1. vSheila vis vpregnant vand vfearful vof vgetting vcervical vcancer vas vher vsister vrecently
x x x x x x x x x x x x x
vdid. vShe vasks vabout vreceiving vthe vHPV vvaccine. vHow vdo vyou vrespond?
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A. v"As vlong vas vyou're vin vyour vfirst vtrimester, vthe vHPV vvaccine vis vsafe vand
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veffective."
x
B. v"Research vhas vnot vshown vthis vvaccine vto vbe veffective vagainst vpreventing
x x x x x x x x x x x
vcervical vcancer."
x x
C. v"After vthe vage vof v20, vthe vHPV vvaccine vis vnot vrecommended."
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D. v"You vshould vnot vreceive vthe vvaccination vwhen vyou vare vpregnant." v- v vcorrect
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vanswer- vD. v"You vshould vnot vreceive vthe vvaccination vwhen vyou vare vpregnant."
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2. vJack vand vJill vpresent vfor va vpreconception vhealth vcounseling vsession. vJack vis v34,
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vJill vis v33, vand vthey vhave va v5 vyear vold vson, vJake. vJake vis vthe vproduct vof van
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vuncomplicated vpregnancy vand vlabor. vAt vbirth, vJake vhad van vopen vneural vtube
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vdefect vand vnow vhas vspina vbifida vwith va vloss vof vfunction vof vhis vlower vextremities.
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vJack vand vJill vwant vanother vchild vand vask vif vthere vis vanything vthey vcan vdo vto
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vprevent vthe vrecurrence vof va vneural vtube vdefect vin vfuture vpregnancies. vWhat vis
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vyour vbest vresponse vto vthis vcouple?
x x x x x x
A. v"Jill vshould vtake v60 vmg/day vof van viron vsupplement vto venhance vstores vto
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vsupport vfetal vdevelopment."
x x x
B. v"It vis va vmatter vof vgenetics, vand vthere vis vnothing vyou vcan vdo."
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C. v"Have va vCVS vperformed vat v12 vto v14 vweeks vgestation vto vdetermine vthe vhealth
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vof vthe vfetus."
x x x
,D. v"Jill vshould vtake v4 vmg/day vof vfolic vacid, vbeginning vbefore vconception." v- v vcorrect
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vanswer- vD. v"Jill vshould vtake v4 vmg/day vof vfolic vacid, vbeginning vbefore vconception."
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3. vYou vare vinvited vto vspeak vto va vgroup vof vpublic vschool vadministrators vabout
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vrecent voutbreaks vof vhead vlice. vAs van vadvocate vfor vchildren vand vfamilies vyou
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vshare
x
A. v"no vnit" vpolicies vthat vexclude vchildren vuntil vall vnits vare vremoved vare vessential vto
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veradicate vthis vproblem
x x x
B. vthe vAmerican vAcademy vof vPediatrics vand vthe vNational vAssociation vof vSchool
x x x x x x x x x x x
vNurses vdiscourage v"no vnit" vpolicies vthat vexclude vchildren vfrom vschool
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C. vocclusive vagents, vsuch vas vpetroleum vshampoo vand vherbal voils, vapplied vto
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vsuffocate vthe vlice vare vshowing vpromising vresults vin vrandomized vcontrolled vtrials
x x x x x x x x x x x
D. vlindane vis vrecommended vby vthe vAmerican vAcademy vof vPediatrics vas va
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vtreatment vchoice v- v vcorrect vanswer- vB. vthe vAmerican vAcademy vof vPediatrics vand
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vthe vNational vAssociation vof vSchool vNurses vdiscourage v"no vnit" vpolicies vthat
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vexclude vchildren vfrom vschool
x x x x
4. vWhat vis vthe vsimplest vand vsafest vmethod vof vsuppressing vlactation vafter vit vhas
x x x x x x x x x x x x x
vstarted?
x
A. vadministering voral vand vlong-acting vinjections vof vhormonal vpreparations
x x x x x x x x
B. vusing vbreast vbinders
x x x
C. vgradually vweaning vthe vbaby vto va vbottle vor vcup vover va v3-week vperiod
x x x x x x x x x x x x x
D. vstopping v"cold-turkey" v- v vcorrect vanswer- vC. vgradually vweaning vthe vbaby vto va
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vbottle vor vcup vover va v3-week vperiod
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5. vWhen vcan vyou vhear vfetal vheart vtones vwith va vconventional vfetoscope?
