Unit 6: CMN568/ CMN 568 (New 2023/ 2024)
Intro to Family NP Exam Questions and Verified
Answers| 100% Correct| Grade A
QUESTION
What increases the risk for pre-eclampsia?
Answer:
Primip, Age <20 or >35yr, multiple gestation, Diabetic, Chronic
thyroid, renal or HTN disease
QUESTION
What are s/s of pre-eclampsia?
Answer:
HTN, HA, RUQ pain, Visual Changes, Proteinuria, Edema
QUESTION
How is pre-eclampsia diagnosed?
Answer:
based on BP >140/90 on 2 occasions + proteinuria of >300mg/24hr
QUESTION
What labs should be assessed in pre-eclampsia?
Answer:
CBC, LDH, Creatinine, Uric Acid (>6 is considered high), AST/ALT
QUESTION
,How is mild pre-eclampsia classified?
Answer:
BP >140/90 but <160/110, Protienuria of <5g/day, and asymptomatic
QUESTION
How is severe pre-eclampsia classified?
Answer:
BP>160/110, protienuria > 5g/day (3+), oliguria, RUQ/epigastric
pain, liver dysfunction, vision changes, thrombocytopenia,
pulmonary edema
QUESTION
What is the definitive tx. of pre-eclampsia after 37 weeks?
Answer:
delivery
QUESTION
What is the tx of mild pre-eclampsia before 37 weeks?
Answer:
bed rest, close monitoring, corticosteroids to increase fetal lung
maturation if <34 weeks
QUESTION
How is severe pre-eclampsia tx?
Answer:
hospitalization, blood pressure control, seizure prevention, delivery
as soon as possible
,QUESTION
What does HELLP stand for?
Answer:
Hemolysis
Elevated Liver
enzymes Low
Platelets
QUESTION
What labs should be ordered for patients in HELLP?
Answer:
CBC and LFTs
QUESTION
What are the risk factors for HELLP?
Answer:
multip, maternal age > 25, caucasian, hypertension
QUESTION
What are the S/S of HELLP?
Answer:
RUQ pain, proteinuria, N/V, HA, Visual changes, fatigue, HTN
QUESTION
Any patient presenting with RUQ pain should be evaluated
immediately for what?
Answer:
HELLP even if bp is normal and no protein in urine is present
, QUESTION
What should be examined in first trimester bleeding?
Answer:
vaginal vault, cervix, and uterus. u/s to determine placement and
status of pregnancy
QUESTION
What labs should be obtained in first trimester bleeding?
Answer:
Beta HCG, Type & Rh, Progesterone
QUESTION
What condition should be urgently ruled out in first trimester
bleeding?
Answer:
ectopic
QUESTION
What are the characteristics of a threatened abortion? How is
threatened abortion treated?
Answer:
cervix closed, slight bleeding, with or without mild cramps; pelvic
rest
QUESTION
What are the characteristics of an inevitable abortion?
Answer:
Abdominal or lower back pain
Bleeding, red
