NURS 6551 Final Exam with Answers

• Question 1 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected • Question 2 0 out of 2 points Lois is complaining of leg cramps during her pregnancy. What would you suggest to relieve them? • Question 3 2 out of 2 points What components make up the biophysical profile? • Question 4 2 out of 2 points Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications? • Question 5 2 out of 2 points Where does edema tend to occur in the pregnant woman’s body? • Question 6 2 out of 2 points What is the general goal of surgical treatment for stress UI? • Question 7 2 out of 2 points To prevent breast trauma during the breastfeeding, the nurse practitioner should stress the importance of • Question 8 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: • Question 9 0 out of 2 points Pregnant women should know that folic acid can help to prevent neural tube defects. To be most effective, women should take folic acid: • Question 10 2 out of 2 points A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is associated with: • Question 11 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: • Question 12 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? • Question 13 0 out of 2 points 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? • Question 14 2 out of 2 points At what time during pregnancy does nausea typically occur? • Question 15 0 out of 2 points An autosomal recessive disorder such as cystic fibrosis is expressed in the offspring when: • Question 16 0 out of 2 points The side effect of medroxyprogesterone (Depo-Provera) that often leads women to discontinue use is: • Question 17 2 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably days after implantation of the blastocyst (fertilized egg). • Question 18 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? • Question 19 0 out of 2 points An 18-year-old mother who is breastfeeding her 2-week-old infant, expresses concern about how much milk the baby is getting. Which of the following parameters is reassuring to the nurse practitioner that the infant is receiving adequate nutrition? • Question 20 2 out of 2 points Spontaneous abortion refers to the loss of a fetus of less than • Question 21 2 out of 2 points What is considered to be a common trigger of psoriasis? S • Question 22 2 out of 2 points Which of the following dietary changes would you recommend Heather, who is experiencing nausea during her firsts trimester? • Question 23 2 out of 2 points What tends to cause acne in adolescence? • Question 24 0 out of 2 points Which of the following antibiotics is the best choice for acute pyelonephritis when it occurs during the seventh month of pregnancy? • Question 25 2 out of 2 points A 45-year-old patient voices concern about her hot flashes and irregular menstral periods. What diagnostic test would the nurse practitioner order to confirm the beginning of menopause? • Question 26 2 out of 2 points What is the recommended timing for gestational diabetes screening? • Question 27 2 out of 2 points A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis? • Question 28 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? • Question 29 2 out of 2 points The reason most often cited to explain why women who have had a usual length of stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is: • Question 30 0 out of 2 points After 28 weeks' gestation, all women should perform fetal movement counts (FMCs). Which of the following statements regarding FMCs is true? • Question 31 2 out of 2 points RhoGAM is indicated for an Rh-negative mother: • Question 32 2 out of 2 points Which of the following does not increase a woman's risk for developing cervical cancer? • Question 33 2 out of 2 points The nurse practitioner is discussing contraception options to be used during lactation with a 24-year-old pregnant patient. Which of the following methods of contraception would not be appropriate for use while breastfeeding? • Question 34 0 out of 2 points Patricia presents for her regularly scheduled prenatal visit at 34 weeks' gestation. During the interview, you determine that Patricia has not felt fetal movement for the past week. On examination, you are unable to auscultate the fetal heart tones. Which of the following would be useful in the diagnosis of an intrauterine fetal death? • Question 35 2 out of 2 points Which of the following is the best description of the Lamaze method of childbirth education? • Question 36 2 out of 2 points Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add: • Question 37 2 out of 2 points What is an indication of the second stage of labor? • Question 38 0 out of 2 points Heather, who is 5 weeks pregnant, is nauseous. She asks you how long this will last. You tell her nausea usually disappears by the • Question 39 2 out of 2 points After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? S • Question 40 2 out of 2 points What is the rationale for anemia seen throughout gestation? • Question 41 2 out of 2 points How does women’s anatomy make them more susceptible to UTIs? • Question 42 0 out of 2 points During nursery rounds, you examine a 12-hour-old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant? • Question 43 2 out of 2 points Minnie is experiencing Braxton Hicks contractions. What should she do? • Question 44 2 out of 2 points 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: • Question 45 0 out of 2 points The Papanicolaou (Pap) smear report on a 36-year-old female patient indicates atypical squamous cells of undetermined significance (ASCUS). Which of the following constitutes appropriate care for this patient? • Question 46 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: • Question 47 2 out of 2 points Jack is 4 weeks old and has oral candidiasis because his mother had an intrauterine infection that was successfully treated with antibiotics. What would you anticipate treating Jack with? • Question 48 2 out of 2 points When is a pregnant woman at risk for developing congenital rubella syndrome? • Question 49 2 out of 2 points What distinguishes pyelonephritis from cystitis? • Question 50 0 out of 2 points A 23-year-old pregnant patient who works as a secretary is a large law firm is seeing the nurse practitioner for early pregnancy evaluation and education. It would be very important to teach this patient about: