Nokea
The nurse is providing care to the 35-year-old female patient at the family practice clinic who is in the office for her annual physical examination. Which tests should the nurse recommend are the most appropriate for this patient? Select all that apply.
- A. Papanicolaou test every 5 years
- B. Mammogram every 2 years
- C. DEXA screen every 2 years
- D. HPV every 5 years
Correct Answer: A
Rationale: A. Papanicolaou test (Pap smear) every 5 years - This test is recommended for cervical cancer screening in women aged 30-65 years old. It helps in early detection and prevention of cervical cancer.
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Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate?
- A. DUB is most commonly caused by anovulation
- B. DUB most often occurs in middle age
- C. The diagnosis of DUB should be the first consideration for abnormal menstrual bleeding
- D. Steroids are the most effective medical treatment for DUB
Correct Answer: A
Rationale: Anovulation is the most common cause of DUB especially in women at the beginning or end of their reproductive years. Other causes should be ruled out before diagnosing DUB.
A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake?
- A. Daily consumption of alcohol indicates a risk for alcoholism.
- B. She is at risk for abusing other substances as well.
- C. Alcohol places the fetus at risk for altered brain growth.
- D. Alcohol places the fetus at risk for multiple organ anomalies.
Correct Answer: C
Rationale: Alcohol consumption during pregnancy is associated with fetal mental retardation, learning disabilities, and other developmental issues.
A woman has chosen the calendar method of conception control. Which is the most important action the nurse should perform during the assessment process?
- A. Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months.
- B. Determine the client's weight gain and loss pattern for the previous year.
- C. Examine skin pigmentation and hair texture for hormonal changes.
- D. Explore the client's previous experiences with conception control.
Correct Answer: A
Rationale: The calendar method of conception control is based on the number of days in each cycle, counting from the first day of menses. The fertile period is determined after the lengths of menstrual cycles have been accurately recorded for 6 months.
The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome .Which interventions would correlate to the common symptoms of this syndrome? Select all that apply.
- A. The patient has been unsuccessful with the ability to conceive
- B. The patient has a history of painful and irregular menstrual cycles.
- C. The patient has noticed a drastic weight loss and dry skin.
- D. The patient has chronic back pain and gastrointestinal issues
Correct Answer: A
Rationale: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in women of reproductive age that can present with a variety of symptoms. Common symptoms of PCOS include irregular menstrual cycles, weight gain, acne, excessive hair growth, and infertility. Therefore, interventions that may correlate with these common symptoms can include lifestyle modifications like weight management, exercise, dietary changes, hormonal medications to regulate menstrual cycles, and fertility treatments if conception is desired. Treating the symptoms can help improve the patient's quality of life and overall health outcomes.
What is the goal of a long-term treatment plan for an adolescent with an eating disorder?
- A. Managing the effects of malnutrition
- B. Establishing sufficient caloric intake
- C. Improving family dynamics
- D. Restructuring client perception of body image
Correct Answer: D
Rationale: The primary focus of treatment is restructuring cognitive perceptions about the individual's body image, after reestablishing physiologic homeostasis.