NURS 6551 FINAL EXAM 1 TO 5 – QUESTION AND ANSWERS COMBINED PACKAGE| 2022UPDATE

NURS 6551 FINAL EXAM 1 TO 5 – QUESTION AND ANSWERS COMBINED PACKAGE| 2022UPDATE  NURS 6551 MIDTERM EXAM 1 TO 5  250 QUESTIONS & ANSWERS  VERIFIED EXAM PACKAGE  100% CORRECT  FOR MORE INFO 2022 UPDATE   NURS 6551 FINAL EXAM 1 – QUESTION AND ANSWERS • Question 1 2 out of 2 points Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Selected Answer: a. Sensitivity test • Question 2 2 out of 2 points What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease • Question 3 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 4 2 out of 2 points All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? Selected Answer: d. History of pelvic inflammatory disease • Question 5 2 out of 2 points What do current theories suggest as to how cranberry products can reduce UTIs? Selected Answer: b. The fructose keeps E. coli bacteria from adhering to bladder cell walls. • Question 6 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 7 2 out of 2 points What is the term for the craving and purposeful consumption of nonfood items for more than one month? Selected Answer: c. Pica • Question 8 0 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities • Question 9 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 10 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 11 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 12 2 out of 2 points What is more likely to occur in women with female genital cutting? Selected Answer: b. Birth-related complications • Question 13 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 14 2 out of 2 points What distinguishes pyelonephritis from cystitis? Selected Answer: b. The infection has ascended to the kidneys. • Question 15 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks • Question 16 2 out of 2 points After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? Selected Answer: c. 20 weeks • Question 17 2 out of 2 points What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix • Question 18 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 19 2 out of 2 points Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes • Question 20 0 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: c. Nutritional assessment • Question 21 2 out of 2 points Where does edema tend to occur in the pregnant woman’s body? Selected Answer: c. Feet • Question 22 2 out of 2 points What is important to consider when vaginal bleeding occurs during the first trimester? Selected Answer: b. Ectopic pregnancy • Question 23 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions • Question 24 2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. • Question 25 2 out of 2 points What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone • Question 26 2 out of 2 points What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? Selected Answer: b. Postpartum endometritis • Question 27 2 out of 2 points What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Selected Answer: c. Ask the woman to obtain her workplace MSDs (material safety data sheets). • Question 28 2 out of 2 points What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress • Question 29 2 out of 2 points What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? Selected Answer: b. Tampons • Question 30 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. CenteringPregnancy • Question 31 2 out of 2 points What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension • Question 32 2 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Selected Answer: c. 72 hours • Question 33 0 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: a. The healing of the mother • Question 34 2 out of 2 points What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. • Question 35 2 out of 2 points How does women’s anatomy make them more susceptible to UTIs? Selected Answer: d. Their urethras are shorter. • Question 36 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: c. Three-day regimens are now recommended. • Question 37 0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. Decreased incidence of urinary tract infections • Question 38 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 39 2 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Selected Answer: c. Augmentation • Question 40 2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 41 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 42 2 out of 2 points What is the most common cause of death in women in the United States? Selected Answer: b. Cardiovascular disease • Question 43 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Selected Answer: b. 12–14 weeks’ gestation • Question 44 0 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: c. 9–14 days • Question 45 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 46 0 out of 2 points What significantly increases the risk of hypertension in women? Selected Answer: b. Hormonal replacement therapy • Question 47 0 out of 2 points What was the reason that prenatal care began in the early 1900s? Selected Answer: d. To test women for disease • Question 48 2 out of 2 points In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ Selected Answer: a. The first day of the last menstrual period • Question 49 0 out of 2 points The onset of labor is indicated by regular uterine contractions and: Selected Answer: c. Rupture of the membranes • Question 50 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Selected Answer: a. By consuming 2 servings of fatty low-mercury-content fish per week • Question 51 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Wednesday, May 8, 2019 6:45:09 PM EDT   NURS 6551 FINAL EXAM 2 – QUESTION AND ANSWERS • Question 