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NRNP 6552 FINAL EXAM (3 VERSIONS, 300 Q & A)
VERIFIED QUESTIONS AND
ANSWERS
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, NRNP 6552 Final Exam
1. A woman with a gestational age of 37 weeks presents with painless vaginal
bleeding, normal vital signs, normal fetal heart tones and an exam that reveals
a soft, relaxed uterus, consistent with uterine age. Given this assessment, her
bleeding in 3rd trimester is most likely due to:
A. Placental abrupt
B. Placenta previa
C. Membrane rupture
D. Acute chorioamnionitis
2. When a pregnant woman takes a teratogenic drug the fetal effects results are
seen in:
A. Certain target organs in a predictable manner
B. Random body systems in an unpredictable manner
C. Select organ systems w random outcomes
D. A pattern of systemic injury
3. The best choice for medication prescribed for a + Chlamydia culture during
pregnancy is:
A. Clarithromycin
B. Doxycycline
C. Azithromycin
D. Ofloxacin
4. Susan's glucose screen at 24 weeks' gestation is 160 mg/dl. Which action by
the NP is most appropriate in response to this finding?
A. Notify Susan of the normal finding on the test.
, B. Prescribe a low carbohydrate diet.
C. Schedule a 3-hour glucose tolerance test
D. Refer her to a diabetologist
5. A pregnant patient has an Hgb level of 11 g/dl in the last week of pregnancy.
Based on this result the NP should consider which of the following?
A. It is a normal finding due to hemodilution
B. A workup for folic acid deficiency is indicated
C. A workup for iron deficiency is indicated
D. Exploring sources of potential blood loss is indicated
6. A 26-year-old G1 P0 presents for her 20-week OB follow- up visit. She is RH
negative. At what week gestation would you plan on giving her RhoGAM?
A. 24 weeks
B. 28 weeks
C. At her first prenatal visit
D. 32 weeks
7. Prescribing drugs, select the drug category with the safest profile.
A. Category A
B. Category B
C. Category C
D. Category D
8. What dose of folic acid is the minimum requirement in a prenatal vitamin?
A. 0.4 mg
B. 0.8 mg
C. 1 mg
D. 2 mg
9. Lindy is 7 weeks pregnant when she presents for her initial visit. Which factor
in her history is consistent with a risk for toxoplasmosis?
, A. She makes glazed potteryB. She has a pet cockatiel
C. She eats sushi regularly
D. She drinks orange juice whipped with wheat germ.
10. Jane is in her first trimester of pregnancy and is experiencing "morning
sickness" because of:
A. production of human chorionic gonadotropin
C. suppression of estrogen
C. suppression of Linea alba
D. suppression of progesterone
11. What is the most common virus to be transmitted in utero?
A. Cytomegalovirus
B. Rubella
C. Toxoplasmosis
D. Varicella
12. During pregnancy it is important to be physically active. The nurse
practitioner should encourage her pregnant patient who has a very sedentary
lifestyle to:
A. Avoid beginning any new exercises until after delivery
B. Begin an aerobics class for maximum benefit
C. Begin any exercise program that she might enjoy
D. Start walking daily and slowly build up distance
13. What is the recommended timing for gestational diabetes screening?
A. 12-16 weeks gestation
B. 24-28 weeks gestation
C. 30-34 weeks gestation
D. 34-38 weeks gestation
14. Which of the following diseases is NOT acquired trans placentally?
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