NU 641 WOMEN'S HEALTH REVIEW EXAM Q & A 2024 HERZING, Exams of Nursing

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NU 641

Women’s Health

Review Exam

Q & A

1. A 45-year-old female patient presents with a complaint of persistent lower abdominal pain. Based on the current evidence-based guidelines, which of the following is the most appropriate initial diagnostic test? A) Transvaginal ultrasound B) Complete blood count (CBC) C) Urinalysis D) Pelvic MRI Answer: A) Transvaginal ultrasound Rationale: Transvaginal ultrasound is the preferred initial diagnostic test for women presenting with lower abdominal pain as it provides detailed images of the reproductive organs and can help identify gynecological conditions such as ovarian cysts or fibroids.
2. In managing menopause-related symptoms, which of the following therapeutic options aligns with contemporary practice for a patient who prefers non-pharmacological management? A) Hormone replacement therapy (HRT) B) Cognitive-behavioral therapy (CBT) C) Antidepressant medication D) Over-the-counter (OTC) supplements Answer: B) Cognitive-behavioral therapy (CBT) Rationale: CBT is an evidence-based non-pharmacological approach that helps manage menopause-related symptoms by addressing psychological and behavioral factors.
3. When assessing cardiovascular risk in postmenopausal women, which factor is most significant according to current guidelines? A) Age B) Family history of heart disease C) Body mass index (BMI) D) Smoking status Answer: D) Smoking status Rationale: Smoking is a modifiable risk factor that significantly increases the risk of cardiovascular disease in postmenopausal women.
4. For a patient with Polycystic Ovary Syndrome (PCOS), which of the following management strategies is recommended to improve fertility

Rationale: The stage of cancer at diagnosis is critical in determining the treatment plan, including surgery, chemotherapy, radiation, or targeted therapy.

1. Which of the following is the most appropriate screening tool for breast cancer in women aged 50-74 years? A. Mammography B. Pap smear C. Pelvic exam D. Colposcopy Answer: A. Mammography Rationale: Mammography is the gold standard screening tool for breast cancer in women aged 50-74 years, according to evidence-based guidelines.
2. Which of the following is a risk factor for developing osteoporosis in postmenopausal women? A. High BMI B. Regular weight-bearing exercise C. Early menarche D. Low estrogen levels Answer: D. Low estrogen levels Rationale: Low estrogen levels after menopause are a major risk factor for osteoporosis in postmenopausal women.
3. Which of the following interventions is most effective in managing menopausal symptoms in women? A. Hormone replacement therapy B. Weight loss C. Herbal supplements D. Physical therapy Answer: A. Hormone replacement therapy Rationale: Hormone replacement therapy is the most effective treatment

for managing menopausal symptoms in women, based on evidence-based guidelines.

4. Which of the following is the recommended screening test for cervical cancer in women aged 21-65 years? A. Mammography B. Pap smear C. Colposcopy D. HPV testing Answer: B. Pap smear Rationale: Pap smear is the recommended screening test for cervical cancer in women aged 21-65 years, according to evidence-based guidelines.
5. Which of the following is the most appropriate management strategy for women with polycystic ovary syndrome (PCOS)? A. Oral contraceptives B. Weight loss C. Metformin D. Laparoscopic ovarian drilling Answer: A. Oral contraceptives Rationale: Oral contraceptives are the first-line treatment for managing symptoms of PCOS in women, according to evidence-based guidelines.
6. Which of the following is the recommended screening test for gestational diabetes in pregnant women? A. Fasting blood glucose B. Oral glucose tolerance test C. Hemoglobin A1c D. Random blood glucose Answer: B. Oral glucose tolerance test Rationale: Oral glucose tolerance test is the recommended screening test for gestational diabetes in pregnant women, according to evidence-based guidelines.

D. Blood transfusion Answer: A. Iron supplementation Rationale: Iron supplementation is the first-line treatment for managing iron-deficiency anemia in women, according to evidence-based guidelines.

