NURS 6551 FINAL EXAM / NURS6551 FINAL EXAM (3 VERSIONS) (50 CORRECT Q & A IN EACH VERSION, TOTAL: 150 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:

  

a.

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

 

b.

She has prehypertension.

 

c.

She has stage 1 hypertension.

 

d.

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:

  

a.

Complete dilation of the cervix

 

b.

Change in the position of the fetus

 

c.

Rupture of the membranes

 

d.

Progressive cervical change

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

  

a.

Complete dilation of the cervix

 

b.

Change in the position of the fetus

 

c.

Rupture of the membranes

 

d.

Progressive cervical change

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

  

a.

Crying every day

 

b.

Forgetting where she puts things

 

c.

Getting lost driving to the grocery store

 

d.

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?

  

a.

5–10%

 

b.

25–30%

 

c.

10–15%

 

d.

1–5%

About how many breastfeeding women are affected by lactation mastitis?

  

a.

10%

 

b.

20%

 

c.

15%

 

d.

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?

  

a.

5–7%

 

b.

10–12%

 

c.

1–3%

 

d.

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?

  

a.

Asymptomatic   UTIs do not resolve themselves without treatment.

 

b.

Women tend to   get UTIs when they are pregnant.

 

c.

There is a   longer distance between the urethra and anus.

 

d.

Their urethras are shorter.

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

  

a.

Normal blood   pressure

 

b.

Prehypertensive

 

c.

Stage 1 hypertension (per course hero)

 

d.

Stage 2 hypertension

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

  

a.

18 weeks

 

b.

30 weeks

 

c.

20 weeks

 

d.

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:

  

a.

Diaphoresis

 

b.

Jaw pain

 

c.

Pain with inspiration

 

d.

Shortness of   breath

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

  

a.

35

 

b.

40

 

c.

45

 

d.

50

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

  

a.

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

 

b.

The infant can breathe meconium into the lungs.

 

c.

The infant   can get meconium caught in the esophagus.

 

d.

The infant   will be born with jaundice.

What does rosacea describe?

  

a.

Adult acne

 

b.

Nail fungus

 

c.

Swelling of   the joints

 

d.

Pruritis

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

  

a.

Sensitivity test

 

b.

Blood culture

 

c.

Urine dipstick

 

d.

Parenteral   culture

What is the definition of a primary headache?

  

a.

A headache   that occurs only before and during menstruation

 

b.

A headache is   caused by a preexisting condition

 

c.

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

 

d.

A headache   that is characterized by muscle tension

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

  

a.

Ectopic pregnancy

 

b.

Complications   from prior gynecologic surgeries

 

c.

Abortion

 

d.

Complications   from unresolved STIs

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

  

a.

Interview her   with a family member or close friend

 

b.

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

 

c.

Obtain the   history from a family member or close friend

 

d.

Rely on   client observation without obtaining a history

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

  

a.

Breast cancer

 

b.

Cardiovascular disease

 

c.

Cervical   cancer

 

d.

Lung cancer

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

  

a.

20%

 

b.

10%

 

c.

15%

 

d.

5%

How does the third stage of labor end?

  

a.

With the   birth of the baby

 

b.

With the delivery of the placenta

 

c.

With the   clamping of the umbilical cord

 

d.

With the   complete dilation of the cervix

What is a possible cause of abdominal pain during pregnancy?

  

a.

Round ligament pain

 

b.

Diabetes

 

c.

Anemia

 

d.

Cytomegalovirus

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

  

a.

75–80%

 

b.

65–70%

 

c.

55–60% 

 

d.

90–95%

The primary endocrine disorders affecting women are diabetes mellitus and:

  

a.

Psoriatic   arthritis

 

b.

Thyroid conditions

 

c.

Melanoma

 

d.

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?

  

a.

Anemia

 

b.

Toxemia

 

c.

Pica

 

d.

Torsion

What significantly increases the risk of hypertension in women?

  

a.

The onset of menopause

 

b.

Hormonal   replacement therapy

 

c.

Depression

 

d.

Atherosclerosis

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

  

a.

Overt   diabetes

 

b.

Gestational diabetes

 

c.

Carbohydrate   overload

 

d.

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:

  

a.

Rosacea

 

b.

Psoriasis

 

c.

Cellulitis

 

d.

Eczema

What is a potential benefit of circumcision?

  

a.

Decreased incidence of urinary tract infections

 

b.

Prevention of   prostate cancer

 

c.

Increased   immunity against herpes simplex virus

 

d.

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:

  

a.

Develop HIV

 

b.

Have   cognitive difficulties

 

c.

Need blood   transfusions

 

d.

Become infected

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

a.

24 hours

b.

