NRNP 6552 Week 11 Final Exam, Exams of Nursing

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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/

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:

A E. Coli

.

B Toxoplasmosis

.

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

.

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

.

Question 8 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:

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/

When medical therapy for heavy menstrual bleeding occurs, the following surgical management option(s) are available:

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/

All of the following are risk factors for fetal genetic or development abnormalities in maternal, paternal, and family history except:

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/

During pregnancy, blood volume:

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 complete male evaluation usually includes:

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/

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. You let her know that:

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.

.

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/

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.

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/

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:

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

.

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

.

C Tdap

.

D A and B

.

E

A, B,

.

and C

Question 22 1/

When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know:

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/

During the second trimester, a test that is offered is the alpha-fetoprotein test. This test indicates:

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/

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:

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

.

D An ultrasound is contraindicated this early in the pregnancy

.

Question 25 1/

With prepackaged lunch meat, hot dogs, pate, and meat spreads there is an increased risk of:

A Toxoplasmosis

.

B

Cytomegalovir

.

us

C Listeriosis

.

D

Coliform

.

bacteria

Question 26 1/

It is believed that women acquire most of their bone mass

A As infants

.

B

In early

.

adolescence

C In their 20’s

.

D In their 50’s

.

Question 27 1/

Emergency contraception

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/

Contractions that may occur in early pregnancy are called:

A Souffle contractions

.

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

.

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/

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

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

C 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/

Women who have a history of immediate hypersensitivity to should not receive the 4-valent or 9-valent HPV series.

A

Milk

.

products

B Eggs

.

C Cats

.

D Yeast

.

Question 36 0/

Transvaginal ultrasound can provide information about pregnancy viability weeks after the LMP.

A

1-

.

B 4

.

C 6

.

D 12

.

Question 37 1/

The HPV vaccine is contraindicated in:

A Pregnancy

.

B

Breastfeedi

.

ng

C Males

.

D A and B

.

E A, B, and C

.

Question 38 1/

Blood serum pregnancy tests can detect the presence of HCG days after fertilization.

A 24

.

hours

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/

The standard treatment for patients with vulvar cancer regardless of the stage of the disease is:

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

.

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/

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.

A Linea alba

.

B

Striae

.

gravidarum

C Linea nigra

.

D Melanin

.

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-

.

B 11-

.

C 12-

.

D

13-

.

Question 49 1/

The current FDA approval limit for the copper IUD is:

A

.

years

B

.

years

C

.

years

D^10

.

years

Question 50 1/

When a woman is pregnant and calculating the last menstrual period (LMP), it should be counted from:

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

D A and B

.

E A, B, and C

.

Question 52 1/

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 test for this patient would be:

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

Question 55 0/

When performing a semen analysis, the following is/are measured:

A Semen

.

volume

B

Total

.

motility

C pH

.

D A and B

.

E A, B, and C

.

Question 56 1/

A woman with a normal BMI of 18.5-24.9 should ideally gain pounds during pregnancy.

A

11-

.

B

15-

.

C

25-

.

D

28-

.

Question 57 1/

The following are LARC methods of contraception except:

A Mirena

.

B Nexplanon

.

C Liletta

.

D

Oral

.

contraceptives

Question 58 0/

Men have little or no measurable decline in fertility before age:

A 35 to

.

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

.

D

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

.

hours after intercourse

Question 62 1/

DMPA should be administered:

A

Every 4

.

weeks

B Every 9

.

weeks

C

Every 13

.

weeks

D Every 24

.

weeks

Question 63 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/

When assessing fetal heart tones with the doppler, the normal range is:

A 60-80 BPM

.

B

100-

.

BPM

C

120-

.

BPM

D

160-

.

BPM

Question 65 1/

The quadrivalent HPV vaccine protects against HPV genotypes

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/

When a woman is lying down, it is best to lie to avoid hypotension and potential syncope.

A

In a supine

.

position

B On her left side

.

C

On her right

.

side

D Face down

.

Question 67 0/

In a patient with irritable bowel syndrome, a diet that eliminates is recommended.

A Fat

.

B

Carbohydrat

.

es

C Protein

.

D Purine

.

Question 68 1/

To reduce risk of illness during pregnancy, fish and shellfish should be:

A Served raw

.

B Cooked thoroughly

.

C Served at every meal

.

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

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.

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

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;

A ASC-H

.

B

ASC-

.

US

C HSIL

.

D LSIL

.

Question 76 1/1

As women age, adipose tissue is redistributed and begins to accumulate in the:

A

Hips and

.

thighs

B Breasts

.

C Waist

.

D Triceps area

.

Question 77 1/1

The three trisomies for which testing is offered during the second trimester are:

A

13. 18,

.

B

16, 19,

.

C 3, 9, 19

.

D

16, 21,

.

Question 78 1/1

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:

A Women in Care

.

B Why I Care

.

C

Women, Infants, and

.

Children

D

Wonderful Infants and

.

Children

Question 79 1/1

While there is no conclusive data on safe doses, caffeine intake during pregnancy should be limited to approximately mg daily.

A 50

.

B

.

0

C

.

0

D

.

0

Question 80 0/1

When taking alendronate (Fosamax) for postmenopausal osteoporosis,

A It should always be taken with food

.

B

It should be taken first think in the morning on an

.

empty stomach

C It should be taken with an 8 oz glass of water

.

D B and C

.

Question 81 1/1

Progestin-only methods are:

A

Likely to improve menstrual

.

symptoms

B

Unlikely to ever cause breakthrough

.

bleeding

C A and B

.

D None of the above

.

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