NR-602 Primary Care of the Childbearing &

Childrearing Family Practicum

Week 7 Quiz Topics Questions & Answers

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Week 7:

1. Amenorrhea (Primary and secondary)

a) Abmormal uterine bleeding has multiple causes. When a women presents and reports menstrual irregularity

with amenorrhea , which is the most common cause of amenorrhea?

 Anovulation

b) A teenage patient presents with amenorrhea and normal secondary sex characteristics. A progesterone

challenge is ordered. The purpose is to determine the presence of

 Endogenous estrogen

c) A nurse practitioner is caring for a woman with primary and secondary amenorrhea. The pelvic exam was

normal. Which of the following may be the cause if etiology originates in the hypothalamus?

 Sheehan’s syndrome

d) A 17-year-old female patient presents with amenorrhea for four months. She did experience menarche at

the age of fifteen but had not had a menstrual cycle since. On physical examination, it is noted that she has

normal secondary sexual characteristics. The nurse

 Endogenous estrogen

e) Anna, aged twenty-five years, presents with dysmenorrhea. She states that her sister and her mother have

endometriosis and she would like to be evaluated for it as well. Which if the following is consistent with a

diagnosis of endometriosis?

 Infertility and dysmenorrhea

f) You are completing a well visit on a 14 year-old female who is currently not menstruating. Primary

amenorrhea is best described as .

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 Failure of menstruation to occur by age 15

g) A progesterone challenge is ordered. The purpose is to determine the presence of

 amenorrhea

h) The pituitary gland is responsible for a variety of functions with respect to hormonal regulation and is

composed of two lobes, the anterior and posterior sections. Which of the following list of hormones are

secreted by the anterior pituitary gland

 Growth hormone (GH) & thyroid stimulating hormone

i) A nurse practitioner is educating a patient who has just been diagnosed with polycystic ovary syndrome

(PCOS). She needs to be aware that PCOS is associated with which of the following clinical

manifestations?

 Obesity

j) A patient is coming to the clinic for a follow-up of some diagnostic testing that she had done. When you

review the chart, you find that she now has findings consistent with a diagnosis of polycystic ovary

syndrome (PCOS).You recall that PCOS is characterized by which of the following?

 Infertility

k) A sixty-year-old woman has presented with the chief complaint of bleeding after intercourse. Which of the

following is not associated with postcoital bleeding or spotting in a postmenopausal woman?

 PCOS

l) A 16 year-old female is diagnosed with primary dysmenorrhea. She has taken over the counter ibuprofen in

800 mg increments every 8 hours during menses for the past 3 months with minimal relief of symptoms.

What intervention will provide greatest relief of dysmenorrhea symptoms?

 Combined with oral contraceptives

m) A 22-year-old woman in the endocrine clinic is evaluated for amenorrhea, acne, and excessive hair growth.

She states that this is not a new problem but as she has gotten older, the changes have disturbed her more.

You do a full hormonal evaluation and diagnose her with adrenal hyperplasia for which you prescribe

prednisone (a glucocorticoid). On treatment, she is most likely to see an improvement in which of the

following?

 Ovulation

n) Surgical removal of a unilateral Sertoli-Leydig cell tumor should result in the reversal of which of the

following symptoms?

 Amenorrhea

2. Dysmenorrhea (ENDOMETRIOSIS)

a) Anna, aged 25 years, presents with dysmenorrhea. She states that her sister and her mother have

endometriosis and she would like to be evaluated for it as well. Which if the following is

consistent with a diagnosis of endometriosis?

 Infertility and dysmenorrhea

b) The first line treatment of severe menstrual cramps that have been occurring for four months in a

patient with primary dysmenorrhea includes which of the following?

 Ibuprofen