12 hours

c.

72 hours

d.

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?

  

a.

To increase   the capacity of the bladder

 

b.

To increase pressure on the vaginal walls

 

c.

To support   and strengthen the levator ani

 

d.

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?

  

a.

Use of oral   combined hormonal contraceptives

 

b.

Recent   childbirth

 

c.

History of   recent deep venous thrombosis

 

d.

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?

a.

10%

b.

20%

c.

25%

d.

30%

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

  

a.

The increased   incidence of hypertension during pregnancy

 

b.

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

 

c.

The increased   levels of magnesium and calcium in the blood

 

d.

The pregnancy hormone relaxin, which softens the   lower esophageal sphincter

Gender differences in heart disease can be found in:

  

a.

Diagnosis

 

b.

Treatment

 

c.

Identification   of symptoms

 

d.

All of the above

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

  

a.

10

 

b.

50

 

c.

30

 

d.

7

What is a common cause of leg cramps during pregnancy?

  

a.

An imbalance of calcium and magnesium

 

b.

Dehydration

 

c.

An inability   to sleep

 

d.

Poor   nutrition

  

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

  

a.

Hypertension

 

b.

Gestational   diabetes

 

c.

Hepatitis

 

d.

Anemia

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

  

a.

Positive   fetal fibronectin testing

 

b.

Cervical   length less than 15 mm

 

c.

Meconium-stained   amniotic fluid

 

d.

Cord prolapse

What is significant about cytomegalovirus (CMV)?

  

a.

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

 

b.

It can remain dormant within the body for life.

 

c.

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

 

d.

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?

  

a.

5%

 

b.

15%

 

c.

25%

 

d.

50%

How often does breech presentation occur in singleton pregnancies?

  

a.

1–2%

 

b.

3–4%

 

c.

6–7%

 

d.

10–11%

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

  

a.

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

 

b.

By taking a   prenatal vitamin supplement

 

c.

By consuming   2 to 4 servings of fruit daily

 

d.

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

  

a.

Education

 

b.

Family   history of Alzheimer’s disease

 

c.

Medications   that include estrogen

 

d.

Past history   of concussion

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

  

a.

40%

 

b.

25%

 

c.

10%

 

d.

50%

What is an indication of the second stage of labor?

  

a.

Complete dilation of the cervix

 

b.

Rupture of   the membranes

 

c.

Emergence of   the infant’s head

 

d.

Presence of   bloody show

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

  

a.

1 in 5

 

b.

1 in 10

 

c.

1 in 4

 

d.

1 in 7

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

  

a.

The healing   of the mother

 

b.

The need for birth control information or supplies

 

c.

The birth   plan of the mother

 

d.

The   latching-on response of the infant

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

  

a.

Uterine size

 

b.

Ectopic pregnancy

 

c.

Viral   infection

 

d.

HIV

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

  

a.

Age

 

b.

Height

 

c.

Nutritional assessment

 

d.

Caloric   intake

What is the most common disorder leading to hyperthyroidism?

  

a.

Parkinson’s   disease

 

b.

Graves’ disease

 

c.

Multiple   sclerosis

 

d.

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?

  

a.

Angina pain is frequently relieved by nitroglycerin.

 

b.

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

 

c.

Myocardial   pain with an infarction is always associated with fatigue.

 

d.

Myocardial   pain with an infarction is more severe.

At what time during pregnancy does nausea typically occur?

  

a.

At 3–6 weeks’   gestation

 

b.

At 6–8 weeks’ gestation

 

c.

At 12–15   weeks’ gestation

 

d.

At 1–3 weeks’   gestation

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

  

a.

Contact OSHA (Occupational   Health and Safety Administration).

 

b.

Contact the   woman’s workplace.

 

c.

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

 

d.

Conduct   research on the OSHA website.

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

  

a.

Hands

 

b.

Face

 

c.

Feet

 

d.

Abdomen

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

  

a.

Exteriorization

 

b.

Induction

 

c.

Augmentation

 

d.

Presentation

Uncomplicated acute bacterial cystitis occurs in women who:

  

a.

Are pregnant

 

b.

Have no signs of upper tract infection

 

c.

Have a high   fever

 

d.

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:

  

a.

Blood glucose

 

b.

Lactic acid

 

c.

Serum   magnesium

 

d.

Serum   potassium

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

  

a.

To screen for preeclampsia

 

b.

To predict   preterm births

 

c.

To assess   women’s nutritional needs

 

d.

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:

  

a.

HolisticBirthing

 

b.

Midwifery

 

c.

CenteringPregnancy

 

d.

PathologyCare

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

  

a.

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

 

b.

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

 

c.

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

 

d.

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