NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
@ what point in pregnancy should you screen for GDM? - (Answer)ALL pregnant women between 24-
28 weeks gestation
10week uterus - (Answer)may be able to begin to palpate the uterus at this point, usually still within
pelvic girdle
12week uterus - (Answer)@ the level of the symphysis pubis; grapefruit
16 year old presents with CC of mass in her R breast- it is not painful, is 3-cm, movable, rubbery. her
mom had just instructed her on how to perform SBE's so she's not sure how long it has been there.
what is the most likely diagnosis? - (Answer)fibroadenoma (MC type of breast mass in adolescents
and young women)
16week uterus - (Answer)1/2 way between symphysis pubis and umbilicus
18 year old presents to the office who has never had a menses, she is a senior in highschool, her
sisters had periods starting at age 13; no weight gain/loss, exercises 20 minutes/day, born w/ one
kidney, vitals stable, ht 5'4", wt 122lbs, tanner stage IV breasts, axillary and pubic hair. normal
external genitalia. what is the most likely diagnosis? - (Answer)primary amenorrhea
2 national organizations that provide guidelines for WHNP practice and education? -
(Answer)american association of colleges of nursing (AACN)
national organization of NP faculties (NONPF)
20 year old presents w/ CC of painful menstruation, menarche age 12 (28 day cycles), lasting 5-6 days,
heavy 3 days then tapers. Pain with cramps 8-9/10. she sometimes misses school because of this. not
sexually active. pelvic exam WNL. you diagnose her with dysmenorrhea...how to you explain to her
the patho of why she is having pain? - (Answer)the pain is caused by prostaglandins being released
which are causing your uterus to contract = pain
,NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
20week uterus - (Answer)@ umbilicus
21 year old woman presents for her well woman exam- what are the recommendations for her pap? -
(Answer)ages 21-29 pap test alone every 3 years
22 year old G1P0 at 28 weeks presents with CC of intermittent and pelvic pressure for the last 4 hours;
no dysuria, vag bld, or LOF. no N/V, she drinks 8-9 glasses of water/day. no pregnancy issues up to this
point. vitals stable. FH- 28cm, FHT 144. longitudinal lie, cephalic presentation. urine dip negative, you
place her on the monitor and she is contracting every 3-5 minutes. what is the management plan -
(Answer)admit to l&d
spec exam for cervix, membranes, fFN swab
poss betamethasone, tocolytics, mag sulfate
22 year old presents to the office with CC of rash on her back:
rash has been there for the past 4 years
the rash comes/goes, periods where skin is clear
rash is reddened with several silver-white patches that are thick, scaly, and flaky...what is the
diagnosis - (Answer)psoriasis
24 year old presents to the office with c/o:
cough that started 3 mos ago
cough is nonproductive, worse after exercise
she is sedentary- just started exercise program
chest feels "tight" and breathing gets harder after exercising
runs out of breath earlier, coughs a lot
NO FEVER, SPUTUM, CONGESTION, H/A's, WEIGHT LOSS
she does not smoke
,NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
her lungs- bilateral wheezing, and prolonged expiratory phase; CXR is normal..whats the diagnosis -
(Answer)asthma
24 year old presents to your office with CC of a "mole"; hx reveals she goes to the beach often and
enjoys sunbathing.
the mole is asymmetric, border is irregular, color is mottled, diameter is greater than tip of a pencil, it
is elevated...what is the most likely diagnosis - (Answer)melanoma
26 year old presents with:
dark abdominal/facial hair (male pattern)
10 lbs weight gain
acne
periods every 40 to 82 days
slight clitoromegaly (excess androgen)
8cm adnexal mass
what is the diagnosis? - (Answer)PCOS
27 year old G2 P1 presents to your office for her new antenatal visit; she had routine labs drawn 4
days ago; you note her C&S shows 100,000 cfus/ml of E.Coli...what is the incidence of asymptomatic
bacteriuria in pregnancy? - (Answer)4-7%
27 year old G2 P1 presents to your office for her new antenatal visit; she had routine labs drawn 4
days ago; you note her C&S shows 100,000 cfus/ml of E.Coli...what is your management plan? -
(Answer)she needs ATB's at this point...anything of 100,000 colonies or > requires treatment
Amoxicillin (PCN-beta lactams)
Keflex (cephalosporin)
Macrobid/Bactrim used cautiously
, NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
32 weeker was seen at her 30 week appointment and assessment was WNL- at today's appt however:
weight gain- 4lbs since 28 weeks
fundal hegiht- 35cm
presentation- cephalic/floating
vital signs and FHT- WNL
what is the most likely diagnosis? and whats your plan? - (Answer)because she is only 32 weeks,
measuring 35 weeks...most likely dx = polyhydramnios
mgmt- send for US to see if AFI >24cm, or deepest vertical pocket >8cm
then refer
32 year old, G1P1 and 33 yr old husband have hx of infertility for the past 2 years- has been tracking
BBT, no STI hx, tubes patent, normal uterus, semen analysis normal...whats the most likely diagnosis?
- (Answer)secondary infertility
unexplained infertility
40 year old presents with CC of heavier than normal menses, several years ago she was told she had
an enlarged uterus. uterus fundus is palpable between symphysis pubis and umbilicus. there is an
irregular midline mass approx 18 weeks in size, moves in conjunction with the cervix. what is the most
likely diagnosis.... - (Answer)leiomyoma (fibroid)
40 year old, 9 weeks pregnant
lower abd cramping and vaginal bleeding
pain 9/10
passed clot size of a golf ball- after that cramping stopped but began again an hour ago
vitals are stable
.
