NRP563 Week 5 | Nursing in Health Care - University of Phoenix

NRP563 Management of Women's Health Issues Week 1 Quiz Question 1 In what way does a model of care based on a feminist perspective contrast sharply with a biomedical model? It provides a forum for the exploration of gender issues. It seeks equal distribution of power within the healthcare interaction. It emphasizes women’s rights. It opens new avenues for women’s health care.

Question 2What is a key limitation of prevailing developmental models for women?

The influence of culture, economic status, social interactions and qualitative aspects of how individuals live their lives are not considered. They present conflicting and misapplied models. Gender differences are assumed to be socially prescribed. The similarities between male and female. Question 3What factor influences a woman’s affective and behavioral experiences across the lifespan? Failure to take into account social and cultural norms The inability to move through the world with credibility and respect Poverty Difficulty in managing the developmental tasks of adolescence successfully Question 4What approach does Health People 2020 use to achieve its goals and objectives? Social determinants of health Evidence-based determinants of health Quality-of-life determinants of health Longevity promotion determinants of health

Question 5Which of the following is considered primary prevention?

Targeted immunization Services that limit an existing disability Routine laboratory screening Rehabilitation

Question 6What is one of the most frequent reasons women visit their clinician?

Changes in menstruation Family planning Pregnancy Prevention and wellness Question 7Which one of the following statements about intimate partner violence (IPV) is false? It refers to an escalating pattern of abuse. It includes emotional abuse, such as disregarding what a woman wants. It includes using physical force to make a woman engage in a sexual act against her will. It refers to a current or former spouse or dating partner of the opposite sex, not someone of the same sex. Question 8Which of the following terms refers to a type of intimate partner violence in which the perpetrator limits access to their victim’s family and friends and excessively monitors their whereabouts and communications? Gaslighting Psychological aggression Coercive control Stalking Question 9If the patient desires to report the assault, or if a clinician is mandated by law to report, all of the following clinician’s actions are important except: a private and quiet area should be provided to take the report. the clinician should be available to provide support. the clinician should explain the legal differences between various forms of forced sexual contact. the clinician should make the patient aware that law enforcement agencies are not bound by same confidentiality standards.

Question 10There is no one legal definition of rape, which means:

clinicians must learn their own state’s definitions and statutes. it is easier to monitor the incidence of sexual violence in the nation. it may be considered a social problem, not a public health problem. measuring risk and identifying protective measures is a simple task. NRP563 Management of Women's Health Issues Week 2 Quiz Question 1Which of the following statements is most accurate about social determinants of health? These are the educational papers and research studies that promote evolving understanding of health. These are the social, political, and economic factors that are mostly responsible for health inequities. These are data points that can be used to guide medical responses in times of public health crises. These have been studied by public health administrators and sociologists to address health disparities. Question 2Which of the following helps to explain how one’s health over their lifetime is impacted by biological and social events? World Health Organization Structural competency Critical race theory Lifecourse Health Development Model Question 3Which of the following skill sets of structural competency recognizes that one can never fully understand how economic, social, and political forces impact another’s life? Recognize the structures that shape clinical interactions. Develop structural humility. Imagine structural intervention. Rearticulate cultural presentations in structural terms. Question 4What is suggested by the numerous studies that find an increased allostatic load in Black people as compared to white people? Prolonged exposure to stressors leads to greater adaptation to overall stress levels in those with an increased allostatic load. Black people may have lowered risk for mortality as well as decreased physical and cognitive function. Black people may be better able to manage their stress than white people. Persistent racial differences in health may be influenced by living in a race-conscious society. Question 5Which of the following is a plausible explanation for the disparity in breast cancer mortality rates for Black and white women? Black women were less likely to have their mammograms read by a trained specialist. Black women were more likely to have a digital mammogram. White women self-report higher screening mammogram rates than Black women. White women are more likely to exert social pressure on friends and family members to receive screening mammograms.

Question 6Which of the following is the definition of the term gender identity?

