolescence
Answer: D
6. Yancy is a 14-year-old with Down syndrome. She, like many teens with disabilities, is at an
increased risk
A. Epilepsy
B. Obesity
C. Heart disease
D. Arthritis
Answer: B
7. Brooke is a 17-year-old who is questioning both her sexual orientation and her gender. She says
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
she has
begun exploring these but that her parents do not know. Brooke is at an increased risk of
experiencing
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A. Obesity
B. Family violence
C. Homelessness
D. Substance abuse
E. Suicidality
Answer: B, C, D, E
8. Rose is a 14-year-old refugee from Nigeria who recently came to the United States. Being a
foreign born,
which of the following is Rose more likely to do than her native-born classmates?
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A. Exercise
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B. Succeed academically
Answer: C
9. Destiny is an outgoing, fun-loving 13-year-old who has developed a strong network of friends at
school.
These positive relationships make it more likely that Destiny will experience which of the
following?
A. Academic achievement
B. A healthy diet
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: A, C, D
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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10. During an office visit, Jordan, a 16-year-old patient, asks her nurse if she can share something
in
confidence. The nurse affirms, but adds that there were a few disclosures that would legally require
breaking confidentiality. Which of the following are issues the nurse would be obligated to report?
(Select
A. Sexual activity
B. Intent to self-harm
C. Evidence of abuse
D. Gender questioning
E. Religious doubts
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Answer: B, C
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D
11. What percentage of adolescents were covered by health insurance in 2013?
A. 48%
B. 63%
C. 78%
D. 93%
Answer: D
12. A nurse is having trouble communicating with her teenaged client, Enid, who is disengaged
and sullen.
What approach would most likely be effective in helping the nurse engage with Enid?
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: C
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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13. Nadia is a 13-year-old who is in for her first reproductive health visit. She reports having no
special
concerns and appears healthy. Which of the following is most important for the nurse to do in this
visit?
A. A Pap exam
D. A mammogram
Answer: C
14. In a 2013 survey of the Youth Risk Behavior Surveillance System, what percentage ofhigh
school females
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reported drinking more than five drinks in a row on at least 1 day in the 30 days before the survey?
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A. 16.1%
B. 21.1%
C. 26.1%
D. 31.1%
Answer: B
15. A nurse needs to assess an adolescent client’s level of sexual development. Which diagnostic
tool should
A. Tanner staging
B. CRAFFT screening
C. Motivational interviewing
D. Mini-Cog assessment
Answer: A
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Chapter 5 Assessing Adult Women’s Health Diane Marie Schadewald, Catherine Juve, Ellis
Quinn Youngkin, Marcia Szmania Davis
1. Midlife is commonly defined by which of the following ways? (Select all that apply.)
A. Age
B. Proximity to menopause
Answer: A, B, C, E
2. Vivian is an 80-year-old patient who is reminiscing about her own midlife with her nurse, who
has just
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entered midlife. Given her age, Vivian is most likely to identify which of the following as having
D
D
been a
A. Her career
B. Her family
C. Her friends
Answer: B
3. Which of the following is the definition of menopause currently used in the health sciences?
B. The cessation of menses, defined as the end of the final menstrual period
C. The cessation of menses, defined as 1 year after the final menstrual period
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: C
4. Women of which U.S. ethnic group are most likely to describe menopause as “something you
have to go
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A. African Americans
B. Japanese Americans
C. European Americans
D. Urban Latinas
Answer: D
5. Which of the following endocrine changes are typical during the last 2 years before the final
menstrual
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B. Decreased antral follicle count
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C. Increased follicle-stimulating hormone levels
Answer: B, C, D
6. Sleep disruption, a common symptom during the menopausal transition, is most often associated
with
A. Hot flashes
B. Decline in memory
C. Back pain
D. Depressed mood
Answer: A
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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7. Which of the following are common symptoms during the menopausal transition? (Select all that
apply.)
A. Difficulty concentrating
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B. Urinary incontinence
C. Vaginal dryness
Answer: A, B, C
8. Which of the following statements is most accurate concerning symptoms of the menopausal
transition?
A. Almost all women experience the same set of symptoms, known as menopausal syndrome.
B. Almost all women experience hot flashes, but other symptoms are too variable to predict.
C. Symptoms experienced appear to vary from culture to culture, and thus may be culture bound.
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D. Symptoms are completely random, demonstrating no predictable patterns.
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Answer: C
9. Which of the following accurately describes metabolic changes in bone, muscle, and fat that
typically occur
Answer: D
10. Which of the following are characteristics of metabolic syndrome? (Select all that apply.)
B. Insulin resistance
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: A, B, D, E
11. The nurse is reviewing assessment and lab results of a patient at risk for metabolic syndrome.
Which of the
following findings are consistent with metabolic syndrome? (Select all that apply.)
Answer: A, C, E
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12. Patricia is a 50-year-old woman with a body mass index (BMI) of 31 and elevated lipid levels.
D
D
Which of
Answer: A, C, D
13. Lorraine is a 46-year-old woman who has a body mass index (BMI) of 21 and who is generally
healthy.
Based on current recommendations by the National Institutes of Health (NIH), what exercise
program
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: C
14. Isadora is a 49-year-old woman with a body mass index (BMI) of 18 and a family history of
osteoporosis.
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D. Limit sodium intake
D
D
E. Engage in weight-bearing exercise
Answer: B, C, E
15. How much more likely are women to be diagnosed with depression in their lifetime than men?
A. 60%
B. 70%
C. 80%
D. 90%
Answer: B
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1. How many people in the United States were 65 years or older in 2010?
A. 3.1 million
B. 20.5 million
C. 40.3 million
D. 83.7 million
Answer: C
2. What percentage of those 85 years and older in the United States in 2010 were women?
A. 47%
B. 57%
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C. 67%
D
D
D. 77%
Answer: C
3. What percentage of women 85 years and older in the United States in 2010 were widowed?
A. 35%
B. 52%
C. 73%
D. 91%
Answer: C
4. Compared with older men, older women are: (Select all that apply.)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: B, D, E
5. In 2030, which of the following is the percentage of the older population (65 years or older) that
is
projected to be White?
A. 47%
B. 54%
C. 67%
D. 74%
Answer: A
6. Which of the following cognition-related capacities typically decline with normal aging? (Select
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all that
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apply.)
A. Motivation
C. Knowledge
D. Learning
E. Wisdom
Answer: A, B, D
7. Daisy, a 77-year-old client, reports a gradual and slight loss of hearing, especially for higher
pitched tones.
A. Presbyopia
B. Presbycusis
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D. Otitis media
Answer: B
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A. 55%
B. 65%
C. 75%
D. 85%
Answer: C
A. Breast cancer
B. Lung cancer
C. Colorectal cancer
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D. Pancreatic cancer
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Answer: B
10. Mamie is a 76-year-old client who is suspected of having Alzheimer’s disease. To confirm this
suspicion,
the nurse should look for impairment in which of the following mental functions? (Select all that
apply.)
A. Visual acuity
B. Memory
C. Language
D. Attention
E. Ability to reason
Answer: B, C, D, E
11. A phenotype of positive aging that has been described in older women is focused on which of
the
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B. Physical functioning
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C. Presence of a disability
D. Social functioning
E. Emotional functioning
Answer: B, D, E
12. Which of the following are the benefits associated with weight-bearing aerobic exercise in
older women?
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D. Improved balance
D
D
E. Improved insulin resistance
Answer: B, D, E
13. Opal, who is 82 years old, would like information on vaccinations recommended for clients of
her age.
Which of the following should the nurse recommend? (Select all that apply.)
A. Annual influenza
B. Human papillomavirus
C. Onetime pneumococcal
D. Hepatitis B
E. Herpes zoster
Answer: A, C, E
14. What percentage of community-dwelling older adults take at least five prescription
medications?
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A. 29%
B. 39%
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C. 49%
D. 59%
Answer: A
Chapter 7 Women and Sexuality Catherine Ingram Fogel, Diane Marie Schadewald
1. Which of the following are dimensions of sexuality? (Select all that apply.)
A. Sexual desire
B. Sexual identity
C. Ethnic identity
D. Presentation of self
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E. Desire for achievement
D
D
Answer: A, B, D
2. Sexual health requires which of the following? (Select all that apply.)
Answer: B, D, E
3. Which of the following are characteristics of women’s sexual response? (Select all that apply.)
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: B, C, D
4. The Masters and Johnson model of human sexual response developed in the 1960s included
which series of
phases?
Answer: A
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5. The Kaplan model of human sexual response included which series of phases?
D
D
A. Excitement, plateau, orgasm, resolution
Answer: B
6. Basson’s model of female sexual response is based on which of the following premises?
C. Women can enter into sexual activity for reasons other than innate desire.
PY
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: C
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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7. According to a study by Robbins et al., what percentage of 17-year-old females reported ofever
having
masturbated?
A. 28%
B. 38%
C. 48%
D. 58%
Answer: D
8. Although there is variation, during what phase of life is it most likely that females, particularly
lesbians,
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CO
CO
T
T
O
O
N
N
O
O
A. Childhood
D
D
B. Adolescence
C. Adulthood
D. Midlife
Answer: C
is involved in a sexual relationship, Pamela says “yes.” Which follow-up question would be most
B. “Are you and your husband satisfied with your sex life?”
PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
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Answer: D
10. The nurse is conducting a sexual assessment with Wendy, a 16-year-old client, who appears
nervous. The
PY
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PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
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CO
CO
CO
T
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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nurse sees on Wendy’s questionnaire that her period is a week later than usual. What would be the
most
effective way for the nurse to begin the conversation with Wendy?
A. “Many young women your age experience irregular periods for different reasons. Is this
something you
are experiencing?”
B. “So, I see that your period is late. Do you think you are pregnant?”
C. “Have you been using condoms when you have sex with your boyfriend?”
D. “Don’t worry. It’s highly unlikely that you are pregnant, only being a week late.”
Answer: A
11. In the PLISSIT (permission, limited information, specific suggestions, and intensive therapy)
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CO
CO
model of
T
T
O
O
N
N
O
O
D
D
sexual health care interventions, the first step is which of the following?
Answer: D
12. When conducting a sexual assessment with a client, Ellie, the client gets angryand says that
her partner is
always so selfish and is only concerned with her own sexual needs. She relates a string of recent
experiences with her partner and then says, “What do you think I should do?” Which of the
following
A. “I agree that your partner is being selfish. You might consider breaking up with her.”
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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B. “Why don’t we schedule a follow-up appointment with you and your partner so that we can
discuss this
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CO
CO
T
T
O
O
N
N
O
O
D
D
PY
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CO
CO
CO
T
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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together.”
C. “When my husband is being selfish, I just refuse to have sex with him. Maybe you should do the
same.”
D. “Let me refer you to a good sex therapist I know. She is better trained to provide the kind of
care you
require.”
Answer: D
13. A patient reports chronic pain in the vulvar area that has persisted for 4 months. The nurse
recognizes this
A. Vulvodynia
PY
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CO
CO
CO
B. Vestibulodynia
T
T
O
O
N
N
O
O
D
D
C. Dyspareunia
Answer: A
14. A patient reports experiencing fear and anxiety just before having intercourse related to the
pain she
anticipates experiencing. She also reports feeling uncomfortable tension in her pelvic floor muscles
during
A. Vulvodynia
B. Vestibulodynia
C. Dyspareunia
Answer: D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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15. A nurse is counseling a 15-year-old client whose boyfriend wants her to try drinking acouple
of beers
before they have sex. Which of the following effects of alcohol use on sexual function should the
nurse
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CO
CO
T
T
O
O
N
N
O
O
D
D
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: C
1. The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT)
individuals
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CO
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T
T
O
O
N
N
O
O
A. Lack of awareness of need for care
D
D
B. Increased genetic risk
C. Hormonal changes
Answer: D
A. 1% to 2.5%
B. 3.8% to 10%
C. 10.3% to 15.8%
D. 16.1% to 21.7%
Answer: B
3. A nurse practitioner recently joined a practice with a diverse clientele, including persons of all
sexual
PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
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orientations and gender identities. How should the nurse approach these clients? (Select all that
apply.)
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CO
T
T
O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
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B. Ask all clients openly about their sexual orientation and gender identity
PY
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T
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O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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C. Assume all clients are heterosexual and cisgender unless they say otherwise
D. Personalize care based on relevant risk factors and individual patient behaviors
Answer: B, D
A. 5%
B. 3%
C. 1%
D. Unknown
Answer: D
PY
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CO
CO
CO
T
T
O
O
N
N
O
O
5. Which of the following is the most accurate statement regarding the etiology of homosexuality?
D
D
A. It is a genetic trait
D. It is a social construct
Answer: C
6. What was the last year that homosexuality appeared as a pathological condition in the
Diagnostic and
A. 1963
B. 1973
C. 1983
D. 1993
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: B
PY
PY
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
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CO
CO
CO
T
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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7. Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is
more
A. Live alone
B. Have HIV
E. Be homeless
Answer: A, C, D
8. What condition related to gender identity is included in the Diagnostic and Statistical Manual of
Mental
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CO
CO
T
T
O
O
N
N
O
O
Disorders, fifth edition (DSM-5)?
D
D
A. Gender dysphoria
C. Transgender disorder
Answer: A
9. Jackie is a 19-year-old transwoman who has arrived at the office today for a physical. What
health
disparities should the nurse assess for in Jackie? (Select all that apply.)
