Young women should have their first Pap smear examination at which age?
21
16
Only after they become sexually active
18
The Correct Answer is A
Choice A reason: Guidelines recommend the first Pap smear at age 21, regardless of sexual activity, to screen for cervical cancer. This age balances the risk of detecting clinically significant abnormalities while avoiding unnecessary testing in younger women, whose HPV infections often resolve.
Choice B reason: Age 16 is too early for routine Pap smears, as cervical cancer is rare in adolescents, and HPV infections often clear spontaneously. Screening at this age may lead to overdiagnosis and unnecessary procedures, making it an incorrect recommendation.
Choice C reason: Tying Pap smears to sexual activity is outdated. Current guidelines recommend starting at age 21, as earlier screening in sexually active younger women often detects transient HPV infections, leading to overtreatment, making this an incorrect criterion.
Choice D reason: Age 18 is not the recommended starting point for Pap smears, as cervical cancer risk is low in this age group, and screening may lead to unnecessary interventions. Guidelines specify age 21 for routine screening, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Dorsiflexion and toe fanning indicate a Babinski sign, a reflex test, not Romberg’s sign. Romberg’s sign involves balance issues with closed eyes, so this is incorrect for the neurological assessment.
Choice B reason: A positive Romberg’s sign is observed when a patient sways significantly or loses balance when standing with feet together and eyes closed, indicating impaired proprioception or cerebellar function. This is the correct observation for the test.
Choice C reason: Rhythmic eye twitching (nystagmus) is unrelated to Romberg’s test, which assesses balance. Swaying with closed eyes defines a positive Romberg’s, sign, so this is incorrect for the outcome.
Choice D reason: Inability to point fingers to a reference tests coordination, not the Romberg’s test, which focuses on balance with eyes closed. Significant swaying is the correct sign, so this is incorrect.
Correct Answer is C
Explanation
Choice A reason: Homan sign tests for deep vein thrombosis, not balance. Swaying with eyes closed indicates a positive Romberg sign, so this is incorrect for the documented finding.
Choice B reason: Lack of coordination is vague and not specific to the Romberg test, which assesses proprioception. Positive Romberg sign describes the sway, so this is incorrect for documentation.
Choice C reason: A positive Romberg sign is documented when a patient sways or loses balance with eyes closed, indicating proprioceptive or cerebellar issues. This is the correct term for the finding.
Choice D reason: Ataxia describes general movement, not the specific Romberg test outcome. Swaying in this context is a Romberg sign, so this is incorrect for the nurse’s documentation.
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