People who respond erotically to both sexes One’s inner understanding of themselves in regard to gender People who are similar in age, class, and sexual status A label for behavior not usually associated with one’s natal sex Question 7Which of the following provides a useful lens for examining the impact of homophobia and transphobia experienced by previous generations within the healthcare system? Binary gender construct Minority stress Microaggressions Historical trauma Question 8Which of the following is NOT a way that clinicians can provide a welcoming, safe environment for LBQ and TNB patients? Arrange the physical environment to include and welcome LBQ and TNB patients. Ensure intake forms are inclusive and provide options relevant to these patients. Assume no data are available to help answer patient questions. Determine and use patients’ preferred name and pronouns. Question 9Which of the following statements reflects the finding of a national survey of gay, LBQ, and TNB people, conducted by the Pew Research Center in 2013? Institutionalized homophobia and heterosexism directly impact the economic stability of all gay, LBQ, and TNB people. LBQ women have found significant support from their families, communities, and places of worship. Gay, LBQ, and TNB people historically have had the same rights regardless of geographic location. Violence among LBQ women is at a lower rate than their heterosexual counterparts. Question 10Which of the following statements is NOT TRUE regarding barriers to health care for lesbian, bisexual, and queer women? People who experience multiple forms of oppression have increased difficulty in accessing care. Lack of understanding of the specific needs of LBQ women is a significant barrier to health care. LBQ women are more likely to have insurance than their heterosexual and cisgender peers. Bisexual women are more likely than lesbian women to delay health care. NRP563 Management of Women's Health Issues Week 3 Quiz

Question 1The most common benign breast masses are:

galactoceles. hamartomas. fibroadenomas and cysts. lipomas and phyllodes tumors. Question 2Which breast tissue sampling procedure is best to use when density or calcification is seen on a mammogram in a location that cannot be effectively assessed with a core biopsy? Fine-needle aspiration MRI-guided needle biopsy Needle-localized breast biopsy Excisional breast biopsy

Question 3How is secondary dysmenorrhea defined?

Absence of menstruation due to an underlying pathology Painful menstruation in the absence of pathology An underlying pathology causing pain symptoms during menstrual flow Painful menstruation that occurs in women after the age of 35 Question 4Which of the following is one of the key criteria for a diagnosis of PMS? The symptoms markedly interfere with relationships with others. One of the symptoms is depressed mood, anxiety, or irritability. Exclusion of other diagnoses that may better explain the symptoms. The DRSP tool confirmed symptoms over at least two menstrual cycles. Question 5Treatment with non-steroidal anti-inflammatory drugs (NSAIDs) has proven effective in improving symptoms of: secondary dysmenorrhea. pelvic inflammatory disease. primary dysmenorrhea. dyspareunia.

Question 6What is the best definition of abnormal uterine bleeding (AUB)?

Uterine bleeding for which no pelvic pathology is found Uterine bleeding that is irregular during a woman’s menstrual cycle Uterine bleeding that is irregular in amount or frequency Uterine bleeding that is related to systemic conditions Question 7What is a good first question to ask women who present with a concern about abnormal bleeding? What is a normal pattern for you? How long has this persisted? What was your last menstrual cycle like? How many times has this occurred?

Question 8The least variation in menses occurs during the ages of:

30 to 50. 40 to 50. 12 to 20. 20 to 40. Question 9What is the most common type of menstrual dysfunction related to hyperandrogenism? Painful menstruation Absence of menses Irregular bleeding Early menopause Question 10Why are women with PCOS at a threefold increased risk of developing endometrial cancer? The reduction in estrogen causes excess progesterone to build up. Menstrual bleeding is irregular and unpredictable. Insulin resistance stimulates the production of androgens. Estrogen regularly stimulates the endometrium. NRP563 Management of Women's Health Issues Week 4 Quiz

Question 1Which statement best defines “risk factor”?

Any factor which increases the need for medical attention Any behavior which places an individual at risk for illness The probability that an individual will develop a medical condition An attribute or exposure associated causally with an increased probability of a disease or injury Question 2The USPSTF assigns a certainty level to assess the net benefit of a preventive service based on: the nature of the overall evidence available. the cost-effectiveness of a service. known health outcomes. select studies in a limited primary care population.

Question 3Which one of the following statements about menopause is false?

A diagnosis is based on the absence of menses for 6 consecutive months. Controlling diabetes and hypertension can reduce the severity of symptoms. Similar symptoms may be caused by arrhythmia, thyroid disorders, or tumors. Diagnosis requires a thorough history, a physical exam, and laboratory testing.

Question 4Which one of the following statements about menopause is true?

Symptoms usually begin in the postmenopausal period. Women most frequently report central nervous system symptoms. Hot flashes can last well beyond the first 5 to 7 years following menopause. Women typically experience the most severe symptoms during perimenopause. Question 5Among the midlife health issues of women, the number one cause of mortality in the United States is: primary osteoporosis. cardiovascular disease. overweight and obesity. cancer (of the lung and bronchus, breast, and colon). Question 6Which of the following is true regarding definitions of female sexual dysfunction? Definitions are consistent across organizations. Definitions are inconsistent across organizations. Most well-known sexual health research contains current terminology. DSM-5 contains six categories of female sexual dysfunction.

