Exam (elaborations)
NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum Question bank
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NR 602 Primary Care Of The Childbearing And Childrearing Family Practicum
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Section i1. In addition to penicillin, all of the following antibiotics can be used to treat strep
pharyngitis except: • Bactrim
2. The most definitive feature or features for a diagnosis of “growing pains” includes:
• Exclusion of other causes of lower extremity pain
3. Which of the following foods would be appropriate for a child with celiac disease?
• Boiled rice with butter
4. When performing a physical examination of a toddler, which of the following body
parts would you examine last?
• Ears and throat
5. Daily eyelid cleaning with diluted baby shampoo and a cotton-tipped applicator would
be appropriate in the
treatment of which of the following conditions?
• Blepharitis
6. Primary dysmenorrhea is due to:
• Elevated prostaglandin level
7. Management of scoliosis depends on the severity of curve as well as the age of the
child. Which of the following would require surgical intervention?
• Thoracic curve greater than 50 degrees or lumbar curve than 40 degrees.
8. A 10-year old has marked ear pain, not wanting anyone to touch his ear. The canal is
edematous and exudate is present. TM Is normal. How should this be managed?
, • Topical fluoroquinolone
9. Patients with otitis externa should be instructed to do which of the following?
• Keep ear dry until symptoms improve
10. A 2-year-old female has lymphedema of the hands and feet, with low posterior
hairline, cubitus valgus, and a history of intrauterine growth restrictions. Which of the
following defects is the most common among the children with these signs? •
Coarctation of the aorta
Section ii
1. A 19-year-o/d presents to the clinic complaining of cramping, pain in her upper thighs,
nausea and fatigue during her first few days of her menstrua/ cycle. As the nurse
lOMoAR cPSD| 25701531 practitioner, which of the following is the patient most likelyexperiencing?
Primary dysmenorrhea
2. Which of the following are considered probable (or objective) signs of pregnancy?
Uterine enlargement and integumentary pigment changes.
3. Which statement about abnormal uterine bleeding (AUB) is true?
Abnormal uterine bleeding has no pelvic pathology found.
4. Which of the following factors suppresses a woman's production of breastmilk until
after delivery of her infant?
A decrease in estrogen and progesterone.
5. Which of the following seyually transmitted diseases are paired with the correct
pathogen commonly responsible for the conditvon?
Pelvic Inflammatory Disease — N. Gonorrhoeae.
,6. Women who are breastfeeding frequently, without supplementation and without
occurrence of menses after childbirth, experience a natural form of contraception,
known as:
lactation amenorrhea.
7. Effective for 85% of women who have mild or moderate symptoms of mastalgia, the
first line of treatment is:
reassurance.
8. For management of abnormal uterine bleeding (AUB), NSAIDs are an effective
treatment option for people who have:
both heavy and painful menstrual bleeding.
9. Which of the following depicts Hegar's sign?
Softening of lower uterine segment.
10. Which one of the following statements about the subdermal progestin implant is
false?
After removal, its contraceptive effects last 5 more months on average.
11. For UTI definition (?)
B: A urine sample with greater than 100,000 colonies of a single pathogen in the
presence of typical clinical symptoms. This indicates a likely urinary tract infection (UTI)
with significant bacterial growth and symptomatic evidence, supporting a clinical
diagnosis.
12. Which is the most common Virginal infection? Bacterial vaginosis.
, 13. A mother brings her child to the clinic for a normal well-child visit. The mother wants
information on HPV and asks when her child can receive the vaccination. The nurse
practitioner tells the mother that the routine HPV vaccination is recommended for girls at
age? A: 11 to 12 years.
14. Which statement is true regarding Combined Oral Contraceptives?
COCs contain both estrogen and progestin.
This is the defining feature of combined oral contraceptives.
15. Most research studies on methods of contraception use the term efÏcacy to refer to
the likelihood of pregnancy when a method is used exactly as prescribed. Which
method is the most effective? IUD
16. You are performing a well-child visit on a 5-year-old boy. You are unable to retract
his foreskin over the glans while inspecting his penis. patient has no pain or swelling
noted. What is the most likely diagnosis? Phimosis
17. Approximately how many Americans will contract one or more sexually transmitted
infections during their lifetime? 50 percent
18. During a health examination, a 19-year-old patient reports of pain during first few
days of her menstrual cycle. She describes the pain as a cramp that radiates to her
back and upper thighs, and states that the pain is usually accompanied by nausea and
fatigue. Based on the patient's presentation, high levels of which hormone are most
likely responsible for her symptoms?
Prostaglandin.
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