x x x x x x x x x x x
A. v7 vto v8 vweeks
x x x x
B. v10 vto v12 vweeks
x x x x
C. v18 vto v20 vweeks
x x x x
D. vmore vthan v20 vweeks v- v vcorrect vanswer- vC. v18 vto v20 vweeks
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6. vThe vreaspn vmost voften vcited vto vexplain vwhy vwomen vwho vhave vhad va vusual
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vlength vof vstay vand vnormal vdelivery vdiscontinue vbreastfeeding vbefore v8 vweeks
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vpostpartum vis
x x
A. vthat vthe vmother vreturned vto vwork vor vschool
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B. vthe vperception vthat vthe vinfant vis vnot vreceiving venough vmilk
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,C. vthe vease vof vformula vuse
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D. vmaternal vor vinfant villness v- v vcorrect vanswer- vB. vthe vperception vthat vthe vinfant vis
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vnot vreceiving venough vmilk
x x x x
7. vPediatric vpatients vmay vnow vbe vprescribed vOxyContin vfor vpain. vPatients vmust vbe
x x x x x x x x x x x x
valready vresponding vto vand vtolerating va vminimum vopioid vdose vequal vto vat vleast v20
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vmg vof voxycodone vper vday vbefore vthey vcan vbe vprescribed van vequivalent vdose vof
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vOxyContin. vIn vorder vto vbe vprescribed vOxyContin, vpediatric vpatient vmust vbe
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A. v5 vto v16 vyears
x x x x
B. v11 vto v16 vyears
x x x x
C. v8 vto v16 vyears
x x x x
D. vover v10 vyears v- v vcorrect vanswer- vB. v11 vto v16 vyears
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8. vHegar's vsign, va vphysiological vsign vof vpregnancy vis
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A. vcervical vblueness
x x
B. vsoftness vof vthe vuterus vand vballottement vat vthe visthmus
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C. vcervical vsoftness
x x
D. vquickening v- v vcorrect vanswer- vB. vsoftness vof vthe vuterus vand vballottement vat vthe
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visthmus
x
9. vCarrie, vof vIrish vdescent, vis vdue vto vdeliver vher vsecond vbaby. vDuring vyour vwork-
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up, vyou vnote vthat vshe vhemorrhaged vafter vdelivering vher vfirst vbaby v2 vyears vago,
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vhas valways vhad vmenorrhagia, vand vbruises veasily. vHer vlab vwork vreveals va vnormal
x x x x x x x x x x x x x
vblood vworkup, vincluding va vnormal vprothrombin vtime vand vactivated vpartial
x x x x x x x x x x
vthromboplastin vtime. vWhat vdo vyou vsuspect?
x x x x x x
A. vVon vWillebrand's vdisease
x x x
B. vHemophilia
x
C. vSickle vcell vanemia
x x x
D. vBeta vthalassemia v- v vcorrect vanswer- vA. vVon vWillebrand's vdisease
x x x x x x x x x x
10. vKoplik vspots vare vsmall, vwhite vspots vthat voccur von vthe vinside vof vthe vcheeks
x x x x x x x x x x x x x x
vearly vin vthe vcourse vof
x x x x x
A. vmeasles
x
B. vvaricella
x
, C. vfifth vdisease
x x
D. vrheumatic vfever v- v vcorrect vanswer- vA. vmeasles
x x x x x x x x
11. vAida, vwho vis v29 vweeks vpregnant, vreceived va vblunt vtrauma vto vthe vabdomen
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vduring van vargument vwith vher vboyfriend. vShe vhas vno vobvious vinjuries vand vdenies
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vpain. vAida vneeds vto vbe vmonitored vfor vthe voccurrence vof
x x x x x x x x x x
A. vabruptio vplacentae
x x
B. vliver vhemorrhage
x x
C. vruptured vspleen
x x
D. vplacenta vprevia v- v vcorrect vanswer- vA. vabruptio vplacentae
x x x x x x x x x
12. vGrowth vhormone vtreatment vfor vshort vstature vin vchildren vremains vcontroversial.
x x x x x x x x x x
vThe vclinician vshould vbe vaware vof vthe vfollowing vregarding vthe vassessment vof
x x x x x x x x x x x x
vgrowth vproblems vand vidiopathic vshort vstature
x x x x x x
A. videntification vof va vgrowth vproblem vcan vbe vmade vbased von vone vmeasurement
x x x x x x x x x x x x
B. vdysmorphic vfacial vfeatures vwill vbe vpresent
x x x x x x
C. videntification vof vgrowth vproblems vis vusually vmade vby van vauxological vevaluation,
x x x x x x x x x x x
vwhich vcompares vthe vchild's vgrowth vto vstandardized vnorms
x x x x x x x x
D. vmeasurements vof vchildren vlying von vthe vexam vtable vpaper vare vmost vaccurate v- v
x x x x x x x x x x x x x x
vcorrect vanswer- vC. videntification vof vgrowth vproblems vis vusually vmade vby van
x x x x x x x x x x x x
vauxological vevaluation, vwhich vcompares vthe vchild's vgrowth vto vstandardized vnorms
x x x x x x x x x x
13. vNancy vis vconcerned vthat vher vnew vbreastfed vbaby vis vnot vgetting venough vfluid.
x x x x x x x x x x x x x
vWhat vdo vyou vtell vher vso vthat vshe vcan vassess vfor van vadequate vintake?
x x x x x x x x x x x x x x
A. vweigh vthe vinfant vevery vother vday vto vsee vthe vweight vgain vin vounces
x x x x x x x x x x x x x
B. vif vthe vinfant vis vdrinking vand vsleeping vnormally, van vadequate vintake vis vassumed
x x x x x x x x x x x x x
C. vif vthere vare v6 vto v10 vwet vdiapers va vday, vintake vis vadequate
x x x x x x x x x x x x x
D. vif vthe vinfant vis vnot virritable, van vintake vproblem vdoes vnot vexist v- v vcorrect vanswer-
x x x x x x x x x x x x x x x x
vC. vif vthere vare v6 vto v10 vwet vdiapers va vday, vintake vis vadequate
x x x x x x x x x x x x x x
14. vMarci vhas vhad vseveral vabortions vin vthe vpast vand vhas vbeen vunable vto vcarry va
x x x x x x x x x x x x x x x
vpregnancy vto vfull vterm vbecause vof van vincompetent vcervix. vShe vstates vthat vthe
x x x x x x x x x x x x x
vphysician vmentioned vcerclage vto vher vand vasks vyou vwhat vthat vmeans. vYou vtell vher
x x x x x x x x x x x x x x
vthat vcerclage vis
x x x