WEEK 6 MIDTERM Exam QUESTIONS AND
ANSWERS|ALREADY GRADED A+
QUESTIONS ANSWERS
1. Sheila is pregnant and fearful of getting cervical cancer D. "You should not receive the vaccination when you are pregnant."
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."
,2. Jack and Jill present for a preconception health D. "Jill should take 4 mg/day of folic acid, beginning before conception."
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."
3. You are invited to speak to a group of public school B. the American Academy of Pediatrics and the National Association of School
administrators about recent outbreaks of head lice. As an Nurses discourage "no nit" policies that exclude children from school
advocate for children and families you share
A. "no nit" policies that exclude children until all nits are
removed are essential to eradicate this problem
B. the American Academy of Pediatrics and the National
Association of School Nurses discourage "no nit" policies
that exclude children from school
C. occlusive agents, such as petroleum shampoo and
herbal oils, applied to suffocate the lice are showing
promising results in randomized controlled trials
D. lindane is recommended by the American Academy of
Pediatrics as a treatment choice
4. What is the simplest and safest method of suppressing C. gradually weaning the baby to a bottle or cup over a 3-week period
lactation after it has started?
A. administering oral and long-acting injections of
hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over a
3-week period
D. stopping "cold-turkey"
,5. When can you hear fetal heart tones with a C. 18 to 20 weeks
conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks
6. The reaspn most often cited to explain why women B. the perception that the infant is not receiving enough milk
who have had a usual length of stay and normal delivery
discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough
milk
C. the ease of formula use
D. maternal or infant illness
7. Pediatric patients may now be prescribed OxyContin B. 11 to 16 years
for pain. Patients must be already responding to and
tolerating a minimum opioid dose equal to at least 20 mg
of oxycodone per day before they can be prescribed an
equivalent dose of OxyContin. In order to be prescribed
OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
8. Hegar's sign, a physiological sign of pregnancy is B. softness of the uterus and ballottement at the isthmus
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening
, 9. Carrie, of Irish descent, is due to deliver her second A. Von Willebrand's disease
baby. During your work-up, you note that she
hemorrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her lab
work reveals a normal blood workup, including a normal
prothrombin time and activated partial thromboplastin
time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
10. Koplik spots are small, white spots that occur on the A. measles
inside of the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
11. Aida, who is 29 weeks pregnant, received a blunt A. abruptio placentae
trauma to the abdomen during an argument with her
boyfriend. She has no obvious injuries and denies pain.
Aida needs to be monitored for the occurrence of
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa