Download NRNP 6552 Final Exam-Week 11 -with 100 verified solutions.docx and more Exams Nursing in PDF only on Docsity! NRNP 6552 Final Exam-Week 11 -with 100% verified solutions Question 1 1/1 In a woman who is 20 weeks pregnant, the fundus is typically the same height as: A The symphysis . pubis B The umbilicus . C The xiphoid . process D None of the . above Question 2 0/1 The following are risk factors for breast cancer except: A Menarche after the age of 12 . B Nulliparity . C Menopause at age 55 years or . older D First full-term pregnancy after . age 30 Question 3 1/1 A E. Coli . B Toxoplasmosis . C Cat-scratch . fever D Tetanus . Question 4 1/1 All of the following are disadvantages of Combined Oral Contraceptives except: A The need for daily pill taking . Your patient is pregnant and has three cats. You educate her that she should have someone else clean the litter box as there is an infection that can spread through cat feces that can be harmful to the unborn baby. The infection is called: B The ongoing cost of the method for some . individuals C Side effects for some women . D Reduction in the risk of some types of . cancer Question 5 0/1 With irritable bowel syndrome (IBS), typically defecation: A Makes the pain more . intense B Provides relief from the . Pain C Makes no difference in the . pain D Causes intense cramping . Question 6 1/1 The Tanner scale divides sexual physical maturity into stages A Thre . e B Five . C Seve . n D Nine . Question 7 1/1 Nonlatex condoms: A Fit tighter on the penis than latex condoms . B Come in a variety of colors . C Have an increased risk of breakage or slippage during intercourse than . latex condom D Lead to a greater incidence of allergies than latex condoms . C Most health care providers leave it up to the patient and you are willing to do . whatever she requests. D Adults never need this vaccine. . Question 15 1/1 The following gonadotropins are responsible for regulating gynecologic organ activities. A Testosterone and . androgen B FSH and progesterone . C FSH and LH . D LH and prolactin . Question 16 1/1 A You tell her you are pleased she remembered this important test and proceed with . the pap smear. B You tell her that she hasn’t really needed to have a pap smear since age 50. . C You explain to her that this is important, and you also need to test for HPV. . D You explain to her that the USPTF and ASCCP recommend that in a woman with a . history of negative pap smears, the test can be discontinued at age 65 Question 17 1/1 A There are a few products on the market which have proven to be very helpful in . making stretch marks disappear B Despite advertiser’s claims, there is no magic cream to prevent them or makethem . go away. C Watching weight gain and eating nutritiously can help decrease their number and . severity D B and C . Clara is a 67-year-old female who comes in requesting a pap smear. In gathering her history, she tells you all of her pap smear have been normal. Her last pap smear was at age 64. Paula is 30 weeks pregnant and is in your office today. She is very concerned about her stretch marks. She wants to know if there is anything, she can put on them to make them go away. She has seen a few products on infomercials and wonders if they work. You tell her: Question 18 1/1 All of the following are barrier methods of contraception except A Male condom . B Female . condom C Diaphragm . D Coitus . interruptus Question 19 1/1 The following are risk factors associated with acquiring HPV except: A Nulliparity . B Early age at first . intercourse C Having multiple sexual . partners D Smoking . Question 20 1/1 When the cervix softens in pregnancy, this is called: A Goodell’s . sign B Cervical lip . sign C Mucus plug . sign D Vulvar sign . Question 21 1/1 The following vaccine(s) is/are contraindicated in pregnancy: A MMR . B Varicella . C Tdap . D A and B . E A, B, . and C Question 22 1/1 A She must have all the recommended tests done or it can be . considered child abuse B She is required to have all tests done, except for the HIV test . C She can “opt out” of any test . D She should make sure that her partner signs the consent for all the . tests done. Question 23 1/1 A If the woman will go to full term . B If the heart has any defects . C Whether the fetal neural tube has . properly fused D If the fetus is living . Question 24 1/1 A Early in the pregnancy is ideal because