NRNP 6552/ Week 11 Final Exam (Fall Session) Advanced Nurse Practice in Reproductive Healt, Exams of Nursing

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NRNP 6552/ Week 11 Final Exam (Fall

Session) Advanced Nurse Practice in Reproductive Health Care

Question 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/ 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/

A E. Coli

.

B Toxoplasmosis

.

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:

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C Cat-scratch

.

fever

D Tetanus

.

Question 4 1/ All of the following are disadvantages of Combined Oral Contraceptives except:

A The need for daily pill taking

.

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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/ 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/ The Tanner scale divides sexual physical maturity into stages

A Thre

.

e

B Five

.

C Seve

.

n

D Nine

.

Question 7 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

.

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Question 8 1/

A Fish

.

B Older^ homes^ with^ lead

.

paint

C Certain types of pottery

.

D Some stained glass

.

Question 9 1/ Prior to giving semen for an analysis, a male should be abstinent for:

A 24 hours^ prior to^ the

.

test

B 2-5^ days^ prior^ to^ the

.

test

C 2 weeks^ prior^ to^ the

.

test

D None of the above

.

Question 10 1/

A Dilation and curettage

.

B Endometrial ablation

.

C Uterine^ artery

.

embolization

D Hysterectomy

.

E A , B, and D

.

F.

A, B, C, and D Question 11 1/ A potentially toxic environmental substance is lead. In pregnancy, lead is a neurotoxin and can cause learning deficits and developmental delays. Lead is found in all of the following except: When medical therapy for heavy menstrual bleeding occurs, the following surgical management option(s) are available:

.

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A

Maternal age equal or greater than

.

30 years

B Mother and father related by blood

.

C Maternal exposure to toxins

.

D Congenital blindness or deafness

.

Question 12 1/

A Remains^ the^ same^ as^ pre-pregnant

.

amounts

B Increases by 10%

.

C Increases by 30-50%

.

D Decreases by 20%

.

Question 13 0/

A Two^ semen^ analyses,^ approximately^ one

.

hour apart

B Two^ semen^ analyses,^ approximately^ one

.

month apart

C One complete semen analysis

.

D A fractionated semen analysis

.

Question 14 1/

A

It is very important that she receive this vaccine today because you do not want her

.

to get chicken pox while she is pregnant.

B She should not get the vaccine today as it is contraindicated in pregnancy.

All of the following are risk factors for fetal genetic or development abnormalities in maternal, paternal, and family history except: During pregnancy,^ blood^ volume: A complete^ male^ evaluation^ usually^ includes: Maura is pregnant and comes in for a visit. She tells you that she has never had chicken pox and is wanting to know if she should get the varicella vaccine today.

.

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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/ 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/

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/

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^ make^ them

.

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:

.

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Question 18 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/ 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/ 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/ The following vaccine(s) is/are contraindicated in pregnancy:

A MMR

.

B Varicella

.

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C Tdap

.

D A and B

.

E A,^ B,

.

and C Question 22 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/

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/

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:

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D An ultrasound is contraindicated this early in the pregnancy

.

Question 25 1/

A Toxoplasmosis

.

B Cytomegalovir

.

us

C Listeriosis

.

D

Coliform

.

bacteria Question 26 1/

A As infants

.

B In^ early

.

adolescence

C In their 20’s

.

D In their 50’s

.

Question 27 1/

A

Can be used as an ongoing method of

.

contraception

B Provides STI protection

.

C Is^ the^ only^ method^ that^ can^ be^ used^ after

.

intercourse

D Is available by prescription only

.

Question 28 1/

A Souffle^ contractions

With prepackaged lunch meat, hot dogs, pate, and meat spreads there is an increased risk of: It is^ believed^ that^ women^ acquire^ most^ of^ their^ bone^ mass Emergency contraception Contractions that^ may^ occur^ in^ early^ pregnancy^ are^ called:

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.

B Chadwick contractions

.

C

Uteroplacental

.

contractions

D

Braxton-Hicks

.

contractions Question 29 1/ Ibandronate (Boniva, a medication for osteoporosis, can be administered:

A Orally

.

B Through^ an^ IM

.

injection

C Intravenously

.

D A and C

.

E A, B, and C

.

Question 30 1/ Progestin-only contraceptives are generally considered safer for women who:

A Have^ a^ diagnosis^ of

.

Diabetes

B Experience^ Migraines^ with

.

aura

C Are 15 or younger

.

D Are healthy and fit

.

Question 31 1/ The following are foods to avoid during pregnancy except:

A Soy products

.

B

Unpasteurized

.

milk

C Raw eggs

.

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D Raw^ alfalfa

.

sprouts Question 32 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/

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/ 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/

C

When using FIGO staging for cancer of the ovary, fallopian tube, and peritoneum, Stage I means:

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A

Milk

.

products

B Eggs

.

C Cats

.

D Yeast

.

Question 36 0/

A 1-

.

B 4

.

C 6

.

D 12

.

Question 37 1/

A Pregnancy

.

B Breastfeedi

.

ng

C Males

.

D A and B

.

E A, B, and C

.

Question 38 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 weeks after the LMP. The HPV^ vaccine^ is^ contraindicated^ in: Blood serum pregnancy tests can detect the presence of HCG days after fertilization.

.

