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Advanced Nurse Practice in Reproductive Health Care Test Questions and Answers 2024, Exams of Nursing

A set of test questions and answers related to advanced nurse practice in reproductive health care. It covers a wide range of topics, including feminist perspectives, alcohol consumption in women, the tanner scale for puberty stages, leading causes of death in women, gynecological cancers, the hpv vaccine, unintended pregnancy statistics, cultural perspectives on women's healthcare, the role of the world health organization, factors that put women at risk for intimate partner violence, screening for thyroid dysfunction, rubella immunity, osteoporosis, cardiovascular disease risk factors, and screening for type 1 and type 2 diabetes. The document also provides information on cervical cancer screening, colorectal cancer screening, and the use of different types of vaginal speculums. Overall, this document appears to be a comprehensive resource for advanced practice nurses working in the field of reproductive health care.

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NRNP 6552 Advanced Nurse Practice in
Reproductive
Health Care Test Questions and Answers 2024
feminist perspective - correct answersA perspective that acknowledges the
oppression
of women within a patriarchal society that also struggles toward the
elimination of sexist
oppression and the domination of all human
beings.
Alcohol Consumption and
Women
Recommended daily intake limit? Possible Risks? - correct
answersAlcohol is
hazardous for a woman who has either more than 7 drinks per week or
more than 3
drinks per day. This amount put's women at risk for developing AUD
(Alcohol
Dependance Disorder). #Alcoholism
Tanner Stages - correct answersA scale used to assess the sexual maturity
and puberty
in both sexes. This scale involves 5 stages that involve development of
breast and
public hair growth and divides sexual physical maturity that extend from
adolescence
into adult hood.
Tanner Scale Stage One - correct answersStage one: small nipples no breast,
no pubic hair, no signs of puberty scrotum, testes, and penis are the same
as in childhood
Tanner Scale Stage Two - correct answersStage two: Breasts and nipples
have just
started to grow, the areola has become larger, breast tissue bud feels firm
behind the
nipple, initial growth of pubic hair that is light in color and
not curled.
Initial growth of scrotum and testes. The skin on the scrotum has
become redder,
thinner, and more wrinkled. The penis may have grown a little in
length. Few hairs
around the root of the penis. the hairs are straight without curls, and
light in color.
Tanner Scale Stage Three - correct answersStage Three: breasts and
nipples have
grown additionally. The aureola is darker and the breasts tissue buds
have gottenlarger. The public hair is more widespread. The hair is darker, and curls
may have
appeared.
the penis has now grown into length. Scrotum and testes have grown. The
skin of the scrotum has become darker and more wrinkled.
Tanner Scale Stage Four - correct answersNipples and aerolas are elevated
and form
an edge towards the breast. The breast has also grown a little larger. More
dense pubic
hair growth with curls and dark hair. Still not entirely as an adult
womens.
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NRNP 6552 Advanced Nurse Practice in

Reproductive

Health Care Test Questions and Answers 2024

feminist perspective - correct answersA perspective that acknowledges the

oppressionof women within a patriarchal society that also struggles toward the

eliminationoppression andof sexist the domination of all human

beings.

Alcohol Consumption and

Women

Recommended daily intake limit? Possible Risks? - correct

answersAlcoholhazardous for a iswoman who has either more than 7 drinks per week or

moredrinks than per day. 3 This amount put's women at risk for developing AUD

(AlcoholDependance Disorder). #Alcoholism

Tanner Stages - correct answersA scale used to assess the sexual maturity

and puberty

in both sexes. This scale involves 5 stages that involve development of

breastpublic hairand growth and divides sexual physical maturity that extend from

adolescenceinto adult hood.

Tanner Scale Stage One - correct answersStage one: small nipples no breast,

no pubic hair, no signs of puberty scrotum, testes, and penis are the same

as in childhood

Tanner Scale Stage Two - correct answersStage two: Breasts and nipples

havestarted just to grow, the areola has become larger, breast tissue bud feels firm

behind the nipple, initial growth of pubic hair that is light in color and

not curled.

Initial growth of scrotum and testes. The skin on the scrotum has

becomethinner, andredder, more wrinkled. The penis may have grown a little in

length. Few hairs around the root of the penis. the hairs are straight without curls, and

light in color.

Tanner Scale Stage Three - correct answersStage Three: breasts and

nipples have

grown additionally. The aureola is darker and the breasts tissue buds

havelarger. gotten The public hair is more widespread. The hair is darker, and curls

mayappeared. have

the penis has now grown into length. Scrotum and testes have grown. The

skin of the scrotum has become darker and more wrinkled.

Tanner Scale Stage Four - correct answersNipples and aerolas are elevated

and form an edge towards the breast. The breast has also grown a little larger. More

densehair growth pubic with curls and dark hair. Still not entirely as an adult

womens.

the penis has grown in both length and width. The head of the penis has

becomeThe scrotum larger. and testes have grown more dense curly and dark hair. the

hairreaching growth the is inner

thighs.

