NR602 Chamberlain College of Nursing Clinical Analysis Final Exam Week 8 With Answers (115 Solved Questions)

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1Nr 602 wk 8 poss questionsACOG guidelines regarding well women examsWhat is the ASCCP recommended management for an ASCUS (atypical squamous cells of undeterminedsignificance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history ofabnormal pap smears?ColposcopyA well-woman visit for an adolescent should include which of the following?A general health history focusing on reproductive and sexual health concerns (menses, gynecologic,and pregnancy related) and psychosocial (family related, peer related, emotional, and physical as wellas related to abuse, drug use, and alcohol use) concernsPhysical exam, screening tests, and immunizations as indicated by the health history and gynecologicconsiderations for an external-only inspection of the genitaliaACOG Pap smear guidelinesA Bethesda system Pap smear report that reads LSIL is most consistent with which classification?CIN 1A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up?Routine screeningA female patient is 35 years old. She has never had an abnormal PAP smear and has had regular screening since age18. If she has a normal PAP smear with HPV testing today, when should she have the next cervical cancerscreening?5 yearsA young sexually active client at the family planning clinic is advised to have a Papanicolaou (Pap) smear. She hasnever had a Pap smear before. What should the nurse include in the explanation of this procedure?The Pap smear can detect cancer of the cervixLab results on your 26-year-old patient show a negative Pap smear with a positive human papillomavirus (HPV)screen. Which procedure will be required next?Repeat Pap and HPV screenWhich of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?Over 55 years of ageAmenorrhea (Primary and Secondary)You are evaluating a 17-year-old Emily who presented with amenorrhea and normal secondary sex characteristics.The purpose of the progesterone challenge is to ascertain the presence of?Endogenous estrogenA 17-year-old female patient presents with amenorrhea for 4 months she did experience menarche at age 15 but hadnot had a menstrual cycle since. On physical examination, it is noticed that she has normal secondary sexualcharacteristics. The nurse practitioner will consider a progesterone challenge to determine the presence of adequateEndogenous estrogenA teenage patient presents with amenorrhea and moral secondary sex characteristics. A progesterone challenge isordered. The purpose is to determine the presence of ____________?Endogenous estrogenA 16year old girl who comes to your office with a history of secondary amenorrhea. She experienced menarche atage 10, regular cycles for 2 years. She has not menstruated now for 4 years. In your initial consideration ofdifferential diagnoses, what is the most frequent etiology of this problem:Eating disorder18yo female c/o secondary amenorrhea. On exam, there is normal secondary sex characteristics and normalgenitalia. Pregnancy is ruled out. What would necessitate further eval?GalactorrheaPrimary amenorrhea is best described as:Failure to menstruation to occur by 13 yrA nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was normal.Which of the following may be the cause if etiology originates in the hypothalamus?Sheehan’s syndromeAmerican Cancer Society recommendationsA nurse practitioner is participating in a women’s health fair. When educating the women about risk factors forbreast cancer, which of the following statements is incorrect?

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