COMPREHENSIVE PEDIATRIC NURSING FINAL EXAM REVIEW:
GYNECOLOGY, PREGNANCY, NEONATAL, AND PEDIATRIC CARE
EXAM | QUESTIONS AND VERIFIED ANSWERS | LATEST EXAM
UPDATE
What are the first-line NSAIDs for managing dysmenorrhea? - CORRECT
ANSWER - Ibuprofen (Advil) and Naproxen (Aleve)
When should NSAIDs for dysmenorrhea be started? - CORRECT ANSWER -
1-2 days before the expected onset of menses and continued throughout the
cycle.
What is the primary action of NSAIDs in managing dysmenorrhea? -
CORRECT ANSWER - They block prostaglandins that cause dysmenorrhea.
What are some contraceptive methods used to manage dysmenorrhea? -
CORRECT ANSWER - Methods intended to regulate hormones or block
menstruation.
What is the recommended frequency for breast self-exams (BSE) for women
over 20? - CORRECT ANSWER - Yearly intervals.
When is the best time for a woman to perform a breast self-exam? -
CORRECT ANSWER - 1 week after the beginning of the menstrual period.
What should a woman look for in a breast self-exam that would be considered
abnormal? - CORRECT ANSWER - New lumps, thickening, changes in skin
consistency, and any nipple discharge in a non-pregnant or non-lactating
woman.
,What does the 'G' in GTPAL stand for? - CORRECT ANSWER - Gravid - the
total number of pregnancies.
What does the 'T' in GTPAL represent? - CORRECT ANSWER - Term - the
number of pregnancies delivered after 38 weeks.
What does the 'P' in GTPAL indicate? - CORRECT ANSWER - Preterm - the
number of pregnancies delivered between 20 weeks and 37 weeks 6 days.
What does the 'A' in GTPAL stand for? - CORRECT ANSWER - Abortions -
the number of pregnancies ended prior to 20 weeks.
What does the 'L' in GTPAL represent? - CORRECT ANSWER - Living - the
number of living children.
How do you calculate the Estimated Due Date (EDD) from the Last Menstrual
Period (LMP)? - CORRECT ANSWER - LMP - 3 months + 7 days (then add a
year) or LMP + 280 days.
Where would fetal heart tones be found if the fetus is in a vertex position? -
CORRECT ANSWER - Below the umbilicus.
Where would fetal heart tones be found if the fetus is in a breech position? -
CORRECT ANSWER - Above the umbilicus.
What is the normal fetal heart rate range? - CORRECT ANSWER - 110-160
BPM.
What is placenta previa? - CORRECT ANSWER - A condition where the
placenta completely covers the cervical os.
, What are the signs of placenta previa? - CORRECT ANSWER - Painless
bright red vaginal bleeding.
What is uterine hyperstimulation? - CORRECT ANSWER - Defined as five or
more contractions in a 10-minute period or contractions lasting more than 2
minutes.
What are some interventions for managing uterine hyperstimulation? -
CORRECT ANSWER - Turn the woman onto her left side, administer IV fluid
bolus, provide oxygen by mask, and discontinue the oxytocin infusion.
What medication may be prescribed to relax the uterus in cases of
hyperstimulation? - CORRECT ANSWER - Terbutaline.
What assessments should be made regarding drug use in pregnancy? -
CORRECT ANSWER - Assess for appropriate drug use and observe for
potential manifestations.
What should be included in a thorough history of medications used during
pregnancy? - CORRECT ANSWER - Both prescribed and nonprescribed
medications.
What withdrawal symptoms may be observed in neonates due to maternal
opiate use? - CORRECT ANSWER - Withdrawal symptoms may be observed
in the neonate.
What should a nurse do if there is suspicion of illicit drug use in a pregnant
patient? - CORRECT ANSWER - Document assessment findings and
communicate them to the ordering provider.
What test can confirm the presence of illicit drug use in the mother? -
CORRECT ANSWER - Urinalysis.
