Med 130: Ch 23, 24 & 25

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Ashley asks Yin-Ling why a Pap test is being performed. Yin-Ling tells her To diagnose vaginal infections For the early detection of cervical cancer To evaluate the cause of infertility For the early detection of ovarian cancer

For the early detection of cervical cancer

Yin-Ling helps Ashley into the lithotomy position for the pelvic examination. All of the following should be performed when placing a patient in this position except Positioning the stirrups so that they are level with the examining table Pulling the stirrups out 1 foot from the table Positioning the patient's buttocks 10 inches from the bottom edge of the table Making sure the patient's knees are bent and relaxed

Positioning the patient's buttocks 10 inches from the bottom edge of the table

When might the length of the needle for a pediatric IM injection need to be decreased? Preterm infant Child with an illness Overweight child Infant younger than 12 months of age

Preterm infant

Traci asks Mrs. Jordan some questions regarding Amy's stage of development. Which of the following should Amy be able to do now that she is 6 months old? Sit without support Ride a bike Stand alone Pick up small objects

Sit without support

What is the term used to describe a child between 1 and 3 years of age? Infant Rug rat Toddler Preschooler

Toddler

A Vaccine Information Statement explains the benefits and risks of a vaccine in lay terminology. True False

True

A complete gynecologic examination consists of a breast examination and a pelvic examination. True False

True

A pediatric urine collector is used with an infant or young child who cannot urinate voluntarily. True False

True

A pediatrician is a medical doctor who specialized in the diagnosis and treatment of disease in children. True False

True

Amniocentesis can be used to diagnose certain genetically transmitted conditions. True False

True

An ingrown toenail can be caused by shoes that are too tight. True False

True

Another name for candidiasis is a yeast infection. True False

True

Breast cancer is one of the most common types of cancer among American women. True False

True

During each return prenatal visit, the mother's urine is tested for glucose and protein. True False

True

Growth percentiles are used to monitor the individual growth pattern of a child. True False

True

One of the functions of a bandage is to hold a dressing in place. True False

True

Prenatal care is important for promoting the health of the mother and fetus during the pregnancy. True False

True

Prenatal refers to the care of the pregnant woman before delivery of the infant. True False

True

Reaching over a sterile field is a violation of sterile technique. True False

True

Something that is sterile is contaminated if it comes in contact with a pathogen. True False

True

Surgical asepsis refers to practices that keep objects and areas free of all microorganisms. True False

True

Sutures approximate the edges of a wound until proper healing occurs. True False

True

The hepatitis B vaccine can be given to a newborn. True False

True

The normal range for the fetal pulse rate is between 120 and 160 beats per minute. True False

True

The patient is positioned in the lithotomy position for the pelvic examination. True False

True

The patient should be told how and when she will be notified of the Pap test results. True False

True

The purpose of a Pap test is for the early detection of cervical cancer. True False

True

The skin is the first line of defense of the body. True False

True

The vastus lateralis muscle site is recommended for administering an injection to an infant. True False

True

Trichomoniasis produces a profuse, frothy vaginal discharge. True False

True

Vigorous swirling of the collection device in the ThinPrep vial removes cervical cells from the spatula and deposits them in the solution. True False

True

Weighing an infant with a wet diaper may increase the weight of the infant considerably. True False

True

Head circumference is measured in: millimeters. grams. centimeters or inches. microns.

centimeters or inches.

Trisha Jordan, a surgical nurse, brings her 6-month-old daughter, Amy, to the office for a well-child visit. To prepare the examination room for her visit, Traci Powell, CMA (AAMA), would have available all of the following except A pediatric balance scale A growth chart for Girls: Birth to 36 Months A blood pressure cuff and stethoscope A centimeter tape measure

A blood pressure cuff and stethoscope

After the gynecologic examination, Yin-Ling instructs Ashley on how to perform a breast self-examination (BSE). Yin-Ling explains to her that she should perform a BSE once each month Any day during the month Approximately 2 to 3 days after the start of her menstrual period Approximately 2 to 3 days after her menstrual period ends On the day she receives her electric bill

Approximately 2 to 3 days after her menstrual period ends

One of the local signs of inflammation is fever. True False

False

The patient must be positioned in the prone position for the breast examination. True False

False

The patient should be instructed to douche before having a Pap test. True False

False

The American College of Obstetricians and Gynecologists recommends that a woman perform a breast self-examination weekly. True False

False

The Hemoccult test is used to test for sexually transmitted diseases. True False

False

The blood specimen for a newborn screening test is obtained from the infant's earlobe. True False

False

The first well-child visit is usually scheduled 1 week after birth. True False

False

Assessment of blood pressure should start at age: 2 years. 3 years. 5 years. 8 years.

3 years

Which of the following is performed by the medical assistant during a pediatric office visit? Measurement of vital signs Measurement of weight and height Measurement of visual acuity Assisting with the physical examination All are correct

All are correct

Traci Powell, CMA (AAMA), measures Amy's weight and length and calculates her growth values. Amy is in the 75th percentile for weight and the 25th percentile for length. Traci notices that Amy has been in approximately these same percentiles since birth. Which of the following would Dr. Immunity most likely relay to Mrs. Jordan regarding Amy's growth? Amy needs to have some growth evaluation tests. You have a short, fat baby. Amy is growing normally. You need to stop breast-feeding.

Amy is growing normally.

Which of the following is not included in a well-child visit? Administration of immunizations Physical examination Collection of a urine specimen Evaluation of growth and development

Collection of a urine specimen

A biopsy is usually performed to determine where an infection began. True False

False

A stethoscope is used to measure the fetal heart tones. True False

False

After use, a disposable vaginal speculum should be discarded in a regular waste container. True False

False

An MMR injection includes the following immunizations: measles, meningitis, and rubella. True False

False

An incision is a jagged tearing of the tissues. True False

False

Blood pressure should be taken for a child starting at 8 years of age. True False

False

If the patient's bladder is full, it is easier for the physician to examine the patient, and more comfortable for the patient. True False

False

It is best not to tell a child that an immunization will hurt. True False

False

Measuring the length of a child younger than 24 months is done with the child standing with his or her back to the measuring device. True False

False

Ashley Jacobs is 24 years old and has come to the office for her first gynecologic examination. While taking her medical history, Yin-Ling Wu, RMA, obtains the following information. Which of these factors puts Ashley at an increased risk for breast cancer? She is taking birth control pills. She started her periods at age 13. Her older sister has breast cancer. She has irregular periods and dysmenorrhea.

Her older sister has breast cancer

Because Ashley is having a ThinPrep Pap test done, Yin-Ling prepares the disposable plastic vaginal speculum by Lightly spraying it with a cytology fixative Lubricating it with K-Y jelly Polishing it with Windex Lubricating it with petroleum jelly

Lubricating it with K-Y jelly

All of the following immunizations will be given to 6-month-old Amy at this visit except DTaP MMR Hib IPV

MMR

John Whitmore, a stay-at-home dad, brings his 6-year-old daughter, Samantha, to the office for her kindergarten physical. Samantha is to receive an MMRV immunization at this visit. Mr. Whitmore wants to know what vaccines are in an MMRV inoculation. Traci Powell, CMA (AAMA), tells him that MMRV includes Meningitis, mumps, rubella, and polio Measles, mumps, rubella, and varicella Measles, mumps, roseola, and rotavirus Measles, mononucleosis, rat-bite fever, and influenza

Measles, mumps, rubella, and varicella

All of the following are characteristics of the sick-child visit except: the child is exhibiting the symptoms of disease. the provider evaluates the child's condition. treatment is prescribed. the child is cured of his or his illness.

the child is cured of his or his illness.


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