Primary Care of Women

Primary Care of Women

Primary Care of Women

NURS 6551 FINAL EXAM (3 VERSIONS) & NURS 6551 MIDTERM EXAM (3 VERSIONS) (50 CORRECT Q & A IN EACH VERSION, TOTAL: 300 Q & A)

NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University
Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam
· Question 1
 
What is the general goal of surgical treatment for stress   UI?
 
· Question 2
 
Gender differences in heart disease can be found in:
 
· Question 3
 
Sarah, who just found out she is pregnant, is taking   prenatal vitamins with extra daily supplements of iron. She may be a   candidate for
 
· Question 4
 
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
 
· Question 5
 
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?
 
· Question 6
 
Qualitative urine testing for hCG (human chorionic   gonadotropin) can be done reliably ________ days after implantation of the   blastocyst (fertilized egg).
 
· Question 7
 
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:
 
· Question 8
 
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:
 
· Question 9
 
What is a contributor to the increased incidence of   heartburn during pregnancy?
 
· Question 10
 
Nettie, who is pregnant, is suffering from exacerbation of   peptic ulcer disorder. Which is the best medication to order for her?
 
· Question 11
 
A common prenatal care model in which women have their   first visit with one provider and then subsequent visits in a group setting   is called:
 
· Question 12
 
Lynn comes to the clinic for her initial prenatal visit.   Based on her menstral history, the client is at 9 weeks’ gestation and is   scheduled to have an ultrasound for estimation of the gestational age of the   fetus. Which fetal measurement is the best indicator of gestational age at   this time?
 
· Question 13
 
What is a possible cause of abdominal pain during   pregnancy?
 
· Question 14
 
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?
 
· Question 15
 
In order to maintain continence bladder pressure must be
 
· Question 16
 
How does the third stage of labor end?
 
· Question 17
 
Which of the following drugs should be used with extreme   caution in breastfeeding mothers?
 
· Question 18
 
How can hormonal influences during pregnancy cause   backache?
 
· Question 19
 
According to Naegele’s rule, if a woman’s last normal   menstral period (LNMP) was September 23, what is her estimated date of   delivery?
 
· Question 20
 
A poorly defined, flat, blue-black macule, present at   birth and usually on the trunk and buttocks, is a
 
· Question 21
 
The majority of early pregnancy losses are due to:
 
· Question 22
 
Without treatment shortly after birth, as many as 90   percent of infants born to hepatitis B–infected mothers will:
 
· Question 23
 
A 28-year-old pregnant patient gives a history of smoking   1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when   she tells the patient that cigarette smoking is associated with:
 
· Question 24
 
Which of the following does not increase a woman’s risk   for developing cervical cancer?
 
· Question 25
 
A nurse practitioner is holding a prenatal nutrition class   for a group of patients. Considering cultural variations, which of the   following women may be increased risk for inadequate intake of calcium?
 
· Question 26
 
What is the best description of Bishop’s score?
 
· Question 27
 
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:
 
· Question 28
 
What components make up the biophysical profile?
 
· Question 29
 
What is the leading cause of first-trimester maternal   death?
 
· Question 30
 
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?
 
· Question 31
 
What is a common cause of leg cramps during pregnancy?
 
· Question 32
 
What is the simplest and safest method of suppressing   lactation after it has started?
 
· Question 33
 
Uncomplicated acute bacterial cystitis occurs in women   who:
 
· Question 34
 
Which of the following diseases is not acquired   transplancentally?
 
· Question 35
 
NSAID use during pregnancy has been linked to which   condition in newborns?
 
· Question 36
 
Carrie is due to deliver her second baby. During your work-up,   you 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?
 
· Question 37
 
Screening for hyperlipidemia is recommended to begin at   what age for women with no risk factors?
 
· Question 38
 
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?
 
· Question 39
 
Which of the following recommendations should you provide   to parents about reducing the risk of sudden infant death syndrome (SIDS)?
 
.
· Question 40
 
What is the recommended timing for gestational diabetes   screening?
 
· Question 41
 
What is an indication of the second stage of labor?
 
· Question 42
 
Liza is 34 weeks pregnant and has mild hypertension. You   are performing a nonstress test (NST). What is the criterion for a reactive   NST?
 
· Question 43
 
You see G5P4015 on a client’s history form. You surmise   that
 
· Question 44
 
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?
 
· Question 45
 
What is significant about cytomegalovirus (CMV)?
 
· Question 46
 
A 30-year-old female patient is seeking advice from the   nurse practitioner about becoming pregnant. She is currently taking an oral   contraceptive. She gives a history of having a hydatidiform molar pregnancy 2   years ago. The appropriate plan of care for this patient should include:
 
· Question 47
 
A woman with hyperemesis gravidarum would most likely   benefit from a plan of care designed to address which of the following   nursing diagnosis?
 
· Question 48
 
All except which of the following are important historical   questions for a 29-year-old woman in clinic for right-sided weakness?
 
· Question 49
 
The onset of labor is indicated by regular uterine   contractions and:
 
· Question 50
 
An example of an X-linked recessive condition or trait is
 
· Question 51
 
When completing this quiz,   did you comply with Walden University’s Code of Conduct including the   expectations for academic integrity?
 
