NURS 6551 Final Exam Test Bank 200 Questions with Answers Graded A+ 2025

Question 1 2 out of 2 points What is the general goal of surgical treatment for stress UI? Answer: D. To support and stabilize the urethra Question 2 2 out of 2 points Gender differences in heart disease can be found in: 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 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 Answer: B. "There is no need to stop breastfeeding, but start with your left side." Question 5 lOMoAR cPSD| 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? 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). 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: 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: Answer: D. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract infections." Question 9 lOMoAR cPSD| 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? 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? 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: 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? Answer: C. Crown-rump measurement Question 13 lOMoAR cPSD| 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? 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? 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 Answer: D. lower than urethral pressure. Question 16 2 out of 2 points How does the third stage of labor end? 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? Answer: C. Phenobarbital Question 18 lOMoAR cPSD| 2 out of 2 points How can hormonal influences during pregnancy cause backache? 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? 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 Answer: C. Mongolian spot Question 21 0 out of 2 points The majority of early pregnancy losses are due to: 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: Answer: D. Become infected Question 23 lOMoAR cPSD| 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: 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? 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? Answer: A. A 35-year-old Caucasian Question 26 2 out of 2 points What is the best description of Bishop's score? Answer: A. It is an assessment of the cervix's readiness for elective induction. Question 27 lOMoAR cPSD| 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: Answer: A. 300 calories Question 44 0 out of 2 points A 50-year-old patient has abnormal vaginal bleeding with heavy periods and intermenstrual water discharge with a small amount of blood. What is the most likely diagnosis? Answer: C. Normal perimenopause Question 45 2 out of 2 points What is significant about cytomegalovirus (CMV)? Answer: B. It can remain dormant within the body for life. Question 48 2 out of 2 points All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? Answer: D. History of pelvic inflammatory disease Question 49 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Answer: D. Progressive cervical change lOMoAR cPSD| Question 28 2 out of 2 points What components make up the biophysical profile? Answer: D. Fetal tone, breathing, motion, amniotic fluid volume, and non-stress test. Question 29 2 out of 2 points What is the leading cause of first-trimester maternal death? 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? Answer: D. Excessive alcohol intake Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? 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? lOMoAR cPSD| 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: 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? Answer: C. Tuberculosis Question 35 2 out of 2 points NSAID use during pregnancy has been linked to which condition in newborns? 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? lOMoAR cPSD| 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? 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? 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)? 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? Answer: B. 24-28 weeks' gestation lOMoAR cPSD| Question 41 2 out of 2 points What is an indication of the second stage of labor? Answer: A. Complete dilation of the cervix Question 42 2 out of 2 points Liza is 34 weeks pregnant and has mild hypertension. You are performing a nonstress test (NST). What is the criterion for a reactive NST? Answer: C. At least two fetal heart rate accelerations in response to fetal movement in a 20- minute test period. Question 43 2 out of 2 points You see G5P4015 on a client's history form. You surmise that Answer: B. The woman has five living children, including a set of twins, and she has had one abortion. Question 50 2 out of 2 points An example of an X-linked recessive condition or trait is Answer: C. Hemophilia Question 51 0 out of 0 points lOMoAR cPSD| When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Answer: Yes Exam 1. What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? a. Seven-day regimens are now recommended. b. Three times a day of oral antibiotics are now recommended. c. Three-day regimens are now recommended. d. A single dose is now recommended. 2. What is considered to be a common trigger of psoriasis? a. Stress b. Pregnancy c. Migraines d. Menstruation 3. The clinician is seeing a 48-year-old woman for the first time. She is overweight and has a blood pressure of 120/92. She is on no medications and does not smoke or drink alcohol. Her family history is negative for heart disease. Her physical exam is unremarkable. The clinician should advise her as follows: a. Her blood pressure is high normal and does not require further follow-up at this time. b. She has prehypertension. c. She has stage 1 hypertension. d. She needs two additional blood pressure checks on two separate occasions. lOMoAR cPSD| 4. What tends to cause acne in adolescence? a. A decrease in estrogen b. Dietary changes c. Hormonal birth control use d. An increase in testosterone 5. What tends to cause acne in adolescence? Answer: fluctuations in hormone levels 6. The onset of labor is indicated by regular uterine contractions and: a. Complete dilation of the cervix b. Change in the position of the fetus c. Rupture of the membranes d. Progressive cervical change 7. Which of the following statements does not support the diagnosis of Alzheimer’s disease? a. Crying every day b. Forgetting where she puts things c. Getting lost driving to the grocery store d. Lost ability to balance a checkbook 8. A 23-year-old woman is seeing the clinician because of chronic headaches. These headaches are typically preceded by seeing flashing lights. These visual distortions spontaneously resolve followed by throbbing pain on either the right or left side of her head. Pain is associated with photophobia, nausea, and vomiting. The most likely diagnosis is: a. Cluster headache b. Migraine headache c. Temporal arteritis d. Transient ischemic attacks (TIAs) 9. When is round ligament pain most likely to occur in pregnant women? lOMoAR cPSD| a. Between 6–8 weeks’ gestation b. Between 24–28 weeks’ gestation c. Between 10–12 weeks’ gestation d. Between 16–20 weeks’ gestation 10. Postpartum depression occurs in about what percentage of women who give birth? a. 5–10% b. 25–30% c. 10–15% d. 1–5% 11. About how many breastfeeding women are affected by lactation mastitis? a. 10% b. 20% c. 15% d. 25% Question 22 2 out of 2 points Which of the following is a predictor of impending preterm birth? Answer: A. Positive fetal fibronectin testing Question 23 2 out of 2 points What tends to cause acne in adolescence? Answer: D. An increase in testosterone lOMoAR cPSD| Question 24 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Answer: B. 12–14 weeks’ gestation Question 25 0 out of 2 points What is the most common type of UTI that affects women? Answer: C. Asymptomatic bacteriuria Question 26 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Answer: D. Progressive cervical change Question 27 0 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Answer: A. 24 hours Question 28 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Answer: A. Round ligament pain lOMoAR cPSD| 12. What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? a. Visits scheduled every 2 weeks b. Visits scheduled every 3 weeks c. Visits scheduled every week d. Visits scheduled every 4 weeks 13. About what percentage of pregnant women develop gestational hypertension, preeclampsia, or pregnancy-induced hypertensive disorder? a. 5–7% b. 10–12% c. 1–3% d. 12–15 14. What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? a. Postpartum amenorrhea b. Postpartum endometritis c. Postpartum staphylococcus d. Postpartum lochia 15. How does women’s anatomy make them more susceptible to UTIs? a. Asymptomatic UTIs do not resolve themselves without treatment. b. Women tend to get UTIs when they are pregnant. c. There is a longer distance between the urethra and anus. d. Their urethras are shorter. 16. A 60-year-old woman has a blood pressure of 144/86. This would be classified as: a. Normal blood pressure