Download Final exam nov 15, 2025 NRNP 6531QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VE and more Exams Nursing in PDF only on Docsity!
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
World Health Organization (WHO): Who are they and what do they do? - ansThey are a world health org that plays an essential role in the global governance of health and disease. They establish, monitor, and enforce international norms and standards. Working with a domestic abuse specialist Women's Health Statistics Women's Health Statistics Women's Health Statistics Women Health Statistics-What is the most common gynecological cancer in the U.S.? - ansUterine cancer Why do we screen for TYPE 2 DIABETES but not TYPE 1? - ansTYPE 1 DIABETES Who are they? What do they do? what do they recommend? - ansThey are an independent volunteer panel or national experts in disease prevention and evidence- based medicine. What is the leading cause of death in females of all races and all origins? - ansHeart disease (21.8%), Cancer (20.7%), and Chronic Lower Respiratory Disease (6.2%). What gynecological cancer is the MOST preventable? - ansCervical cancer used to be the leading cause of cancer in women however due to regular pap testing cervical cancer has decreased significantly. Cervical cancer is also the MOST PREVENTABLE and the ONLY gynecological cancer with a screening test and a vaccine What gynecologic cancer in women causes the most deaths? - ansOvarian Cancer What does the Pneumonic EMPOWER stand for? - ansIt is used for intimate partner violence and stands for... What are the disadvantages of taking an oral contraceptive for more than five years? - ansIncreases risk of breast and cervical cancers, even tho it lowers risk of ovarian and endometrial. What are the advantages of taking an oral contraceptive for more than five years? - ansOvarian and endometrial cancers decrease by 40-50% Victims of rape are less likely to report their perpetrator if they know the person Vaginal culture Uterine Fibroids - ansMost common pelvic tumor in women after age 50. 80% in AA women, 70% in white women). Fibroids are benign monoclonal tumors arising from the smooth muscle cells of the myometrium described by their location in the uterus (submucosal, intramural, subseroal, cervical). Uterine Adenomyosis - ansendometerial glnds within the myometrium Use of the Rectovaginal examination - ansperform with the patient laying in a supine lithotomy position (lithotomy means with legs up in stirrups). Used in a person who has a retroflexed or retroverted uterus. allows palpitation to depth of 2.5 cm's more than transvaginal ultrasound. This is very uncomfortablly and usually omitted unless very necessary. Unintended pregnancy Statistics - ansUnintended pregnancy rates per 1,000 women were highest among women who are U.S. Preventive Task Force Types and Sizes of speculums - ansThere are three main types of cervical speculum: pediatric, Pederson and Graves. They come in plastic and medal. TYPE 2 DIABETES Tx: Surgery is usually the preferred method if causing extensive pain and discomfort..
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
TX: Hysterectomy or uterine artery embolization (if further children are not desired) or if a women desires childen she could benefit from hormonal medications for symptom relief such as LEVONORGESTREL-RELEASING IUD OR ORAL DIENOGEST Treatments TREATMENT: Focused on symptom relief. topical corticosteriod ointment such as clobetasol propionate 0.05% QHS for 6-12 weeks followed by maintenace therapy 2-3x per week if symptoms improve. They work to improve the health of all Americans by making evidence-based recommendations about clinical preventive services. They define health as a " state of complete physical, mental, and social well-being and not just the absence of disease or infirmity". ** Definition of Infirmity means physical or mental weakness**** The USPSTF has made recommendations on many factors related to CVD prevention, including screening for high blood pressure, use of statins, counseling on smoking cessation, and counseling to promote healthful diet and physical activity. In addition, the USPSTF recommends low-dose aspirin use in certain persons at increased risk of CVD events. The USPSTF has made recommendations on interventions to prevent falls in community- dwelling older adults and the use of vitamin D, calcium, or combined supplementation for the primary prevention of fractures in community-dwelling adults. The U.S. Food and Drug Administration has approved multiple drug therapies to reduce osteoporotic fractures, including bisphosphonates, parathyroid hormone, raloxifene, and estrogen. The choice of therapy should be an individual one based on the patient's clinical situation and the trade-off between benefits and harms. The revised UCR definition of rape is: Penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim. the penis has now grown into length. Scrotum and testes have grown. The skin of the scrotum has become darker and more wrinkled. the penis has grown in both length and width. The head of the penis has become larger. The scrotum and testes have grown more dense curly and dark hair. the hair growth is reaching the inner thighs. The Pediatric Speculum (smallest most narrow) The Pederson Speculum The most commonly used test is central DXA of the hip and lumbar spine this provides measurement of bone mineral density, and most treatment guidelines use central DXA to define osteoporosis and the treatment threshold to prevent osteoporotic fractures. Other screening tests include peripheral DXA and quantitative ultrasound. The HPV vaccination protects against the types of HPV that most often cause cervical, vaginal, and vulvar cancers. Recommended for pre teens ages 11-12 but can be given as early as 9 until age 26 ( this range will likely be on test but as of 2020 that range has been extended until the age of 40). The Graves speculum is the most common variety used by OB/GYNs. This vaginal speculum is commonly available in multiple sizes: small, medium and large. Used in Sexually Active Women. The Graves Speculum (resembles a ducks mouth in appearance)
