NUR 514 Women's Health
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Free NUR 514 Women's Health Questions
Among the causes of infertility in women are all of the following except:
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A luteal-phase deficiency
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Endometriosis
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Tubal scarring as a result of an STI
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A bicornuate or septate uterus
Explanation
A bicornuate or septate uterus is a congenital uterine anomaly that is more strongly associated with recurrent miscarriage and preterm labor, not infertility itself. Most women with these uterine shapes can still conceive; the problem lies more with maintaining the pregnancy rather than achieving conception.
Luteal-phase defects, endometriosis, and tubal scarring from sexually transmitted infections are all well-recognized causes of infertility because they directly interfere with ovulation, implantation, or the ability of the egg and sperm to meet.
What concern prompted the initiation of the modern EBP movement in health care?
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That clinicians often failed to evaluate the effectiveness of their own care
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That expert opinion was valued over scientific evidence
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That scientific evidence was valued over expert opinion
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That patients were demanding more evidence to support care decisions
Explanation
The modern Evidence-Based Practice (EBP) movement was driven by the concern that clinicians were not systematically evaluating whether the care they provided actually worked. Before EBP, many health professionals relied on habit, tradition, or routine practice without measuring outcomes. This lack of evaluation led to inconsistent care quality, ineffective interventions being used for years, and wide variations in clinical practice.
What narrow term is often used to refer to the period of Early Adulthood?
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Productive years
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Reproductive years
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Young Adulthood
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Adolescence
Explanation
In many traditional health and developmental texts—especially those with a biomedical or reproductive focus—the period of Early Adulthood is often narrowly labeled as the “reproductive years.” This framing reduces the complexity of early adulthood to biological fertility and childbearing potential, ignoring broader developmental tasks such as career formation, intimacy, identity consolidation, and independence. Feminist and women’s-health frameworks critique this reduction because it centers women’s value around reproduction rather than their full lived experience.
Which of the following is NOT an example of a red flag indicator of IPV?
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Lack of personal awareness or responsibility for one's actions
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A partner who is overly involved in the patient's medical examination
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Frequent unscheduled, walk-in medical appointments
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Patient history that does not match the presenting injury
Explanation
“Lack of personal awareness or responsibility for one's actions” is not recognized as a clinical red flag for intimate partner violence (IPV). IPV indicators focus on behaviors and patterns suggesting control, coercion, or inconsistent injury explanations—not personality traits like self-awareness or accountability. Red flags typically involve controlling partners, contradictory injury histories, repeated visits for vague complaints, or signs of fear or restricted autonomy. Because option A reflects a general behavioral trait rather than an IPV-specific warning sign, it is not considered a valid red flag.
Which one of the following statements about intimate partner violence (IPV) is false?
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It refers to a current or former spouse or dating partner of the opposite sex, not someone of the same sex.
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It includes emotional abuse, such as disregarding what a woman wants.
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It includes using physical force to make a woman engage in a sexual act against her will.
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It refers to an escalating pattern of abuse.
Explanation
This statement is false because intimate partner violence (IPV) can occur in any intimate relationship—heterosexual or same-sex. IPV encompasses abuse between current or former spouses, dating partners, or individuals in romantic or intimate relationships, regardless of gender or sexual orientation. National health and justice agencies clearly define IPV as inclusive of all relationship types. Thus, limiting IPV to opposite-sex partners is incorrect and excludes a significant portion of individuals who experience abuse in same-sex relationships.
Clinicians who see women with sexual dysfunction:
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have no responsibility to consult the patient about relevant specialized areas.
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should continue conducting routine exams and not focus on the dysfunction.
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should be aware of specialized counseling resources and circumstances that warrant referral.
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should not encourage the woman to address those issues separate from the clinician.
Explanation
Management of sexual dysfunction in women often requires a multidisciplinary approach, and clinicians play a key role in identifying when specialized care is needed. Being aware of sexual health therapists, pelvic floor physical therapists, endocrinologists, and mental health providers allows clinicians to ensure comprehensive treatment. Referral is appropriate when dysfunction involves psychological, hormonal, or complex physiological factors beyond the clinician’s scope. This approach supports patient-centered care, improves outcomes, and avoids leaving patients without needed resources.
Women's health risks, treatments, and approaches are not always based in science and biology because:
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they are often based on outdated treatments and approaches
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they are determined by social expectations and gender assumptions
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they often rely on alternative treatments and approaches
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scientific research often fails to take women into consideration
Explanation
Women’s health care has historically been shaped by cultural beliefs about femininity, gender roles, emotionality, and sexuality. These social expectations and gender assumptions influence which conditions are studied, how symptoms are interpreted, and what treatments are offered. As a result, certain practices persist not because they are scientifically proven, but because they align with societal ideas about how women “should” behave or what their bodies “should” do. This makes social gender assumptions a major factor that distorts women’s health care beyond biology or evidence.
Unintended pregnancy has been associated with:
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later entry into prenatal care
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increased likelihood of breastfeeding
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average birth weight
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increased mental and physical health
Explanation
Unintended pregnancies are consistently associated with delayed initiation of prenatal care. Individuals who did not plan or desire the pregnancy often begin prenatal visits later, which increases risks for complications, reduces opportunities for early screenings, and limits timely management of maternal health concerns. Research also shows that unintended pregnancy can correlate with higher maternal stress, lower socioeconomic stability, and reduced adherence to recommended prenatal behaviors. Conversely, it is not associated with improved health outcomes or increased breastfeeding rates.
The social model of health places the focus of health on:
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the community
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the individual
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environmental conditions
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scientific research
Explanation
The social model of health emphasizes that health is shaped largely by community-level factors such as social support networks, community resources, cultural norms, public health systems, and collective living conditions. Instead of viewing health solely as an individual responsibility or a biological condition, this model highlights how community environments influence well-being. Although environmental factors play a role, the central focus of the social model is on the community as the primary determinant of health outcomes.
A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement?
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Perform a nutrition assessment.
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Refer the woman to a social worker.
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Advise the woman to see an obstetrician, not a midwife.
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Explain to the woman the importance of keeping her prenatal care appointments.
Explanation
In the United States, African-American women experience the highest infant mortality rates, largely due to disparities in access to and continuity of prenatal care. Early and consistent prenatal care is the single most important and evidence-supported intervention to reduce risks such as low birth weight, preterm birth, and untreated maternal conditions. Teaching the importance of regular prenatal visits directly addresses a major contributor to mortality disparities and supports early detection and management of complications.
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