Nurs 6551 final exam (3 versions) & nurs 6551 midterm exam (3

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NURS 6551 FINAL EXAM (3 VERSIONS) & NURS 6551 MIDTERM EXAM (3 VERSIONS) (50 CORRECT Q & A IN EACH VERSION, TOTAL: 300 Q & A)

NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University

Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam

· Question 1

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

· Question 2

Gender differences in heart disease can be found in:

· Question 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

· Question 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

· Question 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?

· Question 6

Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg).

· Question 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:

· Question 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:

· Question 9

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

· Question 10

Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her?

· Question 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:

· Question 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?

· Question 13

What is a possible cause of abdominal pain during pregnancy?

· Question 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?

· Question 15

In order to maintain continence bladder pressure must be

· Question 16

How does the third stage of labor end?

· Question 17

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

· Question 18

How can hormonal influences during pregnancy cause backache?

· Question 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?

· Question 20

A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a

· Question 21

The majority of early pregnancy losses are due to:

· Question 22

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

· Question 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:

· Question 24

Which of the following does not increase a woman’s risk for developing cervical cancer?

· Question 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?

· Question 26

What is the best description of Bishop’s score?

· Question 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:

· Question 28

What components make up the biophysical profile?

· Question 29

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

· Question 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?

· Question 31

What is a common cause of leg cramps during pregnancy?

· Question 32

What is the simplest and safest method of suppressing lactation after it has started?

· Question 33

Uncomplicated acute bacterial cystitis occurs in women who:

· Question 34

Which of the following diseases is not acquired transplancentally?

· Question 35

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

· Question 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?

· Question 37

Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors?

· Question 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?

· Question 39

Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)?

· Question 40

What is the recommended timing for gestational diabetes screening?

· Question 41

What is an indication of the second stage of labor?

· Question 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?

· Question 43

You see G5P4015 on a client’s history form. You surmise that

· Question 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?

· Question 45

What is significant about cytomegalovirus (CMV)?

· Question 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:

· Question 47

A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis?

· Question 48

All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness?

· Question 49

The onset of labor is indicated by regular uterine contractions and:

· Question 50

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

· Question 51

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University

Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam

What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs?

a. Seven-day regimens are now recommended.

b. Three times a day of oral antibiotics are now recommended.

c. Three-day regimens are now recommended.

d. A single dose is now recommended.

What is considered to be a common trigger of psoriasis?

a. Stress

b. Pregnancy

c. Migraines

d. Menstruation

The clinician is seeing a 48-year-old woman for the first time. She is overweight and has a blood pressure of 120/92. She is on no medications and does not smoke or drink alcohol. Her family history is negative for heart disease. Her physical exam is unremarkable. The clinician should advise her as follows:

Her blood pressure is high normal and does not require further follow-up at this time.

She has prehypertension.

She has stage 1 hypertension.

She needs two additional blood pressure checks on two separate occasions.

What tends to cause acne in adolescence?

a. A decrease in estrogen

b. Dietary changes

c. Hormonal birth control use

d. An increase in testosterone

The onset of labor is indicated by regular uterine contractions and:

Complete dilation of the cervix

Change in the position of the fetus

Rupture of the membranes

Progressive cervical change

The onset of labor is indicated by regular uterine contractions and:

Complete dilation of the cervix

Change in the position of the fetus

Rupture of the membranes

Progressive cervical change

Which of the following statements does not support the diagnosis of Alzheimer’s disease?

Crying every day

Forgetting where she puts things

Getting lost driving to the grocery store

Lost ability to balance a checkbook

A 23-year-old woman is seeing the clinician because of chronic headaches. These headaches are typically preceded by seeing flashing lights. These visual distortions spontaneously resolve followed by throbbing pain on either the right or left side of her head. Pain is associated with photophobia, nausea, and vomiting. The most likely diagnosis is:

a. Cluster headache

b. Migraine headache

c. Temporal arteritis

d. Transient ischemic attacks (TIAs)

When is round ligament pain most likely to occur in pregnant women?

a. Between 6–8 weeks’ gestation

b. Between 24–28 weeks’ gestation

c. Between 10–12 weeks’ gestation

d. Between 16–20 weeks’ gestation

Postpartum depression occurs in about what percentage of women who give birth?

5–10%

25–30%

10–15%

1–5%

About how many breastfeeding women are affected by lactation mastitis?

10%

20%

15%

25%

What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy?

a. Visits scheduled every 2 weeks

b. Visits scheduled every 3 weeks

3. Visits scheduled every week

4. Visits scheduled every 4 weeks

About what percentage of pregnant women develop gestational hypertension, preeclampsia, or pregnancy-induced hypertensive disorder?

