NUR 684 Exam 1 QUESTIONS WITH ANSWERS

NUR 684 Exam 1 QUESTIONS WITH |\ |\ |\ |\ |\ |\




ANSWERS

The single most preventable cause of intellectual disabilities is: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔ETOH use during pregnancy
|\ |\ |\ |\ |\




The gestational age of greatest concern for taking a drug that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


can cause cardiac anomalies is: - CORRECT ANSWERS ✔✔3-8
|\ |\ |\ |\ |\ |\ |\ |\ |\


weeks


Determining the most accurate estimated date of birth (EDB) is |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


best achieved - CORRECT ANSWERS ✔✔Obtaining the first day of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


the last menstrual period
|\ |\ |\




Naegele's Rule: Subtract 3 months from first day of LMP and add
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


7 days, can only be used on regular menstrual cycles
|\ |\ |\ |\ |\ |\ |\ |\ |\




OR count 40 weeks, or 280 days, from the first day of your last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


menstrual period |\




Relief from heartburn during pregnancy may be obtained by -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Eating 5 or 6 small meals each day
|\ |\ |\ |\ |\ |\ |\ |\ |\




In a review of vaccinations at an initial prenatal visit at 12 weeks
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


gestation the patient tells you she had the Tdap vaccination with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


her last pregnancy which was 2 years ago. You would advise her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\

,she needs a: - CORRECT ANSWERS ✔✔Tdap vaccination in her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


third trimester for every pregnancy!
|\ |\ |\ |\




Expected findings during examination of the pregnant woman
|\ |\ |\ |\ |\ |\ |\ |\


who is 10 weeks gestation would include: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Softening of the cervix |\ |\ |\




Which of the following would NOT be a normal physical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


examination finding during pregnancy - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\


✔✔Mildly enlarged, nodular thyroid |\ |\ |\




During pregnancy, the thyroid has an increased workload. Two
|\ |\ |\ |\ |\ |\ |\ |\ |\


pregnancy-related hormones—human chorionic gonadotropin |\ |\ |\ |\


(hCG) and estrogen—cause higher measured thyroid hormone
|\ |\ |\ |\ |\ |\ |\


levels in your blood. During pregnancy, thyroid volume and
|\ |\ |\ |\ |\ |\ |\ |\ |\


thyroid function adapt in a physiological way to meet the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


increased demands for iodine (needed to make hormones for
|\ |\ |\ |\ |\ |\ |\ |\ |\


mom and baby) and energy It is normal for it to increase in size,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


but it should not be palpable.
|\ |\ |\ |\ |\




Which of the following is NOT a normal hormone related skin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


change during pregnancy? - CORRECT ANSWERS ✔✔Itching and
|\ |\ |\ |\ |\ |\ |\ |\


inflammation of extremities |\ |\




Which of the following immunizations may be given during
|\ |\ |\ |\ |\ |\ |\ |\ |\


pregnancy? - CORRECT ANSWERS ✔✔Hepatitis B vaccine |\ |\ |\ |\ |\ |\




can also give flu, TDAP, and Covid-19
|\ |\ |\ |\ |\ |\

, A woman with a height of 5'2" has a pre-pregnant weight of 115
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


lbs, BMI= 21.0, normal weight category. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


represents the most appropriate weight for her by the end of her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


pregnancy? - CORRECT ANSWERS ✔✔145 lbs |\ |\ |\ |\ |\




*Weight gain in pregnancy |\ |\ |\




-underweight (BMI < 18.5): 28-40 lbs |\ |\ |\ |\ |\




-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
|\ |\ |\ |\ |\ |\




-overweight (BMI 25-29.9): 15 to 25 lbs |\ |\ |\ |\ |\ |\




A female client presents at the clinic stating her boyfriend told
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


her he had Chlamydia. She had unprotected sex 5 days ago. Her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


LMP was 3 weeks ago. A urine pregnancy test is negative. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


examination you note that she has mucopurulent cervical |\ |\ |\ |\ |\ |\ |\ |\


discharge. Chlamydia and Gonorrhea tests are done at this visit.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


The most appropriate treatment for this client is: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔Azithromycin 1 Gm to be taken while in the clinic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
|\ |\ |\ |\ |\ |\




Routine gestational diabetes screening is recommended at
|\ |\ |\ |\ |\ |\ |\


between - CORRECT ANSWERS ✔✔24 and 28 weeks gestation (6-
|\ |\ |\ |\ |\ |\ |\ |\ |\


7mos)


The screening test for group B streptococcus requires that a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


specimen be obtained from the: - CORRECT ANSWERS ✔✔Vaginal
|\ |\ |\ |\ |\ |\ |\ |\


introitus and rectum
|\ |\ |\




***How to remember: B for Bottom
|\ |\ |\ |\ |\