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WHNP III Final Exam Questions And 100% Correct Answers
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WHNP III Final Exam Questions And 100% Correct AnswersIdentify the three major categories of IPV. - ANSWER Physical, sexual, emotional
True or false: IPV is seen across all socio-economic, religious and cultural groups. -
ANSWER True
What are the ways in which a partner may control a pregnant woman. - ANSWER Isolate
from family, restricting finances, education
At higher risk for IPV is: ANSWER young, low education, unintended pregnancy,
experiences violence as a child, drugs, personality disorders, acceptance of violence,
history of IPV
Relationship factors leading to IPV: ANSWER conflict in relationship, male dominance,
over attentive, answering questions for pregnant woman, economic stress, man having
multiple partners, woman having higher level of education than partner
Signs of abuse in pregnancy? History of frequent injuries, sudden absences from
work/school, changes in personality, fear of any conflict, passive/submissive, isolates
self, depression, low self-esteem, intolerance to an exam, unusual revelation of
information, recent narcotic or tranquilizer use
Why don't victims leave abusive relationships? Fear of retaliation, lack of financial
support, concern for children, lack of family support, stigma of divorce, hope that
partner will change
How do you create a setting and what are techniques to assess for IPV? -ANSWER
Confidential, private, separate victim, ask direct questions, communicate that you are
coming from a place of caring, know it may take a few visits to build relationship
,True of false: after initial assessment, there is no need to continue screening, assess
safety, or provide appropriate referrals. - ANSWER False- know your resources,
continue to assess at each visit!
Discuss RADAR pneumonic for IPV. - ANSWER routine screening, ask direct questions,
document, assess safety, review options
What is a subtle way the patient can indicate to you that they are in danger? - ANSWER
At prenatal visit have them draw a red line on their urine sample.
Is reporting mandatory when suspect or confirmed case of IPV? - ANSWER Yes,
especially if weapon is used. Ask for patient's consent to report case to supervisor or
local police
What are important points to document regarding IPV? - ANSWER Photos, draw body
map, quote patient, describe patient's demeanor
What is the term for extreme nausea and vomiting in pregnancy? - ANSWER
Hyperemesis gravidarum.
When does hyperemesis occur? When does it peak (hint: think ranges) - ANSWER 4-16
weeks, 7-12 weeks
True or false: early intervention of hyperemesis improves long term outcomes. -
ANSWER True
True or false: how pts tolerate hyperemesis should not influence how aggressively you
treat. ANSWER False.
What do you expect you would find in pts with hyperemesis? (hint: think clinical
presentation and labs) ANSWER Dehydration, wt loss > 5%, abnormal labs (think
electrolytes), vomiting at least give times per day, elevated ketones
, Most common cause for hospitalization in early pregnancy
Why does hyperemesis vary by country? Low in Sweden and high in Japan? - ANSWER
Someone look it up and LMK, lol.
What are two diagnoses to consider with early and extreme hyperemesis? What may you
attribute this to? - ANSWER Molar pregnancy and multiple gestation. Increased hCG.
Besides hCG what other two hormones might you consider as #influencers of
hyperemesis? - ANSWER Estrogen and progesterone.
True or False: If you have hyperemesis with a pregnancy, don't worry it can't happen
again. - ANSWER False! It is more likely to happen again and more severe :(
What are two major risk factors for hyperemesis? - ANSWER Increased BMI, genetic
What can a woman take 1-3 months before conception that may decrease incidence of
hyperemesis? - ANSWER PNV
If severe nausea and vomiting begins in second trimester, what are the differential
diagnoses to rule out? -ANSWER Gastroenteritis, hepatitis, obstruction, pyelo, ovarian
torsion, kidney stones, peptic ulcer disease, preeclampsia, diabetic ketoacidosis,
hyperthyroid, hyperparathyroid, tumor of CNS, migraines, drug toxicity, Addison's
disease
What do you expect to see on a CMP with hyperemesis? What about amylase and lipase?
Would you order TSH? Urinalysis? - ANSWER Na+, Cl- low, AST/ALT mildly elevated, bili
(?) elevated, amy/li elevated, TSH, UA-ketones and elevated spec gravity
What are possible effects of hyperemesis on the fetus? - ANSWER LBW, SGA, risk for
PTL-not common, congenital anomalies, association with trisomy 21
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