B. Depression
C. Multiple sclerosis
PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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E. Substance abuse
Answer: A, B, D, E
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
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PY
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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10. Meg is a 15-year-old bisexual client. Which of the following is Meg at a greater risk for than
her
C. Bipolar disorder
D. Homelessness
E. Suicidality
Answer: B, D, E
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CO
CO
1. The inability to carry out relevant roles due to the social impact of either a physical impairment
T
T
O
O
N
N
O
O
or a
D
D
functional limitation is known as which of the following?
A. Disorder
B. Disease
C. Disability
D. Distress
Answer: C
2. Which of the following is a condition that is “age related” rather than “ageing related”?
A. Cardiomyopathy
B. Osteoarthritis
C. Presbyopia
D. Presbycusis
Answer: A
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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3. Which of the following is a condition that is “ageing related” rather than “age related”?
A. Presbyopia
PY
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
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O
O
N
N
O
O
D
D
C
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T
O
O
N
N
O
O
D
D
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B. Breast cancer
C. Atherosclerosis
Answer: A
4. Which of the following are mechanisms by which early-onset injuries and illnesses increasethe
risk of loss
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CO
CO
D. Development of empathy for others with disabilities
T
T
O
O
N
N
O
O
D
D
E. Exacerbation of preexisting conditions
Answer: B, C, E
5. Sadie is a 52-year-old client with chronic back pain caused by an injury at work that has become
a
permanent disability. Which resources should the nurse help Sadie access benefits from? (Select all
that
apply.)
A. Veterans Administration
B. Workers’ compensation
Answer: B, D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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6. Which of the following is a risk factor for declining health in a woman with a later onset
disability?
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: C
7. Which of the following is a risk factor for declining health in a woman with a disability?
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CO
T
T
O
O
N
N
O
O
Answer: A
D
D
8. Which of the following is a risk factor for declining health in a woman with a disability?
D. Wearing dentures
Answer: A
9. To avoid a decline in health related to a sedentary lifestyle, the nurse should encourage Doris, a
63-year-old
woman who is blind, to engage in planned physical activity at least for how many days per week?
A. 1
B. 3
C. 5
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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D. 7
Answer: B
10. Which condition is a risk factor for declining health in a woman with a disability?
PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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A. Dementia
B. Dyslexia
D. Obsessive-compulsive disorder
Answer: A
MULTIPLE CHOICE
1. A pregnant woman tells the nurse that she got relief from nausea when she had a therapy that
involves pressure and massage on meridian sites. What type of therapy does this describe?
a. Acupuncture
b. Acupressure
PY
PY
PY
c. Aromatherapy
CO
CO
CO
T
T
O
O
N
N
d. Ayurveda
O
O
D
D
ANS: B
Acupressure uses finger pressure and massage on the meridian sites. It can be used during
pregnancy to control nausea, backache, and pain. It has been useful for minor postpartum problems
such as constipation.
2. Which child should not receive massage therapy?
a. 15-year-old with a fractured femur
b. 12-year-old with diabetes mellitus
c. 8-year-old with Down syndrome
d. 17-year-old with an eating disorder
ANS: C
Children with Down syndrome are prone particularly to cervical spine anomalies and may be
injured by massage therapy.
3. A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint
discomfort. Which essential oil is useful for children with chronic pain?
a. Lavender
b. Ephedra
c. Ginseng
d. Kava-kava
ANS: A
Lavender, chamomile, and sandalwood essential oils are useful in aromatherapy for children with
chronic pain.
4. A pregnant woman wishes to use aromatherapy during her labor and delivery. What is the most
PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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ANS: D
Citrus is one essential oil that has been shown to be useful during labor and delivery.
5. A parent asks the nurse, What is guided imagery? Which statement is the most accurate
response?
a. It is a technique where the patient focuses on an image to relieve stress.
b. It involves using water to promote relaxation.
c. The patient enters a hypnotic state of sleep to promote relaxation.
d. It helps the patient recognize tension in the muscles with responses on an electronic machine.
ANS: A
In guided imagery, by focusing on a specific image, stress reduction and improved performance
can result.
6. A woman taking St. Johns wort and ginseng daily is scheduled to have a hysterectomy in 3
weeks. What instruction should the nurse provide?
a. The herbs are not likely to cause any problems during the surgery.
b. The St. Johns wort must be stopped prior to surgery, but she can continue the ginseng.
c. The ginseng should be stopped 1 week before surgery.
d. She should discontinue taking both herbs 2 weeks before surgery.
ANS: D
PY
PY
PY
CO
CO
CO
T
T
Both St. Johns wort and ginseng can cause problems during surgery, and their use should be
O
O
N
N
O
O
D
D
discontinued 2 weeks before surgery.
7. Which herb can the nurse suggest to be used for discomforts associated with menopause, such as
hot flashes?
a. Evening primrose oil
b. Echinacea
c. Milk thistle
d. Black cohosh
ANS: D
Black cohosh diminishes hot flashes by reducing luteinizing hormone. It also reduces joint pain
and other menopausal discomforts.
8. A young mother asks, Is there an alternative medicine for children with asthma? Which form of
alternative medicine would be the most helpful for the nurse to suggest?
a. Reflexology
b. Rolfing
c. Guided imagery
d. Acupressure
ANS: C
The use of guided imagery has helped relieve some of the symptoms of asthma.
9. What is the difference between complementary therapy and alternative therapy?
a. Complementary therapy must be administered by a medical doctor.
b. Complementary therapy is administered with conventional therapy.
c. Complementary therapy replaces conventional therapy.
d. Complementary therapy is administered to a group of patients at the same time.
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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ANS: B
Complementary therapy is administered with conventional therapy, such as massage with muscle
relaxants for low back pain.
10. The nurse uses a diagram to show the location of meridians. How will the nurse explain the
definition of meridians?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
c. Can be enhanced by drinking hot tea
T
T
O
O
N
N
O
O
D
D
d. May contain mercury, alcohol, or arsenic
ANS: D
Homeopathic remedies often contain mercury, alcohol, or arsenic and are taken sublingually. All
Western medications should be stopped when the homeopathic therapy is begun. Caffeine drinks
are to be avoided during homeopathic treatment.
13. The focus of acupressure is to restore the balance of what?
a. Chi
b. Shiatsu
c. Yin and yang
d. Ayurveda
ANS: A
Acupressure is focused on the return of the balance of Chi to control disease processes.
14. A breastfeeding mother tells the nurse she is taking large doses of vitamin C to keep up her
energy. What should the nurse warn that large doses of vitamin C can cause in an infant?
a. Diarrhea
b. Jaundice
c. Colic
d. Retinal damage
ANS: C
Vitamin C can be passed on to a breastfeeding child through breast milk and can cause colic.
15. The pregnant patient with a stasis ulcer asks if she might be a candidate for hyperbaric oxygen
therapy (HBOT). What is the nurses best response?
a. Yes. Hyperbaric oxygen therapy should have no harmful effect on your baby.
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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b. No. High amounts of oxygen in your system will cause changes in your babys heart.
c. Yes. Hyperbaric oxygen therapy is a much better option than using antibiotics.
d. No. Hyperbaric oxygen therapy may cause the placenta to separate fromthe uterine wall.
ANS: B
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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High concentrations of oxygen in the mothers blood can cause closure of the ductus arteriosus and
cause fetal death.
16. A patient is providing history information to the admitting nurse about treatment used for
chronic pain. The patient reports she participates in a type of relaxation therapy that enables her to
recognize tension in the muscles via responses on an electronic machine and visual
electromyography responses. What type of therapy does the nurse record on admissionrecord?
a. Guided imagery
b. Biofeedback
c. Hypnotherapy
d. Chiropractic care
ANS: B
Biofeedback is a type of relaxation therapy that enables the patient to recognize tension in the
muscles via responses on an electronic machine and visual electromyography responses. The
process is also used by traditional health care providers for drug addiction and chronic pain control.
MULTIPLE RESPONSE
17. What conditions would a nurse expect to see treated with hyperbaric oxygen therapy (HBOT)?
(Select all that apply.)
PY
PY
PY
CO
CO
CO
a. Wounds
T
T
O
O
N
N
b. Carbon monoxide poisoning
O
O
D
D
c. Hyperemesis gravidarum
d. Decompression illness
e. Pneumonia
ANS: A, B, D
Hyperbaric oxygen therapy (HBOT) uses an airtight enclosure to provide compressed air or
oxygen under increased pressure. HBOT is used to revive children with carbon monoxide
poisoning, to aid wound healing, and to treat the diving syndrome known as decompression illness.
HBOT is contraindicated during pregnancy, because the increased oxygen saturation can cause the
ductus arteriosus to close, resulting in fetal death.
18. The mother of a pediatric patient asks the nurse about safety concerns with using herbal
supplements with children. Which herbal products would the nurse educate this mother are safe to
use in most of the pediatric population? (Select all that apply.)
a. Ephedra
b. Ginger
c. Fish oil
d. Chamomile
e. Aloe vera
ANS: B, C, D, E
Ginger, fish oil, chamomile and aloe vera are safe herbal products for children. However, some
herbs, such as ephedra, can be fatal to children.
19. The nurse points out that light therapy is used in the treatment of patients with which
disorder(s)? (Select all that apply.)
a. Digestive disorders
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Light therapy has proven effective in the treatment of persons with seasonal affective disorders.
Light therapy is also used in the treatment of jaundiced babies.
20. What advantage(s) of alternative health care should the nurse outline when providing
information to patients? (Select all that apply.)
a. Offering more patient control of health care
b. Offering a variety of health care advisors
c. Keeping patients from having to make decisions
d. Using natural products rather than chemical ones
e. Incorporating cultural beliefs and practices
ANS: A, B, D, E
Alternative health care actually promotes the patients decision making in care.
21. Which approaches to care are combined with osteopathy? (Select all that apply.)
a. Manipulation therapy
b. Aroma therapy
c. Herbal application
d. Pressure point therapy
e. Traditional medicine
ANS: A, D, E DIF:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
III Promotion of Gynecologic Health Care
Chapter 11 Menstruation and Related Problems and Concerns Kristine Alswager, Christine
Durler, Deborah Griswold
1:
The symptoms of premenstrual syndrome typically resolve
a:
by the end of
menses b:
about 2 weeks after the start of
menses c:
2 weeks before the onset of
menses d:
at the time of ovulation
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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2:
In premenstrual syndrome, there is a symptom-free interval of at least
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
1 week per
cycle b:
1 cycle out of
4 c:
2 weeks per
cycle d:
2 cycles per year
3:
The maximum estimated incidence of women with some physical or emotional premenstrual
PY
PY
PY
symptoms is
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
60%-70%
b:
45%-55%
c:
30%-40%
d:
75%-85%
4:
Premenstrual dysphoric disorder occurs in what percent of women?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
a:
5%
b:
75%
c:
50%
d:
25%
5:
In making the diagnosis of premenstrual syndrome or PMDD, the characteristic that is most
distinguishing is the
a:
duration of
symptoms b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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cyclic occurrence of
symptoms c:
degree of disability in the
patient d:
severity of symptoms
6:
Which of the following is most likely related to the underlying etiology of PMDD?
a:
Serotoni
n b:
PY
PY
PY
CO
CO
CO
T
T
Catecholamine
O
O
N
N
O
O
D
D
s c:
Norepinephrin
e d:
Progesterone
7:
The most useful diagnostic tool with respect to premenstrual syndrome is
a:
a careful
history b:
serial progesterone
levels c:
a prospective menstrual
diary d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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8:
Reduction or elimination of which of the following dietary components appears to have a
positive effect in PMS patients?
a:
Calciu
m b:
Fa
t c:
Fresh
fruit d:
PY
PY
PY
Magnesium
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
9:
Which of the following is most likely to help a patient's PMS symptoms
a:
Vaginal
progesterone b:
Transdermal
estrogen c:
Oral medroxyprogesterone
acetate d:
Combined oral contraceptives
10:
A 25-year-old woman with no medical problems comes in for her annual exam. She expresses the
worry that she has PMDD. She reports feeling bloated and moody when she has her period. The
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
treating her for
hypothyroidism b:
asking her to keep a menstrual diary for 2
months c:
ordering a pelvic
ultrasound d:
giving her a prescription of fluoxetine to be taken only during the luteal phase
11:
A patient keeps a menstrual diary for 2 months. The diary reveals that she has bloating, fatigue,
PY
PY
PY
anxiety, insomnia, and tearfulness in the days prior to her menses and that the symptoms resolve
CO
CO
CO
T
T
O
O
N
N
completely after her menses starts. She reports that her insomnia is so bad that it prevents her
O
O
D
D
from being efficient at work because she is not well rested. The most likely diagnosis for this
patient is
a:
bipolar
disorder b:
PMDD
c:
major depressive
disorder d:
PMS
12:
A patient with PMDD asks for some treatment options. You respond that the treatment that has
clearly demonstrated benefit for her condition is
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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GnRH
agonist b:
sertralin
e c:
danazo
l d:
ovarian suppression with high-dose depot medroxyprogesterone
13:
Which of the following has been shown to significantly improve the symptoms of women with
PMS?
