Nursing 611 Advanced Nursing Women Health at St. Thomas University
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Free Nursing 611 Advanced Nursing Women Health at St. Thomas University Questions
Outside of the uterus, endometrial implants:
- are found exclusively in the ovaries.
- are rarely found in other sites.
- are never found in the vagina.
- are found in multiple diverse sites.
Explanation
Explanation
Endometrial implants in endometriosis can occur in many different locations outside the uterus. Common sites include the ovaries, fallopian tubes, pelvic peritoneum, bowel surface, bladder, and even less common areas such as the diaphragm, surgical scars, and the vagina. Their widespread distribution contributes to the variety of symptoms experienced, such as pelvic pain, dysmenorrhea, and pain during intercourse.Correct Answer Is:
D. are found in multiple diverse sites.Masters and Johnson and Kaplan, when modified to include element of consent, described the traditional female response cycle as:
- anticipation, physiologic response, pleasure and relaxation
- sexual fantasy, thoughts, awareness and arousal
- desire, excitement, orgasm and resolution
- stimuli, appraisal, arousal and satisfaction
Explanation
Explanation
The traditional female sexual response cycle, as described by Masters and Johnson and later modified by Kaplan to include consent and psychological aspects, consists of desire, excitement, orgasm, and resolution. This model emphasizes both physiologic and psychologic phases of sexual response, including arousal and orgasmic release, followed by resolution where the body returns to baseline. Including consent recognizes the importance of willingness and psychological engagement as integral to a healthy sexual response.Correct Answer Is:
C. desire, excitement, orgasm and resolutionAccording to NISVS (National Intimate Partner and Sexual Violence Survey), which statistic below represents those who have experienced some form of contact sexual violence:
- 1 in 25 women and 1 in 30 men
- 1 in 3 women and 1 in 6 men
- 1 in 3 women and 1 in 4 men
- 1 in 4 women and 1 in 10 men
Explanation
Explanation
The NISVS reports that approximately one-third of women and one-sixth of men in the United States experience some form of contact sexual violence during their lifetimes. Contact sexual violence includes completed or attempted rape, being made to penetrate someone else, sexual coercion, or unwanted sexual contact. These statistics highlight the prevalence of sexual violence and underscore the need for prevention strategies, survivor support, and routine screening in clinical settings.Correct Answer Is:
B. 1 in 3 women and 1 in 6 menIf 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:
- 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.
- a private and quiet area should be provided to take the report.
- the clinician should be available to provide support.
Explanation
Explanation
The clinician’s role is not to interpret or explain legal classifications of sexual offenses. That responsibility belongs to trained law enforcement or legal professionals. A clinician should focus on medical care, emotional support, safety planning, mandated reporting requirements (when applicable), and ensuring the patient understands confidentiality limits. Providing support, privacy, and informing the patient about how law enforcement handles confidentiality are appropriate—but legal interpretation is outside the clinician’s scope, making option A the correct choice.Correct Answer Is:
A. the clinician should explain the legal differences between various forms of forced sexual contact.All of the following are ways to determine gestational age except:
- bimanual examination.
- patient's menstrual and sexual history.
- ultrasound.
- blood serum test.
Explanation
Explanation
Blood serum tests—such as quantitative hCG—can confirm pregnancy and provide information about pregnancy progression, but they cannot accurately determine gestational age. Serum hCG levels vary widely between individuals and pregnancies, making them unreliable for dating. In contrast, a bimanual exam can estimate uterine size, menstrual history provides the last menstrual period (LMP), and ultrasound—especially first-trimester—is the most accurate method for determining gestational age.Correct Answer Is:
D. blood serum test.Which of the following is the most common vaginal infection worldwide?
- Bacterial vaginosis
- Pelvic inflammatory disease
- Vulvovaginitis candidiasis
- Desquamative inflammatory vaginitis
Explanation
Explanation
Bacterial vaginosis (BV) is the most common vaginal infection worldwide. It results from an imbalance in the normal vaginal flora, leading to an overgrowth of anaerobic bacteria and a reduction in lactobacilli. BV is often characterized by thin gray discharge and a fishy odor, although many women are asymptomatic. Its high prevalence makes it the leading cause of vaginal infection globally.Correct Answer Is:
A. Bacterial vaginosisOf the following vaccines, which should be given only if the woman is at risk?
- Influenza
- Diphtheria
- Hepatitis B
- Measles
Explanation
Explanation
Hepatitis B vaccine in pregnancy is recommended based on risk status, not automatically for every woman. It is given when the pregnant woman has identifiable risk factors for exposure to hepatitis B virus, such as having multiple sexual partners, a partner who is HBsAg-positive, a history of sexually transmitted infections, injection drug use, or occupational exposure to blood and body fluids (e.g., health-care workers). Because hepatitis B infection can lead to chronic liver disease and can also be transmitted from mother to baby during birth, vaccination is important when the risk of exposure is significant. The vaccine itself is inactivated (non-live) and is considered safe in pregnancy, but it is targeted to those at risk rather than universally administered, which is why it is the option that “should be given only if the woman is at risk.”Correct Answer Is:
C. Hepatitis BAll of the following diagnostic testing and procedures are now infrequently performed in clinical practice except:
- endometrial biopsy (EMB).
- the postcoital test (PCT).
- sperm penetration assay.
- hysterosalpingogram.
Explanation
Explanation
Endometrial biopsy remains a commonly performed and clinically important diagnostic procedure, especially for evaluating abnormal uterine bleeding, suspected endometrial hyperplasia, and ruling out endometrial cancer. Unlike the postcoital test and sperm penetration assay—which are now rarely used due to poor predictive value—EMB continues to provide essential, evidence-based diagnostic information. It is widely available, minimally invasive, cost-effective, and still recommended in modern gynecologic practice when evaluating endometrial pathology.Correct Answer Is:
A. endometrial biopsy (EMB).What is the median age for the onset of menstruation for adolescent girls in the United States?
- 12.8
- 10.8
- 13.8
- 9.8
Explanation
Explanation
The median age of menarche in the United States is approximately 12.8 years. This age represents the midpoint at which half of girls have experienced their first menstrual period. Factors such as genetics, nutrition, body mass index, and overall health can influence the timing of menarche, but 12–13 years remains the typical range for onset in U.S. adolescents. Early or delayed menarche may warrant clinical evaluation for underlying endocrine or developmental issues.Correct Answer Is:
A. 12.8How is being overweight defined on the BMI table?
- 20 to 29.9
- 25 to 29.9
- 18 to 29.9
- 30 or greater
Explanation
Explanation
Overweight is defined by a body mass index (BMI) of 25 to 29.9 kg/m². BMI is calculated by dividing weight in kilograms by height in meters squared (kg/m²) and is used as a screening tool to categorize weight status. A BMI below 18.5 indicates underweight, 18.5–24.9 is considered normal, 25–29.9 is overweight, and 30 or greater is classified as obesity. These categories help identify individuals at increased risk for cardiovascular disease, diabetes, and other health complications associated with excess body weight.Correct Answer Is:
B. 25 to 29.9How to Order
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