Cmn 568 Module 2 Exam Study Guide 2026/2027 Accurate Questions With Correct Detailed Solutions || 100% Guaranteed Pass Newest Version

CMN 568 MODULE 2 EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION 1. Women with a history of giving birth to a child with a neural tube defect or a strong family history should take folic acid ___ beginning ___ before pregnancy - ANSWER 4 mg/day, several months 2. Women with insulin dependent diabetes and those taking valporic acid and carbamazepine for seizure disorder should take at least ____ - ANSWER 1 mg/day folic acid 3. All other women should take folic acid ___ starting at least one month prior to conception - ANSWER 0.4 mg/day 4. Initial lab testing for all patients ? - ANSWER CBC w/ diff Blood type & Rh Antibody screen RPR or VDRL (syphillis) HIV screening Hepatitis B surface antigen (HBsAG) Rubella and Varicella-Zoster titers Urinalysis/Urine C&S (clean catch or cath sample) Pap smear if 21 years old (omit if normal Pap within the past 3 years). DNA probe for Gonorrhea and Chlamydia 5. How often is a urinalysis done? - ANSWER at each visit 6. Any patient with sickle cell trait will get a urine C&S _____ - ANSWER every trimester 7. Screening for neural tube defects and trisomy 21, 18, and 13 - 2 options (Stepwise integrated screening & Quadruple screening) - ANSWER aneuploidy screening 8. aneuploidy screening that compares two separate risk measures 1st step: between 11 0/7 and 13 6/7 weeks gestation - Ultrasound measurement of fetal nuchal translucency Serum test: pregnancy-associated plasma protein A (PAPP-A) and BHCG. Used to screen for trisomies 13, 18, and 21 9. 2nd step: between 15 and 18 weeks gestation - Maternal AFP to detect open neural tube defect - ANSWER stepwise integrated screening 10. aneuploidy screening / done between 15-20 weeks gestation, ideally 16-18 weeks Includes: 1. Maternal serum a-fetoprotein (AFP) 2. Serum β-human chorionic gonadotropin (BHCG) 3. Unconjugated Estriol 4. Inhibin - ANSWER Quadruple Screening 11. First-line medications (3) for severe HTN? - ANSWER methyldopa, labetalol, nifedipine 12. What BP meds are CONTRAINDICATED in pregnancy? - Can lead to MAJOR congenital malformations - ANSWER ACE and ARBs (catapril, lisinopril, and enalapril) 13. Second-choice medication for severe HTN? - ANSWER diuretics BP 140/90 after 20 weeks of pregnancy - Distinguished from Pre-eclampsia by negative proteinuria - ANSWER Gestational HTN 14. Maternal BP 140/90 on 2 occasions, 4 hours apart PLUS 1 of the following: - Proteinuria (spot urine protein/creatinine ratio 0.3)*** - Thrombocytopenia (platelet count 100,000) - Renal insufficiency (serum Cr 1.1) - Impaired liver function (liver transaminases 2x normal) - Pulmonary edema - Cerebral or visual symptoms (HA, blurred vision) - ANSWER Pre-eclampsia 15. risk factors for pre-eclampsia? - ANSWER nulliparous, age 35, previous pre-eclampsia, chronic HTN or renal disease, multiple pregnancy, IVF, diabetes, obesity, SLE 16. BP 160/110 while on bedrest with oliguria, cerebral or visual disturbance, pulmonary edema, impaired liver function, thrombocytopenia or epigastric. RUQ pain - use mag sulfate for BP reduction and seizure prevention - corticosteroids for fetal lung maturity - strive for delivery after 34 weeks - ANSWER Pre-eclampsia with severe features 17. Same features as pre-eclampsia with severe features, except there is a presence of SEIZURES Community Acquired Pneumonia often occurs in the elderly: Thus, it's important to note the differences in how they would present. In addition to dyspnea, tachypnea, and inspiratory crackles -- What additional symptoms or change in timing would be seen? SELECT ALL THAT APPLY A: cough with or without sputum B: low temperature C: subacute onset of symptoms D: acute change in mental status - ANSWER ABD A: cough with or without sputum B: low temperature D: acute change in mental status 18. What is the MOST sensitive sign in the elderly presenting with pneumonia? A: tachypnea B: low-grade fever C: mental status change D: inspiratory crackles - ANSWER A. Tachypnea 19. 55 yr. old patient presents to your clinic with dyspnea, fever, and inspiratory crackles heard on auscultation. You suspect CAP. Your next intervention would be? A: Order blood work, EKG, CXR B: Order PFTs C: Order spirometry test with PRN bronchodilator D: Order PO antibiotics - ANSWER D. Order PO abx 20. During your initial work-up for patient with CAP, you order a rapid nasal swab to detect Influenza. Your patient questions why this is necessary. Your response is? A: Most often, influenza is the cause B: A positive test will determine treatment C: Influenza could complicate CAP disease progression D: I need to obtain this test to report to Health Department - ANSWER B: A positive test will determine treatment 21. T or F: CXR cannot identify causative organism or distinguish bacterial from viral pneumonia - ANSWER True 22. A 35-yr. old patient with hx of recent corticosteroid use reports to your clinic and is diagnosed with CAP. You check the eMAR and determine this patient has received azithromycin 4 wks ago. What is the recommended outpatient abx choice? A: clarithromycin B: amoxicillin C: clindamycin D: levaquin - ANSWER D. Levaquin