(Verified Answers) GRADED A+.
1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently
did. She asks about receiving the HPV vaccine. How do you respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe and
effective."
B. "Research has not shown this vaccine to be effective against preventing
cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant." - answer-
D. "You should not receive the vaccination when you are pregnant."
2. Jack and Jill present for a preconception health counseling session. Jack is
34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an
uncomplicated pregnancy and labor. At birth, Jake had an open neural tube
defect and now has spina bifida with a loss of function of his lower extremities.
Jack and Jill want another child and ask if there is anything they can do to
prevent the recurrence of a neural tube defect in future pregnancies. What is
your best response to this couple?
,A. "Jill should take 60 mg/day of an iron supplement to enhance stores to
support fetal development."
B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health
of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before conception." -
answer-D. "Jill should take 4 mg/day of folic acid, beginning before
conception."
12. Growth hormone treatment for short stature in children remains
controversial. The clinician should be aware of the following regarding the
assessment of growth problems and idiopathic short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological
evaluation, which compares the child's growth to standardized norms
,D. measurements of children lying on the exam table paper are most accurate -
answer-C. identification of growth problems is usually made by an auxological
evaluation, which compares the child's growth to standardized norms
13. Nancy is concerned that her new breastfed baby is not getting enough
fluid. What do you tell her so that she can assess for an adequate intake?
A. weigh the infant every other day to see the weight gain in ounces
B. if the infant is drinking and sleeping normally, an adequate intake is
assumed
C. if there are 6 to 10 wet diapers a day, intake is adequate
D. if the infant is not irritable, an intake problem does not exist - answer-C. if
there are 6 to 10 wet diapers a day, intake is adequate
14. Marci has had several abortions in the past and has been unable to carry a
pregnancy to full term because of an incompetent cervix. She states that the
physician mentioned cerclage to her and asks you what that means. You tell
her that cerclage is
A. a treatment of bedrest with frequent pelvic exams to make sure the cervix is
not dilated
B. a method in which an apparatus resembling a diaphragm is placed over the
cervix to help it stay "tight"
, C. a purse-string type of stitch placed around the cervix
D. a treatment using intravaginal medicated sponges - answer-C. a purse-string
type of stitch placed around the cervix
15. Mrs. Peterson found pinworms on 8 year old Randy. The clinician knows
that treatment for pinworms with pyrantel pamoate includes treating
A. Randy and all his siblings
B. Randy and the siblings who share the same bathroom
C. Randy and the siblings who share the same bedroom
D. the entire household - answer-D. the entire household
16. Gloria just delivered her baby and wants to start a vigorous exercise
program to get back in shape. You advise her that she can start strenuous
exercises
A. in 1 week
B. in 3 weeks