Download NURS 684 Exam 3: Menopause, Gynecology, and Women's Health and more Exams Nursing in PDF only on Docsity!
NURS 684 Exam 3 With Correct
Answers
T/F? Bone density is recommended in all women 2 years post-menopause. - ANSWER FALSE
-Baseline 65years and older
A 52-year-old woman presents with amenorrhea for one year and moderate hot flashes for 6 months. She is interested in bioidentical hormone relief for her hot flashes and wants to know if they are better for her than other hormones. Appropriate info to provide would be, what? - ANSWER 17 beta-estradiol is a bioidentical form of estrogen available in oral, transdermal, and vaginal formulations
Which of the following statements concerning the estrogen agonist/antagonist raloxifine (Evista) is correct? - ANSWER It is approved for the prevention and treatment of osteoporosis.
T/F? Data supports the use of topically applied progesterone creams for endometrial protection in menopausal women taking estrogen. - ANSWER FALSE
What would NOT be an expected finding in a pelvic examination of a 70-year-old woman? - ANSWER Ovaries easily palpable
A menopausal woman experiencing discomfort with sexual intercourse related to vaginal dryness wants to know whether she should use a vaginal
lubricant or a vaginal moisturizer. What would NOT be a true statement?
a. Lubricants are intended to reduce friction r/t sex
b. Lubricants can take several weeks of use before becoming effective
c. Moisturizers provide long-term relief of vaginal dryness than lubricants
d. Moisturizers are typically applied several times weekly - ANSWER B. Effective immediately
T/F? Data supports the use of hormonal therapy for prevention of cognitive decline if started soon after menopause. - ANSWER FALSE
An advantage of the transdermal patch over oral delivery of estrogen for women experiencing menopausal symptoms is that the transdermal delivery method_____________________. - ANSWER Has less adverse effects on coagulation factors
In one to two years postmenopausal women, you would expect the following hormone level changes when compared with premenopausal women. - ANSWER Increased FSH, decreased ani-mullerian hormone, decreased estradiol
The woman who is going to take ospemifene (an estrogen agonist/antagonist) for treatment of dyspareunia related to vulvovaginal atrophy should be advised that she______________________ - ANSWER May
month starting one week before her period. The symptoms resolve soon after her period starts. The MOST important part of this information in managing the diagnosis of premenstrual syndrome is___________________ - ANSWER Timing of symptoms
A 16-year-old female has not begun menstruating but does have breast budding (Taner Stage 2) and pubic hair. She is best described as having__________________ - ANSWER Primary amenorrhea
A 15-year-old female is hospitalized with heavy uterine bleeding and severe anemia. Among the following, which would be the most likely diagnosis?
A. Endometrial cancer
B. Endometriosis
C. Fibroids
D. Inherited coagulation - ANSWER D.
First line of pharmacological treatment for hirsutism in a woman with PCOS who is not trying to get pregnant is_________ - ANSWER Combined oral contraceptive
T/F? Management of urinary incontinence is aimed at reducing factors that allow bladder pressure to exceed urethral pressure? - ANSWER True
The initial evaluation of urinary incontinence should include all of the following EXCEPT
A. Assessment of pelvic floor muscle strength
B. Cough stress test
C. Postvoid residual volume
D. Cystoscopy - ANSWER D.
A 68-year-old woman's cervix is protruding so that it extends to the hymen. You recognize this as a sign of________________ - ANSWER Uterine prolapse
A 55-year-old female who is using a continuous estrogen-progestin patch for years complains of bleeding for several days a month for the past three months. She states that this has not happened since she began her patch. Appropriate initial management would be _________________ - ANSWER Obtain endometrial biopsy
Which of the following is NOT an FDA approved indication for the use of hormone therapy? - ANSWER Prevention of CV disease
A 35-year-old has occasional bleeding between periods ad after sex. There is no pain associated with the bleeding or sex. Her periods are regular, normal
C. HX of MI
D. Undiagnosed abnormal uterine bleeding - ANSWER A.
A 30-year-old woman presents to your office with complaints of dysmenorrhea, pain with sex when there is deep thrusting, and inability to conceive. You would suspect________________ - ANSWER Endometriosis
Which of the following screening tests is recommended once specifically for individuals born between 1945 and 1965 with no other risk factors? - ANSWER Hep C
Most major medical organizations recommend that women (w/o risk factors started colorectal screening at age__________ - ANSWER 50
What type of therapy for urge incontinent would be most appropriate for an individual with cognitive impatient? - ANSWER Prompted scheduled voiding
Three parameters for menopause? - ANSWER Age, cessation of menses, hypoestrogenic symptoms
For which of the following women would a vertebral fracture assessment w/ vertebral imaging be most appropriate?
A. 40-year-old who fractured risk on bicycle
B. 40-year-old woman on long-term glucocorticoid therapy
C. 63 -year-old woman with height loss of 4.0 cm
D. 65-year-old woman with BMD T-score of -1.0 - ANSWER C
FRAX is most appropriately used to determine______________ - ANSWER If a postmenopausal woman with osteopenia would benefit from preventative medications
What would you expect to see with a rectocele? - ANSWER Bulging of the posterior wall of the vagina
T/F? The rate of bone mass loss associated with menopause continues to become more rapid over time. - ANSWER FALSE
Instructions for taking oral bisphosphonate such as alendronate include____________ - ANSWER Take medication on empty stomach
A 58-year-old menopausal woman has a BMD test because her BMI is < kg.m2 and her mother recently had a hip fracture. The T-score is -1. indicating osteopenia. She also has a hx of DVT in her legs 2 years ago. Which of the following medications could be most appropriate for this client
