QUESTIONS WITH ACCURATE ANSWERS
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Which of the following tests is the diagnostic criterion for gestational diabetes according to the
International Association of Diabetes and Pregnancy Study Group?
C. a 75-g OGTT, with plasma glucose measurement fasting and at 1 and 2 hours
. Lois is complaining of leg cramps during her pregnancy. What would you suggest to relieve
them?
A. take a calcium supplement daily
. What is the presumptive symptom of pregnancy that involves tingling or frank pain of the
breasts?
D. Mastodynia
. Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily
supplements of iron. She may be a candidate for
C. premature delivery
. Jack is 4 weeks old and has oral candidiasis because his mother had an intrauterine infection
that was successfully treated with antibiotics. What would you anticipate treating Jack with?
,B. nystatin
. Which of the following antibiotics is the best choice for acute pyelonephritis when it occurs
during the 7th month of pregnancy?
C. ampicillin
. Pregnant women should know that folic acid can help to prevent neural tube defects. For folic
acid to be most effective, women should take it
A. before becoming pregnant
. Mrs. Simpson shares concerns about light brown spots on her 2 month old daughter. What is
the minimum number of cafe-au-lait spots that should be of concern?
C. more than 5
. Molly, a preschool age child, has an appt for her annual well child physical. The clinician
knows that BP screening is recommended at every preventive health care visit beginning at age
C. 3
. 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?
A. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he
may still contract infections."
,. Sally, who is 18 weeks pregnant, had a maternal serum alpha-fetoprotein level done. The
results are elevated. What is the meaning of an elevated MSAFP level?
B. increased risk that the fetus has an open neural tube defect
. 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?
D. "Jill should take 4 mg/day of folic acid, beginning before conception."
. 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
B. the American Academy of Pediatrics and the National Association of School Nurses
discourage "no nit" policies that exclude children from school
. What is the simplest and safest method of suppressing lactation after it has started?
C. gradually weaning the baby to a bottle or cup over a 3-week period
. When can you hear fetal heart tones with a conventional fetoscope?
C. 18 to 20 weeks
. 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
B. the perception that the infant is not receiving enough milk
, . 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
B. 11 to 16 years
. Hegar's sign, a physiological sign of pregnancy is
B. softness of the uterus and ballottement at the isthmus
. 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
. Koplik spots are small, white spots that occur on the inside of the cheeks early in the course
of
A. measles
. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen 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