1. What is the minimum number of cafe-au-lait spot that should be of concern? -1-3 -4-5 -More than 5 -Any number 2. A 28-year-old pregnant patient, at 18 weeks gestation, compl
1. What is the minimum number of cafe-au-lait spot that should be of concern?
-1-3
-4-5
-More than 5
-Any number
2. 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?
-Blood pressure normally decreases during pregnancy and can cause this symptom.
-The lightheadedness is a concern. A CBC should be ordered to check for anemia.
-Lightheadedness may be caused by an abnormal elevation in blood pressure during pregnancy.
-Low blood sugar may be causing this problem. An oral glucose tolerance test is indicated.
3. Which of the following maternal situations is considered an absolute contradiction to breastfeeding?
-Early HIV infection
-History of breast cancer
-History of tuberculosis medication
-Hepatitis C infection
4. RhoGAM is indicated for a Rh-negative mother:
-Routinely at 28 to 30 weeks gestation
-Before amniocentesis
-Within 72 hours of birth of a Rh-positive infant
-After a vaginal ultrasound
5. 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?
-Vinegar and water
-Nystatin
-Fluconazole
-Antibiotics
6. What is a common cause of leg cramps during pregnancy?
-An imbalance of calcium and magnesium
-Dehydration
-An inability to sleep
-Poor nutrition
7. Minnie is experiencing Braxton Hicks contractions. What should she do?
-Take a cold shower
-Immediately call her health-care provider
-Go for a walk
-Lie down with her feet elevated
8. It is imperative that the nurse practitioner teach patients taking an oral contraceptive to report any of the danger signs of complications. Which of the following would be of least concern to the nurse practitioner?
-Lower leg pain
-Upper abdominal pain
-Chest pain
-Weight gain
9. An autosomal recessive disorder such as cystic fibrosis is expressed in the offspring when:
-Neither parent carries the gene
-Both parents carry the gene
-1 parent has the disease
-1 parent carries the gene
10. Which of the following does not increase a woman’s risk for developing cervical cancer?
-A husband with penile cancer
-Multiple sexual partners
-History of tobacco use
-Nulliparity
11. Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her?
-Cimetidine
-Ranitidine
-Sucralfate
-Bellergal-S
12. Children born with Down Syndrome often have other anomalies. They require specific evaluation of what body system?
-Respiratory
-Gastrointestinal
-Cardiac
-Endocrine
13. 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?
-Threatened spontaneous abortion
-Abruptio placenta
-Ectopic pregnancy
-Placenta previa
14. To prevent breast trauma during the breastfeeding, the nurse practitioner should stress the importance of
-Positioning of the infant
-Prenatal breast care
-Keeping the nipples dry
-Using breast shields
15. 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?
-Excessive alcohol intake
-Cocaine abuse
-Chain smoking
-Excessive high impact aerobics
16. What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus?
-Postpartum amenorrhea
-Postpartum endometritis
-Postpartum staphylococcus
-Postpartum lochia
17. What is a possible cause of abdominal pain during pregnancy?
-Round ligament pain
-Diabetes
-Anemia
-Cytomegalovirus
18. What is a contributor to the increased incidence of heartburn during pregnancy?
-The increased incidence of hypertension during pregnancy
-The dilation of veins in the esophagus, due to increased blood flow
-The increased levels of magnesium and calcium in the blood
-The pregnancy hormone relaxin, which softens the lower esophageal sphincter
19. The reason 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:
-That the mother returned to work or school.
-The perception that the infant is not receiving enough milk.
-The ease of formula use.
-Maternal or infant illness.
20. The best way for a pregnant woman to avoid injury to herself and her fetus in the event of a motor vehicle accident (MVA) is to
-Use the lap restraint only
-Avoid exposure to air bag deployment
-Use both the lap restraint and shoulder restraint
-Use the shoulder restraint only
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