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1. 1. Sheila is pregnant and fearful of getting cervical D. "You should not
cancer as her sister recently did. She asks about receive the vacci-
receiving the HPV vaccine. How do you respond? nation when you
are pregnant."
A. "As long as you're in your first trimester, the HPV
vaccine is safe and effective."
B. "Research has not shown this vaccine to be effec-
tive against preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recom-
mended."
D. "You should not receive the vaccination when you
are pregnant."
2. 2. Jack and Jill present for a preconception health D. "Jill should
counseling session. Jack is 34, Jill is 33, and they take 4 mg/day of
have a 5 year old son, Jake. Jake is the product of folic acid, begin-
an uncomplicated pregnancy and labor. At birth, Jake ning before con-
had an open neural tube defect and now has spina ception."
bifida with a loss of function of his lower extremities.
Jack and Jill want another child and ask if there is
anything they can do to prevent the recurrence of a
neural tube defect in future pregnancies. What is your
best response to this couple?
A. "Jill should take 60 mg/day of an iron supplement
to enhance stores to support fetal development."
B. "It is a matter of genetics, and there is nothing you
can do."
C. "Have a CVS performed at 12 to 14 weeks gestation
to determine the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning
before conception."
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3. 3. You are invited to speak to a group of public school B. the American
administrators about recent outbreaks of head lice. Academy of Pedi-
As an advocate for children and families you share atrics and the Na-
tional Association
A. "no nit" policies that exclude children until all nits of School Nurs-
are removed are essential to eradicate this problem es discourage "no
nit" policies that
B. the American Academy of Pediatrics and the Na- exclude children
tional Association of School Nurses discourage "no from school
nit" policies that exclude children from school
C. occlusive agents, such as petroleum shampoo and
herbal oils, applied to suffocate the lice are showing
promising results in randomized controlled trials
D. lindane is recommended by the American Acade-
my of Pediatrics as a treatment choice
4. 4. What is the simplest and safest method of sup- C. gradually wean-
pressing lactation after it has started? ing the baby to a
bottle or cup over
A. administering oral and long-acting injections of a 3-week period
hormonal preparations
B. using breast binders
C. gradually weaning the baby to a bottle or cup over
a 3-week period
D. stopping "cold-turkey"
5. 5. When can you hear fetal heart tones with a conven- C. 18 to 20 weeks
tional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
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D. more than 20 weeks
6. 6. The reaspn most often cited to explain why women B. the percep-
who have had a usual length of stay and normal tion that the in-
delivery discontinue breastfeeding before 8 weeks fant is not receiv-
postpartum is ing enough milk
A. that the mother returned to work or school
B. the perception that the infant is not receiving
enough milk
C. the ease of formula use
D. maternal or infant illness
7. 7. Pediatric patients may now be prescribed OxyCon- B. 11 to 16 years
tin for pain. Patients must be already responding to
and tolerating a minimum opioid dose equal to at
least 20 mg of oxycodone per day before they can be
prescribed an equivalent dose of OxyContin. In order
to be prescribed OxyContin, pediatric patient must be
A. 5 to 16 years
B. 11 to 16 years
C. 8 to 16 years
D. over 10 years
8. 8. Hegar's sign, a physiological sign of pregnancy is B. softness of the
uterus and ballot-
A. cervical blueness tement at the isth-
mus
B. softness of the uterus and ballottement at the isth-
mus
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C. cervical softness
D. quickening
9. 9. Carrie, of Irish descent, is due to deliver her second A. Von Wille-
baby. During your work-up, you note that she hem- brand's disease
orrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her
lab work reveals a normal blood workup, including a
normal prothrombin time and activated partial throm-
boplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
D. Beta thalassemia
10. 10. Koplik spots are small, white spots that occur on A. measles
the inside of the cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever
11. 11. Aida, who is 29 weeks pregnant, received a blunt A. abruptio pla-
trauma to the abdomen during an argument with her centae
boyfriend. She has no obvious injuries and denies
pain. Aida needs to be monitored for the occurrence
of
A. abruptio placentae