Download Test 1 Exam NURS 5432 Questions With Complete Solutions 2025 Graded A+ and more Exams Nursing in PDF only on Docsity!
Test 1 Exam NURS 5432 Questions With Complete Solutions
2025 Graded A+
Birth to 6months calorie requirement - ANSWERS-120kcal/kg/day 7 months to 1 year Calorie requirement - ANSWERS-100 kcal/kg/day 2 to 10 years caloric requirements - ANSWERS-100 to 70 kcal/kg/day Adolescent calorie requirements - ANSWERS-45 kcal/kg/day (significant decrease) How much Vitamin D a day does an infant need starting at 2 months? - ANSWERS- 400IU NOTE: this applies to both breast fed and formula fed infants How much Iron do infants who are exclusively breastfeeding need? - ANSWERS- mg/kg/day of iron is recommended Absent red reflex could indicate these two things: - ANSWERS-Congenital Cataracts Retinoblastoma What issue with the eyes could indicate Gonococcus, chlamydia, or herpes? - ANSWERS-Purulent Eye Discharge Disconjugate gaze is considered abnormal, True or False? - ANSWERS-False: Disconjugate gaze is normal What do response do we look for when testing the hearing if a Newborn? - ANSWERS-Startle Response A newborn has small white cysts on the palate and gums of the mouth. What's
this and should it be a concern? - ANSWERS-Epstein pearls (common) Gross Motor: Good head control - ANSWERS-2-3 months What is the Tonic Neck Reflex? - ANSWERS-Occurs when newborn's head is turned to the side, the arm on that side will extend while the opposite arm will contract - prepares the infant for voluntary reaching and may be a precursor to hand/eye coordination. What age (range) does Tonic neck for the fencing reflex appear? - ANSWERS-2- months Gross Motor: Rolls back to front - ANSWERS-5-6 months Gross motor: sits alone - ANSWERS-7 months Gross Motor: Pulls to stand - ANSWERS-9-10 months Gross Motor: stands alone - ANSWERS-11-12 months Gross Motor: Walks - ANSWERS-12-14 months Gross Motor: walks up and down stairs - ANSWERS-22-24 months Gross Motor: jumps - ANSWERS-24-28 months Fine Motor: Grasps and shakes rattle - ANSWERS-2-3 months Fine Motor: Reaches out for object - ANSWERS-3-4 Months Fine Motor: Hand to hand transfer* - ANSWERS-5-6 months Fine Motor: Raking grasp - ANSWERS-6-7 months Fine Motor: Finger Grasp - ANSWERS-7-9 months Fine motor: Pincer grasp* - ANSWERS-8-10 months Fine Motor: Pinch Grasp - ANSWERS-12 months Fine Motor: Marks on paper - ANSWERS-10-12 months
Does either sex have pubic hair? Yes or No? - ANSWERS-No pubic hair for either sex Which Tanner Stage does soft pubic hair start to appear for both sexes? - ANSWERS-Tanner Stage II Tanner Stage II Female - ANSWERS-Breast buds appear Tanner Stage II Males - ANSWERS-Measurable testes enlargement Tanner Stage III Female - ANSWERS-Breast mounds form Tanner Stage III Male - ANSWERS-Penis begins to enlarge in size (LENGTH) Tanner Stage IV Female - ANSWERS-Breast enlargement forms "mound on mound" breast contour Tanner Stage IV Male - ANSWERS-Penis begins to Widen Tanner Stage V Female - ANSWERS-Breast takes on adult contour Tanner Stage V Male - ANSWERS-Penis and testes enlarge to adult size Name 4 Live Attenuated Vaccines: - ANSWERS-MMR Varicella Rotavirus FluMist What is the Live to Live rule? - ANSWERS-Administer live vaccines on the same day or at least 28 days apart to avoid immune interference What is the schedule of the Hepatitis B Vaccine? - ANSWERS-First: birth Second: 1-2 months Third: 6 months If the Hep B vaccine serious administration is delayed, you need to restart the
series, True or False? - ANSWERS-False How early can the Tdap vaccine be given? - ANSWERS-6 weeks of age How many doses of DTap needs to be given to children of < 7 years of age? - ANSWERS-Five doses Between what ages should children ,younger than 7 years old, get all their doses of DTap? - ANSWERS-Between ages 4-6 years old How many doses of Tdap should children between 11-18 years old get? - ANSWERS-1 dose When should a pregnant woman be immunized for Tdap in order to optimize antibody transfer to the fetus? - ANSWERS-20 weeks gestation Women receive Tdap within every pregnancy, True or False? - ANSWERS-True Tdap vaccine after 20 weeks of pregnancy is for Fetal antibodies and NOT so much for the mothers immunization How many doses of Polio (OPV) need to be given starting at 6 weeks? - ANSWERS- 4 doses Charlie got her first polio vaccine at 6 weeks of age, when should she come back for the next dose? - ANSWERS-At 10 weeks (4 weeks later) Carla got her third dose of the polio vaccine after she turned 4 years old, her mother wants to know when she need to come back for the 4th dose. What should you tell her? - ANSWERS-If the 3rd dose is given after the child's 4th birthday then they will not require a 4th dose What is the age range recommended for the Human Papillomavirus (HPV)? - ANSWERS-Age 9-12 years old How many doses of HPV are needed if the child is younger than 15 years old? - ANSWERS-2 doses How many doses of HPV are needed if the child is older than 15 years old? -
Which pneumococcal vaccine is recommended for children under 5 year old? - ANSWERS-PCV Hepatitis A vaccine is two doses beginning at __ Months, separated by 6 months. - ANSWERS- Meningococcal Vaccine First dose is from 11-12 years (7th grade shot Second dose is 16-18 years (college shot) True or False? - ANSWERS-True Adolescents receiving first MCV4 dose at 16, a booster is still necessary, True or False? - ANSWERS-False, Adolescents receiving their first dose of MCV4 at 16 years old will not need a booster shot A healthy 3 year old child in your office for well-child care. What would you expect this children to be able to do? A. Alternate feet when climbing stairs B. Tie their own shoes C. Name five colors D. Speak in 2 word phases - ANSWERS-A. Alternate feeling when climbing the stairs Which of the following ages in a healthy infants life is parental anticipatory guidance about teething most helpful? A. 2-4 months B. 1-2 months
C. 4-6 months D. 6-8 months - ANSWERS-C. 4-6 months At which age is anticipatory guidance about toilet training, readiness most helpful? A. 18 months B. 12 months C. 15 months D. 24 months - ANSWERS-A. 18 months Which of the following is a red flag symptom and warrants further evaluation? A. No meaningful three word phrases in a two-year-old. B. Does not use the spoon at 12 months. C. No response to name at 12 months. D. Does not sit without support at three months. - ANSWERS-C. No response to name at 12 months. How many word phrases should a 5 year old be able to speak? - ANSWERS- words At what age should a child be able to imitate house work? - ANSWERS-18 months MMR is a (live/killed) vaccine - ANSWERS-Live A nine-year-old child with no documentation of vaccinations comes for an MMR immunization. Her parent states the child has received " some" vaccinations, but no documentation is available. How many doses of MMR should the child receive and at what frequency? - ANSWERS-Two doses one month apart When considering vaccinating a pregnant woman with HV3 or HV4 , the NP considers that:
invasive cancer. True or False? - ANSWERS-True Gardasil 9 (human papillomavirus vaccine) is recommended for females age 11- years old to protect them from _____ cancer - ANSWERS-Cervical Upon physical exam of someone who you suspected had cervical cancer what would you expect to find? - ANSWERS-External HPV lesions Ulcerative cervical lesions What's a friable cervix? (HPV) - ANSWERS-A cervix that bleeds easily when touched Thick white curd like discharge, itching, erythema and dyslexia can indicate what vulvar condition? - ANSWERS-Vulvivaginal Candidiasis What diagnostic should be considered for Vulvivaginal Candidiasis? (3 main) - ANSWERS-1. 10% KOH Prep (but yeast and pseudohyphae)
- pH < 4.5 (normal acidic vaginal environment)