Question 7Clinicians who see women with sexual dysfunction:

should continue conducting routine exams and not focus on the dysfunction. should not encourage the woman to address those issues separate from the clinician. should be aware of specialized counseling resources and circumstances that warrant referral. have no responsibility to consult the patient about relevant specialized areas.

Question 8What is an age-related anatomic change that can lead to UI?

The shortening of the urethra The reduction in bladder capacity The increase in habitual preventative emptying of the bladder The decline in number of urethral striated muscle fibers Question 9Women with BMIs higher than what number were found to be more than twice as likely to experience UI compared to women with lower BMIs? 35 40 20 25 Question 10What is the name for a pelvic muscle contraction that is strategically timed to increase intraurethral pressure just before and after the event that causes UI? Kegel contraction Detrusor maneuver Reverse bladder contraction Knack skill NRP563 Management of Women's Health Issues Week 5 Quiz

Question 1Which of the following is the most common vaginal infection worldwide?

Pelvic inflammatory disease Bacterial vaginosis Vulvovaginitis candidiasis Desquamative inflammatory vaginitis

Question 2What is the most common symptom of bacterial vaginosis?

Vaginal itching and/or burning Cottage cheese-like discharge Fishy odor Yeasty odor

Question 3What is the most common symptom of vulvovaginal candidiasis?

Fishy odor Fever Thin, grayish-white discharge Vulvar pruritis

Question 4Routine HPV vaccination is recommended for girls of what age?

8 to 9 13 to 14 6 to 7 11 to 12 Question 5Which of the following is caused by an anaerobic one-celled protozoan that commonly lives in the vagina? Trichomoniasis Chlamydia Gonorrhea Syphilis Question 6Approximately how many Americans will contract one or more sexually transmitted infections during their lifetime? 50 percent 25 percent 40 percent 60 percent

Question 7How does women’s anatomy make them more susceptible to UTIs?

Asymptomatic UTIs do not resolve themselves without treatment. Women tend to get UTIs when they are pregnant. There is a longer distance between the urethra and anus. Their urethras are shorter.

Question 8What is the most common type of UTI that affects women?

Acute bacterial cystitis Pyelonephritis Asymptomatic bacteruria Pyelitis Question 9Which of the following is associated with increased risk of endometriosis? Late menarche Long menstrual cycles Early menarche Late menopause Question 10Which two factors are essential for a fibroid treatment to be considered optimal? Modify symptoms and temporarily shrink fibroids. Long-term size reduction and fertility preservation. Short-term size reduction and minimal side effects. Modify symptoms and permanent size reduction. NRP563 Management of Women's Health Issues Week 6 Quiz Question 1Combined oral contraceptives (COCs) are among the most extensively studied medications available. Which one of the following statements about their use has been found to be true? Broad-spectrum antibiotics may enhance their efficacy. They do not increase the risk of venous thromboembolism. They decrease the relative risk of ovarian and endometrial cancers. Among possible side effects are acne, hirsuitism, and benign breast conditions.

Question 2Compared to COCs, the combined contraceptive patch and vaginal ring:

have the same theoretical efficacy. offer more opportunity for user error. have lower failure rates in obese women. are available in a larger variety of formulations.

Question 3Progestin-only pills (POPs):

have no possible side effects. suppress ovulation as reliably as COCs. may be taken earlier or later than prescribed. in combination with lactation are nearly 100% effective. Question 4Sperm can live up to ____ days in the female reproductive tract. Question 5Which one of the following statements about the subdermal progestin implant is false? It is associated with the development of benign follicular cysts. After removal, its contraceptive effects last 10 more months on average. Based on worldwide data, it appears to be as safe as other progestin-only methods. The shortage of research due to its only recent availability is a possible disadvantage. Question 6For women younger than 35, infertility is defined as failure to achieve a successful pregnancy after __________ of regular unprotected intercourse. 6 weeks 6 months 12 weeks 12 months Question 7For a woman older than 35, the clinician will consider infertility treatment after six months of attempting a pregnancy because: fecundity begins to increase gradually at age 28. there is a higher risk of pregnancy loss in the older woman. the older woman is not as frivolous as a younger woman might be. conditions that impair fertility decline after age 35. Question 8Certain _________ may protect future fertility by decreasing the risk of pelvic inflammatory disease. contraceptive methods caffeinated products extremes in BMI alcohol intake Question 9Among the causes of infertility in women are all of the following except: endometriosis. a luteal-phase deficiency. a bicornuate or septate uterus. tubal scarring as a result of an STI. Question 10The fertility test that involves radiologic imaging of an injection of a water- or oil-soluble contrast traveling through a women’s reproductive system is called: transvaginal ultrasound and hysteroscopy. hysterosalpingogram. semen analysis. laparoscopy. NRP563 Management of Women's Health Issues Week 7 Quiz Question 1What gastrointestinal disorder is diagnosed in 60 percent of women who are referred to gynecologists for complaints of chronic pelvic pain? Genitourinary Irritable bowel syndrome Diverticulitis Intestinal obstruction Question 2Why is it imperative that a clinician aggressively diagnose and treat chronic pelvic pain in adolescents? To avoid future reproductive health issues leading to infertility. To find any significant associations with dysmenorrhea. To alleviate the associated symptoms of depression and sleep disorder. To determine if laparoscopy should be recommended. Question 3What is used when pelvic pathology is unable to be detected by physical examination or other testing? Biopsy Laparoscopy Colposcopy Palpation Question 4What is one of the most common gynecological-related causes of chronic pelvic pain? Cervical cancer Amenorrhea Dysmenorrhea Endometriosis

