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