Test
Exam 2
Preguntas del test (25)
1A second triple screen on a 35-year old primigravida reveals abnormally low levels of alpha fetoprotien and estriol and high levels of HCG. Which of the following interventions is the best choice for this patient?
- AOrder and ultrasound
- BOrdera a CT scan of the abdomen
- COrder a 24-hour urine protein clearance
- DAssess for a history of illicit drug or alcohol use
2A 36-year old primigravida who is at 28 weeks of gestations expecting twins. What would you expect her alpha-alpha-fetoprotien values to be?
- ANormal
- BHigher than normal
- CLower than normal
- DNone of the above
3A multigravida who is at 28 weeks of gestation has a fundal height of 29 cm. Which of the following is the best recommendation for this patient?
- AAdvise the mother that her pregnancy is progressing well
- BOrder an ultrasound of the uterus
- CRefer her to an obstetrician for an amniocentesis
- DRecommend bed rest with bathroom privileges
4A multigravida who is 34 weeks gestation want to know at what level her uterine fundus should be. The best answer is to tell the mother that her fundus is:
- AMidway between the umbilicus and the lower ribs
- BAt the level of the umbilicus
- CFrom 33-35 cm
- DFrom 32-34 cm
5A 28-year old multipara who is 32 weeks of gestation presents to your office complaining of sudden onset of small amount of bright red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely?
- APlacenta abruptio
- BPlacental previa
- CAcute cervictitis
- DMolar pregnancy (hydatidiform mole)
6A 30-year-old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy test is positive. Which of the following is TRUE regarding threatened abortion?
- AVaginal bleeding and cramping are present, but the cervix remains closed
- BVaginal bleeding and cramping are present along with a dilated cervix
- CThe fetus and the plant are expelled
- DThe products of conception and the placenta remain inside the uterus along with a dilated cervix
7A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of the following areas?
- ABetween the umbilicus and the suprapubic bone
- BJust rising above the suprapubic bone
- CBetween the suprapubic bone and the xiphoid process
- DBetween the umbilicus and the xiphoid process
8A positive Coombs test on an Rh- pregnant woman means:
- AThe mother has autoantibodies against Rh+ RBCs
- BThe fetus has autoantibodies against maternal RBCs
- CThe mother does not have Rh factor against fetal RBCs
- DThe fetus does not have RBC autoantibodies
9Folic acid supplementation is recommended for women who are planning pregnancy in order to"
- APrevent renal agenensis
- BPrevent anencephaly
- CPrevent kidney defects
- DPrevent heart defects
10An Rh- pregnant woman with negative rubella titters should be vaccinated at what time period in her pregnancy?
- AShe can be vaccinated at any time of her pregnancy
- BDuring the second trimester
- CDuring the third trimester
- DDuring the postpartum period
11The majority of the serum alpha fetoprotein is produced by the:
- AFetal liver
- BMother's liver
- CPlacenta
- DFetal neural tube
12HCG is produced by the:
- APlacenta
- BHypothalamus
- CAnterior pituitary
- DOvaries
13You note the following routine urinalysis on a 37-year-old primagravida who is at 30 weeks gestation. Leukocytes=trace, nitrate=negative, protein=+2, blood=negative. Her weight has increase by 5ls during the past week. Which of the following is most likely?
- AHELLP Syndrome
- BPreeclampsia
- CEclampsia of pregnancy
- DPrimary HTN
14The positive signs of pregnancy include:
- APalpation of the fetus and auscultation of the FHTs by the nurse practitioner
- BPalpation of the fetus and positive quantitative serum pregnancy test
- CFHTs and a + quantitative serum pregnancy test
- DFHTs and feeling movement of the baby by the mother
15Chadwick's sign is characterized by:
- ASoftening of the cervix
- BBlue coloration of the cervix and the vagina
- CSoftening of the uterine isthmus
- DNausea and vomiting during the first trimester
16Hegar's sign is considered a:
- APositive sign of pregnancy
- BProbable sign of pregnancy
- CPresumptive sign of pregnancy
- DProblem in pregnancy
17When palpating a women who is at 20 weeks gestation, the NP should be able to feel the uterine fundus at what level?
- AJust rising out of the level of the pubis symphysis
- BBetween the pubis symphysis and the umbilicus
- CAt the level of the umbilicus
- DAbove the level of the umbilicus
18A 38-year-old multigravida who is at 32 weeks gestation calls the FNP complaining of bright red vaginal bleeding. There is no watery d/c. She ocomplains that her uterus feels hard and very painful. Which of the following conditions is most likely?
- APlacenta previa
- BPlacenta abruptio
- CA molar pregnancy
- DAn ectopic pregnancy
19Which of the following is contraindicated in the care of pregnant women with placenta previa?
- AEchocardiogram
- BIntravaginal U/S
- CAbdominal U/S
- DPelvic U/S
20RhoGAM's mechanism of action is:
- AThe destruction of Rh+ fetal RBCs that are present in the mother's circulation
- BThe destruction of maternal antibodies against Rh+ fetal RBCs
- CThe stimulation of maternal antibodies so that there is a decreased risk of hemolysis
- DThe destruction of maternal antibodies against fetal RBCs
21A women at 32 weeks gestations a + throat culture for strep pyogenes. She denies allergies but gets very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient?
- AClarithromycin (Biaxin)
- BTrimethoprim/sulfamethoxazole (Bactrim DS)
- COfloxacin (Floxin)
- DPenicillin (Pen VK)
22Women who are pregnant in the winter months are commanded to have which of the following?
- AIncreased intake of Vitamin C and foals
- BVaccination against the influenza virus
- CIncreased caloric intake of fruits and vegetables
- DHeavier winter clothes to avoid chilling the fetus
23Which of the following conditions is a possible complication of severe eclampsia?
- APlacenta previa
- BPlacenta abruptio
- CErythroblastosis fetalis
- DUterine rupture
24All of the following are not recommended for the outpatient treatment of mild preeclampsia except:
- ASevere sodium restriction
- BRestrict fluid intake to less than 1 liter/day
- CAldomet (methyldopa) 250 mg PO BID
- DBed rest on the left side with bathroom privleges
25Normal weight gain for a healthy weight before pregnancy woman would be:
- A35-45
- B25-35
- C28-40
- D15-20
Información
- Descripción
- Exam 2 Practice for Child rearing/bearing
- Autor
- netherco
- Idioma
- English
- Visitas
- 150
- Etiquetas
- Valoración
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