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Exam 2 Practice for Child rearing/bearing

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Exam 2

Frage 1 von 25

1

A second triple screen on a 35-year old primigravida reveals abnormally low levels of alpha fetoprotien and estriol and high levels of HCG. Which of the following interventions is the best choice for this patient?

Wähle eine der folgenden:

  • Order and ultrasound

  • Ordera a CT scan of the abdomen

  • Order a 24-hour urine protein clearance

  • Assess for a history of illicit drug or alcohol use

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Frage 2 von 25

1

A 36-year old primigravida who is at 28 weeks of gestations expecting twins. What would you expect her alpha-alpha-fetoprotien values to be?

Wähle eine der folgenden:

  • Normal

  • Higher than normal

  • Lower than normal

  • None of the above

Erklärung

Frage 3 von 25

1

A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm. Which of the following is the best recommendation for this patient?

Wähle eine der folgenden:

  • Advise the mother that her pregnancy is progressing well

  • Order an ultrasound of the uterus

  • Refer her to an obstetrician for an amniocentesis

  • Recommend bed rest with bathroom privileges

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Frage 4 von 25

1

A multigravida who is 34 weeks gestation want to know at what level her uterine fundus should be. The best answer is to tell the mother that her fundus is:

Wähle eine der folgenden:

  • Midway between the umbilicus and the lower ribs

  • At the level of the umbilicus

  • From 33-35 cm

  • From 32-34 cm

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Frage 5 von 25

1

A 28-year old multipara who is 32 weeks of gestation presents to your office complaining of sudden onset of small amount of bright red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely?

Wähle eine der folgenden:

  • Placenta abruptio

  • Placental previa

  • Acute cervictitis

  • Molar pregnancy (hydatidiform mole)

Erklärung

Frage 6 von 25

1

A 30-year-old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy test is positive. Which of the following is TRUE regarding threatened abortion?

Wähle eine der folgenden:

  • Vaginal bleeding and cramping are present, but the cervix remains closed

  • Vaginal bleeding and cramping are present along with a dilated cervix

  • The fetus and the plant are expelled

  • The products of conception and the placenta remain inside the uterus along with a dilated cervix

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Frage 7 von 25

1

A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of the following areas?

Wähle eine der folgenden:

  • Between the umbilicus and the suprapubic bone

  • Just rising above the suprapubic bone

  • Between the suprapubic bone and the xiphoid process

  • Between the umbilicus and the xiphoid process

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Frage 8 von 25

1

A positive Coombs test on an Rh- pregnant woman means:

Wähle eine der folgenden:

  • The mother has autoantibodies against Rh+ RBCs

  • The fetus has autoantibodies against maternal RBCs

  • The mother does not have Rh factor against fetal RBCs

  • The fetus does not have RBC autoantibodies

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Frage 9 von 25

1

Folic acid supplementation is recommended for women who are planning pregnancy in order to"

Wähle eine der folgenden:

  • Prevent renal agenensis

  • Prevent anencephaly

  • Prevent kidney defects

  • Prevent heart defects

Erklärung

Frage 10 von 25

1

An Rh- pregnant woman with negative rubella titters should be vaccinated at what time period in her pregnancy?

Wähle eine der folgenden:

  • She can be vaccinated at any time of her pregnancy

  • During the second trimester

  • During the third trimester

  • During the postpartum period

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Frage 11 von 25

1

The majority of the serum alpha fetoprotein is produced by the:

Wähle eine der folgenden:

  • Fetal liver

  • Mother's liver

  • Placenta

  • Fetal neural tube

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Frage 12 von 25

1

HCG is produced by the:

Wähle eine der folgenden:

  • Placenta

  • Hypothalamus

  • Anterior pituitary

  • Ovaries

Erklärung

Frage 13 von 25

1

You note the following routine urinalysis on a 37-year-old primagravida who is at 30 weeks gestation. Leukocytes=trace, nitrate=negative, protein=+2, blood=negative. Her weight has increase by 5ls during the past week. Which of the following is most likely?