PY
PY
PY
a:
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
Light therapy
b:
Vitamin
E c:
Evening
primrose d:
Aerobic exercise
14:
Which of the following would be the first line of treatment in the management of symptoms of
PMS?
a:
Selective serotonin reuptake
inhibitors b:
GnRH
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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agonist c:
Complex carbohydrate diet
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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d:
Oral contraceptive
15:
An important diagnosis to distinguish from PMDD is major depressive disorder. Which of the
following is increased in patients with major depressive disorder but not in patients with PMDD?
a:
Sleep
disturbance b:
Suicide
risk c:
PY
PY
PY
CO
CO
CO
Anxiet
T
T
O
O
N
N
O
O
D
D
y d:
Disordered eating
[ANS: a,a,d,a,b,a,c,b,d,b,b,b,d,c,b]
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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A 20-year-old white female G0 comes to see you about contraception. She is in college and
plans to go to grad school, so she wants something that is 100% effective in preventing
pregnancy. You explain to her that the method failure rate and the typical use rate can be very
different depending on the method chosen.
1:
A. The "method failure rate" reflects the rate of failure when the method is
a:
compared with the use of no contraception at
all b:
PY
PY
PY
CO
CO
CO
used correctly 100% of the
T
T
O
O
N
N
O
O
D
D
time c:
used by a random sample of
women d:
used in laboratory
animals e:
used in the laboratory setting
2:
B. The most common method of contraception among younger women in the United States is
a:
long-acting hormone (rod or
injection) b:
oral
contraceptive c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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rhyth
m d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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intrauterine device
(IUD) e:
spermicidal foam
3:
C. The pregnancy rate (% pregnant in 1 year) for a couple using no method ofcontraception
typically is
a:
25
b:
65
PY
PY
PY
c:
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
15
d:
45
e:
85
4:
D. In the first year of use, the typical use pregnancy rate for a woman using a
diagphragm and spermicide
a:
1
6
b:
2
0
c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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2
8
d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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8
e:
24
5:
E. In the first year of use, the typical use pregnancy rate for a woman using a copper
intrauterine contraceptive is
a:
8
b:
1.5
PY
PY
PY
CO
CO
CO
c:
T
T
O
O
N
N
O
O
D
D
0.8
d:
10
e:
3
6:
F. Which of the following is the least effective birth control option?
a:
Combination oral
contraceptives b:
Cervical
cap c:
Monthly transvaginal
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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ring d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Weekly transdermal
patch e:
Three-month injectable
7:
G. The failure of oral contraceptives usually is related to
a:
interference by other medications that the patient is
taking b:
an inherent problem in the estrogen-to-progesterone
ratio c:
PY
PY
PY
CO
CO
CO
T
T
altered gastrointestinal absorption of the oral contraceptive caused by hormonal
O
O
N
N
O
O
D
D
influences d:
ingestion of the oral contraceptive agent with
alcohol e:
missed doses of the oral contraceptive
8:
H. Which of the following contraceptive techniques relies the least on patient compliance?
a:
Contraceptive
ring b:
Combination
pill c:
Progestin pill
d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Contraceptive patch
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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e:
Contraceptive implant
A 24-year-old Latin American female G2P2 sees you for her annual. She is about to wean her
baby in a few months and is on the progesterone-only pill. She really likes this particular pill
because she has had no periods while breastfeeding. She wonders if she can continue to use it.
9:
A. You counsel her that one of the main reasons to consider switching to combination birth
control pills is
a:
better lipid
PY
PY
PY
CO
CO
CO
profile b:
T
T
O
O
N
N
O
O
D
D
better control of her
moods c:
better cycle
control d:
better weight
loss e:
better control of her acne
10:
B. Which of the following statements about the progestin-only minipill iscorrect?
a:
It cannot be started postpartum until at least 2 months after
delivery b:
It is taken once per
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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week c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A 34-year-old female G4P4 sees you for her annual exam. You notice that she uses natural
family planning for contraception. She states she desires no more pregnancies. You discuss
other options including long-acting reversible contraception and permanent sterilization. She
declines for religious reasons.
11:
A. Your next step should be to
a:
PY
PY
PY
CO
CO
CO
refuse to continue to see her as a
T
T
O
O
N
N
O
O
D
D
patient b:
laughingly tell her she is crazy and will probably see her pregnant again
next year c:
give her information on fertility awareness and encourage her to contact you with any
questions d:
advise her to talk to her partner and come back to discuss the
options e:
remind her that she is essentially using luck for contraception
12:
B. This woman's periods are regular, coming every 28 days. This patient's "fertile" period wouldbe
days
a:
10-17
b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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7-14
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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c:
7-17
d:
10-20
13:
C. Which of the following methods is most appropriate for this woman requesting a "natural"
method of family planning?
a:
Cervical
cap b:
PY
PY
PY
CO
CO
CO
Cervical mucus
T
T
O
O
N
N
O
O
D
D
method c:
Vaginal
ring d:
Female condom
A 20-year-old college student G0 sees you for her annual. Her gyn history is remarkable for
menarche at 13 years and regular cycles, but her periods last 7 to 9 days and are very painful.
Her college roommate had similar periods and got good results with birth control pills. During
the history you note that she smokes 1 pack per day. She has migraines that are preceded by
flashing lights. Her mother had breast cancer diagnosed at age 49 years and both her parents are
hypertensive.
14:
A. You are hesitant to prescribe birth control pills because of
a:
her migrines preceded by flashing
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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lights b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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15:
B. What is the primary mechanism of action of oralcontraceptives?
a:
PY
PY
PY
CO
CO
CO
T
T
Inhibit
O
O
N
N
O
O
D
D
ovulation b:
Impose a barrier between the sperm and the
egg c:
Create an environment in the uterus that is toxic to the
sperm d:
Destroy the embryo shortly after
fertilization e:
Alter the ability of the fertilized egg to implant and grow
16:
C. Which is a contraindication to the birth control pill?
a:
Smoking in a woman older than 35
years b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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c:
Dysmenorrhe
a d:
A history of ovarian cysts
17:
D. Other than investigating the cause, what action should be taken when a woman using
anoral contraceptive experiences a headache?
a:
Increase oral contraceptive to twice
daily b:
PY
PY
PY
CO
CO
CO
Switch to the phasic
T
T
O
O
N
N
O
O
D
D
pill c:
Continue oral
contraceptive d:
Discontinue all
contraception e:
Discontinue oral contraceptive
A 16-year-old sees you in the Derm Clinic. She is hesitant because she heard antibiotics made
"your birth control not work." You reassure her that most common antibiotics do not lessen the
effectiveness of birth control pills.
18:
A. When taken concurrently, which of the following will reduce the effecacy of oral
contraceptives?
a:
Tetracyclin
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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e b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Aspiri
n c:
Phenytoi
n d:
Metronidazol
e e:
Methyldopa
19:
B. Which of the following best describes "phasic" formulation of oralcontraceptives?
PY
PY
CO
CO
CO
T
T
b: They contain varying doses of hormones throughout the cycle
O
O
N
N
O
O
D
D
pack c: They are mostly used postpartum
d: They contain a higher dose of hormones per month than monophasic
contraceptive pills e: They have a different mechanism of action than monophasic
pills
20: In which of the following casses should biphasic oral contraceptives be discontintued?
A: Galactorrhea
b:Right upper quadrant pain
c:Amenorrhea
d:Anemia
e:Hepatic mass with tenderness
ANS: [b,b,e,c,c,b,e,e,c,d,c,a,b,a,a,a,c,c,b,e]
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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1. Ingrid is a 32-year-old client who has struggled to get pregnant and has come to the office today
to find out
if she might be infertile. In Ingrid’s case, which of the following criteria must be met for infertility
to be
A. No prior pregnancies
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
Answer: B, C, D, E
D
D
2. At what age is it estimated that fertility begins to decline in women?
A. 30
B. 35
C. 40
D. 45
Answer: B
3. For the period 2011 to 2013, about what percentage of women aged 15 to 44 years reported
difficulty
A. 24%
B. 34%
C. 44%
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D. 54%
Answer: A
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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4. Bonnie is a 31-year-old client who has been trying to get pregnant for 18 months now. After
interviewing
Bonnie and going over her health record, which of the following are the risk factors for infertility,
as should
Answer: B, C, D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
5. Minnie is a 21-year-old client who has just been diagnosed with chlamydia. What complication
D
D
associated
with this infection that can lead to infertility should the nurse inform Minnie of?
B. Epididymitis
C. Ovarian cancer
D. Endometriosis
Answer: A
6. Mike, a 40-year-old client, is coming to the office to undergo assessment related to infertility.
Which of the
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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C. Undergo an EKG
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: D
7. Which of the following are risk factors for males related to infertility? (Select all that apply.)
A. Undescended testicles
D. Erectile dysfunction
E. Mumps-related orchitis
Answer: A, B, D, E
8. Hope, a 35-year-old client, has been diagnosed with oligomenorrhea. Which of the following are
medications the nurse should consider prescribing to Hope to induce ovulation and aid conception?
PY
PY
PY
CO
CO
CO
(Select
T
T
O
O
N
N
O
O
D
D
all that apply.)
A. Mifepristone
B. Levonorgestrel
C. Clomiphene citrate
D. Aromatase inhibitor
Answer: C, D, E
9. Which assistive reproductive technology has a higher fecundability than natural conception?
A. Intrauterine insemination
C. In vitro fertilization
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: C
10. What recommendations related to use of reproductive technologies should the nurse follow to
help avoid
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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E. Insist that the offspring conceived by gamete donation be informed ofthe nature of conception
by the age
of 12 years
Answer: B, C, D
11. A client with ovarian cancer who will be undergoing surgery and radiation therapy is
concerned that she
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
will become infertile as a result of the treatment. Which of the following should the nurse
D
D
recommend that
B. Estrogen therapy
C. Intrauterine insemination
D. Adoption
Answer: A
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Chapter 14 Vaginitis and Sexually Transmitted Diseases Susan D. Schaffer, Jane Houston
A 16-year-old virginal is brought in by her mother because of possible vaginal infections. Which
of the following descriptions is most consistent with normal (physiologic) discharge?
a:
White, clear, and
flocculent b:
White, curds, cottage cheese-
like c:
Gray-green, thin, and
adherent d:
Gray-green, frothy
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
2:
A 24-year-old patient requests treatment for what she believes is a bacterial infection of the
vagina. Which of the following is characteristic of vaginal discharge in cases of bacterial
vaginosis?
a:
Fishy
odor b:
pH<4.5
c:
Whitish color
d:
Curdy consistency
3:
A 40-year-old patient has recently been treated for a urinary tract infection with antibiotics. She
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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a:
presence of hyphae and
buds b:
thin, homogeneous
consistency c:
white cells
d:
foul odor
4:
A 30-year-old patient is seen for a vaginal discharge that started after she had relations with a new
PY
PY
PY
partner. Which of the following characterizes vaginal trichomoniasis?
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
a:
pH of discharge less than
4.5 b:
Vaginal
dryness c:
White
discharge d:
Motile protozoa on microscopic examination
5:
A 55-year-old patient has recently developed vaginal irritation. Her last menstrual period was 9
months ago. Which of the following is characteristic of atrophic vaginitis?
a:
Increased circulating estrogen levels
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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b:
Thickened vaginal
epithelium c:
Vaginal
dryness d:
pH of vagina less than 4.5
6:
Most of the liquid portion of physiologic vaginal secretions in a woman of reproductive age
comes from
a:
PY
PY
PY
CO
CO
CO
vaginal
T
T
O
O
N
N
O
O
D
D
transudate b:
the cervix
c:
the Skene
glands d:
the Bartholin glands
7:
In a 33-year-old woman with regular periods, the creamy white portion of normal vaginal
secretions comes from
a:
exfoliated squamous epithelial
cells b:
vaginal white blood
cells c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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cervical mucus
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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d:
the Bartholin glands
8:
A 19-year-old patient who was concerned about vaginal discharge was found to have normal
vaginal secretions. Which of the following is the most appropriate management?
a:
Return as needed.
b:
Return after a single pill of
fluconazole. c:
PY
PY
PY
CO
CO
CO
Return after a 3-day course of
T
T
O
O
N
N
O
O
D
D
metronidazole. d:
Return after the next period.
9:
The normal pH of vaginal secretions in a reproductive-age woman is
a:
3.5-4.5
b:
6.5-7.5
c:
5.0-6.0
d:
8.0-9.0
10:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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What is the difference in the normal pH of the vagina before and after menopause?
a:
Same in pre- and postmenopausal
patient b:
Varies depending on the phase of the premenopausal
cycle c:
Higher in premenopausal
patient d:
Higher in postmenopausal patient
11:
PY
PY
PY
CO
CO
CO
T
T
A 38-year-old patient requests treatment for a yeast infection but declines an examination
O
O
N
N
O
O
D
D
because she is on her period. The most common symptom associated with vulvovaginal
candidiasis is
a:
pai
n b:
feve
r c:
fishy smelling
discharge d:
pruritus
12:
A 38-year-old patient requests evaluation of a fishy-smelling discharge. Which of the
following is a criterion for the diagnosis of bacterial vaginosis?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Presence of clue
cells b:
Negative "whiff"
test c:
Cottage cheese-like
discharge d:
pH less than 4.5
13:
A 45-year-old woman complains of a copious vaginal discharge. Which of the following is a
common cause of increased vaginal discharge?
