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Exam (elaborations)

WHNP Midterm Exam Questions And Correct Answers

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WHNP Midterm Exam Questions And Correct Answers...

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  • October 13, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WHNP
  • WHNP
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Easton
WHNP Midterm Exam Questions And Correct Answers


Reasons for an amniocentesis or CVS - ANSWER + screening tests

AMA, SAB, APA

previous chromosome abnormality



Amniocentesis technique - ANSWER 20-40mls of amniotic fluid is removed
transabdominally



Amniocentesis GA - ANSWER 15-20



Amniocentesis risk - ANSWER SAB, spotting, leakage, chorio



CVS technique - ANSWER 10-40mg of tissue is removed transcervically



CVS GA - ANSWER 10-12



CVS risks - ANSWER SAB, spotting



Quad Marker Screen- ANSWER Drawn at 15-20wks to screen for Down syndrome,
Trisomy 18 & 13, Neural tube defects



Nuchal Translucency- ANSWER measures the back of the neck to diagnosis Down
syndrome and trisomy 18



Minor Consent- ANSWER minors age 12-17 have the right to give consent for or decline
forensic exams and treatment and give consent to inform parents

,Medical treatment of a minor w/o parental consent includes - ANSWER emancipated
minors, STI Tx, prenatal care, drug abuse, contraception, abortion and sexual assault



Subjective data - ANSWER Chief complaint

Hx of present illness

Patient hx

Review of systems



Objective data - ANSWER Vitals

Physical exam

Diagnostic studies

Lab studies



Assessment - ANSWER dx or differentials



Plan - ANSWER how to Tx the patient or what to do next



Clinical breast exam - ANSWER 25 to 39: q 1-3 years

>40: yearly



Mammography screening - ANSWER Available at 40yo

No later than 50yo

Until 75yo

every year or every other year



Cervical cancer screening (Pap smear) - ANSWER <21: no screening

,21 to 29: every 3 years with cytology

30 to 65: cotesting every 5 years or cytology every 3

>65: no screening if last 2-3 tests were negative and no hx of CIN 2 or higher



Colorectal cancer screening - ANSWER Begin at 50yo

Until 75yo

Colonoscopy every 10 years

Sigmoidoscopy every 5 years



HIV screening - ANSWER 13 to 64: once in lifetime

Annually for at risk pop.



Syphilis screening - ANSWER annually for at risk pop.



Chlamydia/Gonorrhea screening - ANSWER <25 and sexually active: annually

>25 and high risk: annually



Osteoporosis screening - ANSWER Start at 65yo or younger if already postmenopausal

Every 15 years if normal



DM screening - ANSWER Start at 45yo

every 3 years



Thyroid screening - ANSWER Start at 50yo

every 5 years



HTN screening- ANSWER Start at 13yo

, Annually



Lipid disorder screening - ANSWER Start at 45yo

every 5 years



Primary prevention - ANSWER Education

Behavior changes

Immunizations

Life style changes

Smoking Cessation

Safe sex



Secondary prevention - ANSWER Screening tests including cancer, STI, and
metabolic/cardiovascular screening



Sensitivity - ANSWER people who test positive during screening



Specificity - ANSWER people who test negative during screening



Category A Drugs - ANSWER Adequate and well-controlled studies have failed to
demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no
evidence of risk in later trimesters)



Category B drugs - ANSWER Animal reproduction studies have failed to demonstrate a
risk to the fetus and there are no adequate and well-controlled studies in pregnant
women



Category C - ANSWER Animal reproduction studies have shown an adverse effect on the
fetus and there are no adequate and well-controlled studies in humans, but potential
benefits may warrant use of the drug in pregnant women despite potential risks

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