Advanced Practice care of Adults | NURS 6551 FINAL EXAM | CORRECT ANSWERS HIGHLIGHTED, Exams of Nursing

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Advanced Practice care of

Adults | NURS 6551 FINAL

EXAM | CORRECT ANSWERS

HIGHLIGHTED

TEST BANK

Walden University

NURS 6551 Final Exam Question 1 2 out of 2 points What is the general goal of surgical treatment for stress UI? Answer: D. To support and stabilize the urethra Question 2 2 out of 2 points Gender differences in heart disease can be found in: 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 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 Answer: B. "There is no need to stop breastfeeding, but start with your left side."

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? 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). 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: 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: Answer: D. "Your baby will have increased resistance to illness caused by bacteria and viruses, but he may still contract

infections." Question 9

What is a possible cause of abdominal pain during pregnancy? 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? 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 Answer: D. lower than urethral pressure. Question 16 2 out of 2 points How does the third stage of labor end? 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? Answer: C. Phenobarbital

How can hormonal influences during pregnancy cause backache? 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? 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 Answer: C. Mongolian spot Question 21 0 out of 2 points The majority of early pregnancy losses are due to: 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: Answer: D. Become infected

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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: Answer: A. 300 calories 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? Answer: C. Normal perimenopause Question 45 2 out of 2 points What is significant about cytomegalovirus (CMV)? Answer: B. It can remain dormant within the body for life. 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? 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:

Question 28 2 out of 2 points What components make up the biophysical profile? Answer: D. Fetal tone, breathing, motion, amniotic fluid volume, and non-stress test. Question 29 2 out of 2 points What is the leading cause of first-trimester maternal death? 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? Answer: D. Excessive alcohol intake Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? 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?

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?

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? 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? 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)? Answer: C. A bare crib with firm sleep surface; no soft objects, wedges, or ruffles. Question 40 2 out of 2 points