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B 1-

.

days

C 3-

.

days

D 8-

.

days Question 39 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/

A Laser treatment

.

B Cryosurgery

.

C Surgical

.

resection

D Topical

.

medication Question 41 0/ 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:

.

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ne

D A and B

.

E A, B, and C

.

Question 42 1/ When using the TNM system for staging cancers, the letters stand for:

A

Tumor, nodes,

.

melanoma

B Tumor,^ nodes,

.

metastasis

C

Tension, number,

.

metastasis

D Tumor,^ number,

.

metastasis Question 43 1/ The bluish hue that the cervix takes on during pregnancy is called:

A Goodell’s sign

.

B Baby Blues sign

.

C Cervical^ ripening

.

sign

D Chadwick’s sign

.

Question 44 1/

A Linea alba

.

B Striae

.

gravidarum

C Linea nigra

.

D Melanin

Paula also asks you about the dark line that starts at her sternal notch and goes down toward the genitalia vertically. You tell her that is called and that is normal in pregnancy and may appear due to increasing levels of melanocyte- stimulating hormone.

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Question 45 0/ Laboratory testing that might be indicated to rule out vaginal discharge include:

A STI testing

.

B Wet Mount

.

C Endocervical

.

curettage

D A and B

.

E A, B, and C

.

Question 46 1/ Ectopic pregnancy involves a pregnancy that implants:

A Outside of the uterus

.

B In the uterus

.

C Through^ in vitro

.

fertilization

D None of the above

.

Question 47 1/ The following are warning signs of pregnancy except:

A Bleeding^ more^ than^ light

.

spotting

B Severe abdominal pain

.

C Extreme^ nausea^ and

.

vomiting

D Braxton-Hicks contractions

.

Question 48 1/ Menarche usually occurs between the ages of:

A 9-

.

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B 11-

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.

C 12-

.

D

13-

.

Question 49 1/ The current FDA approval limit for the copper IUD is:

A

.

years

B

.

years

C 7

.

years

D 10

.

years Question 50 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/ 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:

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D A and B

.

E A, B, and C

.

Question 52 1/

A MRI

.

B

Diagnostic

.

mammography

C Ultrasound

.

D CT scan

.

Question 53 0/ The following is a type of permanent contraception:

A Hysteroscopy

.

B Vasectomy

.

C DMPA injections

.

D

Emergency

.

contraception Question 54 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 diagnostic imaging

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Question 55 0/

A

Semen

.

volume

B

Total

.

motility

C pH

.

D A and B

.

E A, B, and C

.

Question 56 1/

A 11-

.

B 15-

.

C 25-

.

D 28-

.

Question 57 1/

A Mirena

.

B Nexplanon

.

C Liletta

.

D Oral

.

contraceptives Question 58 0/

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:

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.

B 45 to

.

C

55 to

.

D

65 to

.

Question 59 0/ The gold standard for assessing uterine bleeding and diagnosing endometrial cancer is:

A Endometrial biopsy

.

B

Transvaginal

.

ultrasound

C Dilation^ and

.

curettage

D CA-125 levels

.

Question 60 1/ The following are presumptive signs of pregnancy except:

A

Urinary

.

frequency

B

Nausea and

.

vomiting

C Fatigue

.

D Nipple lightening

.

Question 61 1/ The vaginal ring (Nuva ring) is:

A Replaced on a weekly basis

.

B Left in place for 21 days and then removed for a week

.

C Replaced on a monthly basis

.

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D Placed^ in^ the^ vagina^ at^ least^2 hours^ prior^ to^ intercourse^ and^ removed^ at^ least^6

.

hours after intercourse Question 62 1/1 DMPA should be administered:

A Every^4

.

weeks

B Every^9

.

weeks

C Every^13

.

weeks

D

Every 24

.

weeks Question 63 1/1 Sometime in the last month of pregnancy, the fundal height drops slightly. This is called:

A Lightening

.

B Flexing

.

C Pubic

.

cradling

D Hegar’s

.

sign Question 64 1/1 When assessing fetal heart tones with the doppler, the normal range is:

A 60-80 BPM

.

B 100-120

.

BPM

C 120-160

.

BPM

D 160-200

.

BPM

Question 65 1/1 The quadrivalent HPV vaccine protects against HPV genotypes

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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.

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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

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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

.

B 3/19/202

.

C 3/21/202

.

D 3/28/202

.

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.

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A ASC-H

.

B ASC-

.

US

C HSIL

.

D LSIL

.

Question 76 1/1

A Hips^ and

.

thighs

B Breasts

.

C Waist

.

D Triceps area

.

Question 77 1/1

A 13.^ 18,

.

B 16,^ 19,

.

C 3, 9, 19

.

D 16,^ 21,

.

Question 78 1/1

A Women in Care

.

When using the Bethesda system to categorize epithelial cell abnormalities on pap smear, the term used when squamous cells do not appear completely normal, but it is not possible to determine the cause of the abnormal cells is; As women^ age,^ adipose^ tissue^ is^ redistributed^ and^ begins^ to^ accumulate^ in^ the: The three^ trisomies^ for^ which^ testing^ is^ offered^ during^ the^ second^ trimester^ are: WIC is a federally operated assistance program that also offers dietary counseling and provides vouchers for healthy foods for women living at or below 185% of the poverty level. WIC stands for: