Practice In Reproductive Health Care Dr.
Sonya ENTIRE COURSE EXAMS 2024
HIGHLY RECOMMENDED WALDEN
UNIVERSITY
1. What are the clinical characteristics consistent with a diagnosis of trisomy 21 in a
newborn?
A. low birth weight, small jaw with recessed chin, muscle rigidity, short sternum
B. cleft lip and palate, polydactyly, malformed ears, and absence of the iris
C. Lymphedema of the hands and feet, webbed neck, coarctation of the aorta, and
urinary tract abnormalities
D. hypotonia, simian creases, epicanthal folds, and Brushfield spots - :answers :D.
hypotonia, simian creases, epicanthal folds, and Brushfield spots
1. 8 year old Scott presents at the clinic with a rash. It is centripetal and began on his
trunk. The very itchy lesions progressed from spots to "teardrop blisters," according to
his mother. The clinician considers which of the following infectious diseases?
A. measles
B. roseola
,C. varicella
D. fifth disease - :answers :C. varicella
2. Tameka has an appt for a well baby checkup. The clinician knows that she will be due
for her measles, mumps, and rubella immunization at age
A. 9 months
B. 6 months
C. 12 months
D. 4 months - :answers :C. 12 months
3. Acute bronchiolitis is a distressing and potentially life threatening respiratory disease
that affects children less than 2 years of age. The NP knows that the AAP guidelines have
been endorsed by the AAFP in children aged 1 to 23 months. The guidelines no longer
recommend
A. bronchodilators
B. nasogastric fluids for infants who cannot maintain hydration orally
C. palivizumab during the first year of life to infants with significant heart disease or
chronic lung disease of prematurity
D. nebulized hypertonic saline to infants and children hospitalized for bronchiolitis -
:answers :A. bronchodilators
,4. In an infant, when you flex the hips and knees at a 90 degree angle and attempt to slip
the femur heads onto the posterior tips of the acetabula by lateral pressure of the
thumbs and by rocking the knees medially with the knuckles of the index fingers, you
are testing normal hip movement. This test or maneuver is known as
A. Ortolani's maneuver
B. Barlow's test
C. Spock's test
D. Moro maneuver - :answers :B. Barlow's test
5. Kim states that she has heard many old wives' tales of harmful things during
pregnancy. Which of the following is in fact harmful late in pregnancy?
A. intercourse
B. swimming
C. douching
D. dental visits - :answers :C. douching
6. After 28 weeks' gestation, all women should perform fetal movement counts. Which
of the following statements is true regarding FMCs?
A. counts should be done as the woman is going about her work
, B. ten movements should be obtained in 1 hour
C. ten movements should be obtained in 2 hours
D. if decreased activity is perceived, a nonstress test should be performed at the next
obstetric visit - :answers :C. ten movements should be obtained in 2 hours
7. Ginny, who is planning on getting pregnant, is taking phenytoin (Dilantin). She states
that she knows the drug is in category D and asks what that means. You know FDA
category D indicates that
A. positive evidence of human fetal risk exists, but benefits may outweigh risks in
certain situations
B. animal studies have no demonstrated a fetal risk, but there are no human studies in
pregnant women; or animal studies have shown an adverse effect that was not
confirmed in human studies
C. studies or experience have shown fetal risk that clearly outweighs any possible
benefits
D. controlled studies in women failed to demonstrate a risk to the fetus in the first
trimester, and fetal harm appears remote - :answers :A. positive evidence of human
fetal risk exists, but benefits may outweigh risks in certain situations
8. Nelda is breastfeeding her 6 week old daughter. She comes today with pain, a lump in
her right breast, and flu-like symptoms. You see that the breast is engorged,
erythematous, and warm to the touch. Her temperature is 101.8. Your diagnosis is
A. breast abscess