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
are at risk for miscarriage, still birth, and fetal defects with the most common birth defect being DEAFNESS Screening for Cardiovascular Disease - ansBlood pressure screening at each health care visit and once a year if low bp. SCREENING S/S-pelvic pain, painful period cramps (dysmenorrhea), dyspareunia (painful sexual intercourse). (occurs typically during reproductive years). S/S: Abnormal uterine bleeding, pelvic pressure and pain, reproductive dysfunction s/s thin, white, wrinkled skin localized in the labia minora and majora, but whitening could extend to perineum and around the anus in a keyhole pattern. Risk Factors include... Risk factors Referring to local services Recommended daily intake limit? Possible Risks? - ansAlcohol is hazardous for a woman who has either more than 7 drinks per week or more than 3 drinks per day. This amount put's women at risk for developing AUD (Alcohol Dependance Disorder). #Alcoholism Quick Patho: POS --> inc testosterone levels (causes hirsutism (aka facial hair), insulin resistance and hyperinsulemia, -->Inc LH (luteinizing hormone) qualitative/quantitative HcG, CBC with platelets, Pt and PTT, FHS, Progesterone, TSH, Iron, and Prolactin provides science-based, 10-year national objectives for improving the health of all Americans. Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors; empower individuals toward making informed health decisions; measure impact of prevention activities. Provide information about domestic violence Prolactin-High levels interfere with the normal production of other hormones such as estrogen and progesterone. This can result in irregular or missed periods, and prevent ovulation. Some women can have high levels and be completely asymptomatic Primary prevention vs. Secondary Prevention vs Tertiary prevention - ansPrimary prevention: Includes preventative measures that come BEFORE THE ONSET of a disease, illness, or injury, and BEFORE the disease process begins. Examples are, HPV vaccination, Safe sex practices, immunizations, health education, and counseling. Preventable causes of death for women - ansThe leading causes of death in women in the U.S. are related to modifiable, behavioral risk factors. Preterm: deliveries up to 37 weeks PREGNANT WOMEN-Glucose test is done between 24-28 weeks. The test may be performed earlier if high glucose levels are in the urine or if they had Gestational DM in previous pregnancies. Pregnant women should have TSH measured immediately after becoming pregnant goal TSH levels 2.5-3.5. (Women who are pregnant should only use levothyroxine alone and not combined with any other medications for the thyroid especially liothyronin (triostat). Pregnancy, leiomyoma, uter Pregnancy Polycystic ovary syndrome Pituitary adenoma
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
Penis and scrotum as an adult. Public hair extends upwards up to the umbilicus. It is dense and curly. pelvic ultrasound Patho- Para= deliveries aka same thing as term; Ex. G2P1 1 abortion LC 1 vaginal birth Pap smear P: Para= number of births of viable offspring Other relevant USPSTF recommendations Other relevant USPSTF recommendations Osteoporosis screening, risk factors, how to measure risk, the name of the screening test
- ansThe USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older. Those at risk should be screened at age 60 older age, male sex, high blood pressure, current smoking, abnormal lipid levels, diabetes, obesity, and physical inactivity. Several calculators and models are available to quantify a person's 10-year risk of CVD events; the USPSTF recommends that clinicians use the Pooled Cohort Equations to assess CVD risk. Offering options and choices Obesity Normal vs Abnormal Pap smears - anschecks for cervical intraepithelial neoplasia. Normal results show negative for cell changes to cervix. Abnormal shows positive for cell changes to cervix New screening interval was recently updated from annually to once every three years if normal Most unintended pregnancies result from not using contraception consistently or correctly or at al. MOST COMMON SYMPTOMS: Painful defecations, rectal bleeding, dyspareunia, and dysuria. Miscarriage, ectopic pregnancy, PID, trauma, sexual abuse or assault Menopause causes relief due to steriod hormones decreasing when the menstrual cycle stops. Postmenopausal hormone may cause the pain to resume or current fibroids to grow but will not cause new fibroid growths. Making time to properly document findings Liver disease Liver disease List all of the possible gynecological cancers for women? - ansUterine, Ovarian, Cervical, Vaginal and Vulvar. Lichen sclerosus - ansInflammation and epithelial thinning of the anogenital area, predominantly in postmenopausal women. LC=Living Children LAB: Does not cause lab abnormalities. Imaging will show endometriomas deep nodules of the rectovaginal septum and bladder detrusor and is staged based on severity. Lab Tests Initial growth of scrotum and testes. The skin on the scrotum has become redder, thinner, and more wrinkled. The penis may have grown a little in length. Few hairs around the root of the penis. the hairs are straight without curls, and light in color. If abnormals, EKG and stress tests. EKG yearly if HTN.
