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NR602 Midterm Study Guide Questions and Answers
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NR602 Midterm Study Guide Questions and Answers
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NR602 Midterm Study Guide Questionsand Answers
Health Education is central to effective management of PID Correct Ans-Women should
abstain from sexual activity until treatment has been completed, symptoms have resolved, and
sexual partners have been adequately treated. Male sexual partners within the past 60 days
preceding the onset of symptoms should be evaluated, tested, and treated presumptively for
gonorrhea and chlamydia
Doxycycline is known to do what? Correct Ans-known to discolor teeth and should be
avoided in the second and third trimesters when treating pregnant women for PID
Women either using either Cu or the levonorgestrel-releasing IUDs need are at increased risk for
what for 21 days? Does the device need to be removed Correct Ans-PID. , the device does
not need to be removed immediately; indeed, it often does not need to be removed at all.
Treatment should be initiated with a recommended antibiotic regimen. If no improvement is
seen with 48 to 72 hours after beginning treatment, the IUD should be removed
Cervical cancer screening guidelines (USPSTF) Correct Ans-Start at age 21. Every 3 years until
65. Primary high-risk HPV testing, as an alternative to co-testing or cytology alone is
recommended every 5 years for women ages 30-65 years
When should episodic therapy be initiated for HSV Correct Ans-Episodic therapy should be
started within one day of when the lesion begins or during the prodromal symptoms if present
An infants birth weight ______ during the first 6 months. By 1 year the infants weight _______
Correct Ans-Doubles; triples
An infants length increases by _____ in a month the first 6 months and by 1 year have had an
increase in height of ___% Correct Ans-1 inch a month: 50%
,Head circumference increases by ____ per month for 6 months. The next 6 months it increases
by ____ per month for an increase of ____% Correct Ans-1.5cm (0.6in); 0.5 cm(0.2in); 33%
Tanner Staging Pubic Hair Scale (both males and females) Correct Ans-Stage 1: No hair
Stage 2: Downy hair
Stage 3: Scant terminal hair
Stage 4: Terminal hair that fills the entire triangle overlying the pubic region
Stage 5: Terminal hair that extends beyond the inguinal crease onto the thigh
Female Breast Development Scale Correct Ans-Stage 1: No glandular breast tissue palpable
Stage 2: Breast bud palpable under areola (1st pubertal sign in females)
Stage 3: Breast tissue palpable outside areola; no areolar development
Stage 4: Areola elevated above contour of the breast, forming "double scoop" appearance
Stage 5: Areolar mound recedes back into single breast contour with areolar
hyperpigmentation, papillae development and nipple protrusion
Male External Genitalia Scale Correct Ans-Stage 1: Testicular volume < 4 ml or long axis < 2.5
cm
Stage 2: 4 ml-8 ml (or 2.5-3.3 cm long), 1st pubertal sign in males
Stage 3: 9 ml-12 ml (or 3.4-4.0 cm long)
Stage 4: 15-20 ml (or 4.1-4.5 cm long)
Stage 5: > 20 ml (or > 4.5 cm long)
Breastfeeding should be done exclusively for ____ Correct Ans-6 months
infant should be encouraged to go to each breast for at least _____ of active suckling Correct
Ans-10 to 15 minutes
, After the first 24 hours after birth the infant should be going to the breast _______times or
every ______ hours in 24 hours Correct Ans-8-12 times or every 2 to 3 hours
Infants lose up to __% of their birth weight in the first few days of life. Correct Ans-5 to 10%
Presumptive signs of pregnancy Correct Ans-Subjective signs. Amenorrhea, nausea,
vomiting, increased urinary frequency, excessive fatigue, breast tenderness, quickening at 18-20
weeks.
Probable signs of pregnancy Correct Ans-Objective Signs. Goodell sign (softening of cervix),
Chadwick sign (cervix is blue/purple), Hegar's sign (softening of lower uterine segment), uterine
enlargement, Braxton Hicks contractions (may be plapated by 28 weeks), uterine souffle (soft
blowing sound due to blood pulsating through the placenta), integumentary pigment changes,
ballottement, fetal outline definable, positive pregnancy test (could be hydatidiform mole,
choriocarcinoma, increased pituitary gonadotropins at menopause).
Positive signs of pregnancy Correct Ans-Diagnostic. Fetal heart rate auscultated by fetoscope
at 17-20 weeks or by Doppler at 10-12 weeks, Palpable fetal movement after 20 weeks,
visualization of fetus with cardiac activity by ultrasound (fetal parts visible by 8 weeks).
Pregnancy and fundal height measurement Correct Ans-As pregnancy progresses, the fundus
rises out of the pelvis. At 12 weeks gestation, the fundus is located at the level of the symphysis
pubis and the umbilicus. By 20 weeks gestation, the fundus is at the same height as the
umbilicus. Until term, the fundus enlarges 1 cm per week. As the time for birth approaches, the
fundal height drops slightly. This process is called lighting and occurs mostly for primigravida
and may not occur for woman who are multigravida until she goes into labor.
Naegele's rule Correct Ans-The EDB for women with 28 day cycles - Nagele's rule - Add 7
days to LMP then subtract 3 months.
Example: 4/23 LMP of April 23 + 7 days = 4/30 (April 30th) - 3 months = January 30th (following
year)
Hematological changes during pregnancy Correct Ans-During pregnancy, the heart is
displaced upward and to the with withing the chest cavity by the gravid uterus's pressure on the
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