PY
PY
PY
CO
CO
CO
a:
T
T
O
O
N
N
O
O
D
D
Trichomonias
is b:
Herpe
s c:
Human
papillomavirus d:
Atrophic vaginitis
14:
A 25-year-old patient complains of vaginal discharge that is white and curdy in appearance. What
is the appropriate method to establish the diagnosis?
a:
Constellation of
symptoms b:
Odor of the discharge
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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c:
The amount of
discharge d:
Microscopic examination of the discharge
15:
What is the normal ratio of anaerobic to aerobic bacteria in the vagina?
a:
1 to
5 b:
5 to
PY
PY
PY
CO
CO
CO
T
T
1 c:
O
O
N
N
O
O
D
D
1 to
1 d:
10 to 1
16:
A 21-year-old patient complains of a vaginal discharge but is also concerned about pelvic
inflammatory disease (PID). Which type of vaginitis is associated with PID?
a:
Trichomonas
vulvovaginitis b:
Atrophic
vaginitis c:
Desquamative inflammatory
vaginitis d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Vaginal candidiasis
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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17:
Which of the following best describes a "clue cell"?
a:
Clumped white blood
cells b:
Vaginal epithelial cells with adherent
bacteria c:
Keratinized vaginal epithelial cells with adherent white
blood cells d:
Immature vaginal epithelial cells
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
18:
A 30-year-old patient is found to have Trichomonas. She asks about multiple other symptoms that
she is concerned about. She can be informed that Trichomonas vaginalis is a flagellate protozoan
that can live in the
a:
oropharyn
x b:
vagin
a c:
bladde
r d:
anus
19:
In which of the following is treatment of sexual partners recommended?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
Trichomonas
vaginitis b:
Atrophic
vaginitis c:
Bacterial
vaginosis d:
Vulvovaginal candidiasis
20:
A 29-year-old patient is undergoing evaluation for a symptomatic discharge. Which of the
PY
PY
PY
following characterizes the microscopic appearance of Trichomonas?
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
a:
Ground-glass
cytoplasm b:
Pseudohypha
e c:
Flagellate
protozoan d:
Bacillus
21:
What characteristic lesions may be found in the upper vagina or on the cervix of patients with
Trichomonas vaginalis?
a:
Ulcer
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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s
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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b:
White plaques
c:
Clear
blisters d:
Petechiae
22:
A 26-year-old patient is told by her boyfriend that he has Trichomonas. She has developed a
copious discharge recently. The standard treatment for Trichomonas vaginal infection is
a:
PY
PY
PY
CO
CO
CO
oral
T
T
O
O
N
N
O
O
D
D
clindamycin b:
oral
fluconazole c:
oral
metronidazole d:
topical synthetic imidazoles
23:
A 30-year-old patient is receiving a prescription for metronidazole for the treatment of
Trichomonas. What additional advice should she receive?
a:
Avoid nonsteroidal anti-inflammatory
agents b:
Avoid
alcohol c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Avoid
caffeine d:
Take vitamin supplementation
24:
A 22-year-old patient inquires as the origin of the yeast infection for which she is being treated.
She can be informed that the most common source of monilial infections of the vagina is
a:
sexual contact with an infected
partner b:
bath water retained in the vagina following
PY
PY
PY
bathing c:
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
contaminated
clothing d:
airborne colonization
25:
Roughly 90% of vaginal "yeast" infections are caused by
a:
Candida
tropicalis b:
Torulopsis
glabrata c:
Candida
glabrata d:
Candida albicans
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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The nurse is developing a plan of care for a client who is receiving highly active antiretroviral
1. therapy (HAART) for treatment of HIV. The goal of this therapy is to:
A) Promote the progression of disease
B) Intervene in late-stage AIDS
C) Improve survival rates
D) Conduct additional drug research
A woman who is HIV-positive is receiving HAART and is having difficulty with compliance.
2. To promote adherence, which of the following areas would be most important to assess initially?
A) The womans beliefs and education
B) The womans financial situation and insurance
C) The womans activity level and nutrition
D) The womans family and living arrangements
When developing a teaching plan for a community group about HIV infection, which group
3. would the nurse identify as an emerging risk group for HIV infection?
A) Native Americans
B) Heterosexual women
C) New health care workers
D) Asian immigrants
PY
PY
PY
CO
CO
CO
T
T
After teaching a group of adolescents about HIV, the nurse asks them to identify the major
O
O
N
N
O
O
D
D
4. means by which adolescents are exposed to the virus. The nurse determines that the teaching
was successful when the group identifies which of the following?
A) Sexual intercourse
B) Sharing needles for IV drug use
C) Perinatal transmission
D) Blood transfusion
The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which
5. of the following would indicate to the nurse that the client has AIDS?
A) 1,000 cells/mm3
B) 700 cells/mm3
C) 450 cells/mm3
D) 200 cells/mm3
When obtaining the health history from a client, which factor would lead the nurse to suspect
6. that the client has an increased risk for sexually transmitted infections (STIs)?
A) Hive-like rash for the past 2 days
B) Five different sexual partners
C) Weight gain of 5 lbs in 1 year
D) Clear vaginal discharge
Assessment of a female client reveals a thick, white vaginaldischarge. She also reports intense
7. itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:
A) Trichomoniasis
B) Bacterial vaginosis
C) Candidiasis
D) Genital herpes simplex
A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client
8. to avoid which of the following while taking this drug?
A) Alcohol
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B) Nicotine
C) Chocolate
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D) Caffeine
A woman gives birth to a healthy newborn. As part of the newborns care, the nurse instills
9. erythromycin ophthalmic ointment as a preventive measure related to which STI?
A) Genital herpes
B) Hepatitis B
C) Syphilis
D)Gonorrhea
10.Which findings would the nurse expect to find in a client with bacterial vaginosis?
A) Vaginal pH of 3
B) Fish-like odor of discharge
C) Yellowish-green discharge
D) Cervical bleeding on contact
A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses
11.the risk of transmitting the infection to her newborn, explaining that this infection is transmitted
to the newborn through the:
A) Amniotic fluid
B) Placenta
C) Birth canal
D) Breast milk
PY
PY
PY
12.The nurse encourages a female client with human papillomavirus (HPV) to receive continued
CO
CO
CO
T
T
follow-up care because she is at risk for:
O
O
N
N
O
O
D
D
A) Infertility
B) Dyspareunia
C) Cervical cancer
D) Dysmenorrhea
13.A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the clients
medical record, which of the following would the nurse expect to find? (Select all that apply.)
A) Oral temperature of 100.4 degrees F
B) Dysmenorrhea
C) Dysuria
D) Lower abdominal tenderness
E) Discomfort with cervical motion
F) Multiparity
14.Which instructions would the nurse include when teaching a woman with pediculosis pubis?
A) Take the antibiotic until you feel better.
B) Wash your bed linens in bleach and cold water.
C) Your partner doesnt need treatment at this time.
D) Remove the nits with a fine-toothed comb.
15.A client with genital herpes simplex infection asks the nurse, Will I ever be cured of this
infection? Which response by the nurse would be most appropriate?
A) There is a new vaccine available that prevents the infection from returning.
B) All you need is a dose of penicillin and the infection will be gone.
C) There is no cure, but drug therapy helps to reduce symptoms and recurrences.
D) Once you have the infection, you develop an immunity to it.
A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed
16.with genital herpes. Which of the following would the nurse expect to include as a possible
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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E) Sexual intercourse.
17.After teaching a class on sexually transmitted infections, the instructor determines that the
teaching was successful when the class identifies which statement as true?
A) STIs can affect anyone if exposed to the infectious organism.
B) STIs have been addressed more on a global scale.
C) Clients readily view the diagnosis of STI openly.
D) Most individuals with STIs are over the age of 30.
A group of students are reviewing information about STIs. The students demonstrate
18.understanding of the information when they identify which of the following as the most
common bacterial STI in the United States?
A) Gonorrhea
B) Chlamydia
C) Syphilis
D) Candidiasis
19.A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of the
following would the nurse identify?
A) Asian American ethnicity
B) Age under 25 years
C) Married
PY
PY
PY
D) Consistent use of barrier contraception
CO
CO
CO
T
T
O
O
N
N
20.A nurse at a local community clinic is developing a program to address STI prevention. Which
O
O
D
D
of the following would the nurse least likely include in the program?
A) Outlining safer sexual behavior
B) Recommending screening for symptomatic individuals
C) Promoting the use of barrier contraceptives
D) Offering education about STI transmission
After teaching a class on preventing pelvic inflammatory disease, the instructor determines that
21.the teaching was successful when the class identifies which of the following as an effective
method?
A) Advising sexually active females to use hormonal contraception
B) Encouraging vaginal douching on a weekly basis.
C) Emphasizing the need for infected sexual partners to receive treatment
D) Promoting routine treatment for asymptomatic females as risk
22.A group of nursing students are reviewing information about vaccines used to prevent STIs. The
students would expect to find information about which of the following?
A) HIV
B) HSV
C) HPV
D) HAV
E) HBV
A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse
23.is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and the
daughter receives her first dose. The nurse schedules the daughter for the next dose, which
would be given at which time?
A) In 2 month
B) In 2 months
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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C) In 3 months
D) In 4 months
24.A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects
trichomoniasis based on which of the following? (Select all that apply.)
A) Urinary frequency
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B) Yellow/green discharge
C) Joint pain
D) Blister-like lesions
E) Muscle aches
25.A nurse is teaching a women with genital ulcers how to care for them. Which statement by the
client indicates a need for additional teaching?
A) I need to wash my hands after touching any of the ulcers.
B) I need to abstain from intercourse primarily when the lesions are present.
C) I should avoid applying ice or heat to my genital area.
D) I can try lukewarm sitz baths to help ease the discomfort.
Answer Key
1. C
2. A
3. B
4. A
5. D
6. B
PY
PY
PY
CO
CO
CO
7. C
T
T
O
O
N
N
8. A
O
O
D
D
9. D
10.B
11.B
12.C
13.B, C, D, E
14.D
15.C
16.A, C, D, E
17.A
18.B
19.B
20.B
21.C
22.C, D, E
23.B
24.A, B
25.B
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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1:
Enterocele is defined as herniation of what organ through the vagina?
a:
Uteru
s b:
Bladde
r c:
Small bowel
PY
PY
PY
CO
CO
CO
T
T
O
O
d:
N
N
O
O
D
D
Urethra
2:
A 45-year-old patient complains of frequent loss of urine when she coughs, laughs, or strains.
The volume lost is small. She does not report any dysuria. Which type of incontinence does she
have?
a:
Urg
e b:
Overflo
w c:
Stres
s d:
Psychogenic
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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3:
A 45-year-old patient complains of frequent loss of urine. The volume lost is small, but it occurs
almost continuously. She denies urgency, has no dysuria, and voids frequently but in small
amounts. She does
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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not ever feel "full" but also never has the sense that she has completely emptied her bladder.
What type of incontinence best describes her condition?
a:
Behavior
al b:
Overflo
w c:
Urg
e d:
Stress
PY
PY
PY
CO
CO
CO
4:
T
T
O
O
N
N
O
O
D
D
A 22-year-old patient complains of occasional loss of urine. She reports a sense of intense
fullness and "a need to go" just before the urine is lost. She voids infrequently but in large
amounts. She does not ever feel that she "gets enough warning" to get to the bathroom. What
type of incontinence does she have?
a:
Overflo
w b:
Psychogeni
c c:
Urg
e d:
Stress
5:
A 22-year-old patient complains of continuous loss of urine since her cesarean delivery 1
month ago. This patient's problem is most likely due to
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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a:
vesicovaginal
fistula b:
stress
incontinence c:
overflow
incontinence d:
behavioral incontinence
6:
A cystocele may best be demonstrated clinically by
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
a:
use of a Sims speculum to retract the anterior vaginal
wall b:
gentle traction on the
cervix c:
observing posterior rotation of the anterior vaginal wall in response to change in
position d:
use of a Valsalva maneuver
7:
A patient who loses urine when she coughs or sneezes most likely has a(n)
a:
urethral prolapse
(urethrocele) b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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enterocele
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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c:
rectocel
e d:
cystocele
8:
A "Q-tip test" is used to evaluate
a:
residual urine
b:
urethral
PY
PY
PY
CO
CO
CO
T
T
mobility c:
O
O
N
N
O
O
D
D
posterior vaginal wall
support d:
uterine prolapse
9:
When performing a "Q-tip test," incontinence is generally associated with upward rotation of
a:
45 degrees
b:
10 degrees
c:
20 degrees
d:
30 degrees
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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10:
What term is applied when the cervix descends below the vulva?
a:
Rectocel
e b:
Enterocel
e c:
Procidenti
a d:
Cystocele
PY
PY
PY
CO
CO
CO
T
T
11:
O
O
N
N
O
O
D
D
Pelvic muscle training programs are most useful for what type of incontinence?
a:
Psychogeni
c b:
Overflo
w c:
Urg
e d:
Stress
12:
What is the purpose of Kegel exercises?
a:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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b:
Increase bladder
awareness c:
Strengthen pelvic floor
muscles d:
Tighten uterine ligaments
13:
A 45-year-old patient is undergoing nonsurgical management of genitourinary problems related to
her recent pregnancy. Kegel exercises may be useful in a patient with
a:
PY
PY
PY
CO
CO
CO
dyspareuni
T
T
O
O
N
N
O
O
D
D
a b:
mild stress
incontinence c:
symptomatic
rectocele d:
second-degree prolapse of the uterus
14:
What is the primary purpose of a ring pessary?
