Download Final Exam: NU664D/ NU 664D (NEW 2025/ 2026 Update) Review| 100% Correct- Regis and more Exams Nursing in PDF only on Docsity!
Final l Exam: l NU664D/ l NU l 664 D l (NEW l
2025/ l 2026 l Update) l Primary l Care l Adult l
Woman l I l Review| l Questions l & l Answers| l
Grade l A| l 100% l Correct l (Verified l
Solutions)- l Regis
QUESTION
MRIl canl detect Answer: obstructivel abnormalities
QUESTION
laparoscopyl orderedl when Answer: initiall measuresl havel notl improvedl symptoms,l secondaryl dysmenorrhea,l painl affectingl dailyl activityl
- l canl dxl andl stagel endometriosis
QUESTION
Primaryl amenorrhea:l definition Answer: absencel ofl mensesl byl 15 l withl normall growthl andl secondaryl sexl characteristicsl ORl absencel ofl mensesl withl completel absencel ofl secondaryl sexl characteristicsl byl 13
QUESTION
secondaryl amenorrheal defintion
Answer: absencel ofl mensesl forl morel thanl 3 l monthsl inl al girll whol cyclingl regularlyl ORl 6 - monthl absencel inl al girll whol previouslyl hadl irregularl cycles
QUESTION
secondaryl amenorrheal causes Answer: pregnancy/lactation perimenopausel orl menopause PCOSl - l hyperandrogenism hypothyroidl (sometimesl hyperthyroid) Pituitaryl dysfunctionl - l hyperprolactinemial froml tumor/injury,l medications,l cocaine hypothalamicl amenorrheal (eatingl disorder,l weightl lossl underl normall BMI) Primaryl ovarianl insufficiencyl - l physiologicl menopausel inl womenl <l 40
QUESTION
primaryl amenorrheal causes Answer: imperforatel hymen,l gonadall dysgenesisl (Turnor),l mullerianl agenesisl (absencel ofl uterus/vagina),l physiologicl delay,l endocrinel disordersl (PCOS,l hyperprolactinemia,l thyroidl disorders)
QUESTION
primaryl dysmenorrheal sxs Answer: crampy,l achy,l dull, beginsl beforel mensesl andl persistsl forl 24 - 48 l hours associatedl withl - l n/v,l fatigue,l dizziness,l diarrhea,l anxiety,l headache
QUESTION
secondaryl dysmenorrheal defintion
Answer: exercisel - l increasesl endorphinsl andl suppressesl prostaglandinl release,l shuntsl bloodl awayl froml uterus,l reducel pelvicl congestionl andl pain dietl - l reducel saltyl foods,l increasel fiberl andl freshl fruits/vegetablesl andl waterl (naturall diuretics) headingl padsl orl warml bathsl tol decreasel musclel spasms weightl loss
QUESTION
obesityl andl estrogen Answer: increasesl amountl ofl estrogenl impactsl howl heavyl someonel isl bleeding increasesl riskl forl breastl andl uterinel cancer canl causel irregularl cycles
QUESTION
medicationl forl dysmenorreha Answer: NSAIDSl - l analgesicl effectl andl decreasel volumel ofl menstruall flowl 70%l havel moderatel tol completel reliefl ofl painfull cramping
QUESTION
alterativel optionsl forl dysmenorrhea Answer: vitaminl B,l acupuncture
QUESTION
dysmenorrheal - l secondl linel tx Answer:
COCl - l suppressl ovulation,l reducingl amountl ofl prostaglandinl producedl byl endometriall lining 90%l effective canl takel inl continuousl orl extendedl cyclesl (withdrawall bleedingl indicatedl everyl 3 l months)
QUESTION
Bestl txl forl endometriosis-relatedl dysmenorrhea Answer: depo,l Nexplanon,l hormonall iud
QUESTION
symptomsl ofl gonorrhea
Answer:
men:l urethritisl withl discharge,l anorectall infectionsl inl MSM,l dysuria;l
women:l friablel cervix,l cervicall discharge,l PID,l abdl pain
QUESTION
treatmentl ofl gonorrhea
Answer:
ceftriaxonel 500 l mgl IM,l ifl greaterl thanl 150 l kg,l 1gl IM
QUESTION
howl dol youl diagnosel gonorrhea?
Answer:
Answer:
Doxycyclinel 100 l mgl BIDl xl 7 l days
QUESTION
whatl isl thel treatmentl ofl syphhilis?
Answer:
benzathinel penicillinl Gl 2.4l millionl unitsl IMl once
QUESTION
whol isl atl riskl forl chlamyida?
