NRNP 6551 Final Exam August 2020

1. Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: 2. What is the potential danger of a fetus born through meconium-stained amniotic fluid? 3. Whic ...

1. Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: 2. What is the potential danger of a fetus born through meconium-stained amniotic fluid? 3. Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications? 4. 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? 5. What is the leading cause of first-trimester maternal death? 6. After 28 weeks' gestation, all women should perform fetal movement counts (FMCs). Which of the following statements regarding FMCs is true? 7. What is the most common cause of medical complications in pregnancy? 8. An example of an X-linked recessive condition or trait is 9. What should be addressed during late postpartum maternal evaluation (weeks 2–6)? 10. 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? 11. What is the general goal of surgical treatment for stress UI? 12. Which of the following drugs should be used with extreme caution in breastfeeding mothers? 13. 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: 14. 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? 15. What is the most common cause of death in women in the United States? 16. Spontaneous abortion refers to the loss of a fetus of less than 17. The side effect of medroxyprogresterone (Depo-Provera) that often leads women to discontinue use is: 18. 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? 19. The drug of choice for the pregnant woman with diabetes is 20. Which of the following maternal situations is considered an absolute contradiction to breastfeeding? 21. Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: 22. At what time during pregnancy does nausea typically occur? 23. What is a possible cause of abdominal pain during pregnancy? 24. 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 25. What is the presumptive symptom of pregnancy that involved tingling or frank pain of the breasts? 26. Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: 27. In evaluating a mother-and-infant breastfeeding situation, signs of an effective latch at the breast are 28. 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? 29. 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 30. What is a potential benefit of circumcision? 31. During pregnancy, it is important to be physically active. The nurse practitioner should encourage her pregnant patient who has a very sedentary lifestyle to 32. How can hormonal influences during pregnancy cause backache? 33. In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ 34. Gender differences in heart disease can be found in: 35. 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? 36. Which of the following laboratory tests is useful in the diagnosis of spontaneous abortion? 37. Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for 38. What is a contributor to the increased incidence of heartburn during pregnancy? 39. 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 40. Which of the following should the nurse practitioner encourage preconceptually to decrease the risk of neural tube defect in the fetus? 41. 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: 42. 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: 43. NSAID use during pregnancy has been linked to which condition in newborns? 44. 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? 45. How does the third stage of labor end? 46. What was the reason that prenatal care began in the early 1900s? 47. A low-risk woman who is 16 weeks pregnant should be instructed to return to the prenatal clinic in 48. 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? 49. An asymmetric, softened enlargement of the uterine corner caused by placental development is a possible sign of pregnancy. What is it called? 50. Uncomplicated acute bacterial cystitis occurs in women who: