NURS 6551 FINAL EXAM 4 – QUESTION AND ANSWERS. EXPERT TUTOR RECOMMMENDS FOR QUARANTEED A PASS

NURS 6551 FINAL EXAM 4 – QUESTION AND ANSWERS • • Question 1 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 2 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 3 2 out of 2 points Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Selected Answer: b. Premature delivery. • Question 4 2 out of 2 points Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking Dixcloxacillin. She asks you what she needs to do about feeding the baby. You respond Selected Answer: b. "There is no need to stop breastfeeding, but start with your left side." • Question 5 2 out of 2 points A 25-year-old obese female has a history of frequent candida vaginal infections in the past year. She is in a monogamous sexual relationship and uses and intrauterine device (IUD) for contraception. Of the following, which is the most likely underlying condition predisposing her to recurring candida vaginitis? Selected Answer: d. Diabetes mellitus • Question 6 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). Selected Answer: b. 7–9 days • Question 7 2 out of 2 points Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to: Selected Answer: a. Go to the nearest emergency room immediately to be evaluated. • Question 8 2 out of 2 points A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and other infections?" You should give which of the following replies based on current research findings: Selected Answer: d. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract infections." • Question 9 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 10 0 out of 2 points Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? Selected Answer: a. Ranitidine • Question 11 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. Centering Pregnancy • Question 12 2 out of 2 points Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? Selected Answer: c. Crown-rump measurement • Question 13 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 14 2 out of 2 points A 28-year-old pregnant patient, at 18 weeks gestation, complains of feeling lightheaded when standing. which of the following is an appropriate response by the nurse practitioner? Selected Answer: d. Blood pressure normally decreases during pregnancy and can cause this symptom. • Question 15 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 16 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 17 2 out of 2 points Which of the following drugs should be used with extreme caution in breastfeeding mothers? Selected Answer: c. Phenobarbital • Question 18 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 19 2 out of 2 points According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? Selected Answer: d. June 30 • Question 20 2 out of 2 points A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a Selected Answer: c. Mongolian spot • Question 21 0 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities • Question 22 2 out of 2 points Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: Selected Answer: d. Become infected • Question 23 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: Selected Answer: a. Intrauterine growth restriction • Question 24 2 out of 2 points Which of the following does not increase a woman's risk for developing cervical cancer? Selected Answer: d. Nulliparity • Question 25 0 out of 2 points A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium? Selected Answer: a. A 35-year-old Caucasian • Question 26 2 out of 2 points What is the best description of Bishop's score? Selected Answer: a. It is an assessment of the cervix's readiness for elective induction. • Question 27 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: Selected Answer: a. 300 calories • Question 28 2 out of 2 points What components make up the biophysical profile? Selected Answer: d. Fetal tone, breathing, motion, amniotic fluid volume, and nonstress test. • Question 29 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 30 2 out of 2 points A newborn delivered by a mother with no prenatal care exhibits the following: dysmorphic facial features including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy? Selected Answer: d. Excessive alcohol intake • Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 32 2 out of 2 points What is the simplest and safest method of suppressing lactation after it has started? Selected Answer: b. Gradually weaning the baby to a bottle or cup over a 3-week period • Question 33 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: Selected Answer: b. Have no signs of upper tract infection • Question 34 2 out of 2 points Which of the following diseases is not acquired transplancentally? Selected Answer: c. Tuberculosis • Question 35 2 out of 2 points NSAID use during pregnancy has been linked to which condition in newborns? Selected Answer: c. Pulmonary hypertension • Question 36 2 out of 2 points Carrie is due to deliver her second 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 work-up, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect? Selected Answer: a. Von Willibrand's disease • Question 37 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 38 0 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? Selected Answer: d. Threatened spontaneous abortion • Question 39 2 out of 2 points Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)? Selected Answer: c. A bare crib with firm sleep surface; no soft objects, wedges, or ruffles. • Question 40 2 out of 2 points What is the recommended timing for gestational diabetes screening?