NUNP 6551 Final Exams Questions and Answers Walden University

NUNP 6551 Final Exams Questions and Answers Walden University Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: b. 7–9 days  Question 2 0 out of 2 points Betsy is breastfeeding and complaints of tenderness of the nipples all the time. Selected Answer: c. Use nipple shields.  Question 3 0 out of 2 points Heather, who is 5 weeks pregnant, is nauseous. She asks you how long this will last. You tell her nausea usually disappears by the Selected Answer: b. 12th week  Question 4 2 out of 2 points All except which of the following are important historical questions for a 29- year-old woman in clinic for right-sided weakness? Selected Answer: d. History of pelvic inflammatory disease  Question 5 2 out of 2 points A 19-year-old pregnant patient, at 20 weeks gestation, complains of pain in the right lower quadrant. She is afebrile and denies nausea and vomiting. The most likely diagnosis is Selected Answer: d. Round ligament pain  Question 6 2 out of 2 points NUNP 6551 Final Exams Questions and Answers Walden University It is imperative that the nurse practitioner teach patients taking an oral contraceptive to report any of the danger signs of complications. Which of the following would be of least concern to the nurse practitioner? Selected Answer: d. Weight gain  Question 7 2 out of 2 points Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during an argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the occurrence of Selected Answer: d. Abruptio placentae  Question 8 2 out of 2 points What distinguishes pyelonephritis from cystitis? Selected Answer: b. The infection has ascended to the kidneys.  Question 9 2 out of 2 points During nursery rounds, you examine a 12-hour-old newborn. The infant has a yellow tint to the skin and sclera. What lab test will you order to further evaluate this infant? Selected Answer: d. Direct Coombs' test  Question 10 0 out of 2 points Which of the following diseases is not acquired transplancentally? Selected Answer: c. Varicell a  Question 11 2 out of 2 points The treatment(s) with demonstrated effectiveness relieving symptoms of dysmenorrhea in women with premenstrual syndrome is (are): Selected Answer: b. The NSAIDs  Question 12 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: c. Three-day regimens are now recommended.  Question 13 2 out of 2 points In evaluating a mother-and-infant breastfeeding situation, signs of an effective latch at the breast are Selected Answer: a. Infant's lips flanged out, cheeks full  Question 14 0 out of 2 points Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications? Selected Answer: b. Palpate the fundus daily to make sure it is soft.  Question 15 0 out of 2 points Which of the following should be avoided by the pregnant woman who is constipated? Selected Answer: b. Bulk-forming laxatives  Question 16 0 out of 2 points A 19-year-old sexually active female is being counseled by the nurse practitioner about contraception. The nurse practitioner is accurate when she tells the patient that a diaphragm. Selected Answer: c. Must be inserted immediately before intercourse  Question 17 2 out of 2 points Heger's sign, a physiological sign of pregnancy, is Selected Answer: b. Softness of the uterus and ballottement at the isthmus  Question 18 2 out of 2 points Susie, who is 16 weeks pregnant, is having mild cramps with persistent and excessive bleeding. Upon examination, you find that some portion of the products of conception (placental) remain in the uterus, but the fetus has been expelled. What type of abortion is Susie having? Selected Answer: d. Incomple te  Question 19 2 out of 2 points The best way for a pregnant woman to avoid injury to herself and her fetus in the event of a motor vehicle accident (MVA) is to Selected Answer: a. Use both the lap restraint and shoulder restraint  Question 20 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra  Question 21 2 out of 2 points To prevent breast trauma during the breastfeeding, the nurse practitioner should stress the importance of Selected Answer: d. Positioning of the infant  Question 22 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: a. Ag e  Question 23 2 out of 2 points Samantha, who has genital herpes, just found out that she is pregnant. Although she has not had a recurrence in years, she states that she has heard that genital herpes might cause a spontaneous abortion. You know that genital herpes Selected Answer: b. Might cause a spontaneous abortion if the primary infection was early in the pregnancy.  Question 24 2 out of 2 points Nelda is breastfeeding her 6-week-old daughter. She comes today with pain, a lump in her right breast, and flu-like symptoms. You see that the breast is engorged, erythematous, and warm to the touch. Her temperature is 101.8°F. Your diagnosis is: Selected Answer: b. Mastiti s  Question 25 0 out of 2 points Marci has had several abortions in the past and has been unable to carry a pregnancy to full term because of an incompetent cervix. She states that the physician mentioned cerclage to her and asks you what that means. You tell her that cerclage is: Selected Answer: a. A purse-string type of stitch placed around the cervix.  Question 26 2 out of 2 points When evaluating Marge during her first obstetric visit, you assess the shape of her pelvis. While drawing her a picture of her android-type pelvis, you explain that it has: Selected Answer: a. A wedge-shaped inlet, a narrow forepelvis, a flat posterior segment, and a narrow sacrosciatic notch with the sacrum inclining forward.  Question 27 2 out of 2 points A 45-year-old patient voices concern about her hot flashes and irregular menstral periods. What diagnostic test would the nurse practitioner order to confirm the beginning of menopause? Selected Answer: b. Serum follicular stimulating hormone (FSH)  Question 28 0 out of 2 points Which of the following laboratory tests is useful in the diagnosis of spontaneous abortion? Selected Answer: a. Qualitative plasma human chrionic gonadotropin levels  Question 29 2 out of 2 points The reason most often cited to explain why women who have had a usual length of stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is: Selected Answer: c. The perception that the infant isn't receiving enough milk.  Question 30 2 out of 2 points 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? Selected Answer: d. Crown-rump measurement  Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium  Question 32 2 out of 2 points A 15-year-old pregnant patient presents for her first prenatal visit. On physical examination, her uterus is approximately 24-week gestation size. She does not know when her last menstrual period was or when she might have conceived. Gestational age for this patient can most accurately be assessed by: Selected Answer: b. Ultrasonograp hy  Question 33 2 out of 2 points What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease  Question 34 2 out of 2 points 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 Selected Answer: c. "There is no need to stop breastfeeding, but start with your left side."  Question 35 2 out of 2 points What is the minimum number of cafe-au-lait spot that should be of concern? Selected c. Answer: More than 5  Question 36 2 out of 2 points An autosomal recessive disorder such as cystic fibrosis is expressed in the offspring when: Selected Answer: c. Both parents carry the gene  Question 37 0 out of 2 points 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 i