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 are considered probable (or objective) signs of pregnancy?

  • Nausea and Goodell sign

  • Fetal heart rate auscultated by fetoscope and increased urinary frequency

  • Uterine enlargement and integumentary pigment changes

  • Amenorrhea and palpable fetal outline

Explanation

Explanation
Probable signs of pregnancy are objective findings observed by a clinician that strongly suggest pregnancy but are not definitive. These include uterine enlargement due to fetal growth and pigmentary changes such as linea nigra or darkening of the areola. Other probable signs include Goodell sign (cervical softening), Chadwick sign (bluish discoloration of the cervix), and Hegar sign (uterine isthmus softening). Unlike positive signs (like fetal heart tones or palpated fetal movements), probable signs indicate pregnancy but can occasionally result from other conditions.
Correct Answer Is:
C. Uterine enlargement and integumentary pigment changes
2.

Of the more than 100 known serotypes of human papillomavirus (HPV), approximately how many can infect the genital tract?

  • 40

  • 20

  • 60

  • 80

Explanation

Explanation
Approximately 40 HPV serotypes are capable of infecting the genital tract, including the cervix, vulva, vagina, penis, and anus. These genotypes are categorized as low-risk (causing warts) or high-risk (associated with cancers, particularly cervical cancer). Understanding which HPV types infect the genital tract is critical for screening, vaccination, and risk assessment strategies in sexual health care.
Correct Answer Is:
A. 40
3.

Women who are breastfeeding frequently, without supplementation and without occurrence of menses after childbirth, experience a natural form of contraception known as:

  • lactation amenorrhea.

  • diaphoresis.

  • a barrier method.

  • venous thromboembolism.

Explanation

Explanation
Lactation amenorrhea is a natural contraceptive effect that occurs when a woman is exclusively breastfeeding and has not yet resumed menstruation. Frequent breastfeeding suppresses the hormones needed for ovulation, providing effective short-term contraception during the first six months postpartum when specific criteria are met.
Correct Answer Is:
lactation amenorrhea.
4.

Which one of the following statements about clinicians who provide satisfactory sexual health care is false?

  • They are comfortable with their own sexuality, aware of their own biases, and have a sincere desire to assist their patients.

  • They know how various health problems, diseases, and their treatment affect sexual functioning and sexuality.

  • They perform a sexual health assessment that includes physiologic, psychologic, and sociocultural evaluations.

  • They make assumptions about a woman's sexual attitudes, values, feelings, and behavior.

Explanation

Explanation
Clinicians who provide effective sexual health care avoid making assumptions about a patient’s sexuality. Instead, they rely on open, nonjudgmental communication, thorough assessment, and patient-centered inquiry to understand the individual’s attitudes, values, and behaviors. Making assumptions can lead to miscommunication, incomplete care, and patient discomfort. Competent clinicians focus on evidence-based understanding and personalized evaluation rather than relying on stereotypes or presumptions.
Correct Answer Is:
D. They make assumptions about a woman's sexual attitudes, values, feelings, and behavior.
5.

What is the term for the inflammation of the vagina characterized by an increased vaginal discharge containing numerous white blood cells?

  • Vaginal mucosa

  • Vaginitis

  • Cystitis

  • Vaginosis

Explanation

Explanation
Vaginitis is the correct term for inflammation of the vagina, typically presenting with increased vaginal discharge, irritation, and a large number of white blood cells on microscopic examination. It results from infections such as Candida, bacterial pathogens, or Trichomonas, or from noninfectious irritants. The key diagnostic feature—inflammatory discharge rich in WBCs—distinguishes vaginitis from vaginosis, which generally lacks significant inflammation.
Correct Answer Is:
B. Vaginitis
6.

Treatment with non-steroidal anti-inflammatory drugs (NSAIDs) has proven effective in improving symptoms of:

  • secondary dysmenorrhea

  • pelvic inflammatory disease

  • dyspareunia

  • primary dysmenorrhea

Explanation

Explanation
NSAIDs are first-line therapy for primary dysmenorrhea, which is menstrual pain not associated with underlying pelvic pathology. They work by inhibiting prostaglandin synthesis, reducing uterine contractions and inflammation, which alleviates cramping and discomfort. While NSAIDs may provide some symptomatic relief in secondary dysmenorrhea, their effectiveness is limited if the pain is due to an underlying condition such as endometriosis or fibroids. For primary dysmenorrhea, NSAIDs are highly effective, safe, and widely recommended.
Correct Answer Is:
D. primary dysmenorrhea
7.

What 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"
8.

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.
9.

Erikson identified the phases of the life span that encompass the midlife years for women as:

  • Lifestyle consolidation versus emptiness

  • Intimacy versus isolation

  • Generativity versus self-absorption

  • Integrity versus despair

Explanation

Explanation
According to Erikson’s psychosocial theory, the midlife stage (approximately ages 40–65) is characterized by the conflict of generativity versus self-absorption. During this phase, individuals focus on contributing to society, guiding the next generation, and creating a legacy through work, family, and community involvement. Success leads to feelings of productivity and purpose, whereas failure can result in self-absorption, stagnation, and lack of fulfillment. This stage highlights the importance of meaningful engagement and generative activities in midlife development.
Correct Answer Is:
C. Generativity versus self-absorption
10.

Which statement about women who have had bariatric surgery is false?

  • Obesity has been shown to evoke negative responses from clinicians.

  • Subtle, unintentional bias often manifests against these women.

  • Her record of weight lost should not be included in her health history.

  • Clinicians need to strive to be nonjudgmental regardless of the patient's body habitus.

Explanation

Explanation
A woman’s history of weight loss must be included in her medical history, especially following bariatric surgery. Weight loss patterns, nutritional deficiencies, previous complications, and postoperative dietary limitations are clinically significant and essential for safe, informed care. Recording this information is standard practice because it influences medication absorption, pregnancy management, surgical risk, and long-term metabolic health. Therefore, the statement that her weight-loss record should not be included is false.
Correct Answer Is:
C. Her record of weight lost should not be included in her health history.

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