a:
Decrease bladder
capacity b:
Obstruct the urethra
c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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d:
Provide mechanical support
15:
Which of the following surgical procedures obliterates the vaginal canal?
a:
Sacral
colpopexy b:
Colpocleis
is c:
Posterior
PY
PY
PY
CO
CO
CO
T
T
O
O
colporrhaphy d:
N
N
O
O
D
D
Burch procedure
16:
What percent of women will suffer a urinary tract infection at some point in their lives?
a:
90%
b:
10%
c:
60%
d:
30%
17:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
10%
b:
<5%
c:
30%
d:
20%
18:
A 30-year-old patient is evaluated for a possible urinary tract infection. The culture of a urine
PY
PY
PY
sample is reported to show greater than 100,000 colonies of "mixed flora." This is most likely
CO
CO
CO
T
T
O
O
indicative of
N
N
O
O
D
D
a:
trigoniti
s b:
upper urinary tract
infection c:
a contaminated
specimen d:
infection of the proximal urethra
19:
In a symptomatic patient, which of the following is indicative of lower urinary tract infection?
a:
>100,000 colonies of mixed
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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flora b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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20:
Cystocele is best defined as
a:
descent or prolapse of the
rectum b:
PY
PY
PY
CO
CO
CO
T
T
descent or prolapse of the
O
O
N
N
O
O
D
D
urethra c:
descent or prolapse of the
bladder d:
herniation of the top of the vagina
21:
Which of the following is the best description of a rectocele?
a:
herniation of the top of the
vagina b:
descent or prolapse of the
rectum c:
descent or prolapse of the
urethra d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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22:
Procidentia describes uterine descent beyond the
a:
vulv
a b:
ischial
spines c:
level of the uterine artery
d:
plane of the pelvic inlet
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
23:
What is the stage of prolapse when the leading part of the prolapse is more than 1 cm beyond
the hymen but less than or equal to the total vaginal length?
a:
I
b:
III
c:
II
d:
IV
24:
What is the condition in which the bladder forces the anterior vaginal wall down and out?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
Cystocel
e b:
Enterocel
e c:
Rectocel
e d:
Procidentia
25:
Which of the following is the best way to identify a urethral diverticulum?
PY
PY
PY
CO
CO
CO
T
T
a:
O
O
N
N
O
O
D
D
Multichannel urodynamic
testing b:
The Q-tip
test c:
Cystourethroscop
y d:
Single-channel urodynamic testing
ANS:[ ccbca dabdc dcbdb bcdcd
babac ]
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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1. While conducting a physical examination on a female adolescent client, you note that glandular
tissue has
developed under the areola of her breast and that the nipple and breast project as a single mound.
At which
A. 1
B. 2
C. 3
D. 4
Answer: B
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
2. Tamara is a 7-year-old client who is already showing signs of breast development and growth of
D
D
pubic hair.
A. Premature telarche
B. Amastia
C. Precocious puberty
D. Polythelia
Answer: C
3. Denisa is a 48-year-old client who complains of spontaneous discharge of milk from both
breasts. She says
she is taking valsartan for her blood pressure and bupropion Hcl for depression. A pregnancy test
comes
back negative, and her prolactin level is 14 ng/mL. What condition does Denisa most likely have?
A. Galactorrhea
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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B. Prolactinoma
C. Increased vascularity
D. Intraductal papilloma
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: A
4. You are teaching about breast care to Maria, a client who just gave birth and who plans to
breastfeed her
child. Which instruction should you give her to help prevent nipple fissures?
Answer: B
5. You have just completed a clinical breast exam on Casey, a healthy 23-year-old client with no
personal or
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
family history of breast cancer. You should advise Casey to have a clinical breast exam how often?
D
D
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Answer: C
6. Margaret is a client who has a documented breast cancer (BRCA) 1 mutation and is at a high
risk for breast
cancer. Which diagnostic procedure is recommended by the American Cancer Society to screen
Margaret
A. Ultrasound
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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C. Mammogram
D. Chest x-ray
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: B
7. Tiffany is a client who has a large cyst in her breast. Which intervention would be most
appropriate for
resolving the cyst and obtaining a fluid sample to send to the laboratory for cytology studies?
B. Incisional biopsy
C. Excisional biopsy
Answer: D
8. Miranda is a 25-year-old client who is concerned about her risk for developing breast cancer.
Which of the
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
following should you point out to Miranda as risk factors for breast cancer? (Select all that apply.)
D
D
A. Being 25 years old
Answer: B, C, E
9. Katherine is a 30-year-old client who recently learned that she has the BRCA 1 gene mutation
and is
terrified that she might develop breast cancer. She lost her mother to breast cancer a few years ago
and is
prepared to take drastic measures to reduce her risk. She has a body mass index of 24, and drinks a
glass of
wine daily. Which of the following interventions would most effectively lower Katherine’s risk for
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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C. Losing 20 lb
Answer: D
10. Marcy has been diagnosed with breast cancer. Her tumor is about 3 cm in diameter. What is the
T stage of
Marcy’s tumor?
A. T1
B. T2
C. T3
D. T4
PY
PY
PY
CO
CO
CO
Answer: B
T
T
O
O
N
N
O
O
D
D
11. Kelly is a client who was recently diagnosed with breast cancer. She has a tumor 6 cm in
diameter and
several positive nodes outside the axillary nodes, with no distant metastasis. What stage is Kelly’s
cancer?
A. 1
B. 2
C. 3
D. 4
Answer: C
12. Eva recently underwent a lumpectomy for treatment of her 7-cm tumor. What additional
treatment should
A. Radiation therapy
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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B. Chemotherapy
C. Hormonal therapy
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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D. Biological therapy
Answer: A
13. Harriet has been diagnosed with HER2-positive breast cancer. Which treatment would allow
targeting of
the cancer cells more specifically and thus would likely produce fewer side effects?
A. Radiation therapy
B. Chemotherapy
C. Hormonal therapy
D. Biological therapy
Answer: D
PY
PY
PY
CO
CO
CO
14. Pamela is a client who is preparing to undergo chemotherapy to treat her breast cancer. What
T
T
O
O
N
N
O
O
instructions
D
D
should you give her to help reduce the risk of acquiring infections? (Select all that apply.)
Answer: A, B, D, E
15. Women who are diagnosed with early breast cancer are thought to have what chance of
survival?
A. 60%
B. 70%
C. 80%
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D. 90%
Answer: D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Chapter 18 The Menopausal Transition Catherine Juve, Valerie T. Cotter, Ellis Quinn Youngkin
1. Which of the following most accurately characterizes the way Western societies view
menopause?
C. A nonentity
Answer: A
2. Postmenopausal women are at increased risk for which of the following? (Select all that apply.)
A. Heart disease
PY
PY
PY
CO
CO
CO
B. Lupus
T
T
O
O
N
N
O
O
D
D
C. Osteoporosis
D. Diabetes
E. Turner syndrome
Answer: A, C, D
A. 45 years
B. 48 years
C. 51 years
D. 54 years
Answer: C
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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B. The period of time from the onset of menopause-related symptoms to 12 months following the
last
menstrual period
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: B
5. Which of the following changes typically occur in perimenopause? (Select all that apply.)
Answer: B, C
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
6. What effect does smoking have on the timing of the onset of menopause?
Answer: B
A. Hispanic
B. African American
C. White
D. Japanese
Answer: D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A. 3%
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B. 13%
C. 23%
D. 33%
Answer: D
9. What is the single most common menopause-related symptom among postmenopausal women?
A. Irritability
B. Sleep disturbances
C. Hot flashes
D. Fatigue
Answer: C
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O
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N
O
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10. Kayla, a 47-year-old client, has been diagnosed with genitourinary syndrome. On the basis of
D
D
this
diagnosis, the nurse recognizes that Kayla most likely experiences which of the following
symptoms,
B. Vaginal dryness
C. Vulvovaginal atrophy
D. Hot flashes
E. Dyspareunia
Answer: B, C, E
A. Vital signs
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O
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N
O
O
D
D
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T
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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C. Endoscopic examination
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O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
C
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T
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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E. Pelvic examination
Answer: A, B, D, E
12. Daphne is a 49-year-old perimenopausal client who has been experiencing severe hot flashes in
recent
months. To help Daphne alleviate this symptom, the nurse should recommend that she avoid which
of the
A. Caffeine
B. Alcohol
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C. Dairy products
T
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O
O
N
N
O
O
D
D
D. Spicy foods
E. Meats
Answer: A, B, D
13. Nova, a 47-year-old perimenopausal client, has heard that isoflavones can help reducethe
severity of hot
flashes. Which foods should the nurse mention as containing isoflavones? (Select all that apply.)
A. Ginger
B. Red clover
C. Ginseng
D. Soy
E. Alfalfa
Answer: B, D
14. Lyla, a 45-year-old client who recently entered perimenopause, tells her nurse that she has seen
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O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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“natural”
hormones advertised and asks about them. Which of the following should the nurse tell Lyla about
these
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O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: D
15. The nurse is providing counseling to Renee, a 37-year-old client who has entered
perimenopause
prematurely. Which of the following should the nurse tell Renee to expect as a result of this
condition,
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O
O
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compared with women who enter perimenopause at the typical time? (Select all that apply.)
D
D
A. Less severe menopause-related symptoms
Answer: B, C
The United States ranks 50th in the world for maternal mortality and 41st among industrialized
1. nations for infant mortality rate. When developing programs to assist in decreasing these rates,
which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive womens shelters
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T
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O
O
N
N
O
O
D
D
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
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T
T
O
O
N
N
O
O
D
D
PY
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T
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O
O
N
N
O
O
D
D
C
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T
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
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B) Heart disease
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O
O
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N
C) Diabetes
O
O
D
D
D)Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers attitudes
C) Transportation
D)Finances
After teaching a group of nursing students about the issue of informed consent. Which of the
7. following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His
8. parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the childs aunt or uncle to obtain their consent
D)Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A) Childbirth affects the entire family, and relationships will change.
B) Families are not capable of making health care decisions for themselves.
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T
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O
O
N
N
O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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T
T
O
O
N
N
O
O
D
D
PY
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T
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O
O
N
N
O
O
D
D
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O
O
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N
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O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with
11.the understanding that based on this clients cultural background, the client most likely views
illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy,
12.labor, and childbirth. Which of the following would be most important for the nurse to
incorporate into that plan?
A) Adhering to strict, specific routines
B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support team
A nursing instructor is preparing a class discussion on case management in maternal and
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13.newborn health care. Which of the following would the instructor include as a key component?
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O
O
N
N
O
O
Select all that apply.
D
D
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care
14.After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
A) The rate includes accidental causes for deaths.
B) It addresses pregnancy-related causes.
C) The duration of the pregnancy is not a concern.
D) The time frame is typically for a specified year.
A group of students are reviewing the historical aspects about childbirth. The students
15.demonstrate understanding of the information when they identify the use of twilight sleep as a
key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16.A nurse is providing care to a woman who has just delivered a healthy newborn. Which action
would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
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T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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17.When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
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CO
T
T
O
O
N
N
O
O
D
D
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PY
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CO
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T
T
O
O
N
N
O
O
D
D
C
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T
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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CO
A) Women have similar symptoms as men for a heart attack.
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T
O
O
N
N
O
O
B) Heart disease is no longer viewed as a mans disease.
D
D
C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
A nurse is working to develop a health education program for a local community to address
21.breast cancer awareness. Which of the following would the nurse expect to include when
describing this problem to the group? Select all that apply.
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
A group of nursing students are reviewing information about factors affecting maternal,
22.newborn, and womens health. The students demonstrate understanding of the information when
they identify which of the following deficiencies as being associated with poverty? Select all
that apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
Answer Key
1. B
2. C
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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3. D
4. B
5. B
6. D
7. A
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O
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N
O
O
D
D
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O
O
N
N
O
O
D
D
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D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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8. A
9. A
10.D
11.D
12.C
13.A, B, C, D
14.A
15.C
16.C
17.B, C, D
18.C
19.B, E
20.C
21. A, B
22. A, B, C, D, E
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Frisvold, Joan Corder-Mabe
T
T
O
O
N
N
O
O
D
D
After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy.
1. about her condition, which of the following statements indicates that the nurses teaching was
successful?
A) I will be sure to avoid getting pregnant for at least 1 year.
B) My intake of iron will have to be closely monitored for 6 months.
C) My blood pressure will continue to be increased for about 6 more months.
D) I wont use my birth control pills for at least a year or two.
2. Which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a
hydatidiform mole?
A) Complaint of frequent mild nausea
B) Blood pressure of 120/84 mm Hg
C) History of bright red spotting 6 weeks ago
D) Fundal height measurement of 18 cm
3. A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which
finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D)Difficulty in arousing
4. Upon entering the room of a client who has had a spontaneous abortion, the nurse observesthe
client crying. Which of the following responses by the nurse would be most appropriate?
A) Why are you crying?
B) Will a pill help your pain?
C) Im sorry you lost your baby.
D) A baby still wasnt formed in your uterus.
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T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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5. Which of the following data on a clients health history would the nurse identify as contributing
to the clients risk for an ectopic pregnancy?
