NRP563 Management of Women's Health Issues
Week 1 Discussion
Providing Care: Women’s Health
Pick one of the following topics and respond in a minimum of 175 words:
Identify cultures or specific populations that are more likely to be at risk for intimate partner violence.
According to your textbook, what are the cycles of intimate partner violence?
How would you approach screening and collection of the patient’s health history?
What are the red flag indicators of intimate partner violence?
What are important documentation considerations for the patient experiencing intimate partner violence?
NRP563 Management of Women's Health Issues
Week 2 Discussion
LBTQ Health Care
Pick one of the following topics and respond in a minimum of 175 words:
Define the terms lesbian, bisexual, queer, nonbinary, cisgender, transgender and expand on why it is important to understand the meaning of these terms.
How can we provide gender affirming care for this population?
Describe the PLISSIT model.
Are there any sexual health considerations based on age or culture? Pick one of the following: adolescents, postpartum, cultural influences, older women.
NRP563 Management of Women's Health Issues
Week 3 Discussion
Clinical Breast Examination
Pick one of the following topics and respond in a minimum of 175 words:
Discuss screening, diagnosis, and management of the following:
Nipple discharge
Fibrocystic breast
Fibroadenoma
Abnormal uterine bleeding
Menometrorrhagia
PMS/PMDD
Polycystic ovarian syndrome
NRP563 Management of Women's Health Issues
Week 4 Discussion
Menopause
Pick one of the following topics and respond in a minimum of 175 words:
What are the common symptoms a woman would experience in the perimenopausal time frame?
What is the medical definition of menopause, and how is it diagnosed?
What are some nonpharmacologic options for treating symptoms of menopause?
What are some pharmacologic options for treating the symptoms of menopause?
What are the risks and benefits of hormone therapy?
NRP563 Management of Women's Health Issues
Week 5 Discussion
HPV and Pap Screening
Pick one of the following topics and respond in a minimum of 175?words:
What are the most current guidelines for HPV screening?
What is the most current guideline for Pap smears?
What was the rationale for extending the Pap interval?
What are the 5 Ps of a sexual health history?
NRP563 Management of Women's Health Issues
Week 6 Discussion
Contraception
Several options for contraception for women exist today. While condoms and vasectomy are pregnancy prevention options that are available to men, the responsibility for birth control is generally viewed as the role of women.
Helping a woman to select the best method can be challenging but is a great opportunity to educate and empower patients to choose a safe and effective method of birth control that works for them.
Respond to one of following in a minimum of 175 words:
What options are available to a woman who desires long-acting reversible contraception (LARC)?
What are important health history considerations to review before prescribing combined hormonal contraception (pill, patch, ring)? Depo-Provera?
What are the key elements of contraceptive counseling?
What are the differential diagnoses associated with infertility?
NRP563 Management of Women's Health Issues
Week 7 Discussion
Pelvic Pain
Respond to the following in a minimum of 175 words:
What are some causes of nongynecological acute pelvic pain? How would you diagnose them?
What are some causes of gynecological acute pelvic pain? How would you diagnose them?
What are some causes of chronic pelvic pain, and how would you diagnose them?
Are there any age-related considerations for pelvic pain patients (adolescents, women of reproductive age, perimenopausal or older women)?
NRP563 Management of Women's Health Issues
Week 8 Discussion
Conception
Pick one of the following topics and respond in a minimum of 175 words:
What are the important elements of preconception counseling?
What are some common complaints of pregnancy, and what are nonpharmacologic recommendations?
What are the most common first trimester complications of pregnancy?
What conditions would make a pregnant patient high-risk? When should you refer?
NRP563 Management of Women's Health Issues
Week 1 Assignment
Intimate Partner Violence Case Study
Assignment Content
This week you learned about several concepts with a focus on intimate partner violence and sexual assault. To apply your knowledge, you will complete a case study and answer related questions.
Complete the case study by answering the prompts associated with the scenario in a minimum of 350 words. Cite references appropriately using APA style.
