6. The reaspn most often cited to explain why women who have had a usual length
of stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is
A. that the mother returned to work or school
1
B. the perception that the infant is not receiving enough milk
C. the ease of formula use
D. maternal or infant illness
77. Anna, a 17 year old with Down syndrome, has an appointment for a physical in
order to participate in Special Olympics. If Anna wants to participate in alpine skiing,
equestrian events, or diving, she will need to be referred for radiological exam to
rule out
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B. Scoliosis
C. Atlantoaxial instability
D. Perthes disease
74. Patricia presents for her regularly scheduled prenatal visit at 34 weeks gestation.
During the interview, you determine that Patricia has not felt fetal movement for the
past week. On exam, you are unable to auscultate the fetal heart tones. Which of
the following would be useful in the diagnosis of an intrauterine fetal death?
A. Chadwick's sign
B. Piskacek's sign
C. Spalding's sign
D. Homan's sign
11. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen during
an argument with her boyfriend. She has no obvious injuries and denies pain. Aida
needs to be monitored for the occurrence of
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1. Sheila is pregnant and D. "You should not receive the vaccination when you
fearful of getting cervical are pregnant."
cancer as her sister
recently did. She asks
about receiving the HPV
vaccine. How do you
respond?
A. "As long as you're in
your first trimester, the
HPV vaccine is safe and
effective."
B. "Research has not
shown this vaccine to be
effective against
preventing cervical
cancer."
C. "After the age of 20,
the HPV vaccine is not
recommended."
D. "You should not
receive the vaccination
when you are pregnant."
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2. Jack and Jill present for D. "Jill should take 4 mg/day of folic acid, beginning
a preconception health before conception."
counseling session. Jack
is 34, Jill is 33, and they
have a 5 year old son,
Jake. Jake is the product
of an uncomplicated
pregnancy and labor. At
birth, Jake had an open
neural tube defect and
now has spina bifida with
a loss of function of his
lower extremities. Jack
and Jill want another
child and ask if there is
anything they can do to
prevent the recurrence of
a neural tube defect in
future pregnancies. What
is your best response to
this couple?
A. "Jill should take 60
mg/day of an iron
supplement to enhance
stores to support fetal
development."
B. "It is a matter of
genetics, and there is
nothing you can do."
C. "Have a CVS
performed at 12 to 14
weeks gestation to
determine the health of
the fetus."
D. "Jill should take 4
mg/day of folic acid,
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