NURS 6551 Final Exam / NURS6551 Final Exam (Latest): Primary Care of Women: Walden University
Walden University NURS 6551 Final Exam / Walden University NURS6551 Final Exam
What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs?
 
a. Seven-day regimens   are now recommended.
 
b. Three times a day   of oral antibiotics are now recommended.
 
c. Three-day regimens   are now recommended.
 
d. A single dose is   now recommended.
What is considered to be a common trigger of psoriasis?
 
a.   Stress
 
b.   Pregnancy
 
c.   Migraines
 
d.   Menstruation
The clinician is seeing a 48-year-old woman for the first time. She is overweight and has a blood pressure of 120/92. She is on no medications and does not smoke or drink alcohol. Her family history is negative for heart disease. Her physical exam is unremarkable. The clinician should advise her as follows:
 
a.
Her blood pressure is high normal and does not   require further follow-up at this time.
 
b.
She has prehypertension.
 
c.
She has stage 1 hypertension.
 
d.
She needs two additional blood pressure checks on   two separate occasions.
What tends to cause acne in adolescence?
 
a.   A decrease in estrogen
 
b.   Dietary changes
 
c.   Hormonal birth control use
 
d.   An increase in testosterone
The onset of labor is indicated by regular uterine contractions and:
 
a.
Complete dilation of the cervix
 
b.
Change in the position of the fetus
 
c.
Rupture of the membranes
 
d.
Progressive cervical change
The onset of labor is indicated by regular uterine contractions and:
 
a.
Complete dilation of the cervix
 
b.
Change in the position of the fetus
 
c.
Rupture of the membranes
 
d.
Progressive cervical change
Which of the following statements does not support the diagnosis of Alzheimer’s disease?
 
a.
Crying every day
 
b.
Forgetting where she puts things
 
c.
Getting lost driving to the grocery store
 
d.
Lost ability to balance a checkbook
A 23-year-old woman is seeing the clinician because of chronic headaches. These headaches are typically preceded by seeing flashing lights. These visual distortions spontaneously resolve followed by throbbing pain on either the right or left side of her head. Pain is associated with photophobia, nausea, and vomiting. The most likely diagnosis is:
 
a.   Cluster headache
 
b.   Migraine headache
 
c.   Temporal arteritis
 
d.   Transient ischemic attacks (TIAs)
When is round ligament pain most likely to occur in pregnant women?
 
a.   Between 6–8 weeks’ gestation
 
b.   Between 24–28 weeks’ gestation
 
c.   Between 10–12 weeks’ gestation
 
d.   Between 16–20 weeks’ gestation
Postpartum depression occurs in about what percentage of women who give birth?
 
a.
5–10%
 
b.
25–30%
 
c.
10–15%
 
d.
1–5%
About how many breastfeeding women are affected by lactation mastitis?
 
a.
10%
 
b.
20%
 
c.
15%
 
d.
25%
What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy?
 
a. Visits scheduled every 2 weeks
 
b. Visits scheduled every 3 weeks
 
3. Visits scheduled every week
 
4.   Visits scheduled every 4 weeks
About what percentage of pregnant women develop gestational hypertension, preeclampsia, or pregnancy-induced hypertensive disorder?
 
a.
5–7%
 
b.
10–12%
 
c.
1–3%
 
d.
12–15
What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus?
 
a. Postpartum amenorrhea
 
b.   Postpartum endometritis
 
c. Postpartum staphylococcus
 
d. Postpartum lochia
How does women’s anatomy make them more susceptible to UTIs?
 
a.
Asymptomatic   UTIs do not resolve themselves without treatment.
 
b.
Women tend to   get UTIs when they are pregnant.
 
c.
There is a   longer distance between the urethra and anus.
 
d.
Their urethras are shorter.
A 60-year-old woman has a blood pressure of 144/86. This would be classified as:
 
a.
Normal blood   pressure
 
b.
Prehypertensive
 
c.
Stage 1 hypertension (per course hero)
 
d.
Stage 2 hypertension
After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth?
 
a.
18 weeks
 
b.
30 weeks
 
c.
20 weeks
 
d.
24 weeks
What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable?
 
a. Diaphragms
 
b. Tampons
 
c. Kegels
 
d. Sacral nerve stimulators
All of the following symptoms are associated with chest pain and representative of coronary artery disease except:
 
a.
Diaphoresis
 
b.
Jaw pain
 
c.
Pain with inspiration
 
d.
Shortness of   breath
Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors
 
a.
35
 
b.
40
 
c.
45
 
d.
50
What is the potential danger of a fetus born through meconium-stained amniotic fluid?
 
a.
The infant   will not be able to relax its anal sphincter.
 
b.
The infant can breathe meconium into the lungs.
 
c.
The infant   can get meconium caught in the esophagus.
 
d.
The infant   will be born with jaundice.
What does rosacea describe?
 
a.
Adult acne
 
b.
Nail fungus
 
c.
Swelling of   the joints
 
d.
Pruritis
Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and:
 
a.
Sensitivity test
 
b.
Blood culture
 
c.
Urine dipstick
 
d.
Parenteral   culture
What is the definition of a primary headache?
 
a.
A headache   that occurs only before and during menstruation
 
b.
A headache is   caused by a preexisting condition
 
c.
A headache that is not a symptom of, or caused by,   another condition
 
d.
A headache   that is characterized by muscle tension
What is the leading cause of first-trimester maternal death?
 
a.
Ectopic pregnancy
 
b.
Complications   from prior gynecologic surgeries
 
c.
Abortion
 
d.
Complications   from unresolved STIs
When considering a diagnosis of Alzheimer’s disease, the clinician should:
 
a.
Interview her   with a family member or close friend
 
b.
Interview her separately (alone) then with a family   member or close friend
 
c.
Obtain the   history from a family member or close friend
 
d.
Rely on   client observation without obtaining a history
What is the most common cause of death in women in the United States?
 
a.
Breast cancer
 
b.
Cardiovascular disease
 
c.
Cervical   cancer
 
d.
Lung cancer
What percentage of pregnant women in developed countries have iron-deficiency anemia?
 
a.
20%
 
b.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

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I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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