Final Exam: NR 509 / NR509 (Latest 2023/2024) Advanced Physical Assessment Exam| Already Graded A| Questions and Verified Answers| Chamberlain

Final Exam: NR 509 / NR509 (Latest 2023/2024) Advanced Physical Assessment Exam| Already Graded A| Questions and Verified Answers| Chamberlain Q A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in urination. She is sexually active, and her male partner uses condoms occasionally. A urine pregnancy test is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the Naegele rule, what is the estimated date of delivery (EDD, or due date)?  Answer: 3/27/22 Q The NP is conducting a physical assessment on a woman in her 26th week of pregnancy. Which of the examination finding is worrisome for a potential, emergent condition?  Answer: Facial edema Q The NP is documenting the obstetric history of a patient. Her history includes two spontaneous miscarriages at 16- and 24-weeks' gestation, four living children (one set of twins) who were delivered at term, and a current pregnancy. How would this be documented?  Answer: G6P3024 Q An 11-month-old infant male is accompanied to the clinic by his father. The father is concerned about the skin rash on this son's arms represented in this image. Family history is significant for a 4-year-old sibling with atopic dermatitis and asthma. Which of the following is the best documentation of the integument findings?  Answer: Erythematous, patches and plaques involving the extensor surfaces of the bilateral antecubital fossa. Mild, secondary excoriations present with serous exudate. No streaking. Scant purulent drainage Q A mother brings her 15-day-old female infant to the outpatient clinic for evaluation of a rash that appeared suddenly after visiting family in Florida. It is August and the house did not have air conditioning. The infant is afebrile, eating and drinking well, and does not appear to be in distress. The physical assessment findings are represented in this image. Based on the history and examination findings, what is the likely etiology? ADA Description  Answer: Infant with a red, facial rash.  Answer: miliaria rubra Q The NP assesses for the Moro Reflex as part of an infant routine physical examination. The NP should suspect a neurologic disease if the reflex has not disappeared by what specific timeframe?  Answer: 16 weeks Q A 2-month-old female is accompanied by her parents for her first visit to the practice. When reviewing the hospital medical records of her birth, the NP notes documentation regarding significantly edematous hands and feet present at birth. Upon physical examination of the infant, the NP finds skin folds that run along the sides of the neck down to the shoulders. Which of the following should be assessed and monitored by the NP and parents related to these findings? Select all that apply.  Answer: The infant's growth chart with concern for height and length.  The infant's ability to properly latch during breastfeeding. The infant's fluid gain or loss. Q The NP is observing a female pediatric patient during a routine physical. She can jump in place and balance on one foot. She speaks in full sentences and her mother states that she can feed herself. Based on your observations and the history, determine her developmental age  Answer: 4 years Q The NP is observing a full-term infant male. He can pull to a stand, use "mama" and "dada" specifically, and indicates his wants by vocalization and pointing. Based on your observations, determine his developmental age.  Answer: 12 months Q Of the following statements, which is accurate regarding growth and assessment charts published by the National Center for Health Statistics? Select all that apply.  Answer: All charts include height, weight, and head circumference for children up to 36 months.  Growth charts are available for children with specific conditions such as Down syndrome or Turner syndrome.  Growth charts are available for use in infants born prematurely. Q A 25-year-old male presents to the clinic with a complaint of severe rectal pain during defecation. The pain is so severe he waits several days before having a bowel movement. He has a history of ulcerative colitis (UC). He also reports being in an active sexual new relationship with a male partner. After conducting a history and physical exam, the NP documents the following anorectal findings: Perirectal area inflamed; no ulcerations, open sores, fissures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted. Unable to examine external sphincter, rectal vault, or prostate because of spasm of the external sphincter and marked inflammation and tenderness of anal canal. Which of the following is the most accurate interpretation of these findings?  Answer: These findings suggest infectious proctitis