5–7%

10–12%

1–3%

12–15

What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus?

a. Postpartum amenorrhea

b. Postpartum endometritis

c. Postpartum staphylococcus

d. Postpartum lochia

How does women’s anatomy make them more susceptible to UTIs?

Asymptomatic UTIs do not resolve themselves without treatment.

Women tend to get UTIs when they are pregnant.

There is a longer distance between the urethra and anus.

Their urethras are shorter.

A 60-year-old woman has a blood pressure of 144/86. This would be classified as:

Normal blood pressure

Prehypertensive

Stage 1 hypertension (per course hero)

Stage 2 hypertension

After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth?

18 weeks

30 weeks

20 weeks

24 weeks

What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable?

a. Diaphragms

b. Tampons

c. Kegels

d. Sacral nerve stimulators

All of the following symptoms are associated with chest pain and representative of coronary artery disease except:

Diaphoresis

Jaw pain

Pain with inspiration

Shortness of breath

Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors

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

The infant will not be able to relax its anal sphincter.

The infant can breathe meconium into the lungs.

The infant can get meconium caught in the esophagus.

The infant will be born with jaundice.

What does rosacea describe?

Adult acne

Nail fungus

Swelling of the joints

Pruritis

Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and:

Sensitivity test

Blood culture

Urine dipstick

Parenteral culture

What is the definition of a primary headache?

A headache that occurs only before and during menstruation

A headache is caused by a preexisting condition

A headache that is not a symptom of, or caused by, another condition

A headache that is characterized by muscle tension

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

Ectopic pregnancy

Complications from prior gynecologic surgeries

Abortion

Complications from unresolved STIs

When considering a diagnosis of Alzheimer’s disease, the clinician should:

Interview her with a family member or close friend

Interview her separately (alone) then with a family member or close friend

Obtain the history from a family member or close friend

Rely on client observation without obtaining a history

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

Breast cancer

Cardiovascular disease

Cervical cancer

Lung cancer

What percentage of pregnant women in developed countries have iron-deficiency anemia?

20%

10%

15%

How does the third stage of labor end?

With the birth of the baby

With the delivery of the placenta

With the clamping of the umbilical cord

With the complete dilation of the cervix

What is a possible cause of abdominal pain during pregnancy?

Round ligament pain

Diabetes

Anemia

Cytomegalovirus

Type 2 diabetes includes insulin resistance and affects what percentage of those who have diabetes?

75–80%

65–70%

55–60%

90–95%

The primary endocrine disorders affecting women are diabetes mellitus and:

Psoriatic arthritis

Thyroid conditions

Melanoma

Polydipsia

When can relief from pregnancy induces nausea and vomiting be expected?

a. 6–8 weeks’ gestation

b. 12–14 weeks’ gestation

c. 20–22 weeks’ gestation

d. after 24 weeks’ gestation

What is the term for the craving and purposeful consumption of nonfood items for more than one month?

Anemia

Toxemia

Pica

Torsion

What significantly increases the risk of hypertension in women?

The onset of menopause

Hormonal replacement therapy

Depression

Atherosclerosis

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

Overt diabetes

Gestational diabetes

Carbohydrate overload

Iron-deficiency anemia

A chronic skin disorder that is thought to be caused by an abnormal immune reaction in the skin is atopic dermatitis or:

Rosacea

Psoriasis

Cellulitis

Eczema

What is a potential benefit of circumcision?

Decreased incidence of urinary tract infections

Prevention of prostate cancer

Increased immunity against herpes simplex virus

Prevention of transmission of sexually transmitted bacteria

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

Develop HIV

Have cognitive difficulties

Need blood transfusions

Become infected

Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics?

24 hours

12 hours

72 hours

80 hours

What is more likely to occur in women with female genital cutting?

a. Low birth-weight babies

b. Birth-related complications

c. Miscarriages

d. Premature births

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

To increase the capacity of the bladder

To increase pressure on the vaginal walls

To support and strengthen the levator ani

To support and stabilize the urethra

The clinician is ordering a lipid panel for a 50-year-old woman. The following advice should be given:

a. Eat a normal breakfast the morning of the blood draw

b. Fast for 12 hours prior to the blood draw

c. No dietary changes

d. Eat a low-fat breakfast the morning of the blood draw

All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness?

Use of oral combined hormonal contraceptives

Recent childbirth

History of recent deep venous thrombosis

History of pelvic inflammatory disease

What is the initial symptom of Lyme disease, seen in approximately 70 to 80 percent of people infected with the bacterium?

a. Red facial patches

b. A circular red rash

c. Rough bumps on the skin

d. Shortness of breath

According to the CDC, what percentage of pregnant women continues to drink alcohol during their pregnancies?