Scenario
You are seeing a 35-year-old woman who is establishing care in your practice. This patient is accompanied by her partner, who insists on being present during the interview. The woman does not state any objections to her partner being present, although her partner does most of the talking. Your patient appears slightly withdrawn and is hesitant to answer any questions regarding her home environment. When you perform your exam on the patient, you notice multiple areas of bruising on her arms and legs. The patient states that she is clumsy and had a recent fall.
Case Prompts
Explain how you should proceed with this patient based on the USPSTF recommendations on screening for IPV.
Describe which type of screening tool you would use to screen for IPV based on the observations provided in the scenario. Provide evidence-based support for your selection.
Determine which services you should provide or refer her to for support. Explain your recommendations, including resources that are available specific to your local area.
Evaluate whether the situation described in the scenario warrants a formal report within your state and explain your findings.
NRP563 Management of Women's Health Issues
Week 2 Assignment
Overcoming Health Care Barriers Case Study
Assignment Content
This week you learned about how sexuality impacts all aspects of life throughout the life span with a focus on health care for the lesbian, bisexual, transgender, and queer (LBTQ) population. Now it’s time to practice your skills by completing a case study.
Complete the case study by answering the prompts associated with the scenario as if you are presenting to your preceptor in a minimum of 350 words. Cite?peer-reviewed journal references within the last 5 years, supporting your responses according to APA guidelines.
Scenario
A patient presents to your office who self identifies as lesbian. She requests treatment for a possible vaginal infection.
You know that this population experiences major barriers to health care that include having a history of negative health experience as well as a lack of clinician knowledge and financial barriers.
Case Prompts
Give examples of sexual and reproductive health disparities related to caring for the LBTQ patient population.
Describe the barriers this population may face in accessing health care.
Explain the strategies you can use to decrease these barriers.
Give examples of how you will use appropriate wording that is inclusive and considers patient preference and pronouns.
Discuss resources available in your community to providers and patients regarding health care for the LBTQ population.
NRP563 Management of Women's Health Issues
Week 3 Assignment
i-Human Patient Betty Burns Reflection
Assignment Content
i-Human simulates a patient situation you may encounter in a clinical setting. This is an opportunity to practice your skills in taking a history, performing a physical exam, and developing a diagnosis and treatment plan.
Access i-Human?Patients using the link in the Course Content section.
Part?I
Complete the health history assessment available at the beginning of the Betty Burns case.
Part?II
Complete the patient encounter for Betty Burns by completing the following steps:
Interview Betty Burns to obtain her complete patient history.
Document your findings in i-Human.
Complete a health assessment and focused physical exam based on current evidence.
Document your health assessment and focused physical exam findings and develop a problem list for Betty Burns.
Review the i-Human Patients Case Player Instructions, which includes helpful tips for completing the patient simulation.
Note: Scores will be recorded in i-Human Patients; there is nothing to submit in the classroom for this portion of the assignment. Your i-Human Patients Lab score will be determined strictly based on completion. Use the lab to complete the patient stimulation to the best of your ability since you will use this experience to complete the associated Reflection assignment. The detailed summary of your lab is an excellent opportunity to review techniques that will help advance best practices associated with health assessments.
Write a 500-word summary regarding your patient encounter with Betty Burns.
Include the following in your summary:
Explain how you arrived at your differential diagnoses.
Explain the steps you used to determine the final diagnosis.
Give examples of how you can integrate cultural preferences, values, health beliefs, and behaviors into the treatment plan using Watson’s theory.
Describe the proper management and referral for this patient (including mental health support).
How will you maintain a collaborative relationship with the referral providers?
Format your assignment according to APA guidelines.
NRP563 Management of Women's Health Issues
Week 4 Assignment
Osteoporosis Prevention Plan
Assignment Content
Read the following scenario:
A 64 -year-old white female patient has come to the clinic for a well-woman exam.
DOB: 09/18/1957
WT: 120 lbs.
HT: 62 in.
Review of Systems (ROS)/Past Medical History (PMH): Negative for previous fracture, negative for smoking, negative for rheumatoid arthritis, and negative for secondary osteoporosis. Reports less than 3 drinks per day. Medication history negative for glucocorticoids. Femoral neck BMD (g/cm2): T-Score is -1.0
Visit the FRAX® website to locate the correct calculation tool for the patient identified within the scenario.