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
Endometriosis - ansPelvic endometriosis lesions are categorized as superficial peritoneal , ovarian, and deeply infiltrating. These lesions contain fibrous tissue, blood, cysts in addition to endometrial glands and stroma. Encouraging the planning for safety and support Empathetic listening EMB-Endometrial biopsy dx: Transvaginal ultrasound Diagnostics Diagnosis includes Diabetes in women (pregnant and nonpregnant) - ans(USPSTF) recently updated recommendations and suggests screening individuals 40 to 70 years of age who are overweight or obese. Persons with abnormal results should be referred for intensive behavioral counseling interventions focusing on physical activity and a healthy diet. Clinicians should consider screening certain individuals at higher risk. repeat screening every 3 years and a fasting blood glucose yearly. Dexmethasone supression Test,LH, lipid profile dehydroepiandrosterone (normal 250-300) Definitive diagnosis is made by biopsy and tissue histology to establish a true diagnosis and rule out other causes Definition of rape - ansThere is still no clinical definition of sexual assault or rape that has gained acceptance. clinicians should become familiar with their states definitions and corresponding laws. Cultural Perspective of Women - ansTo create a culture in health care settings where providers must educate themselves about the health needs and concerns of the population and create environments that are welcoming, nonthreatening, and normalized to people of ALL gender, identities, and sexual orientations. Co-testing with HPV via PAP every 5 years for ages 30-65. Colorectal Cancer Screening - ansUSPSTF recommends screening all adults ages 5- 75 years old. Early screening in women if a first degree relative had colorectal cancer at a young age. If they have inflammatory bowel disease, or rare genetics such as familial adenomatous polyposis or nonpolypous Cholesterol checked every 4-6 years for normal risk if elevated than yearly Cervical dysplasia, endocervical polyps CERVICAL CANCER AND SCREENING - ansPap-test 21-65 (cervical cancer screen) Causes: Usually POS (polycystic ovarian syndrome causes 80-90% of cases BMI yearly at annual well visit BMI Formula what is considered overweight and underweight - ansWeight (Lbs) x 703/height (in) squared BMI Best way to measure risk is to use a clinical risk assessment tool. Several tools are available to assess osteoporosis risk, such as OST, ORAI, OSIRIS, SCORE, and FRAX. Asymptomatic adults at increased risk of CVD events are usually treated with a combination of diet and exercise modifications, lipid-lowering medications, aspirin, hypertension management, and interventions to encourage tobacco cessation. American College of Obstetrics and Gynecologists recommendations - ansMembership organization dedicated to the advancement of women's health care and the professional
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
and socioeconomic interests of its members through continuing medical education , practice, research, and advocacy. American College of Nurse-Midwives (who can they treat?) definition of scope of practice - ansprimary care providers throughout the lifespan with a special emphasis on pregnancy, childbirth, and gynecological reproductive health. Alcohol Consumption and Women Abortus/Miscarriages : Abortion (surgical or miscarriage) Abnormal Uterine Bleeding (Diagnostics and lab tests) - ansThe Graves speculum is the most common variety used by OB/GYNs. This vaginalspeculum is commonly available in multiple sizes: small, medium and large. The bills of the Graves speculum, which resemble a duck's mouth, are wider than the bills of the Pederson speculum, and the sides are also curved 9.Galactorrhea, headache, visual-field disturbance?Think 80% of assaults are either a former partner, friend, family, member or acquaintance
- Postcoital bleeding (spotting or bleeding after intercourse unrelated to menstrual cycle)? Think...
- Hirsutism, acne, acanthosis nigricans, obesity? Think
- Jaundice, history of hepatitis? Think... 5.Easy bruising, tendency to bleed? think... Coagulopathy
- Were cohabiting but never married.
- low body weight. 4.Weight loss, sweating, palpitations?.....
- Were Non-hispanic black or african american
- excess alcohol consumption 30 - 39= obese
- Weight gain, cold intolerance, constipation, fatigue? think.....
- smoking
- LBGQT health
- Had never completed high school 25 - 29 =overwight
- parental history of hip fracture
- Nausea, weight gain, urinary frequency, fatigue? think...
- Low income, < 100% of federal poverty level
- HIV 19 - 24=Normal
- Enlarged uterus?
- Bruising, jaundice, hepatomegaly? Think..
- Thyroid tenderness, tachycardia, weight loss, velvety skin? Think...
- Thyromegaly, weight gain, edema?
- Weight loss, excessive exercise, stress? Think
- postmenopausal women younger than the age of 65 with atleast one risk factor
- Pelvic pain? think....
- Cancer
- 18-24 years old --> suspect in a multiparous woman who is more than 40 years old presenting with menorrhagia (heavy bleeding) and dysmenorrhea (painful cramps), chronic pelvic pain. The uterus will be tender to palpation during pelvic exam and the uterus is usually
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
Care And Correct Detailed Answers With Rationales
Verified Answers Already Graded A+
