nr602 primary care of the childbearing and childrearing family
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Poss questions for wk 6 WH nr 602
NR 602 Week-6 possible Questions:
Chamberlain College of Nursing, Course Code: NR602: Course Title:
Primary Care of the Childbearing and Childrearing Family
1. Bartholin’s cyst
A nurse practitioner instructor is reviewing the anatomy of the external genitalia. At the opening of the vagina are
the Bartholin's glands. Which of the following describes the function of these glands?
Production of alkaline secretion for sperm viability
Which of the following choices represents a disorder of the reproductive tract that causes pain, erythema,
dyspareunia, and a perineal mass?
Bartholin’s cyst
You explain to this young woman what this "lump" is and let her know you will be referring her to a gynecologist
you consult with regularly. You explain to her the likely treatment as follows:
A possible incision might be necessary and a catheter (WORD) placed for two to four weeks to
allow for drainage and appropriate healing.
Which of the following choices represent a disorder of the reproductive tract that causes pain, erythema,
dyspareunia, and a perineal mass?
Bartholin’s cyst
A 25-year-old presents with a report of a very tender area just near her introitus and to the left of her perineum. Very
painful sex is how she knew "something wasn't right." She showered and when washing, she felt a "pea-sized"
painful lump on the left side of her "bottom." She tells you she looked at it with a mirror and it was very small, but
now it is the size of a ping-pong ball and getting worse.When you inspect her external genitalia, you are amazed at
the size and appearance of the "lump."You note what appears to be an abscess on the left medial side of the labia
minora, and there is some edema extending into the perineum. Your diagnosis for this presentation is:
Bartholin’s cyst
Treatment of a large, symptomatic Bartholin's cyst includes all of the following except:
Topical corticosteroids
Which of the following is a common antibiotic for treatment of an infected Bartholin's cyst?
Bactrim
The patient presents with complaints of a painful, swollen lump in her vaginal area. She reports difficulty sitting
and walking due to the pain. Which of the following is a likely diagnosis for this patient?
Bartholin cyst
2. Breast Cancer
17- year-old Stella presents with a chief complain of unilateral breast tenderness and swelling. Which of the
following would be the least likely etiology for this problem?
Breast cancer
A nurse practitioner is counseling a woman with fibrocystic changes in the breast. Which of the following is not
caused by this change?
An increased risk of breast cancer
A 55-year-old woman presents to the clinic for evaluation of a breast mass. Which of the following is not a typical
presenting sign of breast cancer?
A 2 cm, rubbery, tender lesion
A pathology report has been returned on a woman’s breast mass malignancy. The most common type of invasive
breast cancer is ______
Infiltrating ductal
Karen is concerned that she may develop breast cancer. Which of the following is not an associated risk factor?
Breast feeding
A female patient is concerned about using combination oral contraception that includes both estrogen and
progesterone. You instruct her that the medication actually will decrease risks of which of the following cancers?
Breast
, 2
Poss questions for wk 6 WH nr 602
You are starting Ella, a 21-year-old, on Ortho Tri-Cyclen, a combined oral contraceptive. Which of the following
would not be included in your instructions and advice?
Oral contraceptives offer protection against breast cancer for as long as you are using them.
When reviewing the risk factors for breast cancer with your patient, which of the following would not be a
contributing factor?
Early menopause
A 55-year-old postmenopausal female patient presents with pain in the upper outer quadrant of her left breast
for over one month now. The best course of action would be to _______.
A woman is concerned that she may develop breast cancer and is discussing her concerns with the nurse
practitioner. Which of the following is not an associated risk factor for this?
Late menarche
What factor is considered high risk for breast cancer?
genetic mutation in BRCA-1 and BRCA-2 genes
3. Breast Disorders
You are researching preliminary evidence-based sources about breast cancer risk factors. Which of the following
would you find is not one for the disease?
Fibrocystic breast disease
A woman is experiencing a milky white nipple discharge. Galactorrhea is usually a finding with which other
diagnosis?
Hyperprolactinemia
Lenore, 55years old, comes in for evaluation of a breast mass. Which of the following is not usually linked with
carcinoma of the breast?
Well-circumscribed, rubbery and tender lesion
A nurse practitioner is educating a pregnant female about breast changes. Common normal physiologic changes
include all of the following except:
Fibrocystic changes
Breast tissue is composed of glandular, fibrous, and fatty tissue and a complex lymphatic system. Where does lymph
from the medial cutaneous area of the breast flow?
Opposite breast
A 21year-old female presents to the practice with the chief complaint of a breast mass. Considering the differential
diagnoses, the most common cause of the mass in this age group is ____.
Fibroadenoma
A 35- year-old female presents for her normal annual examination and complains of recent changes in her breasts.
She reports that they feel tender and "lumpy" during certain times of the month. As a result, she does not perform
self-breast examination as she had been doing in the past. Which of the following statements would offer the best
advice to this patient?
Determine the time of the month when her breasts are tender and recommend a change to her
breast self-examination schedule.
A nurse practitioner is participating in a women's health fair. When educating the women about risk factors for
breast cancer, which of the following statements is incorrect?
Fibrocystic breast disease
An 18-year-old patient presents with secondary amenorrhea. On physical exam, there is normal secondary sex
characteristics in addition to the appearance of normal genitalia. Pregnancy has been ruled out through urine human
chorionic gonadotropin (HCG). Which of the following signs or symptoms would necessitate further evaluation in
this patient?
Galactorrhea
Breast masses are a common finding in adolescents and most typically are benign. Which of the following
descriptions of a breast mass most likely represents a benign finding?
Bilateral, round or oval firm mass
A 17-year-old presents with an appointment for unilateral breast tenderness and swelling. Which of the following
would be the most likely etiology for this problem?
Mastitis
When women experience mild premenstrual symptoms, such as mild breast tenderness, abdominal bloating, and
mild weight gain from water retention, this is known as:
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