NURS-6551N-11, Primary Care of Women.2019 Winter Q tr 11/25-02/16- PT27.........QUESTIONS AND ANSWERS..

• Question 4 2 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: d. Notify your health-care provider of a return to bright red vaginal bleeding. • Question 5 2 out of 2 points Where does edema tend to occur in the pregnant woman’s body? Selected Answer: c. Feet • Question 6 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 7 2 out of 2 points To prevent breast trauma during the breastfeeding, the nurse practitioner should stress the importance of Selected Answer: c. Positioning of the infant • Question 8 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions • Question 9 0 out of 2 points Pregnant women should know that folic acid can help to prevent neural tube defects. To be most effective, women should take folic acid: Selected Answer: c. Soon after a positive pregnancy test Before pregnancy -correct. • Question 10 2 out of 2 points 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: Selected Answer: c. Intrauterine growth restriction • Question 11 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: a. Age • Question 12 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks • Question 13 0 out of 2 points Nancy is concerned that her new breastfed baby is not getting enough fluid. What do you tell her so that she can assess for an adequate intake? Selected Answer: c. If the infant is drinking and sleeping normally, an adequate intake is assumed. Urinating six times a day-correct • Question 14 2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 15 0 out of 2 points An autosomal recessive disorder such as cystic fibrosis is expressed in the offspring when: Selected Answer: c. 1 parent carries the gene Both parents-correct • Question 16 0 out of 2 points The side effect of medroxyprogesterone (Depo-Provera) that often leads women to discontinue use is: Selected Answer: a. Heavy menstrual bleeding Weight gain-correct • Question 17 2 out of 2 points 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 18 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Selected Answer: a. By consuming 2 servings of fatty low-mercury-content fish per week • Question 19 0 out of 2 points An 18-year-old mother who is breastfeeding her 2-week-old infant, expresses concern about how much milk the baby is getting. Which of the following parameters is reassuring to the nurse practitioner that the infant is receiving adequate nutrition? Selected Answer: d. The infant is nursing 6 times per day. The infant has two stools per day • Question 20 2 out of 2 points Spontaneous abortion refers to the loss of a fetus of less than Selected Answer: c. 22 weeks' gestation • Question 21 2 out of 2 points What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress • Question 22 2 out of 2 points Which of the following dietary changes would you recommend Heather, who is experiencing nausea during her firsts trimester? Selected Answer: a. A bland diet taken frequently in small amounts • Question 23 2 out of 2 points What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone • Question 24 0 out of 2 points Which of the following antibiotics is the best choice for acute pyelonephritis when it occurs during the seventh month of pregnancy? Selected Answer: b. Nitrofurantoin Amoxillin • Question 25 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: a. Serum follicular stimulating hormone (FSH) • Question 26 2 out of 2 points What is the recommended timing for gestational diabetes screening? Selected Answer: b. 24-28 weeks' gestation • Question 27 2 out of 2 points