NUR 684 Exam 1 With Correct Answers, Exams of Nursing

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NUR 684 Exam 1 With

Correct Answers

The single most preventable cause of intellectual disabilities is: - ANSWER ETOH use during pg

The gestational age of greatest concern for taking a drug that can cause cardiac anomalies is: - ANSWER 3-8 weeks

Determining the most accurate estimated date of birth (EDB) is best achieved

• ANSWER Obtaining the first day of the last menstrual period

Relief from heartburn during pregnancy may be obtained by - ANSWER Eating 5 or 6 small meals each day

In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would advise her she needs a: - ANSWER Tdap vaccination in her third trimester

Expected findings during examination of the pregnant woman who is 10

weeks gestation would include: - ANSWER Softening of the cervix

Which of the following would NOT be a normal physical examination finding during pregnancy - ANSWER Mildly enlarged, nodular thyroid

Which of the following is NOT a normal hormone related skin change during pregnancy? - ANSWER Itching and inflammation of extremities

Which of the following immunizations may be given during pregnancy? - ANSWER Hepatitis B vaccine

A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI= 21.0, normal weight category. Which of the following represents the most appropriate weight for her by the end of her pregnancy? - ANSWER 145 lbs

A female client presents at the clinic stating her boyfriend told her he had Chlamydia. She had unprotected sex 5 days ago. Her LMP was 3 weeks ago. A urine pregnancy test is negative. On examination you note that she has mucopurulent cervical discharge. Chlamydia and Gonorrhea tests are done at this visit. The most appropriate treatment for this client is: - ANSWER Azithromycin 1 Gm to be taken while in the clinic

Routine gestational diabetes screening is recommended at between -

A client presents with complaint of an increased vaginal discharge with bad odor and no itching. On examination a thin white discharge is noted at the vaginal opening and adhering to the vaginal walls. The most likely findings on wet mount examination will be: - ANSWER Clue cells

If a 32 week fetus is in the head down position with its back on the woman's left side the fetal heart tones should be heard best in what area of the woman"s abdomen - ANSWER Lower left quadrant

A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement than usual in the past 2 days. Your decision on the course of action will be based on your knowledge that: - ANSWER The decrease in fetal movement she is feeling may be an indicator of fetal hypoxia

Which of the following is most likely to occur between 16 and 20 weeks of pregnancy? - ANSWER Quickening

The pregnant woman with a history of recurrent herpes genitalis should be advised that: - ANSWER She may take oral acyclovir starting at 36 weeks to reduce chance of viral shedding at delivery

CDC recommendations for follow up of a female treated for PID with

ceftriaxone 250 mg IM and doxycycline 100 mg orally bid for 14 days is: - ANSWER See patient again within 72 hours after initiation of treatment

CDC recommendations for management of male sex partners of women with PID include: - ANSWER : Treat partner regardless of his or the woman's test results

The uterus is palpable at, or just above, the symphysis pubis at: - ANSWER 12 weeks

Which of the following best describes the typical lesion(s) seen with primary syphilis - ANSWER Single indurated, firm, ulcer with serous exudate

At 20 weeks a pregnant woman was seen and fundal height was 18 cm. At today's 24 week visit, her fundal height is 20 cm. She is feeling regular fetal movement and fetal heart rate is 140 bpm. The most appropriate management for this client is: - ANSWER Ordering an ultrasound

Vaginal spermicides are effective in reducing transmission of gonorrhea, Chlamydia and HIV infections - ANSWER False

When considering use of fetal movement counting to monitor fetal well-being, it is important to know - ANSWER Fetal movement is strongest

transmitted infections to the local or state health department. All of the following are reportable in all states EXCEPT: - ANSWER Herpes genitalis

The CDC recommends that every pregnant woman should have HIV testing as part of her routine initial prenatal tests unless she declines. - ANSWER True

A client who was treated with benzathine penicillin G for early syphilis calls a few hours later to report that her muscles ache and she has a fever. Appropriate actions include: - ANSWER Recommending that she take acetaminophen for relief of her symptoms

Which of the following medications is most likely to cause a metallic taste: - ANSWER Metronidazole

Characteristics of normal vaginal secretions in a reproductive age woman include: - ANSWER Presence of lactobacilli