the ultrasound dating is more accurate than . later in the pregnancy B She should wait a couple of months as ultrasound dating is most accurate in the . second trimester of pregnancy C An ultrasound really won’t be able to tell her that information . When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know: During the second trimester, a test that is offered is the alpha-fetoprotein test. This test indicates: Taylor just found out she is pregnant. She has irregular periods so she is not exactly sure how far along she is, but she thinks it is pretty early. She asks you about an ultrasound to find out how many weeks she is. You tell her that: D Raw alfalfa . sprouts Question 32 1/1 A generic prenatal vitamin supplement should be prescribed and should include: A Iron, folic acid, and vitamins . B Mercury, folic acid, and vitamins . C Vitamins only with no other . supplements D Iron and Vitamins with no other . supplements Question 33 1/1 A The tumor is confined to the ovaries or fallopian tube(s) . B The tumor involves one or both ovaries or fallopian tubes with pelvic extension or . primary peritoneal cancer The tumor involves one or both ovaries or fallopian tubes, or primary peritoneal cancer, with cytologically and histologically confirmed spread to the peritoneum outside the pelvis and/or metastasis to the retroperitoneal lymph nodes, and pelvis;. has extended to bowel, peritoneum, or lymph nodes D Distant metastasis excluding peritoneal metastasis . Question 34 1/1 When discussing contraception, LARC stands for: A Less aggressive reversible . contraception B Long awaited reversible . contraception C Long acting reversible . contraception D None of the above . Question 35 1/1 C When using FIGO staging for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: A Milk . products B Eggs . C Cats . D Yeast . Question 36 0/1 A 1- . 2 B 4 . C 6 . D 12 . Question 37 1/1 A Pregnancy . B Breastfeedi . ng C Males . D A and B . E A, B, and C . Question 38 1/1 A 24 . hours Women who have a history of immediate hypersensitivity to should not receive the 4-valent or 9-valent HPV series. Transvaginal ultrasound can provide information about pregnancy viability The HPV vaccine is contraindicated in: Blood serum pregnancy tests can detect the presence of HCG days after fertilization. B 1-3 . days C 3-5 . days D 8-10 . days Question 39 1/1 The following is/are absolute contraindication(s) to estrogen use: A Known or suspected cancer of the . breast B History of biliary tract disorder . C History of uterine or ovarian . cancer D A and C . E A, B, and C . Question 40 0/1 A Laser treatment . B Cryosurgery . C Surgical . resection D Topical . medication Question 41 0/1 In a male, the urethra carries through the penis. A Urine . B Semen . C Testostero . The standard treatment for patients with vulvar cancer regardless of the stage of the disease is: . 12 C 12- . 15 D 13- . 17 Question 49 1/1 The current FDA approval limit for the copper IUD is: A 3 . years B 5 . years C 7 . years D 10 . years Question 50 1/1 A The first day of the last . period B The last day of the last . period C The middle of the last . period D None of the above . Question 51 0/1 The most frequent causal finding(s) on laparoscopy for chronic pelvic pain is/are: A Endometriosis . B Adhesions . C Absence of pathologic . condition When a woman is pregnant and calculating the last menstrual period (LMP), it should be counted from: D A and B . E A, B, and C . Question 52 1/1 A MRI . B Diagnostic . mammography C Ultrasound . D CT scan . Question 53 0/1 The following is a type of permanent contraception: A Hysteroscopy . B Vasectomy . C DMPA injections . D Emergency . contraception Question 54 1/1 Fetal heart tones can typically be initially heard with a handheld doppler by: A 6-8 weeks of . pregnancy B 10-12 weeks of . pregnancy C 14-16 weeks of . pregnancy D 20-24 weeks of . pregnancy Annabelle is a 17-year-old who came in to see you because she is concerned about a “lump” in her right breast. She first noticed it about a month ago and it has not changed in size since then. On exam you note the mass to be about 2 cm in diameter at about 7:00 on her breast. It feels well-delineated and is freely mobile. There is no nipple discharge. You decide to proceed with imaging. The best Question 55 0/1 A Semen . volume B Total . motility C pH . D A and B . E A, B, and C . Question 56 1/1 A 11- . 