Answer:
womenl 15 - 25
QUESTION
Estrogenl contraindications Answer: activel thrombophlebitis,l venousl thromboembolicl disorder acutel orl chronicl obstructivel liverl disease,l elevatedl liverl enzymes breastl cancer undiagnosedl genitall bleeding womenl >l 35 l whol smoke knownl orl suspectedl pregnancy arteriall thrombosis/ischemicl heartl disease HTN Migrainesl withl visuall aural (increasedl riskl forl ischemicl stroke)
QUESTION
Mechanisml ofl actionl forl mifepristonel (abortion) Answer: inhibitl progesteronel receptors,l antagonizingl endometriall andl myometriall effects atl highl dosesl leadsl tol contractions,l inducingl activityl intl hel myometrium
QUESTION
Riskl factorsl associatedl withl bloodl clots Answer: DVT,l PE
QUESTION
DVTl symptoms Answer: unilaterall painl withl acutel onset,l swelling,l warmth/redness,l +l Homan'sl sign,l palpablel venousl cord
QUESTION
PEl symptoms Answer: unilaterall chestl pain,l anxiety,l restlessness,l dyspnea,l cyanosis,l tachypnea,l tachycardia,l diminishedl breathl soundsl overl affectedl area
QUESTION
Safel HTNl medicationsl inl pregnancy Answer: methyldopa,l betal blockersl (labetalol),l CCBl (nifedipine)
MSM,l malesl 25 - 29
QUESTION
whatl arel thel telltalel signsl ofl syphilis?
Answer:
chancre
QUESTION
howl dol youl diagnosel syphilis?
Answer:
clinicall diagnosis,l serologicl testing,l lesionl exudatel orl tissuel exam
QUESTION
whatl isl thel treatmentl forl herpes?
Answer:
acyclovirl 400 l mgl POl TIDl xl 7 - 10 l days,l valacyclovirl 1gl BIDl xl 7 - 10 l days
QUESTION
howl dol youl diagnosel herpes?
Answer:
NAATl test,l virall culture
QUESTION
howl tol treatl HPVl warts?
Answer:
imiquimodl creaml 5%l orl 3.75%l 3 l timesl perl weekl forl upl tol 16 l weeks,l
cryotherapy,l surgery
QUESTION
whatl isl thel treatmentl forl trichomonas?
Answer:
metronidazolel 500 l mgl BIDl xl 7 l days
QUESTION
whatl isl thel treatmentl forl bacteriall vaginosis?
Answer:
Metronidazolel 500 l mgl POl BIDl forl 7 l d
ORl Clindamycinl 300 l mgl POl BIDl forl 7 l d
(bothl alsol availablel inl topicall preps)
QUESTION
whatl isl urgel incontinence?
Answer:
suddenl urgesl tol voidl thatl causesl involuntaryl incontinence
QUESTION
whatl isl thel treatmentl forl urgel incontinence?
Answer:
pelvicl musclel exercises,l anticholinergics
QUESTION
Whatl isl stressl incontinence?
Answer:
leakingl ofl urinel duringl physicall activityl thatl increasesl abdominall pressure
QUESTION
whatl arel symptomsl ofl stressl incontinence?
Answer:
leakingl urinel whilel sneezing,l laughing,l coughing,l exercise
QUESTION
treatmentl forl stressl incontinence?
Answer:
continencel pessary,l surgery,l pelvicl strengtheningl exercises
QUESTION
Whatl isl overflowl incontinence?
Answer:
havingl thel urgel to
QUESTION
elevatedl FSH/LHl withl al lowl estradioll indicates Answer: primaryl ovarianl insufficiency
QUESTION
lowl FSH/LHl andl estradioll indicate Answer: hyponatremicl hypogonadism
QUESTION
low-normall FSH/LHl andl estradioll indicate Answer: hypothalamicl amenorrhea
QUESTION
irregularl menstruall cycle,l obesity,l hirsuitism,l acne,l male-patternl hairl loss Answer: seruml androgen,l seruml testosterone,l prolactin,l serum17-hydroxyprogesterone,l fastingl glucose
QUESTION
Asl indicatedl labsl forl AUB Answer: GC/CH,l wetl mount,l UA,l UPT
QUESTION
whenl tol orderl pelvicl USl forl AUB Answer: abnormall examl finding
QUESTION
endometriall stripl inl al postmenopausall bleedingl womanl shouldl bel lessl than Answer: 5mml (.5cm)
QUESTION
ifl endometriall stipel >l (.5cm)l 5mml inl al postmenopausall bleedingl patientl whatl dxl tooll isl next Answer: endometriall biopsy
QUESTION
normall endometriall thicknessl withl nol complaintsl ofl abnormall bleeding Answer: 1.1cml (11mm)
QUESTION
C/Ol dysmenorrhea,l prematurel spotting,l painfull defecation,l dyspareunial - l youl suspectl endometriosisl - l howl tol havel definitivel dx Answer: directl visualizationl throughl laparoscopyl withl biopsy
QUESTION
labsl orderl tol dxl andl r/ol causesl ofl abnormall uterinel bleeidng Answer: thyroid,l CBC,l UPT,l prolactin
QUESTION
Hypothyroidl indicatedl byl whichl labs Answer: elevatedl TSH,l lowl T3,l lowl T
