Walden NRNP6552 2021 June Week 3 Knowledge Check Latest

NRNP6552 Advanced Nurse Practice in Reproductive Health Care

Module 3 Knowledge

What is now thought to be the most important causative agent in cervical cancer?

PCOS

Vulvar cancer Herpes simplex

HPV

An 18-year-old sexually active female comes to clinic and asks how often she should obtain a pap smear. Your best response is:

You should wait until you are between the ages of 21 and 29 years old.

You should have a Pap test every 3 years beginning at 21 years of age

You do not need a Pap test you are too young right now give yourself more time

You can have an annual pap test beginning at age 18 or within six months of first sexual intercourse

The form of assisted reproductive technology that requires fertilization to occur within a patent fallopian tube, instead of a laboratory dish, is called:

Intracytoplasmic sperm injection

(ICSI)

Gamete intrafallopian transfer (GIFT) Zygote intrafallopian transfer (ZIFT) In vitro fertilization (IVF)

Mammary duct ectasia:

Is one of the most common causes of milky nipple discharge

Like intraductal papilloma, is typically unilateral and uniductal

Usually occurs in women 20 to 35 years of age Discharge may be green, brown, or black in color

A 40-year-old white female mother died from ovarian cancer. The patient is asking the nurse practitioner, is there a way to prevent ovarian cancer?

There is nothing you can do to prevent cancer because you have a genetic predisposition for the disease.

You can prevent ovarian cancer by having a tubal ligation.

There are factors that inhibit ovulation that can reduce the risk of developing ovarian cancer.

None of the above

The most common benign breast masses are:

Galactoceles Hamartomas

Fibroadenomas and cysts

 Lipomas and phyllodes tumors

A 50-year-old Hispanic female reports to clinic with nipple discharge for one month. She describes the discharge as occurring in both breasts and is clear in color.

The NP should suspect nipple discharge is associated with breast feeding

Nipple discharge is associated with breast cancer

Nipple discharge is associated with taking hormonal therapy

Nipple discharge is associated with taking calcium channel blocker

A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion.

Vulvar candidiasis Vulvar vaginitis

Vulvar psoriasis HSV 2

Signs of endometrial or cervical cancer may present abnormal uterine bleeding, often as heavy, prolonged bleeding or:

Menometrorrhagia Amenorrhea Oligomenorrhea Polymenorrhea

If a woman is complaining of bilateral, milky nipple discharge, the clinician is to first:

Perform a pregnancy test

Perform a mammogram and an ultrasound of the breasts

Assess the sella turcica with magnetic resonance imaging (MRI)

Obtain a serum prolactin level and a thyroid-stimulating hormone (TSH) measurement

The most common sites of metastatic spread of invasive breast cancer include all of the following except:

Bones Lungs

Pituitary Lymph nodes

Cyclic mastalgia:

More likely causes unilateral, localized pain that is sharp or burning in nature

Has an increased risk of occurrence in women whose diets are low in fat

Occurs most frequently in women who are 18 to 30 years old Is caused by hormonal changes associated with menstruation

What is one factor that can reduce the risk for the development of ovarian cancer?

Multiple pregnancies Transvaginal ultrasounds Identification of recurrence Weight loss

Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably days after implantation of the blastocyst (fertilized egg).

0–7 days

7–9 days

9–14 days

14–24 days

Among women age 55 years and older:

Macromastia is the most common cause of breast masses.

 Breast masses are presumed malignant until proven otherwise.

Most breast masses decrease in size over time and many resolve completely.

Diagnostic imaging of a breast mass and tissue sampling should be deferred.

A 30-year-old bisexual female is asking about treatment for uterine fibroids. She is asking you about treatment options. The NP knows that:

Uterine fibroids are associated with sexual activity

Since the patient is gay, she should opt to have a hysterectomy

MRI with guided ultrasound Uterine artery embolization

The possibility of cancer is associated with mastalgia when the pain:

Occurs in perimenopausal women who are receiving HT

Is accompanied by skin changes or palpable abnormality

Is felt in both breasts equally and is related to a cyclic pattern

Is reproducible with palpation of the chest wall

The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including:

Achieving a BMI in the range of 30 to 35, if the woman is under- or overweight

Reducing alcohol consumption to about 4 drinks per week

Reducing caffeine consumption to no more than 350 per day None of the above

Which of the following is a preventive measure for vulvar cancer?

Avoiding exposure to HIV

Not smoking

There is no way to prevent it. Colposcopy

A 24-year-old female reports to clinic with wanting to start a contraceptive method. She has a heavy menses and dysmenorrhea. Also, she travels a lot for work. The NP will more than likely recommend what type of contraception for this patient?

Oral contraceptive progestin only

Depo-Provera

Oral contraceptive estrogen only None of the above