Midterm Exam: NR 602/ NR602 (Latest 2025/ 2026 Update)
Primary Care of the Childbearing and Childrearing Family Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 co- test in a 26-year-old woman without a history of abnormal Pap smears? - ANSWER Colposcopy A well woman visit for an adolescent should include which of the following - ANSWER A general health history focusing on reproductive and sexual health concerns (mentors, gynecologic, and pregnancy related) and psychosocial (Family related, peer related, emotional, and physical as well as related to abuse, drug use and alcohol use) concerns Physical exam, screening test, and immunizations as indicated by the health history and gynecologic considerations for an extern only inspection of the genitalia 1 / 4
A Bethesda System Pap smear report that reads LSIL is most consistent with which classification - ANSWER CIN 1 A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as follow-up? - ANSWER Routine screening A female patient is 35 years old. She has never had an abnormal Pap smear and has had regular screening since age 18. If she has a normal Pap smear with HPV testing today, when should she have the next cervical cancer screening - ANSWER Five years A young sexually active client of the family planning clinic is advised to have a Pap smear. She has never had a Pap smear before. What should the nurse include in the explanation of this procedure - ANSWER The Pap smear can detect cancer of the cervix Lab results on your 26-year-old patient show a negative Pap smear with a positive HPV screen. Which procedure will be required next - ANSWER Repeat Pap and HPV screen 2 / 4
Which of the following is not part of the criteria for an older woman to see if having any future Pap test performed - ANSWER Over 55 years of age 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 a certain the presence of - ANSWER Endogenous estrogen A 17-year-old female patient presents with amenorrhea for four months she did experience menarche at age 15 but had not had a menstrual cycle since. On physical examination, it is noted that she has normal secondary sexual characteristics. The nurse practitioner will consider progesterone challenge to determine the presence of adequate - ANSWER Endogenous estrogen A teenage patient presents with amenorrhea and moral secondary sex characteristics. The progesterone challenge is ordered. the purpose is to determine the presence of - ANSWER Endogenous estrogen 3 / 4
18-year-old female complaining of secondary amenorrhea. On exam, there is a normal secondary sex characteristics and normal genitalia. Pregnancy is ruled out what would necessitate further evaluation - ANSWER Galactorrhea Primary amenorrhea is best described as - ANSWER Failure to menstrate by 13 years old A nurse practitioner is participating in a woman's health fair. When educating the woman about risk factors for breast cancer which of the following statements is incorrect? - ANSWER Fibrocystic breast disease When educating women about breast cancer risk factors which statement is incorrect - ANSWER Fibrocystic breast disease A woman with lobular carcinoma in situ has a relative risk of developing invasive breast cancer of - ANSWER 8.0
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