1 2 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: c. Unknown causes • Question 2 2 out of 2 points Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Selected Answer: a. Sensitivity test • Question 3 2 out of 2 points What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. • Question 4 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 5 2 out of 2 points In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ Selected Answer: a. The first day of the last menstrual period • Question 6 2 out of 2 points What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress • Question 7 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 8 2 out of 2 points What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix • Question 9 2 out of 2 points When is round ligament pain most likely to occur in pregnant women? Selected Answer: d. Between 16–20 weeks’ gestation • Question 10 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Selected Answer: a. By consuming 2 servings of fatty low-mercury-content fish per week • Question 11 2 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: b. 7–9 days • Question 12 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks • Question 13 2 out of 2 points Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes • Question 14 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 15 2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 16 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 17 2 out of 2 points What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease • Question 18 2 out of 2 points What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension • Question 19 2 out of 2 points What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? Selected Answer: b. Postpartum endometritis • Question 20 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: c. Three-day regimens are now recommended. • Question 21 2 out of 2 points What is more likely to occur in women with female genital cutting? Selected Answer: b. Birth-related complications • Question 22 2 out of 2 points Which of the following is a predictor of impending preterm birth? Selected Answer: a. Positive fetal fibronectin testing • Question 23 2 out of 2 points What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone • Question 24 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Selected Answer: b. 12–14 weeks’ gestation • Question 25 0 out of 2 points What is the most common type of UTI that affects women? Selected Answer: c. WRONG Asymptomatic bacteriuria • Question 26 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Selected Answer: d. Progressive cervical change • Question 27 0 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Selected Answer: a. WRONG 24 hours • Question 28 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 29 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: Selected Answer: b. Have no signs of upper tract infection • Question 30 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 31 2 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Selected Answer: c. Augmentation • Question 32 2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. • Question 33 2 out of 2 points What is the term for the craving and purposeful consumption of nonfood items for more than one month? Selected Answer: c. Pica • Question 34 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions • Question 35 0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. WRONG Decreased incidence of urinary tract infections • Question 36 2 out of 2 points What was the reason that prenatal care began in the early 1900s? Selected Answer: a. To screen for preeclampsia • Question 37 2 out of 2 points What do current theories suggest as to how cranberry products can reduce UTIs? Selected Answer: b. The fructose keeps E. coli bacteria from adhering to bladder cell walls. • Question 38 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 39 2 out of 2 points What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? Selected Answer: b. Tampons • Question 40 2 out of 2 points After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? Selected Answer: c. 20 weeks • Question 41 2 out of 2 points What is important to consider when vaginal bleeding occurs during the first trimester? Selected Answer: b. Ectopic pregnancy • Question 42 2 out of 2 points How does women’s anatomy make them more susceptible to UTIs? Selected Answer: d. Their urethras are shorter. • Question 43 2 out of 2 points What significantly increases the risk of hypertension in women? Selected Answer: a. The onset of menopause • Question 44 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. CenteringPregnancy • Question 45 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: a. Age • Question 46 2 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: b. The need for birth control information or supplies • Question 47 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 48 2 out of 2 points What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Selected Answer: c. Ask the woman to obtain her workplace MSDs (material safety data sheets). • Question 49 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 50 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 51 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Friday, August 9, 2019 10:46:07 PM EDT   NURS 6551 FINAL EXAM 3 – QUESTION AND ANSWERS 1. What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? 2. 3. a. 4. Seven-day regimens are now recommended. 5. 6. b. 7. Three times a day of oral antibiotics are now recommended. 8. 9. c. 10. Three-day regimens are now recommended. 11. 12. d. 13. A single dose is now recommended. 1. What is considered to be a common trigger of psoriasis? 