Walden University NURS 6551 Final Exam 4. Questions and Answers
Walden University NURS 6551 Final Exam 4.
NURS 6551
Walden University NURS 6551 Final
... [Show More] Exam 4. Questions and Answers (Graded A)
Question 1
2 out of 2 points
What is the general goal of surgical treatment for stress UI?
Answer: D. To support and stabilize the urethra
Question 2
2 out of 2 points
Gender differences in heart disease can be found in:
Answer: D. All of the above
Question 3
2 out of 2 points
Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for
Answer: B. Premature delivery.
Question 4
2 out of 2 points
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
Answer: B. "There is no need to stop breastfeeding, but start with your left side."
Question 5
2 out of 2 points
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?
Answer: D. Diabetes mellitus
Question 6
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).
Answer: B. 7–9 days
Question 7
2 out of 2 points
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:
Answer: A. Go to the nearest emergency room immediately to be evaluated.
Question 8
2 out of 2 points
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:
Answer: D. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract infections."
Question 9
2 out of 2 points
What is a contributor to the increased incidence of heartburn during pregnancy?
Answer: D. The pregnancy hormone relaxin, which softens the lower esophageal sphincter
Question 10
0 out of 2 points
Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her?
Answer: A. Ranitidine
Question 11
2 out of 2 points
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:
Answer: C. Centering Pregnancy
Question 12
2 out of 2 points
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?
Answer: C. Crown-rump measurement
Question 13
2 out of 2 points
What is a possible cause of abdominal pain during pregnancy?
Answer: A. Round ligament pain
Question 14
2 out of 2 points
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?
Answer: D. Blood pressure normally decreases during pregnancy and can cause this symptom.
Question 15
2 out of 2 points
In order to maintain continence bladder pressure must be
Answer: D. lower than urethral pressure.
Question 16
2 out of 2 points
How does the third stage of labor end?
Answer: B. With the delivery of the placenta
Question 17
2 out of 2 points
Which of the following drugs should be used with extreme caution in breastfeeding mothers?
Answer: C. Phenobarbital
Question 18
2 out of 2 points
How can hormonal influences during pregnancy cause backache?
Answer: A. They loosen ligaments and joints.
Question 19
2 out of 2 points
According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery?
Answer: D. June 30
Question 20
2 out of 2 points
A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a
Answer: C. Mongolian spot
Question 21
0 out of 2 points
The majority of early pregnancy losses are due to:
Answer: D. Chromosomal abnormalities
Question 22
2 out of 2 points
Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will:
Answer: D. Become infected
Question 23
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:
Answer: A. Intrauterine growth restriction
Question 24
2 out of 2 points
Which of the following does not increase a woman's risk for developing cervical cancer?
Answer: D. Nulliparity
Question 25
0 out of 2 points
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?
Answer: A. A 35-year-old Caucasian
Question 26
2 out of 2 points
What is the best description of Bishop's score?
Answer: A. It is an assessment of the cervix's readiness for elective induction.
Question 27
2 out of 2 points
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:
Answer: A. 300 calories
Question 28
2 out of 2 points
What components make up the biophysical profile?
Answer: D. Fetal tone, breathing, motion, amniotic fluid volume, and non-stress test.
Question 29
2 out of 2 points
What is the leading cause of first-trimester maternal death?
Answer: A. Ectopic pregnancy
Question 30
2 out of 2 points
A newborn delivered by a mother with no prenatal care exhibits the following: dysmorphic facial features including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy?
Answer: D. Excessive alcohol intake
Question 31
2 out of 2 points
What is a common cause of leg cramps during pregnancy?
Answer: A. An imbalance of calcium and magnesium
Question 32
2 out of 2 points
What is the simplest and safest method of suppressing lactation after it has started?
Answer: B. Gradually weaning the baby to a bottle or cup over a 3-week period
Question 33
2 out of 2 points
Uncomplicated acute bacterial cystitis occurs in women who:
Answer: B. Have no signs of upper tract infection
Question 34
2 out of 2 points
Which of the following diseases is not acquired transplancentally?
Answer: C. Tuberculosis
Question 35
2 out of 2 points
NSAID use during pregnancy has been linked to which condition in newborns?
Answer: C. Pulmonary hypertension
Question 36
2 out of 2 points
Carrie 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 work-up, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect?
Answer: A. Von Willibrand's disease
Question 37
2 out of 2 points
Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors?
Answer: C. 45
Question 38
0 out of 2 points
A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis?
Answer: D. Threatened spontaneous abortion
Question 39
2 out of 2 points
Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)?
Answer: C. A bare crib with firm sleep surface; no soft objects, wedges, or ruffles.
Question 40
2 out of 2 points
What is the recommended timing for gestational diabetes screening?
Answer: B. 24-28 weeks' gestation
Question 41
2 out of 2 points
What is an indication of the second stage of labor?
Answer: A. Complete dilation of the cervix
Question 42
2 out of 2 points
Liza is 34 weeks pregnant and has mild hypertension. You are performing a nonstress test (NST). What is the criterion for a reactive NST?
Answer: C. At least two fetal heart rate accelerations in response to fetal movement in a 20-minute test period.
Question 43
2 out of 2 points
You see G5P4015 on a client's history form. You surmise that
Answer: B. The woman has five living children, including a set of twins, and she has had one abortion.
Question 44
0 out of 2 points
A 50-year-old patient has abnormal vaginal bleeding with heavy periods and intermenstrual water discharge with a small amount of blood. What is the most likely diagnosis?
Answer: C. Normal perimenopause
Question 45
2 out of 2 points
What is significant about cytomegalovirus (CMV)?
Answer: B. It can remain dormant within the body for life.
Question 46
2 out of 2 points
A 30-year-old female patient is seeking advice from the nurse practitioner about becoming pregnant. She is currently taking an oral contraceptive. She gives a history of having a hydatidiform molar pregnancy 2 years ago. The appropriate plan of care for this patient should include:
Answer: C. Discontinuing the oral contraceptive
Question 47
2 out of 2 points
A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis?
Answer: C. Anxiety, related to effects of hyperemesis on fetal well-being
Question 48
2 out of 2 points
All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness?
Answer: D. History of pelvic inflammatory disease
Question 49
2 out of 2 points
The onset of labor is indicated by regular uterine contractions and:
Answer: D. Progressive cervical change
Question 50
2 out of 2 points
An example of an X-linked recessive condition or trait is
Answer: C. Hemophilia
Question 51
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Answer: Yes [Show Less]