Medical Assisting-Chapter 37 Assisting with Reproductive Specialties Exam

The normal fetal heart tone (FHT) is ________ beats per minute and can be detected at 10 to 12 weeks using a Doppler fetal pulse detector. 10 to 40 40 to 80 80 to 120 120 to 160

120 to 160

Ultrasound can be used to determine the fetus's sex, usually by the ________ week. 5th 16th 20th 30th

20th

Testicular cancer is largely a disease of young and middle-aged men, with the average age of ________ at the time of diagnosis. 27 33 45 53

33

________ is the absence of menstrual periods. Dysplasia Chancre Amenorrhea Eclampsia

Amenorrhea

During a pap test the medical assistant must mark the slides with a letter designation such as ________. C for cervical V for vaginal E for endocervical All of these

C for cervical V for vaginal E for endocervical

________ is a procedure in which a small sample of cells is taken from the placenta and examined for chromosomal abnormalities. Amniocentesis Alpha-fetoprotein (AFP) test Chorionic villus sampling (CVS) Nuchal translucency screening

Chorionic villus sampling (CVS)

________ is the withdrawal of the man's penis before ejaculation in the vagina. Penis withholdment Coitus interruptus Penis envy Coitus withdrawal

Coitus interruptus

________ is the thinning of the cervical walls. Effacement Expulsion Dilation Lochia

Effacement

Under what condition do physicians allow pregnant women to take some medications? The women does not want to stop using the medication. The medication is sold over-the-counter. Failure to take the prescribed treatment would hinder the health of the mother. The woman has been taking the medication for more than a year.

Failure to take the prescribed treatment would hinder the health of the mother.

Sores from genital herpes usually appear as one or more blisters on or around which of the following locations? Genitals Rectum Mouth All of these

Genitals Rectum Mouth

Which of the following is NOT true of gonorrhea? Males may develop a thick, milky discharge. Woman may develop a yellowish-green discharge. If left untreated, it can spread to the blood and joints. The rate of infection is approximately 120 in 10,000 people.

The rate of infection is approximately 120 in 10,000 people.

________ is used to determine the age, growth rate, and position of the fetus, as well as obvious birth defects. It is generally performed at 16 to 20 weeks and is generally painless. Ultrasound Cardiogram X-ray Amniocentesis

Ultrasound

The average woman in the United States is fertile for ________. her entire lifetime about 40 years of her adult life about 20 years a quarter of her life

about 40 years of her adult life

The only foolproof means of preventing STIs is ________. to wear a condom abstinence from sexual activity commitment to a monogamous relationship to know your partner's sexual history

abstinence from sexual activity

All of the following fall under the barrier method of contraception, EXCEPT ________. male condoms. female condoms. birth control pills. diaphragms.

birth control pills.

If partially blocked, a fertilized ovum may begin to grow in the fallopian tube rather than in the uterus, causing a(n) ________ pregnancy. nocturia ectopic para eclampsia

ectopic

Treating and preventing the spread of sexually transmitted infections (STIs) depends on ________ and the identification of sexual partners who may have been exposed. education biology genes genetics

education

Health care providers recommend that expectant mothers refrain from all of the following, EXCEPT ________. exercising smoking drinking alcohol taking any illicit drugs

exercising

During the ________ stage of syphilis, a single or sometimes multiple chancres (sores or ulcers) occur. first second third fourth

first

Symptoms of prostate cancer include all the following, EXCEPT ________. back pain blood in the urine foul smelling urine erectile dysfunction

foul smelling urine

The ________ is the top of the uterus. parturition menarche fundus quickening

fundus

All of the following are reportable STIs in most states, EXCEPT ________. HIV/AIDS syphilis gonorrhea genital herpes

genital herpes

A woman who delivered a single child and had one miscarriage would be charted as ________. gravida I, para I, abs 0 gravida II, para II, abs I gravida I, para 0, abs I gravida II, para I, abs I

gravida II, para I, abs I

A Pap specimen that receives a grade of cervical intraepithelial neoplasia (CIN) III is ________. mildly dysplastic indicative of carcinoma in situ severely dysplastic benign

indicative of carcinoma in situ

The Gardasil vaccine is given to prevent infection from ________. herpes simplex Staphylococcus aureus candidiasis infection from the four types of human papillomavirus (HPV)

infection from the four types of human papillomavirus (HPV)