Question 5Which condition can result from treatment for infertility?

Ovarian remnant syndrome Ovarian retention syndrome Ovarian neuropathic syndrome Ovarian hyperstimulation syndrome Question 6Pharmacological treatment for chronic pelvic pain frequently begins with: high-dose progestins. GnRH. oral analgesics. COCs.

Question 7Type I endometrial cancer is caused by:

an excess of estrogen exposure. polyps in the endometrium. heredity. infertility treatments.

Question 8A risk factor that could lead to endometrial cancer is:

early menopause. late menopause. high blood pressure. cervical cancer.

Question 9What screening test can be used to detect endometrial cancer?

STI test Colposcopy Pap test There is no screening test that detects it. Question 10For a patient who has a strong family history of breast and ovarian cancer and tested positive for BRCA mutation, which is most appropriate with respect to prevention? The clinician should counsel the patient about additional distinct symptoms of ovarian cancer. The clinician should facilitate a proven approach to risk factor reduction for all patients. The clinician should advise the patient that breastfeeding increases ovarian cancer risk. The clinician should suggest the use of oral contraceptives for cancer prophylaxis. NRP563 Management of Women's Health Issues Week 8 Quiz Question 1When a patient’s decision about a pregnancy causes an irreconcilable conflict between a clinician’s personal beliefs and professional responsibilities, the clinician should: make sure the patient understands what those personal beliefs are. continue to work in settings where such conflicts occur frequently. deny comprehensive pregnancy options counseling to the patient. refer the patient to a colleague or to a different setting entirely. Question 2All of the alternatives that follow are included in pregnancy options counseling except: discontinue the pregnancy. carry the pregnancy and parent the child. assess the need for additional attention after abortion. carry the pregnancy and place the infant for adoption.

Question 3Which of the following is NOT a goal of preconception care?

To provide education regarding nutrition and prenatal vitamins and supplements To put in place changes that can impact fertility or early fetoplacental development To screen for risks and prevention opportunities To begin pregnancy as healthy and prepared as possible Question 4Why is it important for women to take folate supplements immediately preceding and following contraception? It is one step of several that can be taken to improve nutritional habits of expecting mothers. It can boost the immune system and help to avoid infections. It can decrease the risk of neural tube defects, preterm birth, and newborns with low birth weight. It helps regulate the menstrual cycle, leading to better tracking of ovulation. Question 5Which of the following are considered probable (or objective) signs of pregnancy? Uterine enlargement and integumentary pigment changes Amenorrhea and palpable fetal outline Nausea and Goodell sign Fetal heart rate auscultated by fetoscope and increased urinary frequency Question 6Cardiac output in pregnancy __________ and peaks during __________. increases 10 to 25 percent; the first trimester increases 30 and 50 percent; the third trimester increases 50 percent; delivery decreases 10 to 15 percent; the first trimester Question 7Which of the following is NOT a sign or symptom associated with pregnancy in the early weeks? Breast tenderness Extreme fatigue Migraine headaches Nausea and vomiting Question 8Quantitative human chorionic gonadotropin (hCG) test is most valuable in determining viable pregnancies if the test can be repeated in: 2 weeks. 48 hours. 4 days. 24 hours.

Question 9An ectopic pregnancy is:

also known as a spontaneous abortion. a greater risk for women with a history of pelvic inflammatory disease. rarely even noticed by the woman. the same thing as a molar pregnancy.

Question 10To avoid opportunity for thromboembolism, postpartum women should:

ambulate soon after birth. avoid fatigue. breastfeed the child. engage in abdominal exercises.