NURS 6551 Final Exam (May 2020) 1. 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 instruc t Karen to: 2. What is
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NURS 6551 Final Exam (May 2020) 1. 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 instruc t Karen to: 2. What is the most common cause of death in women in the United States? 3. Minnie is experiencing Braxton Hicks contractions. What should she do? 4. What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? 5. At what time during pregnancy does nausea typically occur? 6. According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? 7. Which of the following maternal situations is considered an absolute contradiction to breastfeeding? 8. Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). 9. When is round ligament pain most likely to occur in pregnant women? 10. Heather, who is 5 weeks pregnant, is nauseous. She asks you how long this will last. You tell her nausea usually disappears by the 11. Patricia presents for her regularly scheduled prenatal visit at 34 weeks' gestation. During the interview, you determine that Patricia has not felt fetal movement for the past week. On examination, you are unable to auscultate the fetal heart tones. Which of the following would be useful in the diagnosis of an intrauterine fetal death? 12. Mildred is 6 months pregnant and presents with symptoms of urinary frequency, urgency, dysuria,and suprapubic discomfort. Her urine is cloudy and malodorous. She has no fever, chills, nausea, or vomiting. What is your diagnosis? 13. What is the leading cause of first-trimester maternal death? 14. Ginny, who is planning on getting pregnant, is taking phenytoin (Dilantin). She states that she knows the drug is in category D and asks what that means. You know FDA category D indicates that 15. A 19-year-old pregnant patient, at 20 weeks gestation, complains of pain in the right lower quadrant. She is afebrile and denies nausea and vomiting. The most likely diagnosis is 16. What is the rationale for anemia seen throughout gestation? 17. A 22-year-old patient has a single, nontender, freely movable lump in her right breast.She denies any nipple discharge. Which of the following diagnosis is this clinical presentation most consistent with? 18. The treatment(s) with demonstrated effectiveness relieving symptoms of dysmenorrhea in women with premenstrual syndrome is (are): 19. A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a 20. What is a common cause of leg cramps during pregnancy? 21. All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? 22. Which of the following is the best description of the Lamaze method of childbirth education? 23. A 19-year-old sexually active female is being counseled by the nurse practitioner about contraception. The nurse practitioner is accurate when she tells the patient that a diaphragm. 24. Susie, who is 16 weeks pregnant, is having mild cramps with persistent and excessive bleeding. Upon examination, you find that some portion of the products of conception (placental) remain in the uterus, but the fetus has been expelled. What type of abortion is Susie having? 25. What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? 26. How are pregnancy-related DHA (docosahexaenoic acid) needs best met? 27. Allie, who has asthma, just found out that she is pregnant. She is wondering whether she should continue taking her asthma medications. Which of the following is true regarding asthma and pregnancy? 28. What is a fetus's gestational age when its mother's uterus is palpable just above the pubic symphysis? 29. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the occurrence of 30. During pregnancy, it is important to be physically active. The nurse practitioner should encourage her pregnant patient who has a very sedentary lifestyle to 31. The primary endocrine disorders affecting women are diabetes mellitus and: 32. Where does edema tend to occur in the pregnant woman’s body? 33. 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? 34. What tends to cause acne in adolescence? 35. Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)? 36. What distinguishes pyelonephritis from cystitis? 37. 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? 38. During nursery rounds, you examine a 12-hour-old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant? 39. What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? 40. A 40-year-old female presents for a routine well woman exam. On examination, the nurse practitioner notes a scant nipple discharge, absence of a palpable mass, and absence of lymph node enlargement. Which of the following is the most likely diagnosis? 41. What is the most common type of UTI that affects women? 42. Which of the following dietary changes would you recommend Heather, who is experiencing nausea during her firsts trimester? 43. A 25-year-old obese female has a history of frequent candida vaginal infections in the past year. She is in a monogamous sexual relationship and uses and intrauterine device (IUD) for contraception. Of the following, which is the most likely underlying condition predisposing her to recurring candida vaginitis? 44. During nursery rounds, you examine a 12-hour-old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant? 45. What is the term for the craving and purposeful consumption of nonfood items for more than one month? 46. In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ 47. Which of the following drugs should be used with extreme caution in breastfeeding mothers? 48. What is a possible cause of abdominal pain during pregnancy? 49. An asymmetric, softened enlargement of the uterine corner caused by placental development is a possible sign of pregnancy. What is it called? 50. The drug of choice for the pregnant woman with diabetes is
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