Wähle eine der folgenden:

  • HELLP Syndrome

  • Preeclampsia

  • Eclampsia of pregnancy

  • Primary HTN

Erklärung

Frage 14 von 25

1

The positive signs of pregnancy include:

Wähle eine der folgenden:

  • Palpation of the fetus and auscultation of the FHTs by the nurse practitioner

  • Palpation of the fetus and positive quantitative serum pregnancy test

  • FHTs and a + quantitative serum pregnancy test

  • FHTs and feeling movement of the baby by the mother

Erklärung

Frage 15 von 25

1

Chadwick's sign is characterized by:

Wähle eine der folgenden:

  • Softening of the cervix

  • Blue coloration of the cervix and the vagina

  • Softening of the uterine isthmus

  • Nausea and vomiting during the first trimester

Erklärung

Frage 16 von 25

1

Hegar's sign is considered a:

Wähle eine der folgenden:

  • Positive sign of pregnancy

  • Probable sign of pregnancy

  • Presumptive sign of pregnancy

  • Problem in pregnancy

Erklärung

Frage 17 von 25

1

When palpating a women who is at 20 weeks gestation, the NP should be able to feel the uterine fundus at what level?

Wähle eine der folgenden:

  • Just rising out of the level of the pubis symphysis

  • Between the pubis symphysis and the umbilicus

  • At the level of the umbilicus

  • Above the level of the umbilicus

Erklärung

Frage 18 von 25

1

A 38-year-old multigravida who is at 32 weeks gestation calls the FNP complaining of bright red vaginal bleeding. There is no watery d/c. She ocomplains that her uterus feels hard and very painful. Which of the following conditions is most likely?

Wähle eine der folgenden:

  • Placenta previa

  • Placenta abruptio

  • A molar pregnancy

  • An ectopic pregnancy

Erklärung

Frage 19 von 25

1

Which of the following is contraindicated in the care of pregnant women with placenta previa?

Wähle eine der folgenden:

  • Echocardiogram

  • Intravaginal U/S

  • Abdominal U/S

  • Pelvic U/S

Erklärung

Frage 20 von 25

1

RhoGAM's mechanism of action is:

Wähle eine der folgenden:

  • The destruction of Rh+ fetal RBCs that are present in the mother's circulation

  • The destruction of maternal antibodies against Rh+ fetal RBCs

  • The stimulation of maternal antibodies so that there is a decreased risk of hemolysis

  • The destruction of maternal antibodies against fetal RBCs

Erklärung

Frage 21 von 25

1

A women at 32 weeks gestations a + throat culture for strep pyogenes. She denies allergies but gets very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient?

Wähle eine der folgenden:

  • Clarithromycin (Biaxin)

  • Trimethoprim/sulfamethoxazole (Bactrim DS)

  • Ofloxacin (Floxin)

  • Penicillin (Pen VK)

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Frage 22 von 25

1

Women who are pregnant in the winter months are commanded to have which of the following?

Wähle eine der folgenden:

  • Increased intake of Vitamin C and foals

  • Vaccination against the influenza virus

  • Increased caloric intake of fruits and vegetables

  • Heavier winter clothes to avoid chilling the fetus

Erklärung

Frage 23 von 25

1

Which of the following conditions is a possible complication of severe eclampsia?

Wähle eine der folgenden:

  • Placenta previa

  • Placenta abruptio

  • Erythroblastosis fetalis

  • Uterine rupture

Erklärung

Frage 24 von 25

1

All of the following are not recommended for the outpatient treatment of mild preeclampsia except:

Wähle eine der folgenden:

  • Severe sodium restriction

  • Restrict fluid intake to less than 1 liter/day

  • Aldomet (methyldopa) 250 mg PO BID

  • Bed rest on the left side with bathroom privleges

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Frage 25 von 25

1

Normal weight gain for a healthy weight before pregnancy woman would be:

Wähle eine der folgenden:

  • 35-45

  • 25-35

  • 28-40

  • 15-20

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