Tanner Scale Stage Five - correct answersFully developed breasts.

Nipplesprotruding. are the edge between aerola and breast has disappeared. Adult

hairDense growth.. curly hair extending towards the inner

thighs.

Penis and scrotum as an adult. Public hair extends upwards up to the

umbilicus.dense and It is

curly.

Primary prevention vs. Secondary Prevention vs Tertiary prevention

  • correct

answersPrimary prevention: Includes preventative measures that come

BEFORE THE

ONSET of a disease, illness, or injury, and BEFORE the disease process

begins.

Examples are, HPV vaccination, Safe sex practices, immunizations, health

education,

and

counseling.

Secondary Prevention: Includes those preventive measures that lead to

earlyand prompt diagnosis treatment of disease, illness, or injury. Examples are, Pap

smears,testing, HPVHIV testing, syphilis testing. routine lab screening for early

detectiondisease. of

Tertiary Prevention : Limits the ability and promotes rehab from clinical

disease states. (Disease and illness is already here).

U.S. Preventive Task Force

Who are they? What do they do? what do they recommend? - correct

answersTheyan independent are volunteer panel or national experts in disease prevention

andbased evidence-

medicine. They work to improve the health of all Americans by making

evidence-basedrecommendations about clinical preventive services.

American College of Obstetrics and Gynecologists recommendations

  • answersMembership correct organization dedicated to the advancement of

women's health care and the professional and socioeconomic interests of its

memberscontinuing through medical education , practice, research, and advocacy.

Preventable causes of death for women - correct answersThe leading

causes of death in women in the U.S. are related to modifiable, behavioral

risk factors.

Smokin

gObesit

yHigh Blood

Pressure

Women's Health

Statistics

Cultural Perspective of Women - correct answersTo create a culture in

health care

settings where providers must educate themselves about the health

needs and

concerns of the population and create environments that are

welcoming,

nonthreatening, and normalized to people of ALL gender, identities,

and sexual

orientation

s.

World Health Organization (WHO): Who are they and what do they do?

  • correct

answersThey are a world health org that plays an essential role in

thegovernance global of health and disease. They establish, monitor, and enforce

internationalnorms and

standards.

They define health as a " state of complete physical, mental, and social

well-beingnot just the and absence of disease or infirmity". ** Definition of Infirmity means

physical or mental

weakness****

HIV Screening Recommendations - correct answersThe CDC

recommendsscreening as aHIV routine part of clinical care for patients ages 13-64 in ALL

health care settings. Patients who present for STI treatments should be screen for HIV at

each visit.

Screening Guidelines for IPV (Intimate Partner Violence). - correct answersAll

women of childbearing ages 14-46 should be screened for IPV.

Factors that put women at risk for IPV - correct answersPregnancy,

historydepression, of low self-esteem, poverty, unemployment, controlling

partner, and community or family with male dominant

forms.

Definition of rape - correct answersThere is still no clinical definition of

sexualrape that assault has gained or acceptance. clinicians should become familiar with

theirdefinitions states and corresponding

laws.

The revised UCR definition of rape is: Penetration, no matter how slight, of

theanus vagina with any or body part or object, or oral penetration by a sex organ of

anotherwithout theperson, consent of the

victim.

Genital Trauma and Rape Statistics - correct answers1 in 5 women have

been raped at

one point in there

life.Victims of rape are less likely to report their perpetrator if they know

the80% person of assaults are either a former partner, friend, family, member or

acquaintance

Evidentiary Examination of a Rape Victim - correct answersA evidentiary

collection kit should be used and instructions on how to collect, preserve,

seal, and store samples should be followed. Collection should be done

AFTER inspection of the area and prior

to palpitation or physical manipulation of the area. STD possibility should

beprophylactically treated even if tested negative, pregnancy test should be given and

emergency contraception may be given up to 120 HOURS OF THE ASSAULT (A SINGLE

DOSEOF LEVONORGESTREL (PLAN B) 1.

MG.

What does the Pneumonic EMPOWER stand for? - correct answersIt is

usedintimate for partner violence and

standsEmpathetic for...

listening Making time to properly document

findingsProvide information about domestic

violenceOffering options and

choicesWorking with a domestic abuse

specialistEncouraging the planning for safety and

supportReferring to local services

Gravida Para Abortus system GTPAL - correct answersGravidity= the

numberpregnancie of

s Para= deliveries aka same thing as term; Ex. G2P1 1 abortion LC 1

vaginalTerm: Term birth deliveries (38 weeks or

more)Preterm: deliveries up to 37

weeksAbortus/Miscarriages : Abortion (surgical or

miscarriage)LC=Living

Children

P: Para= number of births of viable

offspring

Healthy People 2020 who they are and why they are important

  • answersDevised correct using a framework that focuses on determinants of health

withfocus an on extra social determinants (Personal, social, economic). Healthy people

focus areas include.