Calculate the 10-year probability of fracture (%) using the FRAX® tool and the patient data provided.
Develop a 10- to 12-slide PowerPoint® case study presentation on osteoporosis prevention. In your presentation, be sure to address the following:
Define osteoporosis.
Describe the risk factors associated with osteoporosis.
Identify strategies that can be implemented to prevent osteoporosis.
Describe the latest recommendations for screening for osteoporosis to prevent fractures.
Explain the diagnosis and recommended treatment plan using current evidence-based guidelines and the results of the FRAX® tool assessment.
List the drugs commonly prescribed to treat osteoporosis and explain the specific indications, contraindications, prescribing considerations, and patient instructions.
Summarize the priorities for patient education/prevention.
Cite a minimum of 3 peer-reviewed journal references within the last 5 years, supporting your responses according to APA guidelines
NRP563 Management of Women's Health Issues
Week 5 Assignment
Sexually Transmitted Infections and Lawful Practice
Assignment Content
Complete the case study by answering the prompts associated with the scenario in a minimum of 450 words. Cite references appropriately using APA guidelines.
Scenario
You are seeing a 19-year-old female patient at a women’s health clinic. Her chief complaint is mild lower abdominal pain and a copious amount of vaginal discharge. She is sexually active and reports having three partners in the last six months.
After a brief discussion with the patient about symptoms, you recognize the need to screen for sexually transmitted infections (STIs). Based on her history and symptoms, which STIs would you test for, and why?
Explain what physical examinations are indicated for this patient.
After your comprehensive assessment, all subjective and objective findings should be considered when developing differential diagnoses for patients presenting with a suspected STI. Describe what would be your top 3 differentials for this patient.
You are required by law to report STIs to the state health department. Which STIs are reportable in your state? Along with the diagnosed STI, explain what other information you must provide in the report.
Explain the legislation that allows for expedited partner therapy. Is it legal in your state? Is it within your scope of practice to provide expedited partner therapy? If so, please describe how you will integrate this into your practice?
NRP563 Management of Women's Health Issues
Week 6 Assignment
Providing Services to a Minor
Assignment Content
Complete the case study by answering the prompts associated with the scenario in a minimum of 525 words. Cite references appropriately using APA.
Scenario
You are seeing a 15-year-old female patient for a gynecological exam and to explore birth control options. The patient states her mother is not aware she is sexually active or that she is starting birth control. The patient has admitted to multiple acts of unprotected intercourse. The patient is current with all immunizations, including Gardasil, and has no significant health history that would contraindicate the use of birth control.
This is the patient’s first gynecological exam, and she expresses feeling nervous and embarrassed about having an exam. What exam components are necessary for a patient this age?
As you begin asking questions to determine the patient’s gynecological history, the patient asks you if you must notify her parents that she is getting birth control and STI testing? She is adamant that they must not know that she is having sex. What are the guidelines related to minors receiving birth control and STI testing without their parent’s consent? Does this pose any ethical concerns for you as a provider?
Choose 3 birth control methods that may be appropriate for this patient. Please provide the mechanism of action, side effects, and patient education for the 3 methods you have chosen.
NRP563 Management of Women's Health Issues
Week 7 Assignment
i-Human Infertility Reflection
Assignment Content
i-Human simulates a patient situation you may encounter in a clinical setting. This is an opportunity to practice your skills in taking a history, performing a physical exam, and developing a diagnosis and treatment plan.
Access i-Human?Patients using the link in the Course Content section.
Part?I
Complete the?health history assessment available at the beginning of the Elizabeth Walker case.
Part?II
Complete the patient encounter for Elizabeth Walker by following these steps:
Interview Elizabeth Walker to obtain her complete patient history.
Document your findings in i-Human Patients.
Complete a health assessment and focused physical exam based on current evidence.
Document your health assessment and focused physical exam findings and develop a problem list for Elizabeth Walker.
Review the i-Human Patients Case Player Instructions, which includes helpful tips for completing the patient simulation.
