The NP knows measurement of growth is one of the
most important indicators of infant health.
Deviations may provide an early indication of an
underlying problem. What is the minimum variation
that indicates a more detailed evaluation is needed?
Beyond 2 standard deviations for age range
TERM
The NP assesses for the Moro Reflex as part of an
infant routine physical examination. The NP should
suspect a neurologic disease if the reflex has not
disappeared by what specific timeframe?
16 weeks
TERM
,A 45-year-old female presents to the primary care
clinic. She complains of recently experiencing a
change in the patterns of her bowel movements. Her
PMH is significant for bleeding ulcers as well as
Crohn's disease. Her family medical history includes a
maternal aunt who died of colon cancer at age 49
years. Which of the following historical elements
would be most concerning for colon cancer in this
patient?
recent onset of small-caliber stools
TERM
A 20-year-old female presents to the clinic with
symptoms of fatigue, nausea, and an increase in
urination. She is sexually active, and her male
partner uses condoms occasionally. A urine
pregnancy test is positive. Her last menstrual period
was 3 months ago (6/20/2021). Using the Naegele
rule, what is the estimated date of delivery (EDD, or
due date)?
, 3/27/22
TERM
A 32-year-old primigravid woman is at 27 weeks
gestation. She presents with nausea, vomiting,
urinary frequency, discomfort in the lower abdomen,
tenderness over the suprapubic area, and severe
constipation. Which of the following is true regarding
these pregnancy symptoms?
Iron supplementation, hormonal changes, slowed
intestinal transit, physical pressure from the gravid
uterus, and increased blood volume all contribute
to abdominal symptoms in pregnant women.
TERM
Pain in the right-lower quadrant (RLQ) during deep,
even palpation of the leftlower quadrant (LLQ) then
, quickly withdrawing your fingers indicates what
positive assessment finding?
Blumberg sign
TERM
A 42-year-old female presents to the office for her
annual well-woman examination. She has a history of
fibrocystic breast changes since her mid-20s, so she
did not report any new issues except that her right
breast feels "heavier" than usual. After a careful
history and physical examination, the NP documents
the following breast findings: Breasts pendulous
with diffuse fibrocystic changes. Single firm 1 × 1 cm
mass, mobile, and nontender, with overlying peau
d'orange appearance in the right breast, upper outer
quadrant at 11 o'clock, 2 cm from the nipple. Which of
the following is the most accurate interpretation of
these findings?