A) Use of oral contraceptives for 5 years
B) Ovarian cyst 2 years ago
C) Recurrent pelvic infections
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T
T
O
O
N
N
O
O
D
D
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T
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O
O
N
N
O
O
D
D
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O
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N
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D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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9. includes interventions focusing on which of the following because of the womans increased
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O
risk?
N
N
O
O
D
D
A) Oligohydramnios
B) Preeclampsia
C) Post-term labor
D)Chorioamnionitis
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control
10.blood pressure. Which of the following would the lead the nurse to suspect that the client is
having an adverse effect associated with this drug?
A) Gastrointestinal bleeding
B) Blurred vision
C) Tachycardia
D) Sweating
11.After reviewing a clients history, which factor would the nurse identify as placing her at risk for
gestational hypertension?
A) Mother had gestational hypertension during pregnancy.
B) Client has a twin sister.
C) Sister-in-law had gestational hypertension.
D) This is the clients second pregnancy.
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home
12.without success. Which of the following would the nurse expect to include in the clients plan of
care?
A) Clear liquid diet
B) Total parenteral nutrition
C) Nothing by mouth
D) Administration of labetalol
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the
13.
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O
O
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N
O
O
D
D
C
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T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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following findings would alert the nurse to the development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
PY
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CO
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T
T
O
O
N
N
O
O
D
D
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CO
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T
T
O
O
N
N
O
O
D
D
C
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T
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O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
After teaching a group of nursing students about the possible causes of spontaneous abortion,
CO
CO
CO
T
T
O
O
17.the instructor determines that the teaching was successful when the students identify which of
N
N
O
O
D
D
the following as the most common cause of first trimester abortions?
A) Maternal disease
B) Cervical insufficiency
C) Fetal genetic abnormalities
D) Uterine fibroids
A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing
18.the woman closely for possible infection. Which of the following would lead the nurse to
suspect that the woman is developing an infection? (Select all that apply.)
A) Fetal bradycardia
B) Abdominal tenderness
C) Elevated maternal pulse rate
D) Decreased C-reactive protein levels
E) Cloudy malodorous fluid
A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is
19.about to be discharged home about caring for herself. Which statement by the woman indicates
a need for additional teaching?
A) I need to keep a close eye on how active my baby is each day.
B) I need to call my doctor if my temperature increases.
C) Its okay for my husband and me to have sexual intercourse.
D) I can shower but I shouldnt take a tub bath.
20.A nurse is assessing a pregnant woman with gestational hypertension. Which of the following
would lead the nurse to suspect that the client has developed severe preeclampsia?
A) Urine protein 300 mg/24 hours
B) Blood pressure 150/96 mm Hg
C) Mild facial edema
PY
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CO
CO
CO
T
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O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D) Hyperreflexia
21.A nurse suspects that a pregnant client may be experiencing abruption placenta based on
assessment of which of the following? (Select all that apply.)
A) Dark red vaginal bleeding
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CO
CO
T
T
O
O
N
N
O
O
D
D
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PY
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CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B) Insidious onset
C) Absence of pain
D) Rigid uterus
E) Absent fetal heart tones
The health care provider orders PGE2 for a woman to help evacuate the uterus following a
22. spontaneous abortion. Which of the following would be most important for the nurse todo?
A) Use clean technique to administer the drug.
B) Keep the gel cool until ready to use.
C) Maintain the client for hour after administration.
D) Administer intramuscularly into the deltoid area.
A nursing student is reviewing an article about preterm premature rupture of membranes.
23. Which of the following would the student expect to find as factor placing a woman at high risk
for this condition? (Select all that apply.)
A) High body mass index
B) Urinary tract infection
C) Low socioeconomic status
D) Single gestations
E) Smoking
A woman with placenta previa is being treated with expectant management. The woman and
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24.fetus are stable. The nurse is assessing the woman for possible discharge home. Which
CO
CO
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T
T
statement by the woman would suggest to the nurse that home care might be inappropriate?
O
O
N
N
O
O
D
D
A) My mother lives next door and can drive me here if necessary.
B) I have a toddler and preschooler at home who need my attention.
C) I know to call my health care provider right away if I start to bleed again.
D) I realize the importance of following the instructions for my care.
25.A woman with hyperemesis gravidarum asks the nurse about suggestions to minimize nausea
and vomiting. Which suggestion would be most appropriate for the nurse to make?
A) Make sure that anything around your waist is quite snug.
B) Try to eat three large meals a day with less snacking.
C) Drink fluids in between meals rather than with meals.
D) Lie down for about an hour after you eat
26.A woman with gestational hypertension experiences a seizure. Which of the following would be
the priority?
A) Fluid replacement
B) Oxygenation
C) Control of hypertension
D) Delivery of the fetus
A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The
27.nurse is monitoring the womans serum magnesium levels. Which level would the nurse identify
as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L
Answer Key
PY
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CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
1. A
2. D
3. C
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T
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O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
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O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
4. C
5. C
6. A
7. D
8. D
9. B
10.C
11.A
12.C
13.D
14.A
15.D
16.A, B, D
17.C
18.B, C, E
19.C
20.D
21.A, D, E
22.C
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CO
CO
CO
23.B, C, E
T
T
O
O
N
N
O
O
24.B
D
D
25.C
26.B
27.B
While talking with a pregnant woman who has undergone genetic testing, the woman informs
1. the nurse that her baby will be born with Down syndrome. The nurse understands that Down
syndrome is an example of:
A) Multifactorial inheritance
B) X-linked recessive inheritance
C) Trisomy numeric abnormality
D)Chromosomal deletion
2. A nurse is describing advances in genetics to a group of students. Which of the following would
the nurse least likely include?
A) Genetic diagnosis is now available as early as the second trimester.
B) Genetic testing can identify presymptomatic conditions inchildren.
C) Gene therapy can be used to repair missing genes with normal ones.
D) Genetic agents may be used in the future to replace drugs.
After teaching a group of students about fetal development, the instructor determines that the
3. teaching was successful when the students identify which of the following as providingthe
barrier to other sperm after fertilization?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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A) Zona pellucida
B) Zygote
C) Cleavage
D)Morula
4. A nurse is teaching a class on X-linked recessive disorders. Which of the following statements
would the nurse most likely include?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
following?
CO
CO
CO
T
T
O
O
A) This fluid acts as transport mechanism for oxygen and nutrients.
N
N
O
O
D
D
B) The fluid is mostly protein to provide nourishment to your baby.
C) This fluid acts as a cushion to help to protect your baby from injury.
D) The amount of fluid remains fairly constant throughout the pregnancy.
8. Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the
development of which of the following?
A) Maternal diabetes
B) Placental insufficiency
C) Neural tube defects
D) Fetal gastrointestinal malformations
A couple comes to the clinic for preconception counseling and care. As part of the visit, the
9. nurse teaches the couple about fertilization and initial development, stating that the zygote
formed by the union of the ovum and sperm consists of how manychromosomes?
A) 22
B) 23
C) 44
D)46
10.A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse
would identify which of the following as normal? (Select all that apply.)
A) One vein
B) Two veins
C) One artery
D) Two arteries
E) One ligament
F) Two ligaments
After teaching a pregnant woman about the hormones produced by the placenta, the nurse
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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11.determines that the teaching was successful when the woman identifies which hormone
produced as being the basis for pregnancy tests?
A) Human placental lactogen (hPL)
B) Estrogen (estriol)
C) Progesterone (progestin)
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PY
PY
CO
CO
CO
C) Further, more definitive evaluations to conclude anything
T
T
O
O
N
N
D) Immediate termination of the pregnancy based on results
O
O
D
D
A nursing instructor is preparing a teaching plan for a group of nursing students about the
15.potential for misuse of genetic discoveries and advances. Which the following would the
instructor most likely include?
A) Gene replacement therapy for defective genes
B) Individual risk profiling and confidentiality
C) Greater emphasis on the causes of diseases
D) Slower diagnosis of specific diseases
After teaching a class on the stages of fetal development, the instructor determines that the
16.teaching was successful when the students identify which of the following as a stage? (Select all
that apply.)
A) Placental
B) Preembryonic
C) Umbilical
D) Embryonic
E) Fetal
A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks
17.pregnant and asks, Whats happening with my baby? Which of the following would the nurse
integrate into the response? (Select all that apply.)
A) Continued sexual differentiation
B) Eyebrows forming
C) Startle reflex present
D) Digestive system becoming active
E) Lanugo present on the head
After teaching a group of students about fetal development, the instructor determines that the
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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18.teaching was successful when the students identify which of the following as essential for fetal
lung development?
A) Umbilical cord
B) Amniotic fluid
C) Placenta
D) Trophoblasts
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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During a prenatal class for a group of new mothers, the nurse is describing the hormones
19.produced by the placenta. Which of the following would the nurse include? (Select all that
apply.)
A) Prolactin
B) Estriol
C) Relaxin
D) Progestin
E) Human chorionic somatomammotropin
20.When describing the structures involved in fetal circulation, the nursing instructor describes
which structure as the opening between the right and left atrium?
A) Ductus venosus
B) Foramen ovale
C) Ductus arteriosus
D) Umbilical artery
A group of students are reviewing information about genetic inheritance. The students
21.demonstrate understanding of the information when they identify which of the following as an
example of an autosomal recessive disorder? (Select all that apply.)
A) Cystic fibrosis
B) Phenylketonuria
PY
PY
PY
CO
CO
CO
C) Tay-Sachs disease
T
T
O
O
N
N
D) Polycystic kidney disease
O
O
D
D
E) Achondroplasia
22.A nurse is assessing a child with Klinefelters syndrome. Which of the following would the
nurse expect to assess? (Select all that apply.)
A) Gross mental retardation
B) Long arms
C) Profuse body hair
D) Gynecomastia
E) Enlarged testicles
23.A woman is scheduled to undergo fetal nuchal translucency testing. Which of the following
would the nurse include when describing this test?
A) A needle will be inserted directly into the fetuss umbilical vessel.
B) Youll have an intravaginal ultrasound to measure fluid in the fetus.
C) The doctor will take a sample of fluid from your bag of waters.
D) A small piece of tissue from the fetal part of the placenta is taken.
Answer Key
1. C
2. A
3. A
4. B
5. A
6. B
7. C
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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8. B
9. D
10.A
11.D
12.B
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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13.A
14.C
15.B
16. B, C, E
17. A, D
18.B
19.B, C, D, E
20.B
21.A
22.B, D
23.B
Chapter 22 Postpartum and Lactation Diane Schadewald, Cheri Friedrich, Kathleen M. Akridge
Your clinic nurse warns you that your next patient may take some time. Upon entering the
room you find a tearful 16-year-old G1P1 who presents for her 6-week postpartum visit.
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
1:
The puerperium, the period following birth during which the reproductive tract returns to its
normal, nonpregnant state, lasts approximately
a:
14-16 weeks
b:
10-12 weeks
c:
6-8
weeks d:
2-4
weeks e:
18-20 weeks
During your interview the patient expresses concern that she and her partner attempted intercourse
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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several weeks ago. It was painful and she is afraid there may be something wrong.
2:
The best treatment for dyspareunia in the post partum period is
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
analgesic
b:
antidepressan
t c:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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oral estrogen
d:
lubrican
t e:
topical estrogen
3:
A. The mean time to ovulation in the nonlactating postpartum woman is approximately
a:
PY
PY
PY
CO
CO
CO
75
T
T
O
O
N
N
O
O
D
D
days b:
45 days
c:
60
days d:
15
days e:
30 days
4:
B. Approximately of non-nursing women are fertile at 6-week postpartum.
a:
10
%
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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b:
15
%
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
c:
20%
d:
25%
e:
5%
The patient's crying escalates. This was an unplanned pregnancy and she is terrified of being
pregnant again. She is grouchy and moody all day and things just get worse at night with the baby
getting colicky after the formula, her boyfriend just watching TV, and her mother giving
unwanted advice. She has not slept in days.
5:
PY
PY
PY
CO
CO
CO
T
T
A. The incidence of postpartum blues is approximately .
O
O
N
N
O
O
D
D
a:
50%-60%
b:
70%-80%
c:
90%-99%
d:
30%-40%
e:
10%-20%
6:
B. Approximately what percent of new mothers experience postpartum depression?
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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a:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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20%-25%
b:
1%-5%
c:
10%-15%
d:
30%-45%
e:
50%-65%
7:
C. The incidence of postpartum psychosis is approximately
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
a:
0.05%-0.1%
b:
0.7%-0.8%
c:
0.1%-0.2%
d:
0.5%-0.6%
e:
0.3%-0.4%
During your review of systems she admits to leaking urine during coughing or sneezing.
8:
A. The best treatment fo postpartum stress incontinence is
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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a:
topical estrogen
medication b:
empirical antibiotic treatment for
cystitis c:
anticholinergic
medication d:
tricyclic antidepressant
medication e:
reassurance and re-evaluation in 2 months
9:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
B. The return of normal tone to the pelvic floor muscles postpartum may be enhancedby
O
O
D
D
a:
exogenous estrogen
supplementation b:
Kegel
exercises c:
avoiding coitus fo 3 to 6
months d:
endogenous estrogen
supplementation e:
endogenous progesterone supplementation
On continuation of your review of systems she also admits to bleeding with bowel movements
and she thinks it is due to the hemorrhoids she developed during her 2 hours of pushing.
