NURS 6551 final exam.QUESTIONS AND ANSWERS..

Gender differences in heart disease can be found in: Selected Answer: d. All of the above Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Selected Answer: b. Premature delivery. 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: b. "There is no need to stop breastfeeding, but start with your left side." 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 is the most likely underlying condition predisposing her to recurring candida vaginitis? Selected Answer: d. Diabetes mellitus 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 Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to: Selected Answer: a. Go to the nearest emergency room immediately to be evaluated. A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and other infections?" You should give which of the following replies based on current research findings: Selected Answer: d. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract infections." What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? Selected Answer: a. Ranitidi ne A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. Centering Pregnancy 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: c. Crown-rump measurement What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain A 28-year-old pregnant patient, at 18 weeks gestation, complains of feeling lightheaded when standing. which of the following is an appropriate response by the nurse practitioner? Selected Answer: d. Blood pressure normally decreases during pregnancy and can cause this symptom. In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta Which of the following drugs should be used with extreme caution in breastfeeding mothers? Selected Answer: c. Phenobarb ital How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? Selected Answer: d. June 30 A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a Selected Answer: c. Mongolian spot The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: Selected Answer: d. Become infected 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: a. Intrauterine growth restriction Which of the following does not increase a woman's risk for developing cervical cancer? Selected Answer: d. Nullipari ty A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium? Selected Answer: a. A 35-year-old Caucasian What is the best description of Bishop's score? Selected Answer: a. It is an assessment of the cervix's readiness for elective induction. Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add: Selected Answer: