NURS 684 Exam with Questions Solved 100%
Correct | Verified Answers
A client presents with complaint of an increased vaginal discharge with bad odor and no itching.
On examination a thin white discharge is noted at the vaginal opening and adhering to the
vaginal walls. The most likely findings on wet mount examination will be: - ✔✔Clue cells
If a 32 week fetus is in the head down position with its back on the woman's left side the fetal
heart tones should be heard best in what area of the woman"s abdomen - ✔✔Lower left
quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement
than usual in the past 2 days. Your decision on the course of action will be based on your
knowledge that: - ✔✔The decrease in fetal movement she is feeling may be an indicator of
fetal hypoxia
Which of the following is most likely to occur between 16 and 20 weeks of pregnancy? -
✔✔Quickening
The pregnant woman with a history of recurrent herpes genitalis should be advised that: -
✔✔She may take oral acyclovir starting at 36 weeks to reduce chance of viral shedding at
delivery
CDC recommendations for follow up of a female treated for PID with ceftriaxone 250 mg IM
and doxycycline 100 mg orally bid for 14 days is: - ✔✔See patient again within 72 hours after
initiation of treatment
CDC recommendations for management of male sex partners of women with PID include: -
✔✔: Treat partner regardless of his or the woman's test results
, The uterus is palpable at, or just above, the symphysis pubis at: - ✔✔12 weeks
Which of the following best describes the typical lesion(s) seen with primary syphilis -
✔✔Single indurated, firm, ulcer with serous exudate
At 20 weeks a pregnant woman was seen and fundal height was 18 cm. At today's 24 week visit,
her fundal height is 20 cm. She is feeling regular fetal movement and fetal heart rate is 140
bpm. The most appropriate management for this client is: - ✔✔Ordering an ultrasound
Vaginal spermicides are effective in reducing transmission of gonorrhea, Chlamydia and HIV
infections - ✔✔False
When considering use of fetal movement counting to monitor fetal well-being, it is important
to know - ✔✔Fetal movement is strongest between 29-38 weeks
An examination finding that is considered one of the minimum criteria for empiric treatment
for PID in a sexually active young women presenting with lower abdominal or pelvic pain is: -
✔✔Cervical motion tenderness
A nucleic acid amplification test (NAAT) using a urine specimen is done at a first trimester
prenatal visit and is positive for Chlamydia. The woman is asymptomatic. Appropriate
management would include: - ✔✔Treat with oral azithromycin now and repeat the NAAT in
three weeks
Symptoms of acute epididymitis generally include all of the following EXCEPT: - ✔✔sudden
onset of severe pain
which of the following statements concerning genital herpes is true? - ✔✔Systemic
symptoms are uncommon during recurrences
Correct | Verified Answers
A client presents with complaint of an increased vaginal discharge with bad odor and no itching.
On examination a thin white discharge is noted at the vaginal opening and adhering to the
vaginal walls. The most likely findings on wet mount examination will be: - ✔✔Clue cells
If a 32 week fetus is in the head down position with its back on the woman's left side the fetal
heart tones should be heard best in what area of the woman"s abdomen - ✔✔Lower left
quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement
than usual in the past 2 days. Your decision on the course of action will be based on your
knowledge that: - ✔✔The decrease in fetal movement she is feeling may be an indicator of
fetal hypoxia
Which of the following is most likely to occur between 16 and 20 weeks of pregnancy? -
✔✔Quickening
The pregnant woman with a history of recurrent herpes genitalis should be advised that: -
✔✔She may take oral acyclovir starting at 36 weeks to reduce chance of viral shedding at
delivery
CDC recommendations for follow up of a female treated for PID with ceftriaxone 250 mg IM
and doxycycline 100 mg orally bid for 14 days is: - ✔✔See patient again within 72 hours after
initiation of treatment
CDC recommendations for management of male sex partners of women with PID include: -
✔✔: Treat partner regardless of his or the woman's test results
, The uterus is palpable at, or just above, the symphysis pubis at: - ✔✔12 weeks
Which of the following best describes the typical lesion(s) seen with primary syphilis -
✔✔Single indurated, firm, ulcer with serous exudate
At 20 weeks a pregnant woman was seen and fundal height was 18 cm. At today's 24 week visit,
her fundal height is 20 cm. She is feeling regular fetal movement and fetal heart rate is 140
bpm. The most appropriate management for this client is: - ✔✔Ordering an ultrasound
Vaginal spermicides are effective in reducing transmission of gonorrhea, Chlamydia and HIV
infections - ✔✔False
When considering use of fetal movement counting to monitor fetal well-being, it is important
to know - ✔✔Fetal movement is strongest between 29-38 weeks
An examination finding that is considered one of the minimum criteria for empiric treatment
for PID in a sexually active young women presenting with lower abdominal or pelvic pain is: -
✔✔Cervical motion tenderness
A nucleic acid amplification test (NAAT) using a urine specimen is done at a first trimester
prenatal visit and is positive for Chlamydia. The woman is asymptomatic. Appropriate
management would include: - ✔✔Treat with oral azithromycin now and repeat the NAAT in
three weeks
Symptoms of acute epididymitis generally include all of the following EXCEPT: - ✔✔sudden
onset of severe pain
which of the following statements concerning genital herpes is true? - ✔✔Systemic
symptoms are uncommon during recurrences