Exam (elaborations) NRNP 6551 Final Exam Questions and Answers Walden University

Exam (elaborations) NRNP 6551 Final Exam Questions and Answers Walden University Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: Selected Answer: d. Become infected • Question 2 •2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. • Question 3 •2 out of 2 points Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications? Selected Answer: c. Notify your health-care provider of a return to bright red vaginal bleeding. • Question 4 •2 out of 2 points It is imperative that the nurse practitioner teach patients taking an oral contraceptive to report any of the danger signs of complications. Which of the following would be of least concern to the nurse practitioner? Selected Answer: d. Weight gain • Question 5 •2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy NRNP 6551 Final Exam Questions and Answers Walden University • Question 6 •2 out of 2 points After 28 weeks' gestation, all women should perform fetal movement counts (FMCs). Which of the following statements regarding FMCs is true? Selected Answer: d. Ten movements should be obtained in 2 hours. • Question 7 •2 out of 2 points What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension • Question 8 •2 out of 2 points An example of an X-linked recessive condition or trait is Selected Answer: c. Hemophilia • Question 9 •2 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: b. The need for birth control information or supplies • Question 10 •2 out of 2 points Carrie is due to deliver her second baby. During your work-up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily. Her lab work reveals a normal blood work-up, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect? Selected Answer: d. Von Willibrand's disease • Question 11 •2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 12 •2 out of 2 points Which of the following drugs should be used with extreme caution in breastfeeding mothers? Selected Answer: c. Phenobarbital • Question 13 •2 out of 2 points According to the International Association of Diabetes and Pregnancy Study Guide, screening for gestational diabetes mellitus (GDM) should be done on which of the following clients: Selected Answer: d. All pregnant women at 24-28 weeks. • Question 14 •2 out of 2 points Cydney, who is 30 weeks pregnant, is planning to travel outside of the United States. She asks you which immunizations she should or should not have. Which immunization do you recommend she NOT receive? Selected Answer: d. Yellow fever • Question 15 •2 out of 2 points What is the most common cause of death in women in the United States? Selected Answer: b. Cardiovascular disease • Question 16 •2 out of 2 points Spontaneous abortion refers to the loss of a fetus of less than Selected Answer: a. 22 weeks' gestation • Question 17 •2 out of 2 points The side effect of medroxyprogresterone (Depo-Provera) that often leads women to discontinue use is: Selected Answer: d. Weight gain • Question 18 •2 out of 2 points Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? Selected Answer: c. Crown-rump measurement • Question 19 •2 out of 2 points The drug of choice for the pregnant woman with diabetes is Selected Answer: c. Insulin • Question 20 •2 out of 2 points Which of the following maternal situations is considered an absolute contradiction to breastfeeding? Selected Answer: c. Early HIV infection • Question 21 •2 out of 2 points Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes • Question 22 •2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 23 •2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 24 •2 out of 2 points Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking Dixcloxacillin. She asks you what she needs to do about feeding the baby. You respond Selected Answer: a. "There is no need to stop breastfeeding, but start with your left side." • Question 25 •2 out of 2 points What is the presumptive symptom of pregnancy that involved tingling or frank pain of the breasts? Selected Answer: a. Mastodynia • Question 26 •0 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: c. Nutritional assessment • Question 27 •2 out of 2 points In evaluating a mother-and-infant breastfeeding situation, signs of an effective latch at the breast are Selected Answer: d. Infant's lips flanged out, cheeks full • Question 28 •2 out of 2 points Jack is 4 weeks old and has oral candidiasis because his mother had an intrauterine infection that was successfully treated with antibiotics. What would you anticipate treating Jack with? Selected Answer: c. Nystatin • Question 29 •2 out of 2 points Samantha, who has genital herpes, just found out that she is pregnant. Although she has not had a recurrence in years, she states that she has heard that genital herpes might cause a spontaneous abortion. You know that genital herpes Selected Answer: b. Might cause a spontaneous abortion if the primary infection was early in the pregnancy. • Question 30 •0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. Decreased incidence of urinary tract infections • Question 31 •2 out of 2 points During pregnancy, it is important to be physically active. The nurse practitioner should encourage her pregnant patient who has a very sedentary lifestyle to Selected Answer: d. Start walking daily and slowly build up distance • Question 32 •2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 33 •2 out of 2 points In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ Selected Answer: a. The first day of the last menstrual period • Question 34 •2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 35 •0 out of 2 points A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium? Selected Answer: a. A 30-year-old Orthodox Jew • Question 36 •0 out of 2 points Which of the following laboratory tests is useful in the diagnosis of spontaneous abortion? Selected Answer: d. Qualitative plasma human chrionic gonadotropin levels • Question 37 •2 out of 2 points Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Selected Answer: a. Premature delivery. • Question 38 •2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 39 •2 out of 2 points The best way for a pregnant woman to avoid injury to herself and her fetus in the event of a motor vehicle accident (MVA) is to Selected Answer: b. Use both the lap restraint and shoulder restraint • Question 40 •2 out of 2 points Which of the following should the nurse practitioner encourage preconceptually to decrease the risk of neural tube defect in the fetus? Selected Answer: a. Folic acid 0.4 mg/day • Question 41 •2 out of 2 points Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and re