Note: Scores will be recorded in i-Human Patients; there is nothing to submit in the classroom for this portion of the assignment. Your I-Human Patients Lab score will be determined strictly based on completion. Use the lab to complete the patient simulation to the best of your ability since you will use this experience to complete the associated Reflection assignment. The detailed summary of your lab is an excellent opportunity to review techniques that will help advance best practices associated with health assessments.
Elizabeth Walker is a 34-year-old female who presents 1 hour after the acute onset of right-lower-quadrant abdominal pain. Past medical history is notable for infertility, for which she is currently undergoing hormonal-stimulation therapy. Examination reveals tachycardia and a tender right-adnexal mass per pelvic exam. Diagnosis: Ovarian torsion.
Write a 500-word summary regarding your patient encounter with Elizabeth Walker.
Include the following in your summary:
Explain how you arrived at your differential diagnoses.
Explain the steps you used to determine the final diagnosis.
Describe the appropriate management (e.g., health maintenance, diagnostics, medications/treatment) and support it with evidence.
NRP563 Management of Women's Health Issues
Week 8 Assignment
High-Risk Obstetrics
High-risk pregnancies and other high-risk obstetrics have certain diagnostic concerns. It is important for you to understand these and have a tool by which to assess them.
Complete the High-Risk Obstetric Worksheet.
Include signs and symptoms of each.
NRP563 Management of Women's Health Issues
Week 1 Quiz
Question 1 In what way does a model of care based on a feminist perspective contrast sharply with a biomedical model?
It provides a forum for the exploration of gender issues.
It seeks equal distribution of power within the healthcare interaction.
It emphasizes women’s rights.
It opens new avenues for women’s health care.
Question 2What is a key limitation of prevailing developmental models for women?
The influence of culture, economic status, social interactions and qualitative aspects of how individuals live their lives are not considered.
They present conflicting and misapplied models.
Gender differences are assumed to be socially prescribed.
The similarities between male and female.
Question 3What factor influences a woman’s affective and behavioral experiences across the lifespan?
Failure to take into account social and cultural norms
The inability to move through the world with credibility and respect
Poverty
Difficulty in managing the developmental tasks of adolescence successfully
Question 4What approach does Health People 2020 use to achieve its goals and objectives?
Social determinants of health
Evidence-based determinants of health
Quality-of-life determinants of health
Longevity promotion determinants of health
Question 5Which of the following is considered primary prevention?
Targeted immunization
Services that limit an existing disability
Routine laboratory screening
Rehabilitation
Question 6What is one of the most frequent reasons women visit their clinician?
Changes in menstruation
Family planning
Pregnancy
Prevention and wellness
Question 7Which one of the following statements about intimate partner violence (IPV) is false?
It refers to an escalating pattern of abuse.
It includes emotional abuse, such as disregarding what a woman wants.
It includes using physical force to make a woman engage in a sexual act against her will.
It refers to a current or former spouse or dating partner of the opposite sex, not someone of the same sex.
Question 8Which of the following terms refers to a type of intimate partner violence in which the perpetrator limits access to their victim’s family and friends and excessively monitors their whereabouts and communications?
Gaslighting
Psychological aggression
Coercive control
Stalking
Question 9If the patient desires to report the assault, or if a clinician is mandated by law to report, all of the following clinician’s actions are important except:
a private and quiet area should be provided to take the report.
the clinician should be available to provide support.
the clinician should explain the legal differences between various forms of forced sexual contact.
the clinician should make the patient aware that law enforcement agencies are not bound by same confidentiality standards.
Question 10There is no one legal definition of rape, which means:
clinicians must learn their own state’s definitions and statutes.
it is easier to monitor the incidence of sexual violence in the nation.
it may be considered a social problem, not a public health problem.
measuring risk and identifying protective measures is a simple task.
NRP563 Management of Women's Health Issues
Week 2 Quiz
Question 1Which of the following statements is most accurate about social determinants of health?
These are the educational papers and research studies that promote evolving understanding of health.
These are the social, political, and economic factors that are mostly responsible for health inequities.
These are data points that can be used to guide medical responses in times of public health crises.