11. Which of the following is the first-line treatment for women with endometrial hyperplasia? A. Hysterectomy B. Progesterone therapy C. Radiation therapy D. Chemotherapy Answer: B. Progesterone therapy Rationale: Progesterone therapy is the first-line treatment for managing endometrial hyperplasia in women, according to evidence-based guidelines.
12. Which of the following is a risk factor for developing breast cancer in women? A. Regular exercise B. Low-fat diet C. Family history of breast cancer D. Early menopause Answer: C. Family history of breast cancer Rationale: Family history of breast cancer is a major risk factor for developing breast cancer in women, according to evidence-based guidelines.
13. Which of the following is the recommended screening test for osteoporosis in postmenopausal women? A. Bone density scan B. Calcium levels C. X-ray D. MRI

Answer: A. Bone density scan Rationale: Bone density scan is the recommended screening test for osteoporosis in postmenopausal women, according to evidence-based guidelines.

14. Which of the following is the most appropriate management strategy for women with pelvic organ prolapse? A. Kegel exercises B. Hormone replacement therapy C. Surgery D. Antibiotics Answer: C. Surgery Rationale: Surgery is the most effective treatment for managing pelvic organ prolapse in women, according to evidence-based guidelines.
15. Which of the following is the most appropriate screening test for ovarian cancer in high-risk women? A. CA-125 blood test B. Pap smear C. Ultrasound D. MRI Answer: A. CA-125 blood test Rationale: CA-125 blood test is the recommended screening test for ovarian cancer in high-risk women, according to evidence-based guidelines.
16. Which of the following is a potential complication of untreated hypothyroidism in women? A. Osteoporosis B. Infertility C. Hypertension D. Insomnia Answer: B. Infertility Rationale: Untreated hypothyroidism can lead to complications such as infertility, menstrual irregularities, and pregnancy complications in

colorectal cancer in women aged 50-75 years? A. Mammography B. Sigmoidoscopy C. Colonoscopy D. CT scan Answer: C. Colonoscopy Rationale: Colonoscopy is the recommended screening test for colorectal cancer in women aged 50-75 years, according to evidence-based guidelines.

21. Which of the following is a potential complication of untreated menopausal symptoms in women? A. Osteoporosis B. Ectopic pregnancy C. Fibroids D. Adenomyosis Answer: A. Osteoporosis Rationale: Untreated menopausal symptoms such as low estrogen levels can lead to complications like osteoporosis in women.
22. Which of the following is the most appropriate management strategy for women with uterine cancer? A. Hormone therapy B. Surgery C. Radiation therapy D. Chemotherapy Answer: B. Surgery Rationale: Surgery is the main treatment for uterine cancer in women, according to evidence-based guidelines.
23. Which of the following is the recommended screening test for thyroid cancer in women? A. Thyroid function tests B. Ultrasound C. Fine-needle aspiration

D. CT scan Answer: B. Ultrasound Rationale: Ultrasound is the recommended screening test for thyroid cancer in women, according to evidence-based guidelines.

24. Which of the following is the most appropriate management strategy for women with cervical dysplasia? A. Cryotherapy B. Hysterectomy C. Chemotherapy D. Radiation therapy Answer: A. Cryotherapy Rationale: Cryotherapy is a common treatment for cervical dysplasia in women, according to evidence-based guidelines.
25. Which of the following is a risk factor for developing heart disease in women? A. Low cholesterol levels B. Regular exercise C. Family history D. Healthy diet Answer: C. Family history Rationale: Family history of heart disease is a major risk factor for developing heart disease in women, according to evidence-based guidelines. These comprehensive multiple-choice questions cover a range of health and disease states specific to women across the adult lifespan in primary care settings, based on integrating theoretical knowledge and evidence- based guidelines. This exam is designed to test nursing students' understanding and application of contemporary practice in assessing and managing women's health.

Question: What is the primary screening test for cervical cancer in women? a) Mammogram b) Pap smear c) Colonoscopy d) MRI Answer: b) Pap smear Rationale: Pap smear is the primary screening test for cervical cancer, allowing for the detection of precancerous or cancerous cells in the cervix. Question: In the assessment of women's health, which of the following is a modifiable risk factor for cardiovascular disease? a) Age b) Genetic predisposition c) Smoking d) Gender Answer: c) Smoking Rationale: Smoking is a modifiable risk factor for cardiovascular disease and is particularly relevant in the context of women's health assessment and management. Question: Which of the following is a characteristic symptom of endometriosis? a) Painful urination b) Chronic pelvic pain c) Irregular menstrual periods d) Hot flashes Answer: b) Chronic pelvic pain Rationale: Chronic pelvic pain is a characteristic symptom of endometriosis, a condition that is important to recognize and manage in the assessment of women's health. Question: What is the recommended frequency for bone density testing in postmenopausal women? a) Every 5 years b) Every 3 years c) Every 2 years d) Every year

