FNP 1 Final Study Guide Questions With Complete
Solutions
Absolute contraindications for systemic HRT? Correct Answers
Pregnancy, VTE, Breast or liver cancer, high triglycerides
How do you determine to use Progestin only vs combination
HRT? Correct Answers Progestin only is useful in
breastfeeding mothers. Can use estrogen only if local
application. Unopposed systemic estrogen therapy not
recommended due to risk of osteoporosis and worsening CV
disease
How do you differentiate PIH from pre-existing HTN in a
pregnant woman? Correct Answers When blood pressure has
been identified as high by two separate check prior to pregnancy
or before the 20th week it is usually a sign of chronic HTN. If it
elevates after the 20th week and then returns to a normal range
post pregnancy then it is PIH
Risk factors for the development of iron deficiency anemia?
Correct Answers Those with dietary restrictions or
malabsorption issues, GI bleed, in children high amounts of
cows milk, premature infants, exclusively breast feeding past 4-
6 month
S/S bacterial vaginosis? Correct Answers Fishy smelling
discharge worse after sexual intercourse. Clue cells on wet prep.
S/S constipation in children? Correct Answers More than 3
days with out stool, painful stools, or blood streaked stools.
, Failure to pass meconium indicates hirschsprugs, hypothyroid,
or meconium ileus.
S/S Gonorrhea? Correct Answers Urethritis in males and
vaginal discharge, dysuria, labial pain /swelling, and abd pain
with females.
S/S of chlamydia? Correct Answers mostly asymptomatic.
Could have cervicitis, prostatitis, or PID. Will have
mucopurulent cervix
S/S of ectopic pregnancy? Correct Answers Severe pain in the
pelvic area usually between week 5-10 of the pregnancy.
Treatment can be made with methotrexate to stop the fetus
growth or it will need to be removed surgically
S/S of Genital herpes? Correct Answers Vesicles that lead to
painful ulcerations and then crusting. In women may have
dysuria and white discharge.
S/S of GERD in infants? Correct Answers Emesis/spitting up
after feeding, arching back with feedings, gagging, hiking,
smacking, irritability with feeding, poor weight gain, apnea,
aspiration pneumonias
S/S of late puberty? Correct Answers When changes have
started to occur by age 14 in boys and age 13 in girls
S/S of precocious puberty? Correct Answers Breast growth or
first period before age 8 in girls
Solutions
Absolute contraindications for systemic HRT? Correct Answers
Pregnancy, VTE, Breast or liver cancer, high triglycerides
How do you determine to use Progestin only vs combination
HRT? Correct Answers Progestin only is useful in
breastfeeding mothers. Can use estrogen only if local
application. Unopposed systemic estrogen therapy not
recommended due to risk of osteoporosis and worsening CV
disease
How do you differentiate PIH from pre-existing HTN in a
pregnant woman? Correct Answers When blood pressure has
been identified as high by two separate check prior to pregnancy
or before the 20th week it is usually a sign of chronic HTN. If it
elevates after the 20th week and then returns to a normal range
post pregnancy then it is PIH
Risk factors for the development of iron deficiency anemia?
Correct Answers Those with dietary restrictions or
malabsorption issues, GI bleed, in children high amounts of
cows milk, premature infants, exclusively breast feeding past 4-
6 month
S/S bacterial vaginosis? Correct Answers Fishy smelling
discharge worse after sexual intercourse. Clue cells on wet prep.
S/S constipation in children? Correct Answers More than 3
days with out stool, painful stools, or blood streaked stools.
, Failure to pass meconium indicates hirschsprugs, hypothyroid,
or meconium ileus.
S/S Gonorrhea? Correct Answers Urethritis in males and
vaginal discharge, dysuria, labial pain /swelling, and abd pain
with females.
S/S of chlamydia? Correct Answers mostly asymptomatic.
Could have cervicitis, prostatitis, or PID. Will have
mucopurulent cervix
S/S of ectopic pregnancy? Correct Answers Severe pain in the
pelvic area usually between week 5-10 of the pregnancy.
Treatment can be made with methotrexate to stop the fetus
growth or it will need to be removed surgically
S/S of Genital herpes? Correct Answers Vesicles that lead to
painful ulcerations and then crusting. In women may have
dysuria and white discharge.
S/S of GERD in infants? Correct Answers Emesis/spitting up
after feeding, arching back with feedings, gagging, hiking,
smacking, irritability with feeding, poor weight gain, apnea,
aspiration pneumonias
S/S of late puberty? Correct Answers When changes have
started to occur by age 14 in boys and age 13 in girls
S/S of precocious puberty? Correct Answers Breast growth or
first period before age 8 in girls