These have been studied by public health administrators and sociologists to address health disparities.
Question 2Which of the following helps to explain how one’s health over their lifetime is impacted by biological and social events?
World Health Organization
Structural competency
Critical race theory
Lifecourse Health Development Model
Question 3Which of the following skill sets of structural competency recognizes that one can never fully understand how economic, social, and political forces impact another’s life?
Recognize the structures that shape clinical interactions.
Develop structural humility.
Imagine structural intervention.
Rearticulate cultural presentations in structural terms.
Question 4What is suggested by the numerous studies that find an increased allostatic load in Black people as compared to white people?
Prolonged exposure to stressors leads to greater adaptation to overall stress levels in those with an increased allostatic load.
Black people may have lowered risk for mortality as well as decreased physical and cognitive function.
Black people may be better able to manage their stress than white people.
Persistent racial differences in health may be influenced by living in a race-conscious society.
Question 5Which of the following is a plausible explanation for the disparity in breast cancer mortality rates for Black and white women?
Black women were less likely to have their mammograms read by a trained specialist.
Black women were more likely to have a digital mammogram.
White women self-report higher screening mammogram rates than Black women.
White women are more likely to exert social pressure on friends and family members to receive screening mammograms.
Question 6Which of the following is the definition of the term gender identity?
People who respond erotically to both sexes
One’s inner understanding of themselves in regard to gender
People who are similar in age, class, and sexual status
A label for behavior not usually associated with one’s natal sex
Question 7Which of the following provides a useful lens for examining the impact of homophobia and transphobia experienced by previous generations within the healthcare system?
Binary gender construct
Minority stress
Microaggressions
Historical trauma
Question 8Which of the following is NOT a way that clinicians can provide a welcoming, safe environment for LBQ and TNB patients?
Arrange the physical environment to include and welcome LBQ and TNB patients.
Ensure intake forms are inclusive and provide options relevant to these patients.
Assume no data are available to help answer patient questions.
Determine and use patients’ preferred name and pronouns.
Question 9Which of the following statements reflects the finding of a national survey of gay, LBQ, and TNB people, conducted by the Pew Research Center in 2013?
Institutionalized homophobia and heterosexism directly impact the economic stability of all gay, LBQ, and TNB people.
LBQ women have found significant support from their families, communities, and places of worship.
Gay, LBQ, and TNB people historically have had the same rights regardless of geographic location.
Violence among LBQ women is at a lower rate than their heterosexual counterparts.
Question 10Which of the following statements is NOT TRUE regarding barriers to health care for lesbian, bisexual, and queer women?
People who experience multiple forms of oppression have increased difficulty in accessing care.
Lack of understanding of the specific needs of LBQ women is a significant barrier to health care.
LBQ women are more likely to have insurance than their heterosexual and cisgender peers.
Bisexual women are more likely than lesbian women to delay health care.
NRP563 Management of Women's Health Issues
Week 3 Quiz
Question 1The most common benign breast masses are:
galactoceles.
hamartomas.
fibroadenomas and cysts.
lipomas and phyllodes tumors.
Question 2Which breast tissue sampling procedure is best to use when density or calcification is seen on a mammogram in a location that cannot be effectively assessed with a core biopsy?
Fine-needle aspiration
MRI-guided needle biopsy
Needle-localized breast biopsy
Excisional breast biopsy
Question 3How is secondary dysmenorrhea defined?
Absence of menstruation due to an underlying pathology
Painful menstruation in the absence of pathology
An underlying pathology causing pain symptoms during menstrual flow
Painful menstruation that occurs in women after the age of 35
Question 4Which of the following is one of the key criteria for a diagnosis of PMS?
The symptoms markedly interfere with relationships with others.
One of the symptoms is depressed mood, anxiety, or irritability.
Exclusion of other diagnoses that may better explain the symptoms.
The DRSP tool confirmed symptoms over at least two menstrual cycles.
Question 5Treatment with non-steroidal anti-inflammatory drugs (NSAIDs) has proven effective in improving symptoms of:
secondary dysmenorrhea.
pelvic inflammatory disease.
primary dysmenorrhea.
dyspareunia.
