1. Sheila is pregnant and fearful of getting cervical cancer as her sister
recently did. She asks about receiving the HPV vaccine. How do you
respond?
A. "As long as you're in your first trimester, the HPV vaccine is safe
and effective."
B. "Research has not shown this vaccine to be effective against
preventing cervical cancer."
C. "After the age of 20, the HPV vaccine is not recommended."
,D. "You should not receive the vaccination when you are pregnant." -
ANS -D. "You should not receive the vaccination when you are
pregnant."
2. Jack and Jill present for a preconception health counseling session.
Jack is 34, Jill is 33, and they have a 5-year-old son, Jake. Jake is the
product of an uncomplicated pregnancy and labor. At birth, Jake had
an open neural tube defect and now has spina bifida with a loss of
function of his lower extremities. Jack and Jill want another child and
ask if there is anything they can do to prevent the recurrence of a
neural tube defect in future pregnancies. What is your best response
to this couple?
A. "Jill should take 60 mg/day of an iron supplement to enhance
stores to support fetal development."
,B. "It is a matter of genetics, and there is nothing you can do."
C. "Have a CVS performed at 12 to 14 weeks gestation to determine
the health of the fetus."
D. "Jill should take 4 mg/day of folic acid, beginning before
conception." - ANS -D. "Jill should take 4 mg/day of folic acid, beginning
before conception."
3. You are invited to speak to a group of public-school administrators
about recent outbreaks of head lice. As an advocate for children and
families you share
, A. "no nit" policies that exclude children until all nits are removed are
essential to eradicate this problem
B. the American Academy of Pediatrics and the National Association
of School Nurses discourage "no nit" policies that exclude children
from school
C. occlusive agents, such as petroleum shampoo and herbal oils,
applied to suffocate the lice are showing promising results in
randomized controlled trials
D. lindane is recommended by the American Academy of Pediatrics as
a treatment choice - ANS -B. the American Academy of Pediatrics and
the National Association of School Nurses discourage "no nit" policies
that exclude children from school
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