Deck 11: Well Womans Health

Question 1

Gabriella, a 21-year-old new client, just scheduled a well visit for next week. Her English is limited. Which of the following interventions should the nurse make before and during the office visit to put Gabriella at ease and provide excellent care? (Select all that apply.)

A) Arrange to have an interpreter present
B) Have the patient undress before the health history interview
C) Sit at eye level and face the patient
D) Include the patient's boyfriend in the health history interview
E) Begin the interview with some casual conversation

Answer 1

A, C, E

Question 2

Appropriate topics to include in a patient's social history include which of the following? (Select all that apply.)

A) Occupation
B) Income level
C) Diet
D) Exercise
E) Sexual history

Answer 2

A, C, D, E

Question 3

Appropriate topics to include in a patient's medical history include which of the following? (Select all that apply.)

A) Medications
B) Views on abortion
C) Allergies
D) Surgeries
E) Immunizations

Answer 3

A, C, D, E

Question 4

The primary purpose of the lipid profile assessment is to assess for risk of which of the following?

A) Obesity
B) Coronary heart disease
C) Diabetes
D) Hypertension

Question 5

Mindy is a 35-year-old client with a family history of coronary heart disease and a body mass index (BMI) of 31. How often should Mindy have a lipid profile assessment performed?

A) Every year
B) Every 5 years
C) Every 7 years
D) Every 10 years

Question 6

Isabelle is a 25-year-old client with no family history of colorectal cancer. When should the nurse tell Isabelle to plan to have her first colonoscopy?

A) Age 30 years
B) Age 40 years
C) Age 50 years
D) Age 60 years

Question 7

At what age is it recommended that women undergo their first Pap test?

A) Age 13 years
B) Age 18 years
C) Age 21 years
D) Age 30 years

Question 8

A nurse is conducting a clinical breast exam on a patient. Which findings should the nurse note as unusual and follow up on? (Select all that apply.)

A) One breast being slightly larger than the other
B) Nipple retraction
C) Puckering
D) Venous patterns
E) Dimpling

Question 9

The primary purpose of the bimanual examination is to assess the size, shape, lie, location, mobility, and tenderness of which of the following? (Select all that apply.)

A) Urethral meatus
B) Uterus
C) Perineum
D) Ovaries
E) Cervix

Question 10

A nurse is preparing to conduct a bimanual examination on a client. Which position should the nurse place the client in?

A) Sitting up
B) Lithotomy
C) Supine
D) Prone

Question 11

A nurse is preparing to palpate a client's anus as part of the rectovaginal examination. Which of the following should the nurse do before initiating this procedure?

A) Ask the client to relax
B) Ask the client to cough
C) Ask the client to move to a prone position
D) Ask the client to bear down

Question 12

When performing a rectovaginal examination, the nurse should assess for which of the following? (Select all that apply.)

A) Cervical cell changes
B) Vaginal mucus consistency
C) Polyps
D) Hemorrhoids
E) Tone of the anal sphincter

Question 13

How often should a woman in her 20s have a Pap test done, assuming she has no increased risk for cervical cancer?

A) Every year
B) Every 3 years
C) Every 5 years
D) Every 10 years

Question 14

The One Key Question Initiative encourages primary care providers to ask which question to their patients?

A) "Are you currently sexually active?"
B) "Do you practice safe sex?"
C) "Would you like to become pregnant in the next year?"
D) "When was your last Pap test?"

Question 15

Pelvic and bimanual examinations are indicated before performing which of the following procedures? (Select all that apply.)

A) Pap test
B) Insertion of an intrauterine device
C) Fitting of a diaphragm
D) An endometrial biopsy
E) A pregnancy test