2. 3. a. 4. Stress 5. 6. b. 7. Pregnancy 8. 9. c. 10. Migraines 11. 12. d. 13. Menstruation The clinician is seeing a 48-year-old woman for the first time. She is overweight and has a blood pressure of 120/92. She is on no medications and does not smoke or drink alcohol. Her family history is negative for heart disease. Her physical exam is unremarkable. The clinician should advise her as follows: a. Her blood pressure is high normal and does not require further follow-up at this time. b. She has prehypertension. c. She has stage 1 hypertension. d. She needs two additional blood pressure checks on two separate occasions. 1. What tends to cause acne in adolescence? 2. 3. a. 4. A decrease in estrogen 5. 6. b. 7. Dietary changes 8. 9. c. 10. Hormonal birth control use 11. 12. d. 13. An increase in testosterone The onset of labor is indicated by regular uterine contractions and: a. Complete dilation of the cervix b. Change in the position of the fetus c. Rupture of the membranes d. Progressive cervical change The onset of labor is indicated by regular uterine contractions and: a. Complete dilation of the cervix b. Change in the position of the fetus c. Rupture of the membranes d. Progressive cervical change Which of the following statements does not support the diagnosis of Alzheimer’s disease? a. Crying every day b. Forgetting where she puts things c. Getting lost driving to the grocery store d. Lost ability to balance a checkbook A 23-year-old woman is seeing the clinician because of chronic headaches. These headaches are typically preceded by seeing flashing lights. These visual distortions spontaneously resolve followed by throbbing pain on either the right or left side of her head. Pain is associated with photophobia, nausea, and vomiting. The most likely diagnosis is: 1. 2. a. 3. Cluster headache 4. 5. b. 6. Migraine headache 7. 8. c. 9. Temporal arteritis 10. 11. d. 12. Transient ischemic attacks (TIAs) When is round ligament pain most likely to occur in pregnant women? 1. 2. a. 3. Between 6–8 weeks’ gestation 4. 5. b. 6. Between 24–28 weeks’ gestation 7. 8. c. 9. Between 10–12 weeks’ gestation 10. 11. d. 12. Between 16–20 weeks’ gestation Postpartum depression occurs in about what percentage of women who give birth? a. 5–10% b. 25–30% c. 10–15% d. 1–5% About how many breastfeeding women are affected by lactation mastitis? a. 10% b. 20% c. 15% d. 25% What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? 1. 2. a. 3. Visits scheduled every 2 weeks 4. 5. b. 6. Visits scheduled every 3 weeks 7. 8. c. 9. Visits scheduled every week 10. 11. d. 12. Visits scheduled every 4 weeks About what percentage of pregnant women develop gestational hypertension, preeclampsia, or pregnancy-induced hypertensive disorder? a. 5–7% b. 10–12% c. 1–3% d. 12–15 What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? 1. 2. a. 3. Postpartum amenorrhea 4. 5. b. 6. Postpartum endometritis 7. 8. c. 9. Postpartum staphylococcus 10. 11. d. 12. Postpartum lochia How does women’s anatomy make them more susceptible to UTIs? a. Asymptomatic UTIs do not resolve themselves without treatment. b. Women tend to get UTIs when they are pregnant. c. There is a longer distance between the urethra and anus. d. Their urethras are shorter. A 60-year-old woman has a blood pressure of 144/86. This would be classified as: a. Normal blood pressure b. Prehypertensive c. Stage 1 hypertension (per course hero) d. Stage 2 hypertension After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? a. 18 weeks b. 30 weeks c. 20 weeks d. 24 weeks What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? 1. 2. a. 3. Diaphragms 4. 5. b. 6. Tampons 7. 8. c. 9. Kegels 10. 11. d. 12. Sacral nerve stimulators All of the following symptoms are associated with chest pain and representative of coronary artery disease except: a. Diaphoresis b. Jaw pain c. Pain with inspiration d. Shortness of breath Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors a. 35 b. 40 c. 45 d. 50 What is the potential danger of a fetus born through meconium-stained amniotic fluid? a. The infant will not be able to relax its anal sphincter. b. The infant can breathe meconium into the lungs. c. The infant can get meconium caught in the esophagus. d. The infant will be born with jaundice. What does rosacea describe? a. Adult acne b. Nail fungus c. Swelling of the joints d. Pruritis Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: a. Sensitivity test b. Blood culture c. Urine dipstick d. Parenteral culture What is the definition of a primary headache? a. A headache that occurs only before and during menstruation b. A headache is caused by a preexisting condition c. A headache that is not a symptom of, or caused by, another condition d. A headache that is characterized by muscle tension What is the leading cause of first-trimester maternal death? a. Ectopic pregnancy b. Complications from prior gynecologic surgeries c. Abortion d. Complications from unresolved STIs When considering a diagnosis of Alzheimer’s disease, the clinician should: a. Interview her with a family member or close friend b. Interview her separately (alone) then with a family member or close friend c. Obtain the history from a family member or close friend d. Rely on client observation without obtaining a history What is the most common cause of death in women in the United States? a. Breast cancer b. Cardiovascular disease c. Cervical cancer d. Lung cancer What percentage of pregnant women in developed countries have iron-deficiency anemia? a. 20% b. 10% c. 15% d. 5% How does the third stage of labor end? a. With the birth of the baby b. With the delivery of the placenta c. With the clamping of the umbilical cord d. With the complete dilation of the cervix What is a possible cause of abdominal pain during pregnancy? a. Round ligament pain b. Diabetes c. Anemia d. Cytomegalovirus Type 2 diabetes includes insulin resistance and affects what percentage of those who have diabetes? a. 75–80% b. 65–70% c. 55–60% ????? d. 90–95% The primary endocrine disorders affecting women are diabetes mellitus and: a. Psoriatic arthritis b. Thyroid conditions c. Melanoma d. Polydipsia 1. When can relief from pregnancy induces nausea and vomiting be expected? 