The nurse practitioner is evaluating a 10-year-old boy in the clinic. The child’s parent reports he complained of sudden onset of scrotal pain upon awakening earlier that morning. His symptoms are accompanied by severe nausea and vomiting. During the physical examination, the nurse practitioner finds a tender, warm, and swollen left scrotum. The cremasteric reflex is negative and the urine dipstick is negative for leukocytes, nitrites, and blood.  What diagnosis does the NP suspect? 

During a breast exam of a 25-year-old nulliparous woman, the nurse practitioner palpates several slightly tender, rubbery mobile areas of breast tissue. Both breasts have symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her menstrual period in 5 days. Which action by the NP would recommend?

Using Nagele’s rule, what would be the estimated date of delivery (EDD) for a pregnant woman with a LMP of November 20, 2108?

The nurse practitioner is seeing a client who has recently started taking oral contraceptives. As the client’s age, dose, and length of therapy increase, the NP knows that there may be an increased risk for which of the following conditions?

The nurse practitioner is evaluating a 12-year old female for the complaint of “I get clogged up and start wheezing when I play soccer”. What is the gold standard for diagnosing asthma?

Which sign or symptom is NOT a common indicator of an initial outbreak of herpes? 

The nurse practitioner is seeing a 38-year-old African American G2P1001 female as a follow-up after the completion of a 1-hour glucose screening. The result of the client’s 1-hour screen was 120 mg/dL. How should the NP proceed?

The nurse practitioner is completing a GBS culture from a pregnant patient. From which anatomical location should the specimen for group B streptococcus screening be obtained? 

The nurse practitioner is evaluating a 20-year-old woman in the clinic. The client is concerned and states “my boyfriend was just diagnosed with gonorrhea”. What is the treatment of choice for gonorrhea?

What is Chadwick’s sign characterized by?