NSG 6430 (NSG 6430)

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is: correct answer: A voiding dairy The nurse practitioner is counseling a 57-year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? (Select all) correct answer: Bladder training Kegel exercis...

Which STI is confirmed with the Western Blot? correct answer: HIV Which 2 STI's are treated with metronidazole 500mg BID for 7 days? correct answer: Bacterial Vaginosis and Trichomoniasis Which STI present with clue cells on a saline wet mount correct answer: Bacterial vaginosis Which STI is treated with 2 grams of metronidazole as a single dose? correct answer: Tricomoniasis What is the screening test for HIV? correct answer: EIA or Elisa What is the confirmed test used aft...

Normal BMI - 18.5-25 Overweight BMI - 25-29 Obese BMI - >30 Morbidly obese BMI - >40 Decreasing kcal by BMI? - BMI <35, dec kcal by 500 per day BMI >35 dec kcal by 500-1,000 per day First medication for HIV? - AZT or Zidovudine in 1987 Mother-child HIV transmission? - Vertical transmission Screening test for HIV? - EIA- enzyme immunoassay confirmatory test: western HIV risks- percutaneous exposure and exposure to mucous membranes - percutaneous exposure to H...

What 3 hormonal axes are attributed to most physical changes in adolescents? correct answer: 1) Hypothalamic-pituitary-gonadal (HPG) axis 2) Hypothalamic-pituitary-adrenal axis (HPA) 3) Growth hormone (GH) axis What hormones are attributed to Hypothalamic-pituitary-GONADAL (HPG) axis? correct answer: 1. Gonadotropin-releasing hormone (GnRH), also called luteinizing hormone-releasing hormone (LHRH) 2. Luteinizing hormone (LH) 3. Follicle stimulating hormone (FSH) 4. Estrogen 5. T...

Primary Amenorrhea correct answer: Absence of menses: by age 15 years Often secondary to: dysfunction in the hypothalamus, pituitary, ovaries (HPO axis), uterus, or vagina DYSMENORRHEA correct answer: Painful cramping: associated with menstruation caused by spasmodic uterine contractions Most common GYN problem: in adolescents & adult females HISTORY: is KEY!!! Primary versus Secondary Primary Dysmenorrhea: Absence of pelvic pathology correct answer: CAUSE: Excessive Prostagla...

A fifty-two year-old female patient comes in fro her annual well-women examination. Her LMP was fourteen months ago without any breakthrough bleeding. She as also developed some hirsutism. You would document this as: correct answer: Menopause A 24-year-old female presents to the office with a complaint of vaginal itching in addition to thick mucous discharge. She also has some mild urinary discomfort. A wet mount preparation using potassium hydroxide (KOH) reveals a negative whiff test and n...

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is. A) the interviewB) a voiding diaryC) the physical examD) the patient's response to non-pharmacologic treatment correct answer: B) a voiding diary The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the foll...

Adolescence correct answer: Biologically as onset of puberty; extending 8-10 years beyond (ages 11-21) Early Adulthood correct answer: Late adolescence (age 18) to perimenopausal years (35-50) What ages are biomedically optimal for reproduction? correct answer: ages 18-35 Number 1 killer of women? correct answer: Cardiac disease Two crises during early adulthood? correct answer: *development of intimacy versus isolation: entering life partnership with another individual *Abilit...

A thirty nine year old female has not had menses for over six months and has a negative pregnancy test. Which of the following characteristics puts her at risk for an early menopause? correct answer: current smoker Sally a sixty one year old Caucasian female, presents to your practice for well-woman examination. She remarks that she feels like she is shrinking over the past year, despite keeping active and incorporating sources of calcium in her diet. Which of the following is not a risk fac...

According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage are eating disorders most likely to surface? correct answer: middle adolescence (14 to 16) Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following w...