2. 3. a. 4. 6–8 weeks’ gestation 5. 6. b. 7. 12–14 weeks’ gestation 8. 9. c. 10. 20–22 weeks’ gestation 11. 12. d. 13. after 24 weeks’ gestation What is the term for the craving and purposeful consumption of nonfood items for more than one month? a. Anemia b. Toxemia c. Pica d. Torsion What significantly increases the risk of hypertension in women? a. The onset of menopause b. Hormonal replacement therapy c. Depression d. Atherosclerosis Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: a. Overt diabetes b. Gestational diabetes c. Carbohydrate overload d. Iron-deficiency anemia A chronic skin disorder that is thought to be caused by an abnormal immune reaction in the skin is atopic dermatitis or: a. Rosacea b. Psoriasis c. Cellulitis d. Eczema What is a potential benefit of circumcision? a. Decreased incidence of urinary tract infections b. Prevention of prostate cancer c. Increased immunity against herpes simplex virus d. Prevention of transmission of sexually transmitted bacteria Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: a. Develop HIV b. Have cognitive difficulties c. Need blood transfusions d. Become infected Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? a. 24 hours b. 12 hours c. 72 hours d. 80 hours What is more likely to occur in women with female genital cutting? 1. 2. a. 3. Low birth-weight babies 4. 5. b. 6. Birth-related complications 7. 8. c. 9. Miscarriages 10. 11. d. 12. Premature births What is the general goal of surgical treatment for stress UI? a. To increase the capacity of the bladder b. To increase pressure on the vaginal walls c. To support and strengthen the levator ani d. To support and stabilize the urethra The clinician is ordering a lipid panel for a 50-year-old woman. The following advice should be given: 1. 2. a. 3. Eat a normal breakfast the morning of the blood draw 4. 5. b. 6. Fast for 12 hours prior to the blood draw 7. 8. c. 9. No dietary changes 10. 11. d. 12. Eat a low-fat breakfast the morning of the blood draw All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? a. Use of oral combined hormonal contraceptives b. Recent childbirth c. History of recent deep venous thrombosis d. History of pelvic inflammatory disease What is the initial symptom of Lyme disease, seen in approximately 70 to 80 percent of people infected with the bacterium? 1. 2. a. 3. Red facial patches 4. 5. b. 6. A circular red rash 7. 8. c. 9. Rough bumps on the skin 10. 11. d. 12. Shortness of breath According to the CDC, what percentage of pregnant women continues to drink alcohol during their pregnancies? a. 10% b. 20% c. 25% d. 30% What is a contributor to the increased incidence of heartburn during pregnancy? a. The increased incidence of hypertension during pregnancy b. The dilation of veins in the esophagus, due to increased blood flow c. The increased levels of magnesium and calcium in the blood d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter Gender differences in heart disease can be found in: a. Diagnosis b. Treatment c. Identification of symptoms d. All of the above What is the recommended amount of Kegel contractions per day for women whose pelvic muscles are weak? a. 10 b. 50 c. 30 d. 7 What is a common cause of leg cramps during pregnancy? a. An imbalance of calcium and magnesium b. Dehydration c. An inability to sleep d. Poor nutrition     What is the most common cause of medical complications in pregnancy? a. Hypertension b. Gestational diabetes c. Hepatitis d. Anemia Which of the following is a predictor of impending preterm birth? a. Positive fetal fibronectin testing b. Cervical length less than 15 mm c. Meconium-stained amniotic fluid d. Cord prolapse What is significant about cytomegalovirus (CMV)? a. It cannot be transmitted by person-to-person contact. b. It can remain dormant within the body for life. c. It is the most dangerous virus that can be transmitted to a fetus. d. It is experienced by about 25 percent of childbearing-age women before pregnancy. A 30-year-old woman comes to clinic concerned about a headache that feels like a “rubber band squeezing her head,” which occurs nearly daily. It lasts several hours and is not associated with nausea or vomiting. She has no family history of migraine headaches. Her physical exam is within normal limits. The most likely diagnosis is Tension Headaches What is the percentage of all unintended pregnancies in the United States? a. 5% b. 15% c. 25% d. 50% How often does breech presentation occur in singleton pregnancies? a. 1–2% b. 3–4% c. 6–7% d. 10–11% How are pregnancy-related DHA (docosahexaenoic acid) needs best met? a. By consuming 2 servings of fatty low-mercury-content fish per week b. By taking a prenatal vitamin supplement c. By consuming 2 to 4 servings of fruit daily d. By consuming 3 to 4 servings of dairy products daily What should be considered in order to interpret the Mini-Mental State exam when considering the diagnosis of Alzheimer’s disease? Education a. Education b. Family history of Alzheimer’s disease c. Medications that include estrogen d. Past history of concussion About how many infants born to mothers colonized with Group B streptococcus will become colonized as well? a. 40% b. 