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LEIK FNP Practice (PDF) | Vaginal Infections & Preeclampsia | FNP

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INSTANT PDF DOWNLOAD. LEIK FNP Practice Questions with verified answers. Covers vaginal/labial infections (bacterial vaginosis, candidiasis, trichomoniasis vs. chlamydia) and mild preeclampsia treatment (bed rest, monitoring, excluding methyldopa). Pass guaranteed.

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1. 2. All of the following are infections that affect mostly the labia and vagina

except:



A) Bacterialvaginosis

B) Candidiasis

C) Trichomoniasis

D) Chlamydia trachomatis

Answer> Chlamydia trachomatis



Infections that commonly affect the labia and vagina include bacterial vaginosis,

can- didiasis, and trichomoniasis. Chlamydia trachomatis commonly affects

the cervix, endometrial lining , fallopian tubes, and pelvic cavity.

2. Treatment for mild preeclampsia includes all of the following except:



A) Bed rest except for bathroom privileges

B) Close monitoring of weight and blood pressure

C) Close follow-up of urinary protein, serum creatinine, and platelet count

D) A prescription of methyldopa (Aldomet) to control blood pressure

Answer> A prescription of methyldopa (Aldomet) to control blood

pressure



Recommended care for women diagnosed with preeclampsia includes bed rest

with bath- room privileges, weight and BP monitoring, and closely following

,urine protein and serum protein, creatinine, and platelet counts. Oral

medications are not used as first-line treatment.

3. Which of the following findings is most likely in young primigravidas

with pregnancy-induced hypertension?



A) Abdominal cramping and constipation

B) Edema of the face and the upper extremities

C) Shortness of breath

D) Dysuria and frequency

Answer> Edema of the face and the upper extremities



Common signs and symptoms of pregnancy-induced hypertension include

edema of the face and the upper extremities, weight gain, blurred vision,

elevated BP, proteinuria, and headaches.

4. A second triple screen on a 35-year-old primigravida reveals abnormally

low lev- els of the alpha fetoprotein and estriol and high levels of human

chorionic gonad- otropin. Which of the following interventions is the best

choice for this patient?


,A) Order an ultrasound

B) Order a computed tomography (CT) scan of the abdomen

C) Order a 24-hour urine for protein clearance

D) Assess for a history of illicit drug or alcohol use

Answer> Order an ultrasound



Abnormally low levels of alpha fetoprotein and estriol and high levels of

human chorionic gonadotropin are abnormal during pregnancy. An

ultrasound should be ordered to further evaluate the fetus for characteristics

of Down syndrome and/or fetal demise.

5. Patients who are diagnosed with gonorrhea should also be treated for

which of the following infections?



A) Chancroid

B) Chlamydia trachomatis

C) Herpes genitalis

D) PID (pelvic inflammatory disease)

Answer> Chlamydia trachomatis





When diagnosed with gonorrhea, the patient should also be treated for

Chlamydia trachomatis.

6. A 35-year-old primigravida who is at 28 weeks of gestation is expecting

twins. What would you would expect her alpha fetoprotein (AFP) values to

, be?



A) Normal

B) Higher than normal

C) Lower than normal

D) None of the above

Answer> Higher than normal



Alpha fetoprotein is produced in the fetal and maternal liver. Higher levels of

alpha fetoprotein are commonly seen in multiple gestations due to the growing

fetuses and enlargement of the livers.

7. Which of the following antihypertensive medications has beneficial

effects for an elderly White female with osteoporosis?



A) Calcium channel blocker

B) Angiotensin-converting enzyme (ACE) inhibitor

C) Beta-blocker

D) Diuretic

Answer> Calcium channel blocker

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