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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10:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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a:
3 months
b:
18
months c:
6 months
d:
12 months
e:
Immediately
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
Your physical exam is within normal limits, including normal thyroid, heart, lungs, and breast
exam. On pelvic exam you find that vaginal mucosa is intact but moderately atrophic and her
uterus is anteverted, small, and firm with minimal lochia. She is noted to have some
nonthrombosed hemorrhoids.
11:
A. Uterine involution is a result of a decrease in the
a:
size of the intercellular spaces in the uterine
myometrium b:
increased intravascular volume, especially venous space
volume c:
number of cells in the uterine
myometrium d:
number of intercellular spaces in the uterine
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
myometrium e:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
12:
B. How many weeks does it take for the uterus to return to its pre-pregnancy position in the true
pelvis?
a:
2
b:
4
c:
8
PY
PY
PY
d:
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
10
e:
6
13:
C. How many weeks does it take for the uterus to return to its pre-pregnancy size?
a
:
2
b
:
6
c
:
8
d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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1
0
e
:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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4
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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You receive a call from the Labor and Delivery nurse. The patient you delivered by forceps 3
hours ago is bleeding more than usual. Her pulse is now 110 bpm and she is rapidly soaking
pads.
14:
A. Immediate postpartum uterine hemostasis is maintained by
a:
primary clotting of blood in the uterine
artery b:
tamponade effect of
clots c:
PY
PY
PY
CO
CO
CO
T
T
scar formation within the uterine
O
O
N
N
O
O
D
D
cavity d:
contraction of the uterine smooth
muscle e:
decrease in myometrial cell volume
15:
B. The elevated pulse rate characteristic of pregnancy
a:
decreases approxiamately 1 hour after
delivery b:
decreases approximately 6 hours after
delivery c:
persists for approximately 3 weeks
postpartum d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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e:
persists for about 3 months postpartum
On exam you notice that her bladder is full and she is unable to void spontaneously, so a Foley
catheter is inserted and 600 mL of urine drained from the bladder.
16:
Transitory urinary retention in the postpartum period following vaginal delivery is primarily
related to
a:
peripartum
cystitis b:
PY
PY
PY
CO
CO
CO
T
T
O
O
periurethral
N
N
O
O
D
D
edema c:
parasympathomimetic
discharge d:
sympathomimetic
discharge e:
progesterone-associated loss of bladder contractility
On exam, there are no cervical or vaginal lacerations and the bleeding responds to fundal
massage and an increase in the Pitocin infusion rate. You recommend the patient to proceed
with breast-feeding and assure the patient and nurse that you will follow-up in a few hours.
17:
A. Postpartum uterine contractile pain is greater in breast-feeding women bcause sucklingreleases
a:
oxytocin
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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b:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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estroge
n c:
progesteron
e d:
prostaglandin
s e:
inhibin
18:
B. When is the endometrium re-established after delivery in most patients?
a:
PY
PY
PY
CO
CO
CO
T
T
First
O
O
N
N
O
O
D
D
week b:
Fourth
week c:
Third
week d:
Second
week e:
Fifth week
You return later and find the bleeding has stabilized. The urine output is 100 to 200 mL per hour.
19:
A. In a normal patient immediately after delivery, what is the weight of fluid lost through
diuresis and loss of extravascular fluid?
a:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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3
k
g
b:
7
k
g
c:
9
k
g
PY
PY
PY
d:
CO
CO
CO
T
T
O
O
N
N
O
O
1
D
D
k
g
e:
5 kg
20:
B. In the intrapartum and postpartum periods, the glomerular filtration rate decreases tonormal
a:
1-2 days after
delivery b:
at the time of
delivery c:
3-5 days after
delivery d:
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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1. On average, how much later in women than in men does cardiovascular disease typically
occur?
A. 2 to 4 years
PY
PY
PY
CO
CO
CO
B. 6 to 8 years
T
T
O
O
N
N
O
O
D
D
C. 10 to 12 years
D. 14 to 16 years
Answer: C
2. The lifetime risk at the age of 50 years of women developing cardiovascular disease is which
of the
following?
A. 9.2%
B. 19.2%
C. 29.2%
D. 39.2%
Answer: D
3. Which of the following are modifiable risk factors associated withcardiovascular disease?
(Select all that
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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apply.)
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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A. Male gender
B. Age of 75 years
C. Cigarette smoking
Answer: C, D, E
4. Which ofthe following are psychosocial risk factors associated with cardiovascular disease?
(Select all that
apply.)
A. Obsessive-compulsive disorder
PY
PY
PY
CO
CO
CO
B. Depression
T
T
O
O
N
N
O
O
D
D
C. Anxiety
E. Emotional stress
Answer: B, C, E
5. The nurse must screen a client for the presence of cardiovascular disease (CVD). For which of
the
following conditions is EKG-stress testing on a treadmill indicated? (Select all that apply.)
Answer: B, C, E
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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6. Claire, a 45-year-old client, is suspected of having atherosclerosis, and the nurse would like to
have her
undergo diagnostic testing that will detect and quantify the amount of calcium in her arteries.
Which
Answer: B
PY
PY
PY
7. The nurse takes a blood pressure reading of a 52-year-old client, Hazel, and finds that it is
CO
CO
CO
T
T
O
O
144/96 mmHg.
N
N
O
O
D
D
Hazel has a body mass index (BMI) of 18, smokes, and is sedentary. Which of the following
lifestyle
recommendations should the nurse make to this client? (Select all that apply.)
A. Lose 10 lb
C. Quit smoking
session
Answer: B, C, D
8. Maisie, a 78-year-old client, reports feeling tightness and pain in her chest that occurs when
she climbs
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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stairs or walks any distance when shopping. Her symptoms go away after she rests for a few
minutes. What
condition should the nurse suspect most in Maisie, based on these symptoms?
B. Myocardial infarction
C. Atrial fibrillation
D. Angina pectoris
Answer: D
9. Roberta is a 69-year-old client who reports having had an “episode” recently. She describes
temporary
symptoms of numbness in her right side, confusion, and difficulty in speaking. She says that she
PY
PY
PY
CO
CO
CO
was
T
T
O
O
N
N
O
O
D
D
planning on coming to the hospital about it, but the symptoms cleared up in about 20 minutes
and she feel
fine now. Which condition should the nurse suspect most in Roberta?
A. Stroke
C. Angina pectoris
D. Atrial fibrillation
Answer: B
10. Women are more likely than men to experience which of the following symptoms in an acute
myocardial
A. Chest pain
B. Nausea
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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C. Shortness of breath
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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D. Cold sweats
E. Dizziness
Answer: B, C, D, E
11. A nurse is caring for a client who just presented with signs of stent thrombosis (ST)-elevation
myocardial
infarction. An emergency angioplasty with stenting procedure has been planned for the client.
The nurse
knows that this procedure must be initiated on this client within how long since her first contact
with the
nurse?
PY
PY
PY
CO
CO
CO
A. 30 minutes
T
T
O
O
N
N
O
O
D
D
B. 60 minutes
C. 90 minutes
D. 120 minutes
Answer: C
12. The nurse is evaluating a client diagnosed with heart failure, who reports severe, persistent
symptoms while
A. Class I
B. Class II
C. Class III
D. Class IV
Answer: D
13. Candace, an 86-year-old client, reports a sensation of palpitations, heart racing, andheart
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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flutters in her
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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chest, as well as fatigue and shortness of breath. She was diagnosed with Class II heart failure 6
months
A. Atrial flutter
B. Angina pectoris
Answer: A
14. When auscultating a client’s heart, the nurse hears a high-pitched midsystolic click atthe
apex of the heart.
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
A. Mitral regurgitation
D
D
B. Mitral valve prolapse
C. Mitral stenosis
D. Aortic regurgitation
Answer: B
15. Which of the following is the most common type of cardiomyopathy and the third leading
cause of heart
failure in the United States after coronary artery disease and hypertension?
A. Dilated
B. Hypertrophic
C. Restrictive
Answer: A
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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1. Which of the following are factors that increase a person’s risk for pelvic organ prolapse?
(Select all that
apply.)
A. Female
B. Age of 78 years
C. Nulliparity
E. Smoker
Answer: A, B, E
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
2. Which of the following is a significant downward rotation of more than 35° of thedistal
anterior vaginal
wall caused by a defect in the suburethral connective tissue and pubourethral (pubovisceral)
ligaments?
B. Hypermobile urethra
Answer: B
3. Misbah is a 69-year-old client who has just been diagnosed with pelvic organ prolapse. She
reports vaginal
pain when working in her garden and describes symptoms indicating urinary retention. On
performing a
pelvic exam, the nurse observes that the client’s vagina appears dry and shows signs of erosion
and
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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ulceration. On the basis of these symptoms, which stage of pelvic organ prolapse is Misbah most
likely in?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: D
4. Tierra has been diagnosed with Stage 2 pelvic organ prolapse. Which of thefollowing
symptoms should the
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
B. Pelvic heaviness or fullness
C. Obstructive urination
E. Urinary retention
Answer: A, B, D
5. Alex has been diagnosed with Stage 3 pelvic organ prolapse. She has been experiencing
urinary
incontinence and is in need of vaginal support. Which of the following interventions would fully
meet the
B. Donut pessary
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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D. Estrogen therapy
Answer: B
6. Which treatment for pelvic organ prolapse involves a prescriptive medical devicethat
combines Kegel
exercises and noninvasive electrical stimulation via biphasic wave forms to stimulate pelvic
nerves to
A. Intone
C. Pessary therapy
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
Answer: A
D
D
7. Which of the following symptoms are associated with painful bladdersyndrome/interstitial
cystitis? (Select
A. Urinary retention
B. Urethral pain
D. Urinary urgency
E. Nocturia
Answer: B, D, E
8. Which of the following is typically the cause of urinary frequency in clients with painful
bladder
syndrome/interstitial cystitis?
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: C
9. Tiffany, a client suspected of having painful bladder syndrome/interstitial cystitis, has been
found to have
hematuria. Tiffany has a history of surgical mesh augmentation for the correction of an anterior
pelvic
defect. Which diagnostic test would be best to rule out an alternative condition in this client?
B. Symptom scale
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
C. Blood glucose level
D
D
D. Cystoscopy with hydrodistention
Answer: D
hypersensitivity. Given the suspected etiology in this case, which treatment would be most
appropriate for
Isabelle?
B. Amitriptyline
C. Montelukast
D. Cyclosporine A
Answer: B
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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abnormality. Given the suspected etiology in this case, which treatment would be most
appropriate for
Valerie?
A. Physical therapy
B. Pessary therapy
D. Behavioral therapy
Answer: A
PY
PY
CO
CO
CO
mast-cell
T
T
O
O
N
N
O
O
D
D
response. Given the suspected etiology in this case, which treatment would be most appropriate
for
Valerie?
B. Amitriptyline
C. Montelukast
D. Cyclosporine A
Answer: C
13. Which of the following are common symptoms of cystitis? (Select all that apply.)
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: B, D
C. An urothelial abnormality
Answer: B
15. What percentage of women older than 55 years experience a recurrence of a urinary tract
infection within a
PY
PY
PY
CO
CO
CO
year?
T
T
O
O
N
N
O
O
D
D
A. 33%
B. 43%
C. 53%
D. 63%
Answer: C
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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1. Which of the following is the best definition for mental health, according to an emerging
consensus from
research findings?
B. Well-being
C. Happiness
D. Self-realization
Answer: B
PY
PY
CO
CO
CO
A. Happiness and life satisfaction
T
T
O
O
N
N
O
O
D
D
B. Financial and material security
Answer: D
3. Phyllis is 55-year-old client who works as a real estate agent while caring for her three
teenaged children
and her elderly father. Based on Erikson’s theory of psychosocial development, which of the
following is
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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Answer: C
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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4. Anwara is a 78-year-old client whose husband died 2 years ago. Her daughter and son-in-law,
who live in
another state, are urging her to relocate to their area, but Anwara is reluctant to leave the
community she
has lived in for over 30 years. Based on Erikson’s theory of psychosocial development, which of
the
PY
PY
CO
CO
CO
Answer: B
T
T
O
O
N
N
O
O
D
D
5. Keiko is a 32-year-old client who recently graduated from medical school and began a
residency in
neurosurgery. She loves the career she is embarking on but is single and often feels lonely. Based
on Erikson’s
theory of psychosocial development, which of the following is the developmental crisis Keiko
faces?
Answer: A
6. Which of the following living arrangements is most characteristic of individuals in the phase
of
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
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PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Answer: B
7. Anna is a 23-year-old client who operates her own pastry business. Based on her phase of
psychosocial
development, Anna is most likely concerned with establishing commitments in which of the
following?
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
B. Caregiving to a spouse or parent
C. Religious beliefs
D. Love relationships
Answer: A, C, D
8. Olivia is a junior in college who is struggling to decide on a major. She had been an education
major
because her grandmother, mother, and aunt were all teachers, and she looks up to them. But after
taking
some introductory-level classes in education, she decided it was just not for her. Now she feels
like she is
back to square one, and is considering everything from engineering to photography. What is
Olivia’s
A. Identity diffusion
PY
PY
PY
CO
CO
CO
T
T
O
O
N
N
O
O
D
D
C
C
T
T
O
O
N
N
O
O
D
D
WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B. Foreclosure
C. Moratorium
D. Identity achievement
Answer: C
9. Lulu is a 30-year-old client who recently gave birth to a son. Lulu is passionate about the
benefits of
breastfeeding and has spent many hours researching lactation, approaches to breastfeeding, and
breast
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C. Shift in quality of being
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D. Personal agency
Answer: D
10. Maia is a 47-year-old client who in recent years has become a committed conservationist and
is determined
to protect the existence of open lands and wildlife in her region so that her children and later
generations
can enjoy the beautiful landscapes she grew with. Maia is demonstrating which quality?