25% c. 10% d. 50% What is an indication of the second stage of labor? a. Complete dilation of the cervix b. Rupture of the membranes c. Emergence of the infant’s head d. Presence of bloody show Approximately how many reproductive-age women in the United States meet the BMI criteria for obesity? a. 1 in 5 b. 1 in 10 c. 1 in 4 d. 1 in 7 What should be addressed during late postpartum maternal evaluation (weeks 2–6)? a. The healing of the mother b. The need for birth control information or supplies c. The birth plan of the mother d. The latching-on response of the infant What is important to consider when vaginal bleeding occurs during the first trimester? a. Uterine size b. Ectopic pregnancy c. Viral infection d. HIV Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: a. Age b. Height c. Nutritional assessment d. Caloric intake What is the most common disorder leading to hyperthyroidism? a. Parkinson’s disease b. Graves’ disease c. Multiple sclerosis d. Epilepsy A 72-year-old woman is presenting with chest pain. Which of the following statements best differentiates chest pain due to angina versus myocardial infarction? a. Angina pain is frequently relieved by nitroglycerin. b. Angina pain is more substernal and does not radiate to other areas. c. Myocardial pain with an infarction is always associated with fatigue. d. Myocardial pain with an infarction is more severe. At what time during pregnancy does nausea typically occur? a. At 3–6 weeks’ gestation b. At 6–8 weeks’ gestation c. At 12–15 weeks’ gestation d. At 1–3 weeks’ gestation What step can a clinician take to learn more about any chemicals used in a woman’s workplace? a. Contact OSHA (Occupational Health and Safety Administration). b. Contact the woman’s workplace. c. Ask the woman to obtain her workplace MSDs (material safety data sheets). d. Conduct research on the OSHA website. Where does edema tend to occur in the pregnant woman’s body? a. Hands b. Face c. Feet d. Abdomen What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? a. Exteriorization b. Induction c. Augmentation d. Presentation Uncomplicated acute bacterial cystitis occurs in women who: a. Are pregnant b. Have no signs of upper tract infection c. Have a high fever d. Have had recent antibiotics Chest pain associated with irritation of the myocardial nerve fibers (such as with angina pectoris or myocardial infarction) is due to an increase in: a. Blood glucose b. Lactic acid c. Serum magnesium d. Serum potassium What was the reason that prenatal care began in the early 1900s? a. To screen for preeclampsia b. To predict preterm births c. To assess women’s nutritional needs d. To test women for disease A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: a. HolisticBirthing b. Midwifery c. CenteringPregnancy d. PathologyCare Which of the following symptoms are suggestive of a cluster headache? a. Bilateral, aching pain not associated with nausea or vomiting and not aggravated by physical activity b. Pain in the left temporal area behind the left eye associated with fever and jaw claudication c. Pulsating pain on the left side of the head associated with nausea, vomiting, and photophobia d. Thirty-minute episodes of right-sided pain occurring 3–5 times daily associated with rhinorrhea and conjunctival injection   NURS 6551 FINAL EXAM 4 – QUESTION AND ANSWERS • Question 1 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 2 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 3 2 out of 2 points Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Selected Answer: b. Premature delivery. • Question 4 2 out of 2 points Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking Dixcloxacillin. She asks you what she needs to do about feeding the baby. You respond Selected Answer: b. "There is no need to stop breastfeeding, but start with your left side." • Question 5 2 out of 2 points A 25-year-old obese female has a history of frequent candida vaginal infections in the past year. She is in a monogamous sexual relationship and uses and intrauterine device (IUD) for contraception. Of the following, which is the most likely underlying condition predisposing her to recurring candida vaginitis? Selected Answer: d. Diabetes mellitus • Question 6 2 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: b. 7–9 days • Question 7 2 out of 2 points Karen is taking oral contraceptive pills for fertility control. Karen calls the clinic and reports the presence of chest pain and shortness of breath. You instruct Karen to: Selected Answer: a. Go to the nearest emergency room immediately to be evaluated. • Question 8 2 out of 2 points A new mother asks, "Is it true that breast milk will prevent my baby from catching colds and other infections?" You should give which of the following replies based on current research findings: Selected Answer: d. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract infections." • Question 9 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 10 0 out of 2 points Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? Selected Answer: a. Ranitidine • Question 11 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. Centering Pregnancy • Question 12 2 out of 2 points Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? Selected Answer: c. Crown-rump measurement • Question 13 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 14 2 out of 2 points A 28-year-old pregnant patient, at 18 weeks gestation, complains of feeling lightheaded when standing. which of the following is an appropriate response by the nurse practitioner? Selected Answer: d. Blood pressure normally decreases during pregnancy and can cause this symptom. • Question 15 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 