1. A 3-day-old, full-term female infant who is breastfeeding develops some jaundice.
The transcutaneous bilirubin(TcB) reading in the office is in the intermediate risk
zone. What will the provider tell the mother?
To use a breast pump to increase her milk supply and increase baby to breast and return to
clinic within 5 days for reassessment
2. A woman comes into clinic due to migraines with aura, but also requests oral
contraceptives to prevent pregnancy. Which type of contraceptive will the provider
recommend?
Progestin-only contraception
3. A female calls the provider to report having unprotected sexual intercourse
approximately 4 days prior. Which regimen will the provider recommend?
Ulipristal Acetate taken one time
4. The classic presentation of placenta previa is:
Painless vaginal bleeding after the 20th week: Painless vaginal bleeding is associated with
placenta previa if occurs after the 20th week. Bleeding is likely at this time because the
lower uterine segment develops and uterine contractions occur. At this time, the cervix
dilates and effaces. Placenta can become detached and bleeding can occur.
5. A pregnant patient complains of urinary frequency and dysuria. Her urinalysis is
positive for nitrates, leukocyte esterase, and bacteria. Will course of action is most
appropriate?
Order urine culture and begin antibiotics: The findings of the urinalysis along with symptoms of
dysuria are consistent with UTI. Empiric antibiotic should be initiated and culture
ordered. Pregnant female start high risk of developing pyelonephritis if UTI is left
untreated.
6. A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks gestation (both living), one at 38 weeks
gestation (living), and one miscarriage at 16 weeks gestation. How will this be
recorded as her G/TPAL in her electronic medical record?
G4P:1113
7. 14-year-old girl with amenorrhea as tested for pregnancy and has a positive result.
The patient tells a nurse practitioner that she is seriously considering terminating
the pregnancy. She tells the NP that she wants to be referred to a Planned
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