NR 602 FINAL EXAM (With 60 Questions and Answers) updated 2023/2024

NR 602 FINAL EXAM (With 60 Questions and Answers) updated 2023/2024 1. What are the only vaccines a pregnant woman can get? Tdap and Flu 2. Know how to calculate a due date using Naegale rule? The answer will list due dates 3. What is true about HPV? 90% have unknown symptoms and most clear up in 2 yrs 4. Know Chadwick’s sign? Bluish tint to cervix 5. What’s the latest age a child needs to be set up with a dentist? BOOK The child’s first dental visit should occur before the child’s first birthday (12 months old) or within 6 months of the first tooth eruption. I think I out 12 months..but the ? may have stated that the kids had a tooth already…..tricky 6. Dental caries can be caused by? I think I put excessive fluoride 7. Question about 1st signs of teeth….? But I put incisors (bottom front teeth), other 2 options were molars, which the age in the? doesn’t have yet 8. Mom’s exclusively breastfeeding, what supplement does baby need? I think I put Vit D 9. When do kids say mama/dada? 10. Know mom has passive immunity and baby gets adaptive immunity from vaccines 11. When does pincer grasp began? 12. Know at what age baby does (one hand reach and transfer object from 1 hand to other) 6mo 13. When does separation anxiety occur? I said 12 months 14. When do you know kids are ready for table food? I answered reaching for your spoon with their mouth 15. 10 yr old female in Tanner stages 1&2, when should she expect menses to start? 16. Know if a pt has an HPV active infection, that they can get HIV 3x quicker 17. Know tx for Genital warts? Genital wart treatment with PODOFILOX solution 18. Know what produces a PAINLESS lesion? Chancre 19. EMS contraception? Copper IUD 20. Know what Mastitis in a breastfeeding mom presents as? 21. PID sets a woman up for future risk of what? 22. Know 3 diagnostic factors of Gonorrhea? I put adnexal tenderness BOX 20-7 23. There was a question about a woman bleeding, still had all female organs, and she’s been bleeding….what do you do? Redo pap in 6 months, do pelvic exam, do preg test, and something else 24. Know what clue cells represent? 25. Know Trich cells? I put mx wbc and epit cells on smear (chlamydia= large number of leukocytes and squamous epithelium cells). But there was epithelial cells with no borders, there were wbc’s and leuks, and 2 more..not sure about this one 26. Know TX for recurrent HSV 2? I put Acyclovir 400mg po BID for 2 days… I know its not the initial tx dose which is the 7-10 days so I pushed that out, 27. Know aht STD IS NOT REPORTABLE? Herpes 28. Know tx of BV: Metrodiazole 500 mg po bid x7 days 29. Thin white/gray milky discharge? Know this disease 30. Know tx of Trich? 31. There’s 1 question about candidiasis presentation 32. I think there’s a quest about male with penile discharge or dysuria, and its looking for a dx? Which would be gonorrhea or chlamydia (def not HSV, HIV, or syphilis) 33. Know tx of Chlamydia? Azithromycin 1g 34. Pt has trichomonas on wet prep, ? is either what’s the dx or how should they me managed? Disease is Trichomonas and The rx is for Flagyl 7 days 35. During what phase is a woman likely to contract HIV? Asymptomatic shedding stage 36. A woman has a 2cm movable, palpable breast mass, no nipple discharge. What are the next steps in care? CT of the chest, mammogram the affected side, or normal finding….Ultrasound was not on the test. 37. A woman has a cyst on her inner thigh, and she has like a fever, and some other things? I put Bartholin cyst as my answer 38. Which one symptom can represent galactorrhea? Not clear cut, I think I put an imbalance of prolactin levels 39. I think I had a question on AUB 40. I had a quest about a teen with no stds, a sports player, regular normal flow period, having cramps? what would be the dx, so Id imagine this had something to do with dysmenorrhea. I answered that overproduction of prostaglandins was her cause of PMS symptoms, this was one where I went back and re-read it again bc its worded to be trippy. 41. Kid with HIV, what vaccine can they NOT get? Know that they can’t get LIVE viruses..varicella 42. Quest about when HIV is at its highest transmissionable stage? When they have high numbers of sex partners or when other STDs are present 43. NON-Pregnant woman presents with BV (THEY don’t actually say BV, so know what BV is) The quest is what do you tx her with. The answer is TINDAZOLE 2G PO X1. She’s not pregnant so she can have this. The other answers appear right, but Don’t get tripped up on this one… 44. There was a quest about a person has gonorrhea, what other dz should they be treated for as well? I think I put chlamydia, bc they usually go hand in hand 45. Know when to perform cervical ca screenings? I was unsure about this one. 1st off this was a little weird… So what are the facts: Honestly I’m not sure, but my answer was yearly starting at 21 -65 USPSTF: Cervical cancer is rare before age 21 years. The don’t recommend Pap tests or human papillomavirus (HPV) testing before age 21 years (this isn’t an answer choice. At the age of 30 years, can perform Pap test with co-testing (HPV testing). Can space routine Pap smears to every 5 years if co-testing (except if abnormal Pap). 46. Know what a non-mastitis type breast is? This was tricky.. 47. Know which person IS NOT at risk for breast cancer? I put a pregnant woman before 35 yrs of age. Obesity, family hx of breast cancer, and something else was the other choices. 48. 5 yr old TV watching? Aimed at anticipatory guidance, I think I put no more than 1 hour..easy ? 49. Question about WHAT AGE CATEGORY does this fall in? Sunscreen, gun use, knowing friends, wearing a seatbelt, and helmet… it gives choices like early, middle, late, or infant childhood 50. I thi