FNP Board Certification Practice Questions: Obstetrics and Gynecology | 100% Correct Answers | Verified | Latest 2024 Version

FNP Board Certification Practice Questions: Obstetrics and Gynecology | 100% Correct Answers | Verified | Latest 2024 Version Which of the following findings is most likely in young primigravidas with pregnancy induced hypertension? A) Abdominal cramping and constipation B) Edema of the face and the upper extremities C) Shortness of breath D) Dysuria and frequency - B) Edema of the face and the upper extremities Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the upper extremities, weight gain, blurred vision, elevated blood pressure, proteinuria, and headaches. A second triple screen on a 35-year-old primigravida reveals abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin. Which of the following interventions is the best choice for this patient? A) Order an ultrasound B) Order a computed tomography (CT) scan of the abdomen C) Order a 24-hour urine for protein clearance D) Assess for a history of illicit drug or alcohol use - A) Order an ultrasound Abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin are abnormal during pregnancy. An ultrasound should be ordered to further evaluate the fetus for characteristics of Down syndrome and/or fetal demise. Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? A) Chancroid B) Chlamydia trachomatis C) Herpes genitalis D) Pelvic inflammatory disease (PID) - B) Chlamydia trachomatis When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis. A 35-year-old primigravida who is at 18 weeks gestation is expecting twins. What would you would expect her alpha fetoprotein (AFP) values to be? A) Normal B) Higher than normal C) Lower than normal D) None of the above - B) Higher than normal Alpha fetoprotein (AFP) is produced in the fetal and maternal liver. Higher levels of AFP are commonly seen in multiple gestations due to the growing liver in each fetus, which cumulatively lead to higher AFP levels. All of the following are infections that affect mostly the labia and vagina except: A) Bacterial vaginosis B) Candidiasis C) Trichomoniasis D) Chlamydia trachomatis - D) Chlamydia trachomatis Infections that commonly affect the labia and vagina include bacterial vaginosis, candidiasis, and trichomoniasis. Chlamydia trachomatis commonly affects the cervix, endometrial lining, fallopian tubes, and pelvic cavity. Treatment for mild preeclampsia includes all of the following except: A) Bed rest except for bathroom privileges B) Close monitoring of weight and blood pressure C) Close follow-up of urinary protein, serum creatinine, and platelet count D) A prescription of methyldopa (Aldomet) to control blood pressure - D) A prescription of methyldopa (Aldomet) to control blood pressure Recommended care for women diagnosed with preeclampsia includes bed rest with bathroom privileges, weight and blood pressure monitoring, and closely following urine protein and serum protein, creatinine, and platelet counts. Oral medications are not used as first-line treatment. An 18-year-old female student presents in the college health clinic complaining of a strong odor in her vagina. She reports that she had an abortion about 3 weeks ago and recently completed her prescription of antibiotics. The NP performs a vaginal speculum exam and notes a large amount of gray to off-white discharge coating the patient's vaginal walls. It has a milk like consistency. During microscopy, the slide reveals mature squamous epithelial cells with numerous bacteria on the cell borders. The vaginal pH is 6.0. Which of the following conditions is most likely? A) Trichomoniasis B) Bacterial vaginosis C) Candida vulvovaginitis D) Hormonal changes - B) Bacterial vaginosis What is the most common type of gynecological cancer? A) Uterine cancer B) Cervical cancer C) Breast cancer D) Ovarian cancer - A) Uterine cancer What is the USPSTF screening recommendation for ovarian cancer? A) Annual bimanual pelvic exam with pelvic