Nursing 611 Advanced Nursing Women Health at St. Thomas University
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The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including:
- reducing caffeine consumption to no more than 350 mg per day.
- achieving a BMI in the range of 30 to 35 if the woman is under- or overweight.
- that there is no safe level of alcohol consumption during pregnancy.
- None of these is correct.
Explanation
Explanation
During an infertility evaluation, clinicians can provide preconception counseling to optimize fertility and future pregnancy outcomes. One key recommendation is complete avoidance of alcohol, as no level of alcohol consumption is considered safe during pregnancy due to risks of fetal alcohol spectrum disorders. Other evidence-based health promotion measures include maintaining a healthy BMI within the normal range, moderating caffeine intake (generally <200 mg/day is recommended), and addressing lifestyle, nutrition, and chronic health conditions.Correct Answer Is:
C. that there is no safe level of alcohol consumption during pregnancyMasters 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 resolutionOutside 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.In women, the urethra rests on the anterior vaginal wall, which is supported by a muscle that is known as the pelvic floor muscle or:
- intra-abdominal sphincter.
- urethral sphincter.
- striated muscle.
- Kegel muscle.
Explanation
Explanation
The pelvic floor is composed of the levator ani muscle group, commonly referred to as the Kegel muscle when discussing voluntary contraction for strengthening. This muscular sling supports the urethra, vagina, and rectum, maintaining continence and providing essential support to the pelvic organs. Because the urethra lies on the anterior vaginal wall, the strength and function of the Kegel muscle are critical for bladder control and preventing pelvic floor dysfunction.Correct Answer Is:
D. Kegel muscle.Dyspepsia during pregnancy results from:
- displacement of the intestines by the gravid uterus.
- constipation.
- altered esophageal sphincter.
- increased cholesterol saturation.
Explanation
Explanation
Dyspepsia, or heartburn and indigestion, is common during pregnancy primarily due to hormonal effects on the esophagus, particularly relaxation of the lower esophageal sphincter caused by elevated progesterone levels. This allows gastric acid to reflux into the esophagus, leading to symptoms of heartburn. While the growing uterus can contribute to gastrointestinal discomfort, the primary mechanism of dyspepsia in pregnancy is sphincter relaxation, not intestinal displacement, constipation, or changes in cholesterol saturation.Correct Answer Is:
C. altered esophageal sphincterWhat are the corresponding clinical terms for Type I and Type II errors in quantitative research?
- "bias I" and "bias II"
- "false positive" and "false negative"
- "negativity" and "positivity"
- "evidence flaw" and "process flaw"
Explanation
Explanation
In quantitative research, a Type I error occurs when the researcher concludes there is an effect or difference when none actually exists — clinically referred to as a false positive. A Type II error occurs when the researcher fails to detect an effect that does exist — clinically referred to as a false negative. Understanding these errors is essential for interpreting study findings and determining the reliability of statistical conclusions.Correct Answer Is:
B. "false positive" and "false negative"The possibility of cancer is associated with mastalgia when the pain:
- is felt in both breasts equally and is related to a cyclic pattern.
- occurs in perimenopausal women who are receiving HT.
- is accompanied by skin changes or palpable abnormality.
- is reproducible with palpation of the chest wall.
Explanation
Explanation
When mastalgia is associated with concerning physical findings—such as a palpable mass, skin dimpling, nipple retraction, nipple discharge (especially bloody), or localized thickening—the likelihood of an underlying malignancy increases significantly. Breast cancer itself is not typically painful, but when pain is present along with structural breast changes, it becomes a red-flag finding that requires urgent imaging and diagnostic evaluation. These visible or palpable abnormalities can indicate tumor infiltration or disruption of normal breast tissue, making this presentation far more suspicious for cancer compared to cyclic, hormonal, or musculoskeletal breast pain.Correct Answer Is:
C. is accompanied by skin changes or palpable abnormality.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. spermicideMost 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.An inexpensive screening tool that can be used to confirm a UTI diagnosis if the history is ambiguous is the:
- urine culture.
- urine dipstick.
- empiric culture.
- sensitivity test.
Explanation
Explanation
A urine dipstick is a rapid, inexpensive, and widely used screening tool for urinary tract infections (UTIs). It detects leukocyte esterase, nitrites, and sometimes blood in the urine, which are indicators of infection. While a dipstick cannot replace a definitive urine culture, it is particularly useful in ambiguous cases to guide initial management and determine whether further testing or empiric treatment is necessary. Its convenience and low cost make it a practical first-line diagnostic aid.Correct Answer Is:
B. urine dipstickHow to Order
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