20 B 15- . 25 C 25- . 35 D 28- . 40 Question 57 1/1 A Mirena . B Nexplanon . C Liletta . D Oral . contraceptives Question 58 0/1 A 35 to When performing a semen analysis, the following is/are measured: A woman with a normal BMI of 18.5-24.9 should ideally gain pounds during pregnancy. The following are LARC methods of contraception except: Men have little or no measurable decline in fertility before age: A 1, 2, 3, and 4 . B A, X, C, F . C 6. 11, 16, 18 . D Beta, magda, gamma, and . sigma Question 66 1/1 A In a supine . position B On her left side . C On her right . side D Face down . Question 67 0/1 A Fat . B Carbohydrat . es C Protein . D Purine . Question 68 1/1 To reduce risk of illness during pregnancy, fish and shellfish should be: A Served raw . B Cooked thoroughly . C Served at every meal . When a woman is lying down, it is best to lie to avoid hypotension and potential syncope. In a patient with irritable bowel syndrome, a diet that eliminates is recommended. D Encouraged as often as . possible Question 69 1/1 The following is/are types of assisted reproductive technology: A IVF . B GIFT . C ZIFT . D A and B . E A, B, . and C Question 70 1/1 Urine pregnancy tests are considered to be: A Reliable . B Unreliabl . e C Expensi . ve D Invasive . Question 71 0/1 The following routines can help with sleep patterns: A Taking a warm bath . B Exercising . C Changing into . sleepwear D A and C . E A, B, and C . Question 72 1/1 Depot medroxyprogesterone acetate (DMPA) is widely known as: A Mirena . B Depo- . Provera C Mini-pill . D Nexplanon . Question 73 1/1 A 3/15/202 . 1 B 3/19/202 . 1 C 3/21/202 . 1 D 3/28/202 . 1 Question 74 1/1 The following are preventive factors for the development of ovarian cancer: A Pregnancy resulting in at least one full- . term birth B Factors that inhibit ovulation . C Breastfeeding . D A and C . E A, B, and C . Question 75 1/1 Lauren comes into your office stating she thinks she might be pregnant. She missed a period and her breasts are tender. She has also been feeling a little nauseous. On gathering her history, she tells you her LMP was 6/14/2020 and that her periods are very regular on a 28 day cycle. You do a urine HCG and it is positive. Using Nagele’s rule, calculate her estimated due date. . Question 82 1/1 HPV can be spread through: A Skin-to-skin genital . contact B Only through actual . intercourse C The air as it is an airborne . virus D Dirty needles . Question 83 1/1 The copper IUD is a T shaped device and A Is made entirely of copper . B Is made of polyethylene with copper wire around the . stem and arms C Releases hormones from the copper to help prevent . pregnancy D Does not really have copper; it is just called the copper . IUD Question 84 1/1 Urogenital changes that can occur with menopause include: A Vaginal dryness . B Dyspareunia . C Urinary . incontinence D A and C . E A, B, and C . Question 85 0/1 A Only once in a lifetime, as the status will not change . B With every pregnancy that results in a live birth . C With every pregnancy, including those that do not result in . a live birth D Every five years . Question 86 1/1 A Take preventive medication . B Have a tuberculin skin test . C Terminate the pregnancy . D Be aware that the baby may be born with an aortic . valve disorder Question 87 1/1 Physiologic methods of contraception include: A Abstinence . B Coitus interruptus . C Lactational amenorrhea . method D B and C . E A, B, and C . Question 88 1/1 The following are differential diagnoses for pelvic pain that are of gynecologic origin except: A Interstitial . cystitis All women should be offered testing for cystic fibrosis carrier status during pregnancy. This test should be done: If a pregnant woman has traveled to areas where tuberculosis is common and is at risk, she should: B Mittelschmerz . C Fibroids . D Uterine . prolapse Question 90 1/1 Advantages of f the Lactational Amenorrhea method include all of the following except: A It is readily available . B It can be used immediately . postpartum C It is free . D It is the most effective method of birth . control Question 91 1/1 The majority of vulvar malignancies are: A Squamous cell . carcinomas B Basal cell carcinomas . C Adenocarcinomas . D Malignant melanomas . Question 92 1/1 Osteoporosis is characterized by: A Low bone mass . B Deterioration of bone . tissue C Disruption of bone . architecture D All of the above .