Cancer2.

HIV3. LBGQT

health

second definition from the CDC's website on healthy people 2020

objectives

provides science-based, 10-year national objectives for improving the

healthAmericans. of all Healthy People has established benchmarks and monitored

progresstime in order over to encourage collaborations across communities and

sectors; empower individuals toward making informed health decisions; measure impact of

preventionactivitie

s.

American College of Nurse-Midwives (who can they treat?) definition

ofpractice scope - of correct answersprimary care providers throughout the lifespan

with a special emphasis on pregnancy, childbirth, and gynecological

reproductive health.

Hyperandrogenism - correct answersAn endocrin disorder that results in

excessive

levels of androgens ( male sex hormones such as testosterone) in the female

body. S/S

muscular male like body, deepening voice, clitoromegaly, increased iibido,

menstrual

irregularity, HTN, Hyperlipidemia, glucose intolerance, hirsutism (aka dark

course hair in

male like matters on face, chest, back). , alopecia, acanthosis nigricans

(discolored dark

Best way to measure risk is to use a clinical risk assessment tool.

Severalavailable tools to assess are osteoporosis risk, such as OST, ORAI, OSIRIS,

SCORE,FRAX. and

SCREENING

The most commonly used test is central DXA of the hip and lumbar spine

thismeasurement provides of bone mineral density, and most treatment guidelines use

central DXA to define osteoporosis and the treatment threshold to prevent

osteoporoticOther screening fractures. tests include peripheral DXA and quantitative

ultrasound.

The U.S. Food and Drug Administration has approved multiple drug therapies

to reduce osteoporotic fractures, including bisphosphonates, parathyroid hormone,

raloxifene,estrogen. The and choice of therapy should be an individual one based on

theclinical patient's situation and the trade-off between benefits

andOther harms. relevant USPSTF

recommendationsThe USPSTF has made recommendations on interventions to

preventcommunity- fallsdwelling in older adults and the use of vitamin D, calcium, or

combinedsupplementation for the primary prevention of fractures in community-

dwelling adults.

Screening for Cardiovascular Disease - correct answersBlood pressure

screening at

each health care visit and once a year if

lowCholesterol bp. checked every 4-6 years for normal risk if elevated

than yearly BMI yearly at annual well

visitSmoking and physical activity at

eachIf abnormals, visit EKG and stress tests. EKG yearly if

HTN.

Riskolder factors age, male sex, high blood pressure, current smoking, abnormal

lipiddiabetes, levels, obesity, and physical inactivity. Several calculators and models

areto quantify available a person's 10-year risk of CVD events; the USPSTF

recommendsclinicians use thatthe Pooled Cohort Equations to assess

CVD risk.

Treatments

Asymptomatic adults at increased risk of CVD events are usually

treatedcombination with aof diet and exercise modifications, lipid-lowering

medications,hypertension aspirin,management, and interventions to encourage tobacco

cessation.Other relevant USPSTF

recommendations The USPSTF has made recommendations on many factors related to CVD

prevention,including screening for high blood pressure, use of statins, counseling

oncessation, smoking and counseling to promote healthful diet and physical activity. In

addition,USPSTF recommends the low-dose aspirin use in certain persons at increased

riskevent of CVD

s.

Why do we screen for TYPE 2 DIABETES but not TYPE 1? - correct

answersTYPE 1

DIABETES

Screening for type 1 diabetes is not recommended for the following

reasons:typically presentpatients with an acute onset of symptoms, no established

cutoff value is available for antibody tests, no accepted treatment exists for

patientsasymptomatic, who are and no medication is available to prevent the disease

ingenetically persons predisposed to type 1

diabetesTYPE 2 DIABETES

Screening is recommended for type 2 diabetes because reliable tests are

available,lifestyle changes and and medications reduce progression and adverse

sequelaedisease, even of the in persons who are initially asymptomatic.

Diabetes in women (pregnant and nonpregnant) - correct

answers(USPSTF)updated recommendations recently and suggests screening individuals 40 to 70

yearswho are of ageoverweight or obese. Persons with abnormal results should be

referredintensive for behavioral counseling interventions focusing on physical activity

anddiet. a Clinicians healthy should consider screening certain individuals at higher

risk.screening repeat every 3 years and a fasting blood glucose

yearly.

PREGNANT WOMEN-Glucose test is done between 24-28 weeks. The test

mayperformed be earlier if high glucose levels are in the urine or if they had

Gestationalprevious DM in

pregnancies.

CERVICAL CANCER AND SCREENING - correct answersPap-test 21- 65

(cervical cancer

screen)New screening interval was recently updated from annually to once every

threenorm years if

alCo-testing with HPV via PAP every 5 years for ages 30-65.

