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.

Group B Streptococcus and Escherichia coli are the primary causes of ----------- during pregnancy.

  • toxoplasmosis
  • urinary tract infections
  • vaginal bleeding
  • miscarriage

Explanation

Explanation
Group B Streptococcus (GBS) and Escherichia coli are the most common pathogens responsible for urinary tract infections during pregnancy. Due to hormonal and anatomical changes, pregnant individuals are at increased risk for UTIs, and these bacteria frequently colonize the urinary tract. Prompt identification and treatment are essential to prevent complications such as pyelonephritis or preterm labor.
Correct Answer Is:
B. urinary tract infections
2.

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.
3.

Sperm can live up to --- days in the female reproductive tract.

  • 9
  • 6
  • 5
  • 3

Explanation

Explanation
Sperm can survive in the cervix, uterus, and fallopian tubes for about 3 to 5 days under optimal conditions, such as the presence of fertile cervical mucus during ovulation. This allows for fertilization to occur if an egg is released during this period, even if intercourse took place several days earlier. Knowledge of sperm longevity is important for fertility planning, conception counseling, and timing intercourse relative to ovulation.
Correct Answer Is:
C. 5
4.

Which of the following best defines the term "gender" as used in this text?

  • A person's sex as defined by society
  • A person's sex
  • A person's biological presentation as defined by himself or herself
  • A societal response to a person's self-representation as a man or woman

Explanation

Explanation
Gender refers to the social and cultural interpretation of an individual’s identity as a man, woman, or other gender, based on how they self-identify and express themselves. It encompasses societal expectations, roles, and responses to one’s self-representation, distinguishing it from sex, which is biologically assigned at birth. Recognizing gender as socially constructed helps clinicians provide inclusive and patient-centered care that respects identity and expression.
Correct Answer Is:
D. A societal response to a person's self-representation as a man or woman
5.

Among women aged 55 years and older:

  • diagnostic imaging of a breast mass and tissue sampling should be deferred.
  • most breast masses decrease in size over time and many resolve completely.
  • macromastia is the most common cause of breast masses.
  • breast masses are presumed malignant until proven otherwise.

Explanation

Explanation
In women aged 55 and older, any newly detected breast mass must be approached with a high index of suspicion for malignancy. Postmenopausal women have a significantly increased risk of breast cancer, and benign causes of new breast masses become less common with age. Therefore, a prompt, thorough diagnostic evaluation—including imaging and tissue sampling—is essential to rule out cancer. This “malignant until proven otherwise” approach ensures early detection and improves outcomes in a population at higher risk.
Correct Answer Is:
D. breast masses are presumed malignant until proven otherwise.
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.

All of the following are physiologic methods of nonhormonal contraception except:

  • abstinence
  • spermicide
  • coitus interruptus
  • lactational amenorrhea

Explanation

Explanation
Physiologic methods of nonhormonal contraception rely on natural body processes or behaviors, such as abstinence, withdrawal (coitus interruptus), and lactational amenorrhea (suppression of ovulation through exclusive breastfeeding). Spermicide, however, is not a physiologic method—it is a chemical contraceptive that works by destroying sperm. Because it requires the use of a chemical agent rather than relying on natural physiology or behavior, it does not fit within the physiologic contraception category.
Correct Answer Is:
B. spermicide
8.

Which of the following statements reflects the finding of a national survey of gay, LBQ, and TNB people, conducted by the Pew Research Center in 2013?

  • LBQ women have found significant support from their families, communities, and places of worship.
  • Gay, LBQ, and TNB people historically have had the same rights regardless of geographic location.
  • Violence among LBQ women is at a lower rate than their heterosexual counterparts.
  • Institutionalized homophobia and heterosexism directly impact the economic stability of all gay, LBQ, and TNB people.

Explanation

Explanation
The 2013 Pew Research Center survey highlighted that systemic discrimination, institutionalized homophobia, and heterosexism have a measurable impact on the economic stability, employment opportunities, and financial security of gay, LBQ, and TNB individuals. These structural barriers include workplace discrimination, unequal access to benefits, and social marginalization, which contribute to disparities in income, career advancement, and long-term economic well-being. The survey underscores the importance of addressing structural inequities to improve outcomes for sexual and gender minority populations.
Correct Answer Is:
D. Institutionalized homophobia and heterosexism directly impact the economic stability of all gay, LBQ, and TNB people.
9.

If a woman is complaining of bilateral, milky nipple discharge, the clinician is to first:

  • obtain a serum prolactin level and a thyroid-stimulating hormone (TSH) measurement.
  • perform a mammogram and an ultrasound of the breasts.
  • assess the sella turcica with magnetic resonance imaging (MRI).
  • perform a pregnancy test.

Explanation

Explanation
The very first step in evaluating bilateral, milky (galactorrhea) nipple discharge is to rule out pregnancy, because pregnancy is the most common physiologic cause of galactorrhea. A pregnancy test is fast, noninvasive, inexpensive, and essential before pursuing more complex endocrine or imaging evaluations. Only after pregnancy is excluded should the clinician proceed with checking prolactin and TSH levels, followed by imaging if indicated.
Correct Answer Is:
D. perform a pregnancy test.
10.

A uterus returns to a pre-pregnant state in a process called:

  • involution.
  • adaptation.
  • dilation.
  • deciduation.

Explanation

Explanation
Involution is the process by which the uterus returns to its pre-pregnancy size and condition following childbirth. This involves the contraction of uterine muscle fibers, reduction in uterine blood flow, and shedding of excess tissue over several weeks. Proper involution is essential to prevent postpartum hemorrhage and allows the reproductive organs to recover. The process typically completes within 4–6 weeks postpartum, with the uterus gradually shrinking from the size of a term pregnancy to its normal pre-pregnant state.
Correct Answer Is:
A. involution.

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