Deck 18: Well Womens Health

Question 1

Based on her knowledge of the number one leading cause of death for girls/women 15-24 years of age, the clinic nurse stresses the importance of ____________ with her 19-year-old client.

A) Eating foods high in calcium and vitamin D
B) Avoiding secondhand smoke
C) Wearing seatbelts when traveling in an automobile
D) Exercising daily to improve muscle strength and balance

Answer 1

The number one leading cause of death in the age group of 15-24 years in woman is unintentional injuries that mainly occur due to automobile accidents. Hence you should counsel the patient about the importance of wearing seat belt while travelling in an automobile.
Hence, the correct option is 'C'.
Eating healthy food rich in calcium and vitamin D does not lead to death. Hence, option 'A' is incorrect.
Smoking is not the leading cause of death in women of 15-24 years age group. Hence, option 'B' is incorrect.
Exercising daily does not cause death. Hence, option 'D' is incorrect.

Question 2

In addition to being the most common sexually transmitted virus in the United States, ______________ is also the main cause of cervical cancer.

A) HIV
B) Chlamydia
C) Human papillomavirus
D) Gonorrhea

Answer 2

Human papillomavirus is the most common sexually transmitted virus. It is also the main cause for cervical cancer. Gardasil and Cervarix are vaccines to prevent cervical cancer.
Hence, the correct option is 'C'.
HIV is the first most common cause of cervical cancer. Hence, option 'A' is incorrect.
Chlamydia does not cause cervical cancer, it causes bacterial vaginosis. Hence, option 'B' is incorrect.
Gonorrhea does not cause cervical cancer, it only causes bacterial vaginosis. Hence, option 'D' is incorrect.

Question 3

A __________________ is a screening test that involves a microscopic examination of cells taken from the cervix for early detection of cancerous or precancerous cells.

A) Cervical biopsy
B) Colposcopy
C) Cervical conization
D) Papanicolaou test

Answer 3

Papanicolaou (Pap) test is the screening test for cervical cancer. The women between 21-29 years should undergo Pap test for every 3 years, while women between 30-65 years should undergo Pap test along with HPV (Human papilloma virus) test for every 5 years.
Hence, the correct option is 'D'.
Cervical biopsy is done only when abnormal cells are seen in Pap test to confirm the diagnosis of cervical cancer. Hence, option 'A' is incorrect.
Colposcopy is visualizing the cervix using a videoscope. It is done only when abnormal cells are seen in Pap test to confirm the diagnosis of cervical cancer. Hence, option 'B' is incorrect.
Cervical conization is done only when abnormal cells are seen in Pap test to confirm the diagnosis of cervical cancer. Hence, option 'C' is incorrect.

Question 4

Lesbians are at _____________ risk for breast, cervical, endometrial, and ovarian cancer than heterosexual women.

A) higher
B) lower
C) the same

Question 5

An ambulatory care nurse is discussing health promotion behaviors with her client. Her client is a 48-year-old Asian woman who has been divorced for 5 years and has a new male partner. Both the woman and her partner are smokers. The teaching plan for this client based on her risk factors include: (Select all that apply)

A) Warning signs of heart attack and stroke
B) Need for yearly pelvic exam that includes a chlamydia test
C) Need for pneumococcal vaccine now and in 10 years
D) Need for tetanus and diphtheria vaccine every 5 years

Question 6

Obesity places women at risk for a variety of health problems. These risk include: (Select all that apply)

A) Stroke
B) Breast cancer
C) Colon cancer
D) Menstrual disorders

Question 7

A teaching plan for a 40-year-old woman having her first mammogram should include: (Select all that apply)

A) Informing her that she should have a mammogram every 5 years
B) Explaining that she might experience a sensation that her breast is being squeezed or pinched
C) Instructing her to avoid use of deodorant under her arms on the day of her appointment
D) Explaining that this is a screening test versus a diagnostic test

Question 8

Which of the following women are at risk for osteoporosis? Select all that apply.

A) A 45-year-old woman with a DXA of -0.5
B) A 25-year-old woman with anorexia
C) A 35-year-old non-smoking woman
D) A 30-year-old woman who had weight loss surgery

Question 9

The ambulatory care nurse is instructing a woman regarding oral bisphosphonates in the treatment of osteoporosis. The teaching plan should include which of the following?

A) Take the medication on a full stomach.
B) Remain upright for 30 minutes after taking the medication.
C) Take the medication with the evening meal.
D) Take the medication with her calcium supplement.

Question 10

Which of the following strategies can decrease the frequency of hot flashes related to perimenopause? Select all that apply.

A) Avoiding alcohol drinks
B) Avoiding hot teas
C) Avoiding foods high in fat
D) Avoiding cold rooms