NRNP 6552 Final Exam with Questions and Answers

NRNP 6552 Final Exam with Questions and Answers 1. Sheila is pregnant and fearful of getting cervical cancer as her sister recently did. She asks about receiving the HPV vaccine. How do you respond? A. "As long as you're in your first trimester, the HPV vaccine is safe and effective." B. "Research has not shown this vaccine to be effective against preventing cervical cancer." C. "After the age of 20, the HPV vaccine is not recommended." D. "You should not receive the vaccination when you are pregnant." ANSWER D. "You should not receive the vaccination when you are pregnant." 2. Jack and Jill present for a preconception health counseling session. Jack is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an uncomplicated pregnancy and labor. At birth, Jake had an open neural tube defect and now has spina bifida with a loss of function of his lower extremities. Jack and Jill want another child and ask if there is anything they can do to prevent the recurrence of a neural tube defect in future pregnancies. What is your best response to this couple? A. "Jill should take 60 mg/day of an iron supplement to enhance stores to support fetal development." B. "It is a matter of genetics, and there is nothing you can do." C. "Have a CVS performed at 12 to 14 weeks gestation to determine the health of the fetus."