NRNP6551 Week 11 Final Exam–NRNP 6551 Week 11 Final Exam

NRNP 6551 Week 11 Final Exam

 

NRNP 6551 Week 11 Final Exam

 

 

 

 

 

 

 

NRNP 6551 Week 11 Final Exam

 

 

 

 

 

 

 

Question 1

 

 

2 out of 2 points

 

 

 

 

Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 2

 

 

What is the potential danger of a fetus born through meconium-stained amniotic fluid?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 3

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 4

 

 

 

 

2 out of 2 points

 

 

It is imperative that the nurse practitioner teach patients taking an oral contraceptive to report any of the danger signs of complications. Which of the following would be of least concern to the nurse practitioner?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 5

 

 

What is the leading cause of first-trimester maternal death?

 

 

 

 

 

2 out of 2 points

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 6

 

 

 

 

2 out of 2 points

 

 

After 28 weeks’ gestation, all women should perform fetal movement counts (FMCs). Which of the following statements regarding FMCs is true?

 

 

 

Selected Answer:

 

d.

 

 

 

 

 

 

 

 

 

 

 

Question 7

 

 

What is the most common cause of medical complications in pregnancy?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 8

 

 

An example of an X-linked recessive condition or trait is

 

 

 

Selected Answer:

 

c.

 

 

 

 

 

 

 

 

 

Question 9

 

 

What should be addressed during late postpartum maternal evaluation (weeks 2–6)?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 10

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

Carrie is due to deliver her second baby. During your work-up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily. Her lab work reveals a normal blood work-up, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 11

 

 

What is the general goal of surgical treatment for stress UI?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 12

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

Which of the following drugs should be used with extreme caution in breastfeeding mothers?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 13

 

 

 

 

2 out of 2 points

 

 

According to the International Association of Diabetes and Pregnancy Study Guide, screening for gestational diabetes mellitus (GDM) should be done on which of the following clients:

 

 

 

Selected Answer:

 

 .

 

 

 

 

 

 

 

 

 

Question 14

 

 

 

 

2 out of 2 points

 

 

Cydney, who is 30 weeks pregnant, is planning to travel outside of the United States. She asks you which immunizations she should or should not have. Which immunization do you recommend she NOT receive?

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

Question 15

 

 

What is the most common cause of death in women in the United States?

 

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 16

 

 

Spontaneous abortion refers to the loss of a fetus of less than

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 17

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

The side effect of medroxyprogresterone (Depo-Provera) that often leads women to discontinue use is:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 18

 

 

 

 

2 out of 2 points

 

 

Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks’ gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 19

 

 

The drug of choice for the pregnant woman with diabetes is

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 20

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

Which of the following maternal situations is considered an absolute contradiction to breastfeeding?

 

 

 

Selected Answer:

 

 

 

 

 

Question 21

 

 

 

 

2 out of 2 points

 

 

Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 22

 

 

At what time during pregnancy does nausea typically occur?

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 23

 

 

What is a possible cause of abdominal pain during pregnancy?

 

 

 

 

 

 

 

   

 

 

 

 

 

 

 

Question 24

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking Dixcloxacillin. She asks you what she needs to do about feeding the baby. You respond

 

 

 

Selected Answer:

 

a.

 

“

 

 

 

 

 

 

 

 

 

Question 25

 

 

 

 

2 out of 2 points

 

 

What is the presumptive symptom of pregnancy that involved tingling or frank pain of the breasts?

 

 

 

Selected Answer:

 

a.

 

 

 

 

 

 

 

 

 

Question 26

 

 

 

 

 

 

Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 27

 

 

0 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

In evaluating a mother-and-infant breastfeeding situation, signs of an effective latch at the breast are

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 28

 

 

 

 

2 out of 2 points

 

 

Jack is 4 weeks old and has oral candidiasis because his mother had an intrauterine infection that was successfully treated with antibiotics. What would you anticipate treating Jack with?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 29

 

 

 

 

2 out of 2 points

 

 

Samantha, who has genital herpes, just found out that she is pregnant. Although she has not had a recurrence in years, she states that she has heard that genital herpes might cause a spontaneous abortion. You know that genital herpes

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 30

 

 

What is a potential benefit of circumcision?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 31

 

 

 

 

0 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

During pregnancy, it is important to be physically active. The nurse practitioner should encourage her pregnant patient

 

 

 

who has a very sedentary lifestyle to

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 32

 

 

How can hormonal influences during pregnancy cause backache?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 33

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

In the formula to estimate gestational age, woman are considered pregnant from:                                                                  

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 34

 

 

Gender differences in heart disease can be found in:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 35

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

0 out of 2 points

 

 

A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 36

 

 

Which of the following laboratory tests is useful in the diagnosis of spontaneous abortion?

 

 

 

 

 

0 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 37

 

 

 

 

2 out of 2 points

 

 

Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

 

 

Question 38

 

 

What is a contributor to the increased incidence of heartburn during pregnancy?

 

 

 

 

 

2 out of 2 points

 

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 39

 

 

 

 

2 out of 2 points

 

 

The best way for a pregnant woman to avoid injury to herself and her fetus in the event of a motor vehicle accident (MVA) is to

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 40

 

 

 

 

2 out of 2 points

 

 

Which of the following should the nurse practitioner encourage preconceptually to decrease the risk of neural tube defect in the fetus?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 41

 

 

 

 

2 out of 2 points

 

 

Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to:

 

 

 

Selected Answer:

 

d.

 

 

 

 

 

 

 

 

 

 

 

Question 42

 

 

 

 

2 out of 2 points

 

 

A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 43

 

 

NSAID use during pregnancy has been linked to which condition in newborns?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 44

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

The Papanicolaou (Pap) smear report on a 36-year-old female patient indicates atypical squamous cells of undetermined significance (ASCUS). Which of the following constitutes appropriate care for this patient?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 45

 

 

How does the third stage of labor end?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 46

 

 

What was the reason that prenatal care began in the early 1900s?

 

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

2 out of 2 points

 

 

 

 

Selected Answer:

 

 

 

 

 

Question 47

 

 

 

 

2 out of 2 points

 

 

A low-risk woman who is 16 weeks pregnant should be instructed to return to the prenatal clinic in

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 48

 

 

 

 

2 out of 2 points

 

 

A 28-year-old pregnant patient, at 18 weeks gestation, complains of feeling lightheaded when standing. which of the following is an appropriate response by the nurse practitioner?

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

 

 

Question 49

 

 

 

 

2 out of 2 points

 

 

An asymmetric, softened enlargement of the uterine corner caused by placental development is a possible sign of pregnancy. What is it called?

 

 

 

Selected Answer:

 

D

 

 

 

 

 

 

 

 

 

Question 50

 

 

Uncomplicated acute bacterial cystitis occurs in women who:

 

 

 

Selected Answer:

 

 

 

 

 

 

 

 

 

Question 51

 

 

 

 

2 out of 2 points

 

 

 

 

 

 

 

 

 

 

 

 

0 out of 0 points

 

 

 

 

Selected Answer:

 

 

 

 

 

Explanation & Answer

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