Question 6What is the best definition of abnormal uterine bleeding (AUB)?
Uterine bleeding for which no pelvic pathology is found
Uterine bleeding that is irregular during a woman’s menstrual cycle
Uterine bleeding that is irregular in amount or frequency
Uterine bleeding that is related to systemic conditions
Question 7What is a good first question to ask women who present with a concern about abnormal bleeding?
What is a normal pattern for you?
How long has this persisted?
What was your last menstrual cycle like?
How many times has this occurred?
Question 8The least variation in menses occurs during the ages of:
30 to 50.
40 to 50.
12 to 20.
20 to 40.
Question 9What is the most common type of menstrual dysfunction related to hyperandrogenism?
Painful menstruation
Absence of menses
Irregular bleeding
Early menopause
Question 10Why are women with PCOS at a threefold increased risk of developing endometrial cancer?
The reduction in estrogen causes excess progesterone to build up.
Menstrual bleeding is irregular and unpredictable.
Insulin resistance stimulates the production of androgens.
Estrogen regularly stimulates the endometrium.
NRP563 Management of Women's Health Issues
Week 4 Quiz
Question 1Which statement best defines “risk factor”?
Any factor which increases the need for medical attention
Any behavior which places an individual at risk for illness
The probability that an individual will develop a medical condition
An attribute or exposure associated causally with an increased probability of a disease or injury
Question 2The USPSTF assigns a certainty level to assess the net benefit of a preventive service based on:
the nature of the overall evidence available.
the cost-effectiveness of a service.
known health outcomes.
select studies in a limited primary care population.
Question 3Which one of the following statements about menopause is false?
A diagnosis is based on the absence of menses for 6 consecutive months.
Controlling diabetes and hypertension can reduce the severity of symptoms.
Similar symptoms may be caused by arrhythmia, thyroid disorders, or tumors.
Diagnosis requires a thorough history, a physical exam, and laboratory testing.
Question 4Which one of the following statements about menopause is true?
Symptoms usually begin in the postmenopausal period.
Women most frequently report central nervous system symptoms.
Hot flashes can last well beyond the first 5 to 7 years following menopause.
Women typically experience the most severe symptoms during perimenopause.
Question 5Among the midlife health issues of women, the number one cause of mortality in the United States is:
primary osteoporosis.
cardiovascular disease.
overweight and obesity.
cancer (of the lung and bronchus, breast, and colon).
Question 6Which of the following is true regarding definitions of female sexual dysfunction?
Definitions are consistent across organizations.
Definitions are inconsistent across organizations.
Most well-known sexual health research contains current terminology.
DSM-5 contains six categories of female sexual dysfunction.
Question 7Clinicians who see women with sexual dysfunction:
should continue conducting routine exams and not focus on the dysfunction.
should not encourage the woman to address those issues separate from the clinician.
should be aware of specialized counseling resources and circumstances that warrant referral.
have no responsibility to consult the patient about relevant specialized areas.
Question 8What is an age-related anatomic change that can lead to UI?
The shortening of the urethra
The reduction in bladder capacity
The increase in habitual preventative emptying of the bladder
The decline in number of urethral striated muscle fibers
Question 9Women with BMIs higher than what number were found to be more than twice as likely to experience UI compared to women with lower BMIs?
35
40
20
25
Question 10What is the name for a pelvic muscle contraction that is strategically timed to increase intraurethral pressure just before and after the event that causes UI?
Kegel contraction
Detrusor maneuver
Reverse bladder contraction
Knack skill
NRP563 Management of Women's Health Issues
Week 5 Quiz
Question 1Which of the following is the most common vaginal infection worldwide?
Pelvic inflammatory disease
Bacterial vaginosis
Vulvovaginitis candidiasis
Desquamative inflammatory vaginitis
Question 2What is the most common symptom of bacterial vaginosis?
Vaginal itching and/or burning
Cottage cheese-like discharge
Fishy odor
Yeasty odor
Question 3What is the most common symptom of vulvovaginal candidiasis?
