NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
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1. 1. Sheila is pregnant and fearful of getting cervical cancer as her sister
recently did. She asks about receiving the HPV vaccine. How do you respond?
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 effective against preventing
cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant.": D. "You
should not receive the vaccination when you are pregnant."
2. 2. Jack and Jill present for a preconception health counseling session. Jack
is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an
uncomplicated pregnancy and labor. At birth, Jake had an open neural tube
defect and now has spina 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.": D.
"Jill should take 4 mg/day of folic acid, beginning before conception."
3. 3. You are invited to speak to a group of public school administrators about
recent outbreaks of head lice. As an advocate for children and families you
share
A. "no nit" policies that exclude children until all nits are removed are essential
to eradicate this problem
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
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B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no 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 Academy of Pediatrics as a treat-
ment choice: B. the American Academy of Pediatrics and the National Association
of School Nurses discourage "no nit" policies that exclude children from school
4. 4. What is the simplest and safest method of suppressing lactation after it
has started?
A. administering oral and long-acting injections of 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": C. gradually weaning the baby to a bottle or cup over a
3-week period
5. 5. When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks: C. 18 to 20 weeks
6. 6. The reaspn 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
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
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C. the ease of formula use
D. maternal or infant illness: B. the perception that the infant is not receiving
enough milk
7. 7. Pediatric patients may now be prescribed OxyContin 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: B. 11 to 16 years
8. 8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening: B. softness of the uterus and ballottement at the isthmus
9. 9. Carrie, of Irish descent, is due to deliver her second baby. During your
work-up, you note that she hemorrhaged 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 thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
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D. Beta thalassemia: A. Von Willebrand's disease
10. 10. Koplik spots are small, white spots that occur on the inside of the
cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever: A. measles
11. 11. Aida, who is 29 weeks pregnant, received a blunt trauma to the ab-
domen during an argument with her boyfriend. She has no obvious injuries
and denies pain. Aida needs to be monitored for the occurrence of
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa: A. abruptio placentae
12. 12. Growth hormone treatment for short stature in children remains con-
troversial. The clinician should be aware of the following regarding the assess-
ment of growth problems and idiopathic short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evalu-
ation, which compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate-
: C. identification of growth problems is usually made by an auxological evaluation,
which compares the child's growth to standardized norms
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
Study online at https://quizlet.com/_gwob2c
1. 1. Sheila is pregnant and fearful of getting cervical cancer as her sister
recently did. She asks about receiving the HPV vaccine. How do you respond?
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 effective against preventing
cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
D. "You should not receive the vaccination when you are pregnant.": D. "You
should not receive the vaccination when you are pregnant."
2. 2. Jack and Jill present for a preconception health counseling session. Jack
is 34, Jill is 33, and they have a 5 year old son, Jake. Jake is the product of an
uncomplicated pregnancy and labor. At birth, Jake had an open neural tube
defect and now has spina 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.": D.
"Jill should take 4 mg/day of folic acid, beginning before conception."
3. 3. You are invited to speak to a group of public school administrators about
recent outbreaks of head lice. As an advocate for children and families you
share
A. "no nit" policies that exclude children until all nits are removed are essential
to eradicate this problem
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
Study online at https://quizlet.com/_gwob2c
B. the American Academy of Pediatrics and the National Association of School
Nurses discourage "no 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 Academy of Pediatrics as a treat-
ment choice: B. the American Academy of Pediatrics and the National Association
of School Nurses discourage "no nit" policies that exclude children from school
4. 4. What is the simplest and safest method of suppressing lactation after it
has started?
A. administering oral and long-acting injections of 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": C. gradually weaning the baby to a bottle or cup over a
3-week period
5. 5. When can you hear fetal heart tones with a conventional fetoscope?
A. 7 to 8 weeks
B. 10 to 12 weeks
C. 18 to 20 weeks
D. more than 20 weeks: C. 18 to 20 weeks
6. 6. The reaspn 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
A. that the mother returned to work or school
B. the perception that the infant is not receiving enough milk
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
Study online at https://quizlet.com/_gwob2c
C. the ease of formula use
D. maternal or infant illness: B. the perception that the infant is not receiving
enough milk
7. 7. Pediatric patients may now be prescribed OxyContin 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: B. 11 to 16 years
8. 8. Hegar's sign, a physiological sign of pregnancy is
A. cervical blueness
B. softness of the uterus and ballottement at the isthmus
C. cervical softness
D. quickening: B. softness of the uterus and ballottement at the isthmus
9. 9. Carrie, of Irish descent, is due to deliver her second baby. During your
work-up, you note that she hemorrhaged 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 thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
, NRNP 6552 MIDTERM EXAM LATEST 2023 /NRNP6552 WEEK 6 MIDTERM
QUESTIONS AND ANSWERS| VERIFIED ANSWERS
Study online at https://quizlet.com/_gwob2c
D. Beta thalassemia: A. Von Willebrand's disease
10. 10. Koplik spots are small, white spots that occur on the inside of the
cheeks early in the course of
A. measles
B. varicella
C. fifth disease
D. rheumatic fever: A. measles
11. 11. Aida, who is 29 weeks pregnant, received a blunt trauma to the ab-
domen during an argument with her boyfriend. She has no obvious injuries
and denies pain. Aida needs to be monitored for the occurrence of
A. abruptio placentae
B. liver hemorrhage
C. ruptured spleen
D. placenta previa: A. abruptio placentae
12. 12. Growth hormone treatment for short stature in children remains con-
troversial. The clinician should be aware of the following regarding the assess-
ment of growth problems and idiopathic short stature
A. identification of a growth problem can be made based on one measurement
B. dysmorphic facial features will be present
C. identification of growth problems is usually made by an auxological evalu-
ation, which compares the child's growth to standardized norms
D. measurements of children lying on the exam table paper are most accurate-
: C. identification of growth problems is usually made by an auxological evaluation,
which compares the child's growth to standardized norms
