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

1.

According to Basile et al. (2014), an example of “noncontact sexual abuse,” which is an unwanted sexual experience, is:

  • intentional exposure of an individual to exhibitionism.

  • an attempted but not completed sex act.

  • contact between the penis and anus involving penetration.

  • intentional touching of the genitalia through clothing.

Explanation

Explanation
Noncontact sexual abuse refers to sexual violations that do not involve physical contact. Examples include exposure to sexual acts, sexually explicit communication, voyeurism, and exhibitionism. Intentionally exposing someone to exhibitionism fits this definition because it is a sexual act imposed on a person without physical contact.
Correct Answer Is:
A. intentional exposure of an individual to exhibitionism.
2.

What is the approximate number of ovarian follicles at the initiation of puberty?

  • 200,000

  • 400,000

  • 600,000

  • 100,000

Explanation

Explanation
At the initiation of puberty, the ovaries contain approximately 400,000 follicles, representing the remaining pool from the original 6–7 million present during fetal life. Throughout childhood, a natural process of follicular atresia causes a continual decline in follicle number, leaving this reduced but still substantial supply at puberty. Only about 400–500 of these follicles will ever reach full maturation and be ovulated during a woman’s reproductive lifespan, while the remainder undergo atresia over time.
Correct Answer Is:
B. 400,000
3.

The most common benign breast masses are:

  • lipomas and phyllodes tumors

  • hamartomas

  • fibroadenomas and cysts

  • galactoceles

Explanation

Explanation
The most frequently encountered benign breast masses in women are fibroadenomas and cysts. Fibroadenomas are solid, mobile, and usually painless tumors composed of both glandular and fibrous tissue, most common in young women. Breast cysts are fluid-filled sacs that can fluctuate with the menstrual cycle and are common in premenopausal women. These masses are generally benign, but evaluation with clinical examination and imaging (ultrasound or mammography) is important to rule out malignancy.
Correct Answer Is:
C. fibroadenomas and cysts
4.

How 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 29.9
5.

How many different fiber sections subdivide the levator ani muscular sheet?

  • 6

  • 3

  • 4

  • 2

Explanation

Explanation
The levator ani muscle is subdivided into three main fiber sections: the pubococcygeus, puborectalis, and iliococcygeus. These fibers form a muscular sheet that supports pelvic organs, maintains continence, and assists in functions such as defecation, urination, and childbirth. Understanding these subdivisions is essential for clinical evaluation of pelvic floor function, rehabilitation, and surgical interventions.
Correct Answer Is:
B. 3
6.

Which of the following statements is most accurate about social determinants of health?

  • These are the social, political, and economic factors that are mostly responsible for health inequities.

  • These are the educational papers and research studies that promote evolving understanding of health.

  • These are data points that can be used to guide medical responses in times of public health crises.

  • These have been studied by public health administrators and sociologists to address health disparities.

Explanation

Explanation
Social determinants of health refer to the conditions in which people are born, grow, live, work, and age, including factors such as income, education, housing, employment, transportation, discrimination, and access to healthcare. These structural and environmental factors powerfully influence health outcomes and are the primary drivers of health inequities across populations. They shape opportunities, resources, exposures, and risks, making this definition the most accurate and comprehensive description of social determinants of health.
Correct Answer Is:
A. These are the social, political, and economic factors that are mostly responsible for health inequities.
7.

The second most commonly reported STI after chlamydia is:

  • pelvic inflammatory disease

  • hepatitis B

  • syphilis

  • gonorrhea

Explanation

Explanation
According to national surveillance data, gonorrhea is consistently the second most commonly reported sexually transmitted infection after chlamydia. Both are caused by bacteria, often occur together, and may be asymptomatic—especially in women—resulting in high transmission rates. Early detection and treatment are essential to prevent complications such as pelvic inflammatory disease, infertility, and neonatal infections.
Correct Answer Is:
D. gonorrhea
8.

Most research studies on methods of contraception use the term efficacy to refer to:

  • the number of pregnancies when a method is used improperly or inconsistently.

  • the likelihood of user failure or typical-use failure rates in different populations.

  • the likelihood of pregnancy when a method is used exactly as prescribed.

  • the rate of success in those who are spacing their pregnancies.

Explanation

Explanation
In contraceptive research, efficacy refers specifically to perfect-use effectiveness—how well a method prevents pregnancy when used consistently and correctly every single time, without any mistakes. This distinguishes efficacy from effectiveness, which describes real-world or typical-use performance where user error occurs. Efficacy allows researchers to compare methods based on their true biological and mechanical ability to prevent pregnancy under ideal conditions.
Correct Answer Is:
C. the likelihood of pregnancy when a method is used exactly as prescribed.
9.

What approach does Healthy People 2020 use to achieve its goals and objectives?

  • Quality-of-life determinants of health

  • Evidence-based determinants of health

  • Longevity promotion determinants of health

  • Social determinants of health

Explanation

Explanation
Healthy People 2020 is built around the social determinants of health framework, emphasizing how conditions in a person’s environment—such as education, economic stability, neighborhood safety, access to healthcare, and social context—shape health outcomes. This approach recognizes that improving population health requires addressing the upstream structural factors that influence opportunities, behaviors, risks, and overall quality of life. By focusing on social determinants, Healthy People 2020 aims to reduce disparities and create equitable health opportunities for all Americans.
Correct Answer Is:
D. Social determinants of health
10.

The North American Menopause Society (NAMS) current position on the use of HT in menopausal women includes:

  • The best risk-to-benefit ratio for HT is among asymptomatic women younger than 60.

  • HT is indicated for the sole purpose of preventing cardiovascular disease.

  • ET for less than 5 years has significant effect on the risk for breast cancer.

  • HT is recommended for prevention of cognitive aging or dementia.

Explanation

Explanation
NAMS states that the most favorable risk–benefit profile for hormone therapy occurs in women younger than 60 years or within 10 years of menopause onset who have bothersome vasomotor symptoms or genitourinary syndrome of menopause and no contraindications. In this age group, the risks of thromboembolism, stroke, and breast cancer are lower, and the benefits—such as symptom relief and prevention of bone loss—are most pronounced. HT is not recommended solely for cardiovascular prevention, does not significantly raise breast cancer risk with short-term estrogen therapy alone, and is not recommended for preventing cognitive decline or dementia.
Correct Answer Is:
A. The best risk-to-benefit ratio for HT is among asymptomatic women younger than 60.

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