16 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 17 2 out of 2 points Which of the following drugs should be used with extreme caution in breastfeeding mothers? Selected Answer: c. Phenobarbital • Question 18 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 19 2 out of 2 points According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? Selected Answer: d. June 30 • Question 20 2 out of 2 points A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a Selected Answer: c. Mongolian spot • Question 21 0 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities • Question 22 2 out of 2 points Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B–infected mothers will: Selected Answer: d. Become infected • Question 23 2 out of 2 points A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is associated with: Selected Answer: a. Intrauterine growth restriction • Question 24 2 out of 2 points Which of the following does not increase a woman's risk for developing cervical cancer? Selected Answer: d. Nulliparity • Question 25 0 out of 2 points A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium? Selected Answer: a. A 35-year-old Caucasian • Question 26 2 out of 2 points What is the best description of Bishop's score? Selected Answer: a. It is an assessment of the cervix's readiness for elective induction. • Question 27 2 out of 2 points Sandra, who is 5 months pregnant and of average height and weight, asks you how many extra calories she should be adding to her diet per day. You tell her to add: Selected Answer: a. 300 calories • Question 28 2 out of 2 points What components make up the biophysical profile? Selected Answer: d. Fetal tone, breathing, motion, amniotic fluid volume, and nonstress test. • Question 29 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 30 2 out of 2 points A newborn delivered by a mother with no prenatal care exhibits the following: dysmorphic facial features including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy? Selected Answer: d. Excessive alcohol intake • Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 32 2 out of 2 points What is the simplest and safest method of suppressing lactation after it has started? Selected Answer: b. Gradually weaning the baby to a bottle or cup over a 3-week period • Question 33 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: Selected Answer: b. Have no signs of upper tract infection • Question 34 2 out of 2 points Which of the following diseases is not acquired transplancentally? Selected Answer: c. Tuberculosis • Question 35 2 out of 2 points NSAID use during pregnancy has been linked to which condition in newborns? Selected Answer: c. Pulmonary hypertension • Question 36 2 out of 2 points Carrie is due to deliver her second baby. During your work-up, you note that she hemorrhaged after delivering her first baby 2 years ago, has always had menorrhagia, and bruises easily. Her lab work reveals a normal blood work-up, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect? Selected Answer: a. Von Willibrand's disease • Question 37 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 38 0 out of 2 points A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis? Selected Answer: d. Threatened spontaneous abortion • Question 39 2 out of 2 points Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)? Selected Answer: c. A bare crib with firm sleep surface; no soft objects, wedges, or ruffles. • Question 40 2 out of 2 points What is the recommended timing for gestational diabetes screening? Selected Answer: b. 24-28 weeks' gestation • Question 41 2 out of 2 points What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix • Question 42 2 out of 2 points Liza is 34 weeks pregnant and has mild hypertension. You are performing a nonstress test (NST). What is the criterion for a reactive NST? Selected Answer: c. At least two fetal heart rate accelerations in response to fetal movement in a 20-minute test period. • Question 43 2 out of 2 points You see G5P4015 on a client's history form. You surmise that Selected Answer: b. The woman has five living children, including a set of twins, and she has had one abortion. • Question 44 0 out of 2 points A 50-year-old patient has abnormal vaginal bleeding with heavy periods and intermenstrual water discharge with a small amount of blood. What is the most likely diagnosis? Selected Answer: c. Normal perimenopause • Question 45 2 out of 2 points What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. • Question 46 2 out of 2 points A 30-year-old female patient is seeking advice from the nurse practitioner about becoming pregnant. She is currently taking an oral contraceptive. She gives a history of having a hydatidiform molar pregnancy 2 years ago. The appropriate plan of care for this patient should include: Selected Answer: c. Discontinuing the oral contraceptive • Question 47 2 out of 2 points A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis? Selected Answer: c. Anxiety, related to effects of hyperemesis on fetal well-being • Question 48 2 out of 2 points All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? Selected Answer: d. History of pelvic inflammatory disease • Question 49 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Selected Answer: d. Progressive cervical change • Question 50 2 out of 2 points An example of an X-linked recessive condition or trait is Selected Answer: c. Hemophilia • Question 51 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes   NURS 6551 FINAL EXAM 5 – QUESTION AND ANSWERS • Question 1 2 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: c. Unknown causes • Question 2 2 out of 2 points Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Selected