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WHNP Midterm Exam Questions And Correct Answers
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WHNP Midterm Exam Questions And Correct AnswersReasons 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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