- Vaginal culture What is the go to pharmacological treatment for a yeast infection? - ANSWERS- Fluconazole 150mg single dose What should Pregnant women with a yeast infection use for treatment? - ANSWERS-Topical azoles should be used with a 7 day limit. Fluconazole is excreted in breast milk and should be avoided during lactation What is a Bartholins Gland Cyst? - ANSWERS-Blockage and distension of Bartholin's duct What is non-pharmacological treatment for a Bartholin's Gland Cyst? (2) - ANSWERS-1. Warm Sitz bath
- Incision and Drainage with Word Catheter What is the pharmacological treatment for a Bartholin's Gland Cyst? (2) -
ANSWERS-1. NSAIDS
- Antibiotics What is the most common cause of abnormal uterine bleeding? (Inherited condition) - ANSWERS-Von Willebrand's Disease Abnormal Uterine bleeding in Pre-Menarchal age is typically due to: A. Foreign body in the vagina B. Anovulation C. Pregnancy related events D. Atrophic vaginitis - ANSWERS-A. Foreign body in the vagina Abnormal Uterine bleeding in Post-Menopausal age is typically due to: A. Foreign body in the vagina B. Anovulation C. Pregnancy related events D. Atrophic vaginitis - ANSWERS-D. Atrophic vaginitis Why is progesterone know as the "weed killer"? - ANSWERS-Progesterone helps balance out the estrogen production. Progesterone inhibits endometrial growth Why is estrogen known as the "fertilizer"? - ANSWERS-Anovulation disrupts progesterone secretion leading to unopposed estrogen stimulation. Estrogen thickens the endometrium which eventually sloughs off irregularly When a patient has Anovulation what is the first lab test that should be completed? - ANSWERS-HCG (test for pregnancy) What does the P in PALM-COEIN stand for? - ANSWERS-Polyps What does the A in PALM-COEIN stand for? - ANSWERS-Adenomyosis: occurs when the tissue that normally lines the uterus grows into the muscular wall of the
Prior to starting a patient on hormonal birth control, a period can be induced using what medication? - ANSWERS-Provera 10mg PO daily for 5 days Labial adhesion occurs in 20% of the female population. What is a non- pharmological interventions for Labial adhesion? - ANSWERS-Vaseline with gentle traction Labial adhesion occurs in 20% of the female population. What is pharmological interventions for Labial adhesion? - ANSWERS-Estrogen cream nightly May cause bleeding so steroid cream can be used if needed What is the cause of Atrophic Vaginitis? - ANSWERS-Absence of estrogen in postmenopausal women. (Estrogen deficiency) What is the preferred treatment for Atrophic Vaginitis? - ANSWERS-Topical estrogen Creams, vaginal tablets, rings Post-menopausal patient comes in with thin vulvar tissue with bright red erosions. The patient also states that they have itching and burning with yellow discharge. Which is the following is likely to be the condition? A. Herpes Simplex B. Vulvovaginal Candidiasis C. Atrophic Vaginitis D. Lichen Planus E. Lichen Sclerosis - ANSWERS-D. Lichen planus Which of the following are associated with autoimmune diseases? A. Herpes Simplex
B. Vulvovaginal Candidiasis C. Atrophic Vaginitis D. Lichen Planus E. Lichen Sclerosis - ANSWERS-E. Lichen Sclerosis What is vulvodynia? - ANSWERS-Severe vulvar pain with minimal pressure. Pain may occur with light touch or sexual activity Mary is a new mother. She is planning on breast feeding her baby girl and does not want to chance getting pregnant again too soon. Which contraceptive method would be the WRONG choice for her? SATA A. DEPOT Medroxyprogesterone Acetate shot B. Nexplanon C. ParaGard (Copper IUD) D. Oral contraceptive pill (estrogen only) E. Combined oral contraceptives pill (estrogen and progesterone) - ANSWERS-D. Oral contraceptive pill (estrogen only) E. Combined oral contraceptives pill (estrogen and progesterone) Avoid estrogen based birth control in breast feeding mothers because it causes lactation suppression How does estrogen help with birth control? (2) - ANSWERS-1. Prevents ovulation by decreasing Follicle stimulating hormone (preventing egg recruitment)
- Thickens cervical mucous around the cervix making it harder for sperm to enter the uterus