Answer: a. Sensitivity test • Question 3 2 out of 2 points What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. • Question 4 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 5 2 out of 2 points In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ Selected Answer: a. The first day of the last menstrual period • Question 6 2 out of 2 points What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress • Question 7 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 8 2 out of 2 points What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix • Question 9 2 out of 2 points When is round ligament pain most likely to occur in pregnant women? Selected Answer: d. Between 16–20 weeks’ gestation • Question 10 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Selected Answer: a. By consuming 2 servings of fatty low-mercury-content fish per week • Question 11 2 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: b. 7–9 days • Question 12 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks • Question 13 2 out of 2 points Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes • Question 14 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 15 2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 16 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 17 2 out of 2 points What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease • Question 18 2 out of 2 points What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension • Question 19 2 out of 2 points What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? Selected Answer: b. Postpartum endometritis • Question 20 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: c. Three-day regimens are now recommended. • Question 21 2 out of 2 points What is more likely to occur in women with female genital cutting? Selected Answer: b. Birth-related complications • Question 22 2 out of 2 points Which of the following is a predictor of impending preterm birth? Selected Answer: a. Positive fetal fibronectin testing • Question 23 2 out of 2 points What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone • Question 24 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Selected Answer: b. 12–14 weeks’ gestation • Question 25 0 out of 2 points What is the most common type of UTI that affects women? Selected Answer: c. WRONG Asymptomatic bacteriuria • Question 26 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Selected Answer: d. Progressive cervical change • Question 27 0 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Selected Answer: a. WRONG 24 hours • Question 28 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 29 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: Selected Answer: b. Have no signs of upper tract infection • Question 30 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 31 2 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Selected Answer: c. Augmentation • Question 32 2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. • Question 33 2 out of 2 points What is the term for the craving and purposeful consumption of nonfood items for more than one month? Selected Answer: c. Pica • Question 34 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions • Question 35 0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. WRONG Decreased incidence of urinary tract infections • Question 36 2 out of 2 points What was the reason that prenatal care began in the early 1900s? Selected Answer: a. To screen for preeclampsia • Question 37 2 out of 2 points What do current theories suggest as to how cranberry products can reduce UTIs? Selected Answer: b. The fructose keeps E. coli bacteria from adhering to bladder cell walls. • Question 38 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 39 2 out of 2 points What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? Selected Answer: b. Tampons • Question 40 2 out of 2 points After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? Selected Answer: c. 20 weeks • Question 41 2 out of 2 points What is important to consider when vaginal bleeding occurs during the first trimester? Selected Answer: b. Ectopic pregnancy • Question 42 2 out of 2 points How does women’s anatomy make them more susceptible to UTIs? Selected Answer: d. Their urethras are shorter. • Question 43 2 out of 2 points What significantly increases the risk of hypertension in women? Selected Answer: a. The onset of menopause • Question 44 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. CenteringPregnancy • Question 45 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: a. Age • Question 46 2 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: b. The need for birth control information or supplies • Question 47 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 48 2 out of 2 points What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Selected Answer: c. Ask the woman to obtain her workplace MSDs (material safety data sheets). • Question 49 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 50 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 51 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Selected Answer: Yes Friday, August 9, 2019 10:46:07 PM EDT • Question 1 2 out of 2 points Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Selected Answer: a. Sensitivity test • Question 2 2 out of 2 points What is the most common disorder leading to hyperthyroidism? Selected Answer: b. Graves’ disease • Question 3 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Selected Answer: a. Round ligament pain • Question 4 2 out of 2 points All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? Selected Answer: d. History of pelvic inflammatory disease • Question 