NURS 6551 Final Exam 4 - Question and Answers

NURS 6551 Final Exam with Answers 1. What is the general goal of surgical treatment for stress UI? 2. Gender differences in heart disease can be found in: 3. Sarah, who just found out she is pregnant, is taking ...

NURS 6551 Final Exam with Answers 1. What is the general goal of surgical treatment for stress UI? 2. Gender differences in heart disease can be found in: 3. Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for 4. 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 5. 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? 6. Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). 7. 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: 8. A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and other infections?" You should give which of the following replies based on current research findings: 9. What is a contributor to the increased incidence of heartburn during pregnancy? 10. Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? 11. 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: 12. 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? 13. What is a possible cause of abdominal pain during pregnancy? 14. 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? 15. In order to maintain continence bladder pressure must be 16. How does the third stage of labor end? 17. Which of the following drugs should be used with extreme caution in breastfeeding mothers? 18. How can hormonal influences during pregnancy cause backache? 19. According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? 20. A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a 21. The majority of early pregnancy losses are due to: 22. Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: 23. A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is associated with: 24. Which of the following does not increase a woman's risk for developing cervical cancer? 25. 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? 26. What is the best description of Bishop's score? 27. Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add: 28. What components make up the biophysical profile? 29. What is the leading cause of first-trimester maternal death? 30. A newborn delivered by a mother with no prenatal care exhibits the following: dysmorphic facial features including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy? 31. What is a common cause of leg cramps during pregnancy? 32. What is the simplest and safest method of suppressing lactation after it has started? 33. Uncomplicated acute bacterial cystitis occurs in women who: 34. Which of the following diseases is not acquired transplancentally? 35. NSAID use during pregnancy has been linked to which condition in newborns? 36. 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? 37. Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? 38. A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis? 39. Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)? 40. What is the recommended timing for gestational diabetes screening? 41. What is an indication of the second stage of labor? 42. Liza is 34 weeks pregnant and has mild hypertension. You are performing a nonstress test (NST). What is the criterion for a reactive NST? 43. You see G5P4015 on a client's history form. You surmise that 44. A 50-year-old patient has abnormal vaginal bleeding with heavy periods and intermenstrual water discharge with a small amount of blood. What is the most likely diagnosis? 45. What is significant about cytomegalovirus (CMV)? 46. A 30-year-old female patient is seeking advice from the nurse practitioner about becoming pregnant. She is currently taking an oral contraceptive. She gives a history of having a hydatidiform molar pregnancy 2 years ago. The appropriate plan of care for this patient should include: 47. A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis? 48. All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? 49. The onset of labor is indicated by regular uterine contractions and: 50. An example of an X-linked recessive condition or trait is