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Please complete the following statement. When hormone therapy is prescribed for menopausal symptoms:

A 16-year-old female has not had a menstrual period yet and is concerned. She denies sexual activity. An exam reveals an adult sexual maturity rating. Which laboratory test will the primary care nurse practitioner order initially?

You are seeing a 23-year-old female patient who weighs 203 pounds for her annual gynecological exam. You counsel her about her contraceptive options. Which statement by the client requires further teaching? 

You are reviewing the laboratory results of an 18 y/o female patient seen recently in your clinic for a pap smear. Lab results reveal Classification – high grade squamous intraepithelial lesion; endocervical cells seen; adequate smear. You phone the patient and give her which of the following reports?

The Centers for Disease Control & Prevention recommends a Tdap for every pregnant woman. When should this vaccine be administered?

Please complete the following statement. When hormone therapy is prescribed for menopausal symptoms:

The Centers for Disease Control & Prevention recommends a Tdap for every pregnant woman. When should this vaccine be administered?

Which of the following is not a risk factor for gestation diabetes?

Which of the following items are routinely ordered at the initial OB visit for a woman that is 12 weeks gestation? (Select all that apply).

A couple present for a preconception health counseling session.  He is a 34 y/o and she is 33. They have a 5 y/o son who is the product of an uncomplicated pregnancy and delivery. At birth he was noted to have an open neural tube defect and now has spina bifida with a loss of function in his lower extremities. They want another child and ask if there is anything they can do to prevent the recurrence of a neural tube defect in future pregnancies. What is your best response to the couple?