GYNECOLOGY, PREGNANCY, NEONATAL, AND PEDIATRIC CARE
EXAM | QUESTIONS AND VERIFIED ANSWERS | LATEST EXAM
UPDATE
What are the first-line NSAIDs for managing dysmenorrhea? - CORRECT
ANSWER - Ibuprofen (Advil) and Naproxen (Aleve)
When should NSAIDs for dysmenorrhea be started? - CORRECT ANSWER -
1-2 days before the expected onset of menses and continued throughout the
cycle.
What is the primary action of NSAIDs in managing dysmenorrhea? -
CORRECT ANSWER - They block prostaglandins that cause dysmenorrhea.
What are some contraceptive methods used to manage dysmenorrhea? -
CORRECT ANSWER - Methods intended to regulate hormones or block
menstruation.
What is the recommended frequency for breast self-exams (BSE) for women
over 20? - CORRECT ANSWER - Yearly intervals.
When is the best time for a woman to perform a breast self-exam? -
CORRECT ANSWER - 1 week after the beginning of the menstrual period.
What should a woman look for in a breast self-exam that would be considered
abnormal? - CORRECT ANSWER - New lumps, thickening, changes in skin
consistency, and any nipple discharge in a non-pregnant or non-lactating
woman.
,What does the 'G' in GTPAL stand for? - CORRECT ANSWER - Gravid - the
total number of pregnancies.
What does the 'T' in GTPAL represent? - CORRECT ANSWER - Term - the
number of pregnancies delivered after 38 weeks.
What does the 'P' in GTPAL indicate? - CORRECT ANSWER - Preterm - the
number of pregnancies delivered between 20 weeks and 37 weeks 6 days.
What does the 'A' in GTPAL stand for? - CORRECT ANSWER - Abortions -
the number of pregnancies ended prior to 20 weeks.
What does the 'L' in GTPAL represent? - CORRECT ANSWER - Living - the
number of living children.
How do you calculate the Estimated Due Date (EDD) from the Last Menstrual
Period (LMP)? - CORRECT ANSWER - LMP - 3 months + 7 days (then add a
year) or LMP + 280 days.
Where would fetal heart tones be found if the fetus is in a vertex position? -
CORRECT ANSWER - Below the umbilicus.
Where would fetal heart tones be found if the fetus is in a breech position? -
CORRECT ANSWER - Above the umbilicus.
What is the normal fetal heart rate range? - CORRECT ANSWER - 110-160
BPM.
What is placenta previa? - CORRECT ANSWER - A condition where the
placenta completely covers the cervical os.
, What are the signs of placenta previa? - CORRECT ANSWER - Painless
bright red vaginal bleeding.
What is uterine hyperstimulation? - CORRECT ANSWER - Defined as five or
more contractions in a 10-minute period or contractions lasting more than 2
minutes.
What are some interventions for managing uterine hyperstimulation? -
CORRECT ANSWER - Turn the woman onto her left side, administer IV fluid
bolus, provide oxygen by mask, and discontinue the oxytocin infusion.
What medication may be prescribed to relax the uterus in cases of
hyperstimulation? - CORRECT ANSWER - Terbutaline.
What assessments should be made regarding drug use in pregnancy? -
CORRECT ANSWER - Assess for appropriate drug use and observe for
potential manifestations.
What should be included in a thorough history of medications used during
pregnancy? - CORRECT ANSWER - Both prescribed and nonprescribed
medications.
What withdrawal symptoms may be observed in neonates due to maternal
opiate use? - CORRECT ANSWER - Withdrawal symptoms may be observed
in the neonate.
What should a nurse do if there is suspicion of illicit drug use in a pregnant
patient? - CORRECT ANSWER - Document assessment findings and
communicate them to the ordering provider.
What test can confirm the presence of illicit drug use in the mother? -
CORRECT ANSWER - Urinalysis.