What is the dose and frequency of the Depot shot? - ANSWERS-150mg IM every 3 months What hormone(s) are in the Depot shot? - ANSWERS-Progesterone only Name some disadvantages of using the Depot-Provera shot for birth control? - ANSWERS-Weight gain Irregular bleeding or Amenorrhea Decrease in bone density What hormone(s) are in the Nexplanon? - ANSWERS-progestin only What hormone(s) are in Hormonal Intrauterine devices (IUD)? - ANSWERS- Levonorgestrel (a progestogen that acts like progesterone) How does the copper IUD prevent pregnancy? - ANSWERS-copper is a spermicide and creates a sterile inflammatory response How does the Copper IUD affect your period? - ANSWERS-Regular period with sometimes more cramping A pelvic exam is needed for which type of contraception? A. Condoms B. IUD C. Combined oral contraceptive D. Depp-Provera shot E. The Ring F. The Patch - ANSWERS-B. IUD
pelvic exam is only required for IUD What are the ovarian changes associated with menopause? - ANSWERS-Decrease in ovarian follicles leads to a reduction of estrogen and progesterone FSH is increased or decreased in menopause due to ovarian failure? - ANSWERS- Increased Lack of which hormone presents ovulation causing Anovulation and progesterone deficiency? - ANSWERS-Luteinizing hormone Women without a uterus should be treated with both estrogen and progesterone Hormone replacement therapy, True or False? - ANSWERS-False, Estrogen replacement therapy (Alone) is for women without a uterus What is the main risk that occurs if a woman WITH a uterus get HRT that has Estrogen without Progesterone? - ANSWERS-Increased risk of endometrial cancer if estrogen is given without progesterone to women with a uterus Which SSRI and SNRIs are used to reduce vasomotor symptoms in menopausal women? (4) - ANSWERS-1. Paroxetine
- Venlafaxine
- Fluoxetine
- Citalopram Gabapentin reduced hot flashes but requires dosing and can cause mental fog, True or False? - ANSWERS-True Which of the following SERMs can be used for genitourinary syndrome of menopause and help with moderate to severe dyspareunia? A. Ospemofene B. Tamoxifen
When is the most critical time during pregnancy to avoid medications due to risk of teratogenesis? A. Conception through Week 2 B. Embryonic Period (Week 3-8) C. Fetal Period (Week 9 - Delivery) - ANSWERS-B. Embryonic Period (Week 3-8) FluMist is safe for pregnancy women to use during pregnancy as Influenza vaccines is one of the recommended vaccinations to protect mother and baby, True or False? - ANSWERS-FluMist is a live attenuated vaccine and although the influenza vaccine is recommended, FluMist is contraindicated Tdap is given at every pregnancy between 27-36 weeks gestation to help the baby gain protection against which is the following? A. Pertussis B. COVID- C. Hand-foot-and-mouth disease D. Influenza - ANSWERS-A. Pertussis Which of the following vaccinations are considered under special circumstances for pregnant mothers? A. Live influenza Vaccine (FluMist) B. Measles Mumps Rubella (MMR) C. Hepatitis A D. Hepatitis B
E. Human Papilloma virus (HPV) F. Inactivated Polio Virus (IPV) G. Varicella H. Varicella Zoster I. Smallpox Vaccine J. Meningococcal Vaccine K. Yellow Fever Vaccine - ANSWERS-C. Hepatitis A D. Hepatitis B F. Inactivated Polio Virus (IPV) K. Yellow Fever Vaccine All others are contraindicated during pregnancy How long is the first trimester of pregnancy? - ANSWERS-0-12 weeks What is Goodell's sign? - ANSWERS-softening of the cervix What is Chadwick's sign? - ANSWERS-bluish discoloration of cervix due to increased vascularity What is Hegar's sign? - ANSWERS-Softening moves from the cervix to the uterus. During what Trimester does "quickening" occur? - ANSWERS-Between 16- weeks How long (what weeks) is the Second Trimester? - ANSWERS-13-27 weeks During which trimester is it important to make sure to get maximum hydration? (Double fluid intake) - ANSWERS-Third Trimester How long is the Third Trimester? - ANSWERS-27-40 weeks