@ what point in pregnancy should you screen for GDM? - (Answer)ALL pregnant women between 24-
28 weeks gestation
10week uterus - (Answer)may be able to begin to palpate the uterus at this point, usually still within
pelvic girdle
12week uterus - (Answer)@ the level of the symphysis pubis; grapefruit
16 year old presents with CC of mass in her R breast- it is not painful, is 3-cm, movable, rubbery. her
mom had just instructed her on how to perform SBE's so she's not sure how long it has been there.
what is the most likely diagnosis? - (Answer)fibroadenoma (MC type of breast mass in adolescents
and young women)
16week uterus - (Answer)1/2 way between symphysis pubis and umbilicus
18 year old presents to the office who has never had a menses, she is a senior in highschool, her
sisters had periods starting at age 13; no weight gain/loss, exercises 20 minutes/day, born w/ one
kidney, vitals stable, ht 5'4", wt 122lbs, tanner stage IV breasts, axillary and pubic hair. normal
external genitalia. what is the most likely diagnosis? - (Answer)primary amenorrhea
2 national organizations that provide guidelines for WHNP practice and education? -
(Answer)american association of colleges of nursing (AACN)
national organization of NP faculties (NONPF)
20 year old presents w/ CC of painful menstruation, menarche age 12 (28 day cycles), lasting 5-6 days,
heavy 3 days then tapers. Pain with cramps 8-9/10. she sometimes misses school because of this. not
sexually active. pelvic exam WNL. you diagnose her with dysmenorrhea...how to you explain to her
the patho of why she is having pain? - (Answer)the pain is caused by prostaglandins being released
which are causing your uterus to contract = pain
,NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
20week uterus - (Answer)@ umbilicus
21 year old woman presents for her well woman exam- what are the recommendations for her pap? -
(Answer)ages 21-29 pap test alone every 3 years
22 year old G1P0 at 28 weeks presents with CC of intermittent and pelvic pressure for the last 4 hours;
no dysuria, vag bld, or LOF. no N/V, she drinks 8-9 glasses of water/day. no pregnancy issues up to this
point. vitals stable. FH- 28cm, FHT 144. longitudinal lie, cephalic presentation. urine dip negative, you
place her on the monitor and she is contracting every 3-5 minutes. what is the management plan -
(Answer)admit to l&d
spec exam for cervix, membranes, fFN swab
poss betamethasone, tocolytics, mag sulfate
22 year old presents to the office with CC of rash on her back:
rash has been there for the past 4 years
the rash comes/goes, periods where skin is clear
rash is reddened with several silver-white patches that are thick, scaly, and flaky...what is the
diagnosis - (Answer)psoriasis
24 year old presents to the office with c/o:
cough that started 3 mos ago
cough is nonproductive, worse after exercise
she is sedentary- just started exercise program
chest feels "tight" and breathing gets harder after exercising
runs out of breath earlier, coughs a lot
NO FEVER, SPUTUM, CONGESTION, H/A's, WEIGHT LOSS
she does not smoke
,NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
her lungs- bilateral wheezing, and prolonged expiratory phase; CXR is normal..whats the diagnosis -
(Answer)asthma
24 year old presents to your office with CC of a "mole"; hx reveals she goes to the beach often and
enjoys sunbathing.
the mole is asymmetric, border is irregular, color is mottled, diameter is greater than tip of a pencil, it
is elevated...what is the most likely diagnosis - (Answer)melanoma
26 year old presents with:
dark abdominal/facial hair (male pattern)
10 lbs weight gain
acne
periods every 40 to 82 days
slight clitoromegaly (excess androgen)
8cm adnexal mass
what is the diagnosis? - (Answer)PCOS
27 year old G2 P1 presents to your office for her new antenatal visit; she had routine labs drawn 4
days ago; you note her C&S shows 100,000 cfus/ml of E.Coli...what is the incidence of asymptomatic
bacteriuria in pregnancy? - (Answer)4-7%
27 year old G2 P1 presents to your office for her new antenatal visit; she had routine labs drawn 4
days ago; you note her C&S shows 100,000 cfus/ml of E.Coli...what is your management plan? -
(Answer)she needs ATB's at this point...anything of 100,000 colonies or > requires treatment
Amoxicillin (PCN-beta lactams)
Keflex (cephalosporin)
Macrobid/Bactrim used cautiously
, NURS8024 Pharm Exam 1 Latest Questions With 100% Correct Answers.
.
32 weeker was seen at her 30 week appointment and assessment was WNL- at today's appt however:
weight gain- 4lbs since 28 weeks
fundal hegiht- 35cm
presentation- cephalic/floating
vital signs and FHT- WNL
what is the most likely diagnosis? and whats your plan? - (Answer)because she is only 32 weeks,
measuring 35 weeks...most likely dx = polyhydramnios
mgmt- send for US to see if AFI >24cm, or deepest vertical pocket >8cm
then refer
32 year old, G1P1 and 33 yr old husband have hx of infertility for the past 2 years- has been tracking
BBT, no STI hx, tubes patent, normal uterus, semen analysis normal...whats the most likely diagnosis?
- (Answer)secondary infertility
unexplained infertility
40 year old presents with CC of heavier than normal menses, several years ago she was told she had
an enlarged uterus. uterus fundus is palpable between symphysis pubis and umbilicus. there is an
irregular midline mass approx 18 weeks in size, moves in conjunction with the cervix. what is the most
likely diagnosis.... - (Answer)leiomyoma (fibroid)
40 year old, 9 weeks pregnant
lower abd cramping and vaginal bleeding
pain 9/10
passed clot size of a golf ball- after that cramping stopped but began again an hour ago
vitals are stable
