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.
Which of the following most accurately defines "oppression" as used in the text?
- A feeling of being burdened
- Not having a choice
- An act of tyranny
- Not having a voice
Explanation
Explanation
Oppression, as used in the context of women’s health and social structures, refers to a systemic limitation of autonomy in which individuals or groups are denied the ability to speak, influence decisions, or participate fully in society. It is more than personal burden or isolated acts of tyranny—it is a pervasive condition in which people lack representation, agency, and the power to assert their needs. This loss of voice is central to how oppression is experienced and sustained.Correct Answer Is:
D. Not having a voice
2.
How should the order of examination proceed?
- Toe to head
- By major organ system
- By concern presented
- Head to toe
Explanation
Explanation
The standard sequence for a physical examination is head to toe, ensuring an organized, thorough, and efficient assessment. This method minimizes the chance of overlooking important findings and provides a logical flow from the patient’s general appearance down through each body region. It also supports consistency across clinicians and allows abnormalities to be identified in context with the overall health picture.Correct Answer Is:
D. Head to toe
3.
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
4.
Women who present for pregnancy options counseling:
- need no further resources to establish a plan of action.
- have made their decision and do not need to discuss it.
- should be made aware of the gestational age of the pregnancy.
- understand the time-sensitive nature of the decision-making process.
Explanation
Explanation
During pregnancy options counseling, it is essential for women to be informed of the gestational age, as it directly impacts the range of available options and the timing of interventions such as abortion or prenatal care. Accurate knowledge of gestational age helps guide safe, legal, and appropriate decision-making. Counseling should also provide supportive resources, encourage thoughtful consideration, and address medical, emotional, and social factors, ensuring women can make informed choices.Correct Answer Is:
C. should be made aware of the gestational age of the pregnancy
5.
A woman's sexual complaint may be attributed to:
- normal variations of sexuality.
- sociocultural influences.
- All of these are correct.
- physical or mental health factors.
Explanation
Explanation
A woman’s sexual complaint can result from multiple interacting factors. Normal variations of sexuality may include differences in desire, arousal, or response that are within the range of healthy sexual functioning. Sociocultural influences—such as cultural norms, religious beliefs, and partner expectations—can shape sexual attitudes and behaviors. Physical or mental health factors, including chronic illness, medications, hormonal changes, or psychological conditions, can also affect sexual function. Considering all these domains ensures a comprehensive assessment and individualized management.Correct Answer Is:
C. All of these are correct.
6.
In many cases where placenta previa is diagnosed:
- a woman is in danger of miscarriage.
- the low-lying placenta will grow toward the uterine fundus.
- a mother experiences dangerously high blood pressure.
- the placenta prematurely separates from the uterine wall.
Explanation
Explanation
Placenta previa identified in early or mid-pregnancy often resolves on its own because the placenta tends to migrate upward toward the uterine fundus as the uterus grows. This natural movement reduces or eliminates its proximity to the cervical os. Many cases diagnosed before the third trimester no longer meet the criteria for previa by delivery. This upward shift is why repeat imaging later in pregnancy is essential before final management decisions are made.Correct Answer Is:
B. the low-lying placenta will grow toward the uterine fundus.
7.
Of 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 B
8.
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.
9.
What is the widely used carcinoma classification system that provides a way of describing the size, location, and spread of a tumor?
- The SLS classification
- The TNM classification
- The CCS classification
- The TSL classification
Explanation
Explanation
The TNM classification system is a standardized method for describing cancer size (T), involvement of nearby lymph nodes (N), and presence of metastasis (M). It allows clinicians to stage tumors accurately, predict prognosis, guide treatment planning, and facilitate communication across healthcare providers. This system is widely used internationally for most solid tumors and is maintained by the American Joint Committee on Cancer (AJCC) and the Union for International Cancer Control (UICC).Correct Answer Is:
B. The TNM classification
10.
Why are vaginal secretions collected during the speculum examination?
- Due to concern for a Bartholin cyst or a history of recurrent abscesses
- For gonorrhea, chlamydia, and trichomoniasis testing
- For microscopy to aid in the diagnosis of vaginal and sexually transmitted infections
- For cytology screening
Explanation
Explanation
Vaginal secretions are collected during a speculum examination primarily for microscopic evaluation, which helps diagnose bacterial vaginosis, candidiasis, trichomoniasis, and other infections. The sample can also be used for culture or nucleic acid amplification tests (NAATs) to detect specific pathogens like gonorrhea and chlamydia, but the primary reason for collection during the exam is to assess the vaginal environment and identify infectious organisms. Cytology (Pap testing) is a separate procedure using a cervical sample rather than vaginal secretions.Correct Answer Is:
C. For microscopy to aid in the diagnosis of vaginal and sexually transmitted infectionsHow to Order
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