N582 Exam 1 Adult health Test Questions With Complete Solutions

Where would you want to look when look for breast cancer on an exam? correct answer: UOQ of the breast Classic signs of malignant masses correct answer: Single, firm, nontender, immobile with irregular borders Concerning signs of nipple discharge correct answer: Bloody or serosanguinous, unilateral, persistant, from a single duct, Recommendations for IPV screening. correct answer: Gold standard is to conduct a one on one interview, in private, and asking specific direct questions. (dont use family members as translators) (full body physical exam in private) How does IPV get missed? correct answer: Failure to ask the client Substance abuse during pregnancy: Alcohol correct answer: fetal alcohol syndrome 2-5 drinks per day causes growth retardadtion, CNS efects, abnorma facies, cardiac deffects Substance abuse during pregnancy: Caffeine correct answer: greater than 150mg perday correlates with increased risk of spontaneous abortion Substance abuse during pregnancy: Cigarettes correct answer: spontaneous abortion, preterm birth, abruptio placentae, decreased birth weight Increased rsk for SIDS and respiratory illnesses Substance abuse during pregnancy: marijuana correct answer: Most common illicit drug used during pregnancy Lw birth weight, preterm birth, still birth affects neurodevelopment Substance abuse during pregnancy: Cocaine correct answer: abruptio placenta, IUGR, preterm L&D Vasocontriction and HTN- can mimic preeclampsia CNS complications: developmental delay Substance abuse during pregnancy: Methamphetamines correct answer: Low birth weight, IUFD, preeclampsia, neurodevelopmental sequalea in children. HTN, cardiomyopathy, arythmias long term uses- paranoia and psychosis Substance abuse during pregnancy: Opiates correct answer: most common are oxycodone, heroin, methadone W/D may pose greater risk to the fetus (MC, PT, FD) than chronic narcotic use. Should be enrolled in a maintenance program instead of just quitting Medication for opiate maintenance in pregnancy correct answer: buprenorphine (Subutex) or Methadone