10%

20%

25%

30%

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

The increased incidence of hypertension during pregnancy

The dilation of veins in the esophagus, due to increased blood flow

The increased levels of magnesium and calcium in the blood

The pregnancy hormone relaxin, which softens the lower esophageal sphincter

Gender differences in heart disease can be found in:

Diagnosis

Treatment

Identification of symptoms

All of the above

What is the recommended amount of Kegel contractions per day for women whose pelvic muscles are weak?

What is a common cause of leg cramps during pregnancy?

An imbalance of calcium and magnesium

Dehydration

An inability to sleep

Poor nutrition

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

Hypertension

Gestational diabetes

Hepatitis

Anemia

Which of the following is a predictor of impending preterm birth?

Positive fetal fibronectin testing

Cervical length less than 15 mm

Meconium-stained amniotic fluid

Cord prolapse

What is significant about cytomegalovirus (CMV)?

It cannot be transmitted by person-to-person contact.

It can remain dormant within the body for life.

It is the most dangerous virus that can be transmitted to a fetus.

It is experienced by about 25 percent of childbearing-age women before pregnancy.

A 30-year-old woman comes to clinic concerned about a headache that feels like a “rubber band squeezing her head,” which occurs nearly daily. It lasts several hours and is not associated with nausea or vomiting. She has no family history of migraine headaches. Her physical exam is within normal limits. The most likely diagnosis is

Tension Headaches

What is the percentage of all unintended pregnancies in the United States?

15%

25%

50%

How often does breech presentation occur in singleton pregnancies?

1–2%

3–4%

6–7%

10–11%

How are pregnancy-related DHA (docosahexaenoic acid) needs best met?

By consuming 2 servings of fatty low-mercury-content fish per week

By taking a prenatal vitamin supplement

By consuming 2 to 4 servings of fruit daily

By consuming 3 to 4 servings of dairy products daily

What should be considered in order to interpret the Mini-Mental State exam when considering the diagnosis of Alzheimer’s disease? Education

Education

Family history of Alzheimer’s disease

Medications that include estrogen

Past history of concussion

About how many infants born to mothers colonized with Group B streptococcus will become colonized as well?

40%

25%

10%

50%

What is an indication of the second stage of labor?

Complete dilation of the cervix

Rupture of the membranes

Emergence of the infant’s head

Presence of bloody show

Approximately how many reproductive-age women in the United States meet the BMI criteria for obesity?

1 in 5

1 in 10

1 in 4

1 in 7

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

The healing of the mother

The need for birth control information or supplies

The birth plan of the mother

The latching-on response of the infant

What is important to consider when vaginal bleeding occurs during the first trimester?

Uterine size

Ectopic pregnancy

Viral infection

HIV

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

Age

Height

Nutritional assessment

Caloric intake

What is the most common disorder leading to hyperthyroidism?

Parkinson’s disease

Graves’ disease

Multiple sclerosis

Epilepsy

A 72-year-old woman is presenting with chest pain. Which of the following statements best differentiates chest pain due to angina versus myocardial infarction?

Angina pain is frequently relieved by nitroglycerin.

Angina pain is more substernal and does not radiate to other areas.

Myocardial pain with an infarction is always associated with fatigue.

Myocardial pain with an infarction is more severe.

At what time during pregnancy does nausea typically occur?

At 3–6 weeks’ gestation

At 6–8 weeks’ gestation

At 12–15 weeks’ gestation

At 1–3 weeks’ gestation

What step can a clinician take to learn more about any chemicals used in a woman’s workplace?

Contact OSHA (Occupational Health and Safety Administration).

Contact the woman’s workplace.

Ask the woman to obtain her workplace MSDs (material safety data sheets).

Conduct research on the OSHA website.

Where does edema tend to occur in the pregnant woman’s body?

Hands

Face

Feet

Abdomen

What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started?

Exteriorization

Induction

Augmentation

Presentation

Uncomplicated acute bacterial cystitis occurs in women who:

Are pregnant

Have no signs of upper tract infection

Have a high fever

Have had recent antibiotics

Chest pain associated with irritation of the myocardial nerve fibers (such as with angina pectoris or myocardial infarction) is due to an increase in:

Blood glucose

Lactic acid

Serum magnesium

Serum potassium

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

To screen for preeclampsia

To predict preterm births

To assess women’s nutritional needs

To test women for disease

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:

HolisticBirthing

Midwifery

CenteringPregnancy

PathologyCare

Which of the following symptoms are suggestive of a cluster headache?

Bilateral, aching pain not associated with nausea or vomiting and not aggravated by physical activity

Pain in the left temporal area behind the left eye associated with fever and jaw claudication

Pulsating pain on the left side of the head associated with nausea, vomiting, and photophobia

Thirty-minute episodes of right-sided pain occurring 3–5 times daily associated with rhinorrhea and conjunctival injection