Answer: c) Every 2 years Rationale: Postmenopausal women are at increased risk for osteoporosis, and bone density testing every 2 years is recommended to assess their bone health. Question: Which of the following is a potential complication of untreated polycystic ovary syndrome (PCOS) in women? a) Hypothyroidism b) Type 2 diabetes c) Hypertension d) Chronic obstructive pulmonary disease Answer: b) Type 2 diabetes Rationale: Untreated PCOS can lead to insulin resistance and an increased risk of developing type 2 diabetes, highlighting the importance of its assessment and management in women's health care. Question: What is the recommended age for women to start receiving regular colorectal cancer screening? a) 30 years b) 40 years c) 50 years d) 60 years Answer: c) 50 years Rationale: Evidence-based guidelines recommend that women should start receiving regular colorectal cancer screening at the age of 50 to detect and prevent the development of colorectal cancer. Question: Which of the following vaccinations is specifically recommended for pregnant women to protect against influenza? a) MMR (measles, mumps, rubella) b) Varicella (chickenpox) c) Tdap (tetanus, diphtheria, pertussis) d) Influenza Answer: d) Influenza Rationale: Influenza vaccination is specifically recommended for pregnant women to protect both the mother and the baby from influenza- related complications during pregnancy.

d) Blood test for calcium levels Answer: a) Bone density testing Rationale: Bone density testing is the primary screening test for osteoporosis in postmenopausal women, allowing for the assessment of bone health and risk of fractures. Question: Which of the following is an evidence-based recommendation for the management of premenstrual syndrome (PMS) in women? a) High-dose estrogen therapy b) Selective serotonin reuptake inhibitors (SSRIs) c) Routine hysterectomy d) Use of oral contraceptives Answer: b) Selective serotonin reuptake inhibitors (SSRIs) Rationale: Evidence-based guidelines recommend the use of selective serotonin reuptake inhibitors (SSRIs) for the management of severe PMS symptoms in women. Question: What is the recommended age for women to start receiving regular DEXA scans for osteoporosis screening? a) 30 years b) 40 years c) 50 years d) 60 years Answer: c) 50 years Rationale: Regular DEXA scans for osteoporosis screening are recommended to start at the age of 50 for women, especially postmenopausal women, to assess their bone density and fracture risk. Question: Which of the following is a common symptom of urinary tract infections (UTIs) in women? a) Chest pain b) Urinary retention c) Dysuria d) Constipation Answer: c) Dysuria Rationale: Dysuria, or painful urination, is a common symptom of urinary tract infections in women, emphasizing the need for its recognition and appropriate management.

Question: What is the recommended age for women to start receiving regular HPV testing for cervical cancer screening? a) 21 years b) 30 years c) 40 years d) 50 years Answer: b) 30 years Rationale: Regular HPV testing for cervical cancer screening is recommended to start at the age of 30 for women, allowing for the detection of high-risk HPV types. Question: Which of the following is a potential risk factor for the development of postpartum depression in women? a) Young maternal age b) Multiparity c) Short labor duration d) Planned pregnancy Answer: a) Young maternal age Rationale: Young maternal age is a potential risk factor for the development of postpartum depression, highlighting the need for its assessment and management in women's health care. Question: What is the recommended screening interval for breast cancer in women with average risk? a) Every 1 year b) Every 3 years c) Every 5 years d) Every 10 years Answer: a) Every 1 year Rationale: Women with average risk for breast cancer are recommended to undergo regular mammograms every 1 year to detect any potential abnormalities in breast tissue. Question: Which of the following is a potential complication of untreated pelvic inflammatory disease (PID) in women? a) Endometriosis b) Ectopic pregnancy

diabetes-related complications. Question: Which of the following preventive measures is recommended for women to reduce the risk of breast cancer? a) High-fat diet b) Regular physical activity c) Hormone replacement therapy d) Excessive alcohol consumption Answer: b) Regular physical activity Rationale: Regular physical activity is a recommended preventive measure for women to reduce the risk of breast cancer, emphasizing the importance of lifestyle factors in women's health management.