Vaginal discharge from the uterus following labor and childbirth is called ________. puerperium menstrual fluid lochia pus

lochia

The second stage of labor is characterized by ________. dilation of two cm. puerperium pushing placental expulsion

pushing

Treatment for genital warts includes ________. removal with freezing metronidazole penicillin All of these

removal with freezing

The first prenatal visit usually takes place after the patient has missed her ________ menstrual period. first second third fourth

second

The medical assistant's role in follow-up prenatal visits includes ________. setting up the exam room obtaining a urine specimen taking the patient's blood pressure All of these

setting up the exam room obtaining a urine specimen taking the patient's blood pressure

The term gravida means the number of ________. births after 20 weeks gestation total pregnancies months the woman has been trying to conceive fetuses that did not reach the age of viability

total pregnancies

All of the following are true about genital herpes, EXCEPT ________. treatment includes large doses of penicillin lesions may reoccur during stressful situations the initial outbreak may be accompanied by flu-like symptoms the blisters may break and leave sores that may take weeks to heal

treatment includes large doses of penicillin

Instruments are inserted through the laparoscope to seal the fallopian tubes by cauterizing (burning) or closing them with clips or rings in a procedure known as ________. polypectomy tubal ligation pregnanediol pelvimetry

tubal ligation

When instructing a patient to perform a breast examination, the medical assistant should state all the following, EXCEPT ________. "Complete a breast exam once a week" "Raise the right arm, and use the left hand to examine the right breast" "Flatten the fingertips and check the breast tissue for lumps or thickening" "Gently squeeze both nipples and look for any discharge"

"Complete a breast exam once a week"

________ is the visual examination of the cervix and vagina. Colposcopy Conization Cryosurgery Culdoscopy

Colposcopy

Women who develop gestational diabetes are ________. at higher risk of developing diabetes later in life. likely to transfer the condition to the developing fetus. advised to remain on bed rest for the duration of the pregnancy. also likely to have Group B Streptococcus.

at higher risk of developing diabetes later in life.

Before scheduling a patient for a pap test, the medical assistant should advise her ________. not to douche for 72 hours prior to the exam avoid sexual intercourse for at least 48 hours prior to the exam not to drink alcohol 24 hours prior to the exam All of these

avoid sexual intercourse for at least 48 hours prior to the exam

Folic acid before conception and during pregnancy helps prevent ________. delivering a premature newborn dysplasia amenorrhea birth defects to the baby's brain or spine

birth defects to the baby's brain or spine

A medical assistant who suspects a patient may be experiencing physical abuse should ________. bring his or her concerns to the physician at once call the police immediately speak to the patient's family members to find out more information maintain a professional demeanor and not become involved

bring his or her concerns to the physician at once

During a pelvic exam, the medical assistant should do all the following, EXCEPT ________. -apply lubricant to the physician's gloved finger in preparation for the manual examination -take the patient's feet out of the stirrups and help them to a sitting position -collect the pap specimen and smear each one of the slides -spray fixative from about 6 inches away from the slide

collect the pap specimen and smear each one of the slides

Labor involves three stages and is triggered by the release of the hormone ________. progesterone estrogen testosterone oxytocin

oxytocin

A medical assistant will assist the physician with the breast and ________ examination to determine the condition of both the external and internal organs of reproduction. pelvic lumbar pupil cerebral

pelvic

Swelling of the face or hands and sudden weight gain in pregnant women may be symptoms of ________. abruptio placentae preeclampsia low blood pressure kidney stones

preeclampsia

A ________ history includes recording the menstrual history, including the age of onset of menstruation, menstrual interval cycle, duration of period, amount of flow, any menstrual cycle problems, and any types of contraception the patient is currently using or has previously used. prenatal parental menstruation menstrual

prenatal

Persons with chlamydia should abstain from sexual activity for ________ days after single-dose antibiotics or until completion of a seven-day course to prevent spreading the infection. three five seven 10

seven

A postpartum visit should be scheduled approximately ________ weeks after childbirth to evaluate overall health status of the patient. one two four six

six

During the postpartum period, menstruation should resume after about eight weeks in the nonnursing mother and after ________ in the nursing mother. 10 weeks 25 weeks six months 12 months

six months

The postpartum visit includes ________. testing hemoglobin and hematocrit levels performing pelvic examination a rectal examination for hemorrhoids All of these

testing hemoglobin and hematocrit levels performing pelvic examination a rectal examination for hemorrhoids

Hormonal methods of birth control include all the following, EXCEPT ________. birth control pills the skin patch the vaginal ring the shield

the shield

Implanon, an implantable, matchstick-size contraceptive device, may be left in place for up to ________ years. two three four five

three