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ATI REPRODUCTIVE TEST 2026 COMPREHENSIVE STUDY GUIDE SOLVED QUESTION SET ◉ Describe the analysis of different types of pap smears and their associated risk factors. Answer: ASC-US - normal atypical squamous cells of undetermined significance (considered mildly abnormal) ASC-H - atypical squamous cells of which high-grade squamous intraepithelial lesions cannot be excluded (indicates high risk of being precancerous) LSIL - low-grade squamous intraepithelial lesion (indicates mild abnormality that demonstrates early changes in shape and size of squamous cells) HSIL - high-grade squamous intraepithelial lesion (indicates a more severe abnormality in size and shape of cells that can progress to invasive cancer) AGC - atypical glandular cells (indicates a change in the glandular cells of the cervix rather than the squamous cells) AIS - adenocarcinoma in situ (indicates the presence of precancerous cells in the glandular tissue) ◉ What are the pre-procedure nursing actions for pap smear? Answer: Ask the client if they have douched, used vaginal medications, or have had sexual intercourse in the past 24 hours Ask them to urinate before exam ◉ What are colposcopy and cervical biopsies? Answer: After application of acetic acid to the cervix, a colposcope is used to inspect the cervix and take a cervical biopsy. All suspicious areas are biopsied and sent to a laboratory for microscopic examination. ◉ What are the indications for coploscopy and cervical biopsies? Answer: Pap