,
,9. Why would a combined hormonal contraceptive be contraindicated in a
36 year old patient with a past medical history of type 2 diabetes,
obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45,
breastfeeding, smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the
NP detects a bloody spontaneous discharge from the right nipple.
This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green
or dark brown nonbloody nipple discharge that tends to leak without
pressure or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are
located in large lactiferous sinuses or ducts and have a tendency to bleed.
Quizlet Nipple Discharge
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune
globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic
Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
, d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average
size of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic therapy for
headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect.
Patients should have drug free period for 3-4 weeks after every 6 months of
treatment (pharmacology book page 1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf
pain associated with peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one
or both of your hips, thighs or calf muscles after certain activities, such as
walking or climbing stairs (claudication) Leg numbness or weakness. Coldness
in your lower leg or foot, especially when compared with the other side.
(Mayoclinic)
,9. Why would a combined hormonal contraceptive be contraindicated in a
36 year old patient with a past medical history of type 2 diabetes,
obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45,
breastfeeding, smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the
NP detects a bloody spontaneous discharge from the right nipple.
This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green
or dark brown nonbloody nipple discharge that tends to leak without
pressure or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are
located in large lactiferous sinuses or ducts and have a tendency to bleed.
Quizlet Nipple Discharge
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune
globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic
Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
, d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average
size of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic therapy for
headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect.
Patients should have drug free period for 3-4 weeks after every 6 months of
treatment (pharmacology book page 1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf
pain associated with peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one
or both of your hips, thighs or calf muscles after certain activities, such as
walking or climbing stairs (claudication) Leg numbness or weakness. Coldness
in your lower leg or foot, especially when compared with the other side.
(Mayoclinic)
