MNP Exam Prep 1 correctly answered graded A+ 2024/2025
What is cholecystitis?
What are the risk factors for cholecystitis?
Your client pages with symptoms of RUQ pain, fever, abdominal guarding, and you find leukocytosis on her blood work. What clinical diagnosis are you suspecting?
What tests ...
3). Your client pages with symptoms of ruq pain, fever, abdominal guarding, and you find
leukocytosis on her blood work. what clinical diagnosis are you suspecting?
Ans: Cholecystitis
4). What tests would you perform to rule in cholecystitis?
Ans: CBC, liver function testing, Murphy's sign
5). What are the complications to pregnancy with cholecystitis?
Ans: PTL & PTB, risks of surgery if gallbladder removal required
6). What is the risk of recurrence in future pregnancies for cholecystitis?
Ans: 38-69%
7). What is pancreatitis?
Ans: inflammation of the pancreas
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, 8). What is mild acute pancreatitis?
Ans: pancreatitis without organ dysfunction or generalized complications
9). What is moderately severe pancreatitis?
Ans: pancreatitis with persistent organ dysfunction or localized/generalized
complications within 48hr of starting treatment
10). What is severe pancreatitis?
Ans: pancreatitis with persistent organ dysfunction or localized/generalized
complications for more than 48hr after treatment
11). What is the incidence of pancreatitis?
Ans: 1/1000 or 1/5000
Most common in third trimester
Rates increasing due to population dietary changes
12). Who is more at risk of pancreatitis in pregnancy?
Ans: - Hx of gallstone disease
- hyperlipidemia (hypertriglyceridemia)
- subsequent preganncies after pancreatitis
- obesity
- high-fat diet
13). Your client pages you with the following symptoms: abdominal pain radiating to her back,
nausea and perfuse vomiting, constipation, and some yellowing of her nails. on physical
exam you note severe girdling localized mainly in the epigastric region. what clinical
diagnosis are you suspecting?
Ans: Pancreatitis
14). What are the risks of pancreatitis to the pregnant person?
Ans: PTL, PTB, death
15). Are there any implications for a child born to a mother with hypertriglyceridemia?
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, Ans: More prone to artherosclerosis
16). What is your most prudent action when assessing your client for pancreatitis at the
hospital?
Ans: Consult with the OB for CBC + amylase and serum lipase activity including a liver
panel & collect a urine sample
17). In the first trimester, what does conservative management of pancreatitis include?
Ans: low-fat diet, adequate hydration, antispasmodics, analgesics, and correction of
electrolyte disturbances
18). What is appendicitis?
Ans: inflammation of appendix caused by obstruction of the appendiceal lumen
producing a closed loop with resultant inflammation that can lead to necrosis and
perforation
19). Your 14 week ga client presents with abdominal pain in the rlq radiating upwards, nausea
& vomiting, and loss of appetite. what clinical diagnosis are you suspecting?
Ans: Appendicitis
20). Why does appendicitis present with upper abdomen pain in late pregnancy?
Ans: displacement of the appendix with the growing uterus
21). What tests do you perform to rule in appendicitis?
Ans: - Rebound tenderness
- LLQ palpation illiciting RLQ tenderness
- Iliopsoas test
- Obturator muscle test
- consult OB/ER for CBC & other testing
22). 1. true or false: appendicitis can lead to ptl
Ans: 1. True
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, 23). Define mild placental abruption
Ans: evidence of abruption with no fetal compromise
24). Define moderate placental abruption
Ans: evidence of abruption with fetal compromise
25). Define severe placental abruption
Ans: evidence of abruption with fetal demise
26). Incidence of placental abruption
Ans: 0.5-1% of all pregnancies.
1 in 100.
Thought to be leading cause of bleeding in second half of pregnancy.
27). Risk factors for placental abruption
Ans: - hx of previous abruption
- inherited thrombophilia
- preterm ROM
- gestational HTN
- iron deficiency
- multiple gestation
- polyhydramnios
- chronic HTN
- AMA and parity
- smoking tobacco during pregnancy
- trauma (MVA, assault, or fall)
- cocaine use during pregnancy
- previous c-section
- chorioamnionitis
28). What percentage of placental abruptions involve some degree of vaginal bleeding?
Ans: 70%
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