Fishy odor
Fever
Thin, grayish-white discharge
Vulvar pruritis
Question 4Routine HPV vaccination is recommended for girls of what age?
8 to 9
13 to 14
6 to 7
11 to 12
Question 5Which of the following is caused by an anaerobic one-celled protozoan that commonly lives in the vagina?
Trichomoniasis
Chlamydia
Gonorrhea
Syphilis
Question 6Approximately how many Americans will contract one or more sexually transmitted infections during their lifetime?
50 percent
25 percent
40 percent
60 percent
Question 7How does women’s anatomy make them more susceptible to UTIs?
Asymptomatic UTIs do not resolve themselves without treatment.
Women tend to get UTIs when they are pregnant.
There is a longer distance between the urethra and anus.
Their urethras are shorter.
Question 8What is the most common type of UTI that affects women?
Acute bacterial cystitis
Pyelonephritis
Asymptomatic bacteruria
Pyelitis
Question 9Which of the following is associated with increased risk of endometriosis?
Late menarche
Long menstrual cycles
Early menarche
Late menopause
Question 10Which two factors are essential for a fibroid treatment to be considered optimal?
Modify symptoms and temporarily shrink fibroids.
Long-term size reduction and fertility preservation.
Short-term size reduction and minimal side effects.
Modify symptoms and permanent size reduction.
NRP563 Management of Women's Health Issues
Week 6 Quiz
Question 1Combined oral contraceptives (COCs) are among the most extensively studied medications available. Which one of the following statements about their use has been found to be true?
Broad-spectrum antibiotics may enhance their efficacy.
They do not increase the risk of venous thromboembolism.
They decrease the relative risk of ovarian and endometrial cancers.
Among possible side effects are acne, hirsuitism, and benign breast conditions.
Question 2Compared to COCs, the combined contraceptive patch and vaginal ring:
have the same theoretical efficacy.
offer more opportunity for user error.
have lower failure rates in obese women.
are available in a larger variety of formulations.
Question 3Progestin-only pills (POPs):
have no possible side effects.
suppress ovulation as reliably as COCs.
may be taken earlier or later than prescribed.
in combination with lactation are nearly 100% effective.
Question 4Sperm can live up to ____ days in the female reproductive tract.
3
6
9
5
Question 5Which one of the following statements about the subdermal progestin implant is false?
It is associated with the development of benign follicular cysts.
After removal, its contraceptive effects last 10 more months on average.
Based on worldwide data, it appears to be as safe as other progestin-only methods.
The shortage of research due to its only recent availability is a possible disadvantage.
Question 6For women younger than 35, infertility is defined as failure to achieve a successful pregnancy after __________ of regular unprotected intercourse.
6 weeks
6 months
12 weeks
12 months
Question 7For a woman older than 35, the clinician will consider infertility treatment after six months of attempting a pregnancy because:
fecundity begins to increase gradually at age 28.
there is a higher risk of pregnancy loss in the older woman.
the older woman is not as frivolous as a younger woman might be.
conditions that impair fertility decline after age 35.
Question 8Certain _________ may protect future fertility by decreasing the risk of pelvic inflammatory disease.
contraceptive methods
caffeinated products
extremes in BMI
alcohol intake
Question 9Among the causes of infertility in women are all of the following except:
endometriosis.
a luteal-phase deficiency.
a bicornuate or septate uterus.
tubal scarring as a result of an STI.
Question 10The fertility test that involves radiologic imaging of an injection of a water- or oil-soluble contrast traveling through a women’s reproductive system is called:
transvaginal ultrasound and hysteroscopy.
hysterosalpingogram.
semen analysis.
laparoscopy.
NRP563 Management of Women's Health Issues
Week 7 Quiz
Question 1What gastrointestinal disorder is diagnosed in 60 percent of women who are referred to gynecologists for complaints of chronic pelvic pain?
Genitourinary
Irritable bowel syndrome
Diverticulitis
Intestinal obstruction
Question 2Why is it imperative that a clinician aggressively diagnose and treat chronic pelvic pain in adolescents?
To avoid future reproductive health issues leading to infertility.
To find any significant associations with dysmenorrhea.
To alleviate the associated symptoms of depression and sleep disorder.