Colorectal Cancer Screening - correct answersUSPSTF recommends

screening all

adults ages 5-75 years old. Early screening in women if a first degree

relativecolorectal had cancer at a young age. If they have inflammatory bowel

disease,genetics orsuch rare as familial adenomatous polyposis or nonpolypous

Use of the Rectovaginal examination - correct answersperform with the

patient laying in

a supine lithotomy position (lithotomy means with legs up in stirrups). Used

inwho a personhas a retroflexed or retroverted uterus. allows palpitation to depth of

2.5 cm's more

than transvaginal ultrasound. This is very uncomfortablly and usually

omittedvery necessary. unless

Types and Sizes of speculums - correct answersThere are three main types

of cervical

speculum: pediatric, Pederson and Graves. They come in plastic

andThe medal.Pediatric Speculum (smallest most

narrow)Shorter in length, the pediatric speculum is intended for use in patients who

have never had sexual intercourse and therefore have narrower

vaginal canals

4.Weight loss, sweating,

palpitations?..... Hyperthyroidism

5.Easy bruising, tendency to bleed?

think... Coagulopathy

6.Jaundice, history of hepatitis?

Think... Liver disease

7.Hirsutism, acne, acanthosis nigricans,

obesity? Think Polycystic ovary syndrome

8.Postcoital bleeding (spotting or bleeding after intercourse unrelated

to menstrual cycle)? Think...

Cervical dysplasia, endocervical polyps

9.Galactorrhea, headache, visual-field

disturbance?Think Pituitary adenoma

10.Weight loss, excessive exercise,

stress? Think Hypothalamic suppression

11.Thyromegaly, weight gain,

edema? Hypothyroidism

12.Thyroid tenderness, tachycardia, weight loss, velvety

skin? Think... Hyperthyroidism

13.Bruising, jaundice,

hepatomegaly? Think.. Liver disease

  1. Enlarged uterus?

Pregnancy, leiomyoma, uterine cancer

15.Firm, fixed uterus?

Think Uterine cancer

  1. Adnexal mass?

Think..

Ovarian tumor, ectopic

pregnancy, cyst

Uterine tenderness, cervical motion

tenderness PID, endometritis

Laboratory tests

Beta-subunit human chorionic

gonadotropin Pregnancy

Complete blood count with platelet count and

coagulation studies Coagulopathy

Liver function tests, prothrombin

time Liver disease

Thyroid-stimulating hormone

Hypothyroidism,

hyperthyroidism

Prolactin

Pituitary adenoma

Blood glucose

Diabetes

mellitus

DHEA-S, free testosterone, 173-hydroxyprogesterone if

hyperandrogenic Ovarian or adrenal tumor

Papanicolaou

smear Cervical

dysplasia

Cervical testing

for infection

Cervicitis,

PIDImaging and tissue

samplingEndometrial biopsy or dilatation and

curettageHyperplasia, atypia, or

adenocarcinoma

Transvaginal ultrasonography

Pregnancy, ovarian or uterine

tumors

Saline-infusion

sonohysterographyIntracavitary lesions, polyps, submucous

fibroids

Hysteroscop

yIntracavitary lesions, polyps, submucous

fibroids

Uterine Adenomyosis - correct answersendometerial glnds within the

myometrium

--> suspect in a multiparous woman who is more than 40 years old

presenting with

menorrhagia (heavy bleeding) and dysmenorrhea (painful cramps), chronic

pelvicThe uterus pain. will be tender to palpation during pelvic exam and the

uterusenlarged. is usually Definitive diagnosis requires histological analysis of a

hysterectomyspecimen, but can diagnose based on transvaginal

ultrasound TX: Hysterectomy or uterine artery embolization (if further children are not

desired)a women or desires if childen she could benefit from hormonal medications

forrelief symptom such as LEVONORGESTREL-RELEASING IUD OR ORAL DIENOGEST

Uterine Fibroids - correct answersMost common pelvic tumor in women

after80% inage AA 50. women, 70% in white women). Fibroids are benign

monoclonalarising from tumorsthe smooth muscle cells of the myometrium described by

theirthe uterus location (submucosal, in intramural, subseroal, cervical).

****Intramural fibroids grow within the muscular uterine wall. Submucosal

fibroidsinto the bulgeuterine cavity. Subserosal fibroids project to the outside of

theSomesubmucosal uterus. or subserosal fibroids may be pedunculated — hanging

frominside a orstalk outside the

uterus.****

S/S: Abnormal uterine bleeding, pelvic pressure and pain, reproductive

dysfunction dx: Transvaginal

ultrasoundTx: Surgery is usually the preferred method if causing extensive pain and

discomfort..

NRNP 6552 Advanced

Nurse Practice in

Reproductive Health

Care Test Questions

and Answers 2024