NRNP 6541 FINAL PAPER UPDATED
COMPLETE QUESTIONS AND CORRECT
ANSWERS BUNDLED REVIEW GUIDE
●● 2. Jack and Jill present for a preconception health counseling session.
Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the
product of an uncomplicated pregnancy and labor. At birth, Jake had an
open neural tube defect and now has spina bifida with a loss of function
of his lower extremities. Jack and Jill want another child and ask if there
is anything they can do to prevent the recurrence of a neural tube defect
in future pregnancies. What is your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance stores
to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the
health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
Answer: D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
,●● 3. You are invited to speak to a group of public school administrators
about recent outbreaks of head lice. As an advocate for children and
families you share
A. "no nit" policies that exclude children until all nits are removed are
essential to eradicate this problem
B. the American Academy of Pediatrics and the National Association of
School Nurses discourage "no nit" policies that exclude children from
school
C. occlusive agents, such as petroleum shampoo and herbal oils, applied
to suffocate the lice are showing promising results in randomized
controlled trials
D. lindane is recommended by the American Academy of Pediatrics as a
treatment choice
Answer: B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that exclude
children from school
●● 4. What is the simplest and safest method of suppressing lactation
after it has started?
,A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey"
Answer: C. gradually weaning the baby to a bottle or cup over a 3-week
period
●● 5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
Answer: C. 18 to 20 weeks
, ●● 6. The reaspn most often cited to explain why women who have had
a usual length of stay and normal delivery discontinue breastfeeding
before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
Answer: B. the perception that the infant is not receiving enough milk
●● 7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum opioid
dose equal to at least 20 mg of oxycodone per day before they can be
prescribed an equivalent dose of OxyContin. In order to be prescribed
OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
COMPLETE QUESTIONS AND CORRECT
ANSWERS BUNDLED REVIEW GUIDE
●● 2. Jack and Jill present for a preconception health counseling session.
Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the
product of an uncomplicated pregnancy and labor. At birth, Jake had an
open neural tube defect and now has spina bifida with a loss of function
of his lower extremities. Jack and Jill want another child and ask if there
is anything they can do to prevent the recurrence of a neural tube defect
in future pregnancies. What is your best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance stores
to support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the
health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
Answer: D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
,●● 3. You are invited to speak to a group of public school administrators
about recent outbreaks of head lice. As an advocate for children and
families you share
A. "no nit" policies that exclude children until all nits are removed are
essential to eradicate this problem
B. the American Academy of Pediatrics and the National Association of
School Nurses discourage "no nit" policies that exclude children from
school
C. occlusive agents, such as petroleum shampoo and herbal oils, applied
to suffocate the lice are showing promising results in randomized
controlled trials
D. lindane is recommended by the American Academy of Pediatrics as a
treatment choice
Answer: B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies that exclude
children from school
●● 4. What is the simplest and safest method of suppressing lactation
after it has started?
,A. administering oral and long-acting injections of hormonal
preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a 3-week period
D. stopping "cold-turkey"
Answer: C. gradually weaning the baby to a bottle or cup over a 3-week
period
●● 5. When can you hear fetal heart tones with a conventional
fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
Answer: C. 18 to 20 weeks
, ●● 6. The reaspn most often cited to explain why women who have had
a usual length of stay and normal delivery discontinue breastfeeding
before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
Answer: B. the perception that the infant is not receiving enough milk
●● 7. Pediatric patients may now be prescribed OxyContin for pain.
Patients must be already responding to and tolerating a minimum opioid
dose equal to at least 20 mg of oxycodone per day before they can be
prescribed an equivalent dose of OxyContin. In order to be prescribed
OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