To determine if laparoscopy should be recommended.
Question 3What is used when pelvic pathology is unable to be detected by physical examination or other testing?
Biopsy
Laparoscopy
Colposcopy
Palpation
Question 4What is one of the most common gynecological-related causes of chronic pelvic pain?
Cervical cancer
Amenorrhea
Dysmenorrhea
Endometriosis
Question 5Which condition can result from treatment for infertility?
Ovarian remnant syndrome
Ovarian retention syndrome
Ovarian neuropathic syndrome
Ovarian hyperstimulation syndrome
Question 6Pharmacological treatment for chronic pelvic pain frequently begins with:
high-dose progestins.
GnRH.
oral analgesics.
COCs.
Question 7Type I endometrial cancer is caused by:
an excess of estrogen exposure.
polyps in the endometrium.
heredity.
infertility treatments.
Question 8A risk factor that could lead to endometrial cancer is:
early menopause.
late menopause.
high blood pressure.
cervical cancer.
Question 9What screening test can be used to detect endometrial cancer?
STI test
Colposcopy
Pap test
There is no screening test that detects it.
Question 10For a patient who has a strong family history of breast and ovarian cancer and tested positive for BRCA mutation, which is most appropriate with respect to prevention?
The clinician should counsel the patient about additional distinct symptoms of ovarian cancer.
The clinician should facilitate a proven approach to risk factor reduction for all patients.
The clinician should advise the patient that breastfeeding increases ovarian cancer risk.
The clinician should suggest the use of oral contraceptives for cancer prophylaxis.
NRP563 Management of Women's Health Issues
Week 8 Quiz
Question 1When a patient’s decision about a pregnancy causes an irreconcilable conflict between a clinician’s personal beliefs and professional responsibilities, the clinician should:
make sure the patient understands what those personal beliefs are.
continue to work in settings where such conflicts occur frequently.
deny comprehensive pregnancy options counseling to the patient.
refer the patient to a colleague or to a different setting entirely.
Question 2All of the alternatives that follow are included in pregnancy options counseling except:
discontinue the pregnancy.
carry the pregnancy and parent the child.
assess the need for additional attention after abortion.
carry the pregnancy and place the infant for adoption.
Question 3Which of the following is NOT a goal of preconception care?
To provide education regarding nutrition and prenatal vitamins and supplements
To put in place changes that can impact fertility or early fetoplacental development
To screen for risks and prevention opportunities
To begin pregnancy as healthy and prepared as possible
Question 4Why is it important for women to take folate supplements immediately preceding and following contraception?
It is one step of several that can be taken to improve nutritional habits of expecting mothers.
It can boost the immune system and help to avoid infections.
It can decrease the risk of neural tube defects, preterm birth, and newborns with low birth weight.
It helps regulate the menstrual cycle, leading to better tracking of ovulation.
Question 5Which of the following are considered probable (or objective) signs of pregnancy?
Uterine enlargement and integumentary pigment changes
Amenorrhea and palpable fetal outline
Nausea and Goodell sign
Fetal heart rate auscultated by fetoscope and increased urinary frequency
Question 6Cardiac output in pregnancy __________ and peaks during __________.
increases 10 to 25 percent; the first trimester
increases 30 and 50 percent; the third trimester
increases 50 percent; delivery
decreases 10 to 15 percent; the first trimester
Question 7Which of the following is NOT a sign or symptom associated with pregnancy in the early weeks?
Breast tenderness
Extreme fatigue
Migraine headaches
Nausea and vomiting
Question 8Quantitative human chorionic gonadotropin (hCG) test is most valuable in determining viable pregnancies if the test can be repeated in:
2 weeks.
48 hours.
4 days.
24 hours.
Question 9An ectopic pregnancy is:
also known as a spontaneous abortion.
a greater risk for women with a history of pelvic inflammatory disease.
rarely even noticed by the woman.
the same thing as a molar pregnancy.
Question 10To avoid opportunity for thromboembolism, postpartum women should:
ambulate soon after birth.
avoid fatigue.
breastfeed the child.
engage in abdominal exercises.