5 2 out of 2 points What do current theories suggest as to how cranberry products can reduce UTIs? Selected Answer: b. The fructose keeps E. coli bacteria from adhering to bladder cell walls. • Question 6 2 out of 2 points How does the third stage of labor end? Selected Answer: b. With the delivery of the placenta • Question 7 2 out of 2 points What is the term for the craving and purposeful consumption of nonfood items for more than one month? Selected Answer: c. Pica • Question 8 0 out of 2 points The majority of early pregnancy losses are due to: Selected Answer: d. Chromosomal abnormalities • Question 9 2 out of 2 points In order to maintain continence bladder pressure must be Selected Answer: d. lower than urethral pressure. • Question 10 2 out of 2 points What is the general goal of surgical treatment for stress UI? Selected Answer: d. To support and stabilize the urethra • Question 11 2 out of 2 points What is the leading cause of first-trimester maternal death? Selected Answer: a. Ectopic pregnancy • Question 12 2 out of 2 points What is more likely to occur in women with female genital cutting? Selected Answer: b. Birth-related complications • Question 13 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Selected Answer: d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter • Question 14 2 out of 2 points What distinguishes pyelonephritis from cystitis? Selected Answer: b. The infection has ascended to the kidneys. • Question 15 2 out of 2 points What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? Selected Answer: d. Visits scheduled every 4 weeks • Question 16 2 out of 2 points After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? Selected Answer: c. 20 weeks • Question 17 2 out of 2 points What is an indication of the second stage of labor? Selected Answer: a. Complete dilation of the cervix • Question 18 2 out of 2 points How can hormonal influences during pregnancy cause backache? Selected Answer: a. They loosen ligaments and joints. • Question 19 2 out of 2 points Carbohydrate intolerance and increased insulin resistance first recognized in pregnancy is known as: Selected Answer: b. Gestational diabetes • Question 20 0 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Selected Answer: c. Nutritional assessment • Question 21 2 out of 2 points Where does edema tend to occur in the pregnant woman’s body? Selected Answer: c. Feet • Question 22 2 out of 2 points What is important to consider when vaginal bleeding occurs during the first trimester? Selected Answer: b. Ectopic pregnancy • Question 23 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions • Question 24 2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Selected Answer: b. The infant can breathe meconium into the lungs. • Question 25 2 out of 2 points What tends to cause acne in adolescence? Selected Answer: d. An increase in testosterone • Question 26 2 out of 2 points What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? Selected Answer: b. Postpartum endometritis • Question 27 2 out of 2 points What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Selected Answer: c. Ask the woman to obtain her workplace MSDs (material safety data sheets). • Question 28 2 out of 2 points What is considered to be a common trigger of psoriasis? Selected Answer: a. Stress • Question 29 2 out of 2 points What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? Selected Answer: b. Tampons • Question 30 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Selected Answer: c. CenteringPregnancy • Question 31 2 out of 2 points What is the most common cause of medical complications in pregnancy? Selected Answer: a. Hypertension • Question 32 2 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Selected Answer: c. 72 hours • Question 33 0 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Selected Answer: a. The healing of the mother • Question 34 2 out of 2 points What is significant about cytomegalovirus (CMV)? Selected Answer: b. It can remain dormant within the body for life. • Question 35 2 out of 2 points How does women’s anatomy make them more susceptible to UTIs? Selected Answer: d. Their urethras are shorter. • Question 36 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Selected Answer: c. Three-day regimens are now recommended. • Question 37 0 out of 2 points What is a potential benefit of circumcision? Selected Answer: a. Decreased incidence of urinary tract infections • Question 38 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Selected Answer: c. 45 • Question 39 2 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Selected Answer: c. Augmentation • Question 40 2 out of 2 points At what time during pregnancy does nausea typically occur? Selected Answer: b. At 6–8 weeks’ gestation • Question 41 2 out of 2 points Gender differences in heart disease can be found in: Selected Answer: d. All of the above • Question 42 2 out of 2 points What is the most common cause of death in women in the United States? Selected Answer: b. Cardiovascular disease • Question 43 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Selected Answer: b. 12–14 weeks’ gestation • Question 44 0 out of 2 points Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably ________ days after implantation of the blastocyst (fertilized egg). Selected Answer: c. 9–14 days • Question 45 2 out of 2 points What is a common cause of leg cramps during pregnancy? Selected Answer: a. An imbalance of calcium and magnesium • Question 46 0 out of 2 points What significantly increases the risk of hypertension in women? Selected Answer: b. Hormonal replacement therapy • Question 47 0 out of 2 points What was the reason that prenatal care began in the early 1900