A. Generativity
B. Integrity
C. Autonomy
D. Identity
Answer: A
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
11. Denae is a 50-year-old client who identifies herself as a member of a religion primarily
because she grew
up in a family and a community that was committed to this belief system. She has never really
explored
other belief systems and finds it difficult to explain why she has adopted her religion. Which
process of
A. Diffused
B. Foreclosed
C. Achieved
D. Moratorium
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Answer: B
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12. Nancy is a 47-year-old client who has worked as a stay-at-home mom for the past 20 years,
caring for her
three children. As her youngest approaches her senior year in high school, Nancy fears empty
nest
syndrome. What actions can she take to ease the transition to the postparental period? (Select all
that
apply.)
B. Take classes at a local community college in preparation for starting her own business
D. Take voice lessons with the goal of auditioning for a local choral group
Answer: A, B, D
13. Gertrude is an 85-year-old client who lives in a long-term care facility. Whenever her
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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she delights in telling stories about her performances as an actress on the stage decades ago and,
occasionally, about her regrets related to a failed marriage. Gertrude is engaging in which
developmental
process?
A. Identity exploration
B. Social avoidance
C. Life review
D. Normative transition
Answer: C
14. Sophia is a 78-year-old client who is always upbeat and full of stories about all the
accomplishments of her
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children and grandchildren. It always seems as if everything goes well with her and her family
and that she
never experiences any disappointments or regrets, although you are aware that one of her
children recently
divorced and a grandson has been incarcerated. Which integrity status is most appropriate for
Sophia?
A. Integrated
B. Pseudointegrated
C. Nonexploratory
D. Despairing
Answer: B
15. Maggie is a 67-year-old client who will be retiring in 6 months from the law practice she
founded 30 years
ago. She is currently training one of her colleagues to take over her clients and run the practice
after she
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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retires. This strategy for smoothing the transition to retirement is known as which of the
following?
A. Instrumental support
B. Identity consolidation
C. Life review
D. Succession planning
Answer: D
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Poor impulse control, rapid speech, and hypertension are most characteristic of abusing
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which substance?
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A. Alcohol
B. Heroin
C. Cocaine
D. LSD
2. A new patient with a history of alcoholism is in the ER with agitation, vomiting, and tremors.
She tells you he had his last drink 24 hours ago. Which medication would most likely be ordered?
A. Chlordiazepoxide
B. Disulfiram
C. Chlorpromazine
D. Naloxone hydrochloride
3. Your patient has a long history of alcohol abuse. You know that denial is a frequently used
defense mechanism. Which statement is indicative of denial?
A. My father was a drinker so I guess that led me to this.
B. I can stop anytime I want, I just dont feel like it now.
C. Drinking calms my nerves.
D. I drink when my kids upset me.
4. Which of the following statements from an alcoholic patient reflects a good understanding of
her condition?
A. I will stick to wine or beer from now on.
B. Ill be OK if my wife will just stop nagging me.
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST
A. Denial
B. Blackouts
C. Psychosis
D. Depression
6. A teenager admits to you that she has been smoking marijuana. The nurse knows that
marijuana is a(n):
A. Cannabinol.
B. Amphetamine.
C. Hallucinogen.
D. Narcotic.
7. Which drug cannot be given if the patient reports alcohol intake in the last 24 hours?
A. Chlorpromazine
B. Chlordiazepoxide
C. Disulfiram
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D. Risperidone
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8. Your patient in the ER waiting room is inebriated. She becomes increasingly loud and
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abusive while waiting to be seen. What would be the best intervention for the nurse?
A. Tell him he has to wait his turn, as others were here first.
B. Inform him he will be asked to leave if this behavior continues.
C. Offer to take him to an exam room to wait for the doctor.
D. Do nothing, as he is still in the waiting room.
9. Your patient tells you her husband has a serious drinking problem. Which statement tells you
she may be in a codependent relationship?
A. Ive reached my limit with his drinking.
B. I called his job and told them he was sick when he couldnt go to work.
C. The kids are ashamed of their father. I feel bad about that.
D. He is drinking less this week.
10. What should be your response to the wife who says, I should get out of this bad situation
with his drinking?
A. That happened to me. Its best to get out while you can.
B. Tell me more about the bad situation.
C. Why dont you talk to your husband about his drinking?
D. Youll do whats right.
11. Your new patient is at risk for alcohol withdrawal. You know that alcohol withdrawal tends
to develop within what period after the last drink?
A. 1 week
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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B. 24 to 48 hours
C. 1 hour
D. More than 1 week
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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12. The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2
weeks. Which statement tells you the wife is benefitting from the meetings?
A. I can tolerate his destructive behavior now that I see how bad other women have it.
B. I realize that I provoke his drinking when I go out with my friends.
C. I no longer feel that I have to tolerate his berating me.
D. It is great to get out of the house and away from the tension.
13. Which of the following are signs of withdrawal from heroin?
A. Insomnia, muscle cramps, vomiting
B. Excessive sleeping, low blood pressure, depression
C. Seizures, brain damage, excessive sleeping
D. Lethargy, panic disorder, increased appetite
14. Ms. Thomas, who is 50 years old, is being treated for pneumonia and dehydration. She has a
history of alcoholism and admits to starting to drink heavily again. She tells you, Im a horrible
person. My family deserves someone better than me to care for them. Your most therapeutic response
to him is:
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It sounds as though you are feeling guilty about drinking, Ms. Thomas. Tell me more about
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A. what you mean by that.
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B. Why do you say that, Ms. Thomas?
C. Im sure that your family is satisfied, Ms. Thomas.
D. Your drinking doesnt sound that serious.
15. You are caring for a patient who has a long history of alcohol abuse. Recently, this patient
went on a 5-day drinking binge, of which she has no memory. This is an example of:
A. Selective memory.
B. Wernickes syndrome.
C. Blackout.
D. Denial.
16. Nurses understand that in people who are addicted to alcohol, the person who is most
responsible for the patients recovery is the:
A. Psychiatrist.
B. Nurse.
C. AA sponsor.
D. Patient.
17. You are socializing with a group of nurses who you work with on a routine basis. Terri is
getting very loud and tells you that she usually has six or eight beers most evenings. She is defensive
about your reaction to the amount of alcohol she consumes. She says, I have days where I cant
remember what happened the night before, sure, but only once in a while. If you were Terris friend,
the best action you could suggest to her would be:
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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D. Downers.
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20. Alcohol is a(n):
A. Central nervous system (CNS) stimulant.
B. CNS depressant.
C. Antipsychotic.
D. Antidepressant.
21. You are caring for a female patient who is a long-term alcoholic. She screams, Get the bugs
off of my skin. I feel them all over my body! Get them off! She is experiencing what type of
hallucination?
A. Auditory
B. Visual
C. Taste
D. Tactile
22. A 35-year-old female patient signs in as a voluntary commitment for treatment for drug
abuse. She strongly maintains that he does not have a problem and states, Im only here because my
boss threatened to fire me if I didnt come in. The best nursing response to this patient is:
A. I wonder why your boss said that, if you dont have a problem.
B. What happened that your boss threatened to fire you?
C. Your boss sounds pretty harsh!
D. Well, you are here on your own, so you can leave whenever you want to.
23. A patient has completed treatment for alcoholism. If treatment was successful, a nurse
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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might expect which of the following outcome statements from this patient upon discharge?
A. Now, if my family will just be good, I wont be back!
B. I just know I can have an occasional drink and be fine. I know how to handle it now.
C. I realize that Alcoholics Anonymous will always be a requirement. I am responsible for my
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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own sobriety.
D. I am so glad I found out what my problem is. I am cured now!
24. Which of the following is a club drug?
A. Rohypnal
B. Crack
C. Placidyl
D. Angel dust
Completion
Complete each statement.
25. You are completing the discharge plan for an alcoholic patient. Which support group should be
included in the plan?
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
26. You find out that your schizophrenic patient is also using opioids to counteract the
frightening hallucinations. What term(s) is used to describe this? (Select all that apply)
A. Dual diagnosis
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B. Bipolar schizophrenia
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C. Co-occurring disorder
D. Opioid-related schizophrenia
E. Schizophrenia: Addiction type
27. Which of the following are true about Alcoholics Anonymous? (Select all that apply)
A. A physician referral is needed.
B. Family and friends are encouraged to attend the regular meetings with the alcoholic.
C. No last names are used at the meetings.
D. The group for family members is Al-Anon.
E. Offshoots such as Narcotics Anonymous follow a different philosophy.
F. The individual is encouraged to admit he or she is powerless over alcohol.
Answer Section
MULTIPLE CHOICE
1. ANS: C
These three symptoms are common with a stimulant such as cocaine. They could occur with the other
substances but are not the hallmark symptoms.
2. ANS: A
This medication is often initially used to treat alcohol withdrawal symptoms. Response B is a
treatment for alcoholism not withdrawal. Response C is an antipsychotic and response D is used in
opioid addiction.
PTS: 1
3. ANS: B
This response indicates the person is minimizing or not acknowledging that she has a problem. In the
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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other responses the patient is acknowledging drinking but rationalizing the causes.
4. ANS: C
Responses A, B, and D all reinforce use of ineffective defense mechanisms, including denial,
rationalization, and minimization. Response C reflects understanding of the disease as a lifelong
struggle.
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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PTS: 1
5. ANS: B
Blackouts are gaps in memory that are symptomatic of advanced alcoholism.
6. ANS: A
Marijuana is a cannabinol. It is not a narcotic or an amphetamine.
7. ANS: C
Disulfiram (Antabuse) is used to treat alcoholism by producing severe adverse effects in the presence
of alcohol. Responses A and D are antipsychotics, and response B is an antianxiety medication used
to treat alcohol withdrawal.
8. ANS: C
This response supports a safe environment for this patient, the other patients, visitors, and staff.
Ignoring him will escalate the situation. Because her judgment is impaired, trying to reason with her
will be unsuccessful.
9. ANS: B
This response shows that the wife is covering for her husband so he doesnt have to take responsibility
for his actions. Response D is more denial. Responses A and C are indications of facing the reality of
this situation.
PTS: 1
10. ANS: B
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Supporting problem solving and helping her express herself is most important. Response A is advice
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giving, which is not appropriate. You dont have enough information to know if response C or D is
D
D
correct.
11. ANS: B
Withdrawal symptoms in a heavy drinker generally begin within 24 to 48 hours after the last drink,
although they can occur as early as 8 hours after the last drink.
12. ANS: C
This is the healthiest response that she is not accepting a victim role. In response A she continues to
accept his bad behavior. In response B she is taking responsibility for his drinking, which is
codependent. Response D views the meetings as escape rather than a place to work on issues.
13. ANS: A
These are classic symptoms along with irritability, rhinorrhea, and chills.
14. ANS: A
Response A is an open-ended statement to help her identify her feelings and encourage further
exploration. Response B asks for him to understand why he feels this way and he may not know.
Responses C and D reinforce denial.
15. ANS: C
Blackouts are indications of advanced alcoholism when the person has no memory of recent events.
16. ANS: D
Taking personal responsibility for the misuse of alcohol and the distress it has caused others is key to
beginning recovery. It is the basis of Alcoholics Anonymous. Blaming others for ones problem may
be an initial coping mechanism.
PTS: 1
17. ANS: C
Response C is reality based and avoids any enabling behavior that reinforce/support her drinking.
The other responses are enabling.
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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18. ANS: B
Withdrawal symptoms also include insomnia and lethargy.
19. ANS: A
Hallucinogenics like LSD produce a sense of enhanced perception of the environment, which can
contribute to a sense of depersonalization and panic.
20. ANS: B
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WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST
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Though the initial reaction may be more like a stimulant, it is a CNS depressant.
21. ANS: D
Tactile hallucinations are false perceptions of the sense of touch that often are described as something
crawling on or under ones skin. Tactile hallucinations can occur as part of delirium tremens from
long-term alcohol use and withdrawal.
PTS: 1
22. ANS: B
This response asks the patient to focus on reality rather than blaming others. This is the best response
to challenge the probable denial.
23. ANS: C
This response indicates the patient understands his or her personal responsibility to stay sober. The
other responses show a lack of understanding that alcoholism is a lifelong disorder and that it is not
caused by family problems.
24. ANS: A
Rohypnal along with Ecstasy create disinhibition and amnesia.
PTS: 1
COMPLETION
25. ANS:
Alcoholics Anonymous
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Alcoholics Anonymous is the most accepted support group widely available throughout the world.
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PTS: 1
D
D
MULTIPLE RESPONSE
26. ANS: A, C
Dual diagnosis, also known as co-occurring disorder, is very common in people with psychiatric
disorders who self-medicate for uncomfortable symptoms.
27. ANS: C, D, F
One of the strengths of this program is its anonymity, so last names are never used and meetings are
closed. Admitting powerlessness over the substance abused is key to making progress.
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D