OB FINAL

The risk of jaw bone deterioration with bisphophonates is lowered by

1,200 mg of calcium and 400-800 IU of vitamin D every day, through food and supplements; do regular weight-bearing and resistance exercise; and don't smoke; regular dental care

A woman is 16 weeks pregnant, moderately active, and weighs 132 pounds. In her second trimester she will need to add approximately how many calories per day to her diet?

300

The number of calories recommended for women in pregnancy is approximately how many greater than for nonpregnant women?

300

Following her pap with the liquid pap test and her pelvic, a woman asks you what will happen if her pap results are abnormal due to her history of HPV. Your answer to her is based on your knowledge that most abnormal pap results are A. Are followed up by colposcopy initially B. Followed by an HPV culture initially C. Necessitate hysterectomy D. Followed up by a repeat pap smear initally

A. Are followed up by colposcopy initially

Three days after discharge from the hospital, a postpartum client comes to the clinic reporting a fever and "just not feeling well." The NP suspects endometriosis. What sign or symptoms would be most indicative of this diagnosis? A. Cervical motion tenderness B. Painful, swollen breasts C. Passage of large blood clots D. Report of mild uterine cramping

A. Cervical motion tenderness

A 23 week pregnant woman comes to the clinic with bright red vaginal bleeding and clotting. What is the most appropriate first action for the NP? A. Check the fetal heart tones B. Perform an Rh antibody screen C. Draw a CBC D. Perform a vaginal exam

A. Check the fetal heart tones

A 22 year old woman with a history of thrombophlebitis is sure that she does not want another pregnancy for at least 4 years. Which of the following contraceptives would be a good choice for her? A. Depo-Provera B. Ortho-Evra patch C. A combined OCP D. Progestin-only pill

A. Depo-Provera

Which of the following is an immunization that a woman should receive in the first trimester? A. Flu B. Varicella C. Rubella D. Polio

A. Flu

When evaluating a client knowledge of symptoms to report during her pregnancy, which statement would indicate to the NP that the patient understands the information given to her? A. If I have blurred or double vision, I should call the clinic immediately B. I'll report increased frequency of urination C. Nausea should be reported immediately to the clinic D. If I feel tired after resting I should report it immediately

A. If I have blurred or double vision, I should call the clinic immediately

A patient who is 8 weeks postpartum and breastfeeding called to say that intercourse is painful due to vaginal dryness. What its he nurse practitioners best response A. OTC lubricants are very helpful for this B. You need to abstain until after you finish breastfeeding C. I will need to write you a prescription for some medication D. Come in right away for an appointment to be checked

A. OTC lubricants are very helpful for this

The NP in a prenatal clinic finds that four patents have called with complaints related to their pregnancies. Which call should the NP return first? A. Primipara at 15 weeks with nausea and vomiting and a 15 pound weight loss B. Multipara at 32 weeks treating constipation with prune juice C. Primigravida at 7 weeks gestation reporting nasal stuffiness D. Multipara at 38 weeks experiencing rectal itching with hemorrhoids

A. Primipara at 15 weeks with nausea and vomiting and a 15 pound weight loss

A patient presents with clusters of flesh-colored, cauliflower like lesions. Which of the following should be part of your assessment? A. RPR/VDL B. HSV C. TCA D. HIV

A. RPR/VDL

You have a low-income patient who has little support and needs help with breastfeeding. Which of the following is the best option considering her circumstances? A. Refer her to a lactation consultant B. Provide personal ongoing support to her C. Call her mother to ask her to help D. Provide her with lots of websites and reading materials

A. Refer her to a lactation consultant

Which of the following immunizations can be given preconception but not during pregnancy? A. Rubella B. Flu C. PPD D. DPT

A. Rubella

The NP has received a phone call from a multigravida who is 21 weeks pregnant and has not felt fetal movement yet. The best action for NP to take would be to A. Schedule an appointment for her with her physician for that same day B. Tell her gently that her fetus is probably dead C. Reassure the patient that this is a normal finding in multigravida D. Suggest that she should feel for movement with her fingertips

A. Schedule an appointment for her with her physician for that same day

The NP is working with a patient whose religious beliefs differ from those of the general population. The best nursing intervention to use to meet the specific spiral needs of this family is to A. Show respect while allowing time and privacy for religious rituals B. Ask for the patient's opinion on what caused the illness C. Ask how important the patient's religious and spiritual beliefs are when making decisions about health care D. Identify healthcare practice forbidden by religious or spatular beliefs

A. Show respect while allowing time and privacy for religious rituals

A 20 year old woman asks about a pap smear during her annual visit saying that she had one in the past. Your response to her is based on your knowledge that A. Spontaneous regression of HPV is common B. HPV only occurs in women over the age of 21 years C. HPV only regresses with aggressive treatment D. Spontaneous regression of HPV is certain

A. Spontaneous regression of HPV is common

The NP is presenting a class to women who are currently pregnancy or are planning pregnancy in the near future. Which patient's statement indicated that additional teaching is required? A. The older a woman is when she conceives, the safer the pregnancy is B. Pregnant teens can have additional nutritional needs C. A woman whose sisters all had hypertension will be watched carefully D. Pregnancy may be more difficult to achieve spontaneously in my 40s

A. The older a woman is when she conceives, the safer the pregnancy is

which of the following is included your teaching with a patient with bacterial vaginosis? A. This is not a sexually transmitted disease B. This infection will return repeatedly C. There are no complications with this infection D. This infection will never occur again

A. This is not a sexually transmitted disease

You call a client about her pap smear results of 'atypical glandular cells' without HPV testing. How will you approach her with these findings? A. This pap smear result means that you need some further testing B. We need to refer you immediately due to these abnormal pap smear results C. There is no reason to worry, because you do not need to do anything further D. You need to do something about this result before you develop cancer

A. This pap smear result means that you need some further testing

A 19 year old patient who is a college student comes to you for her 6 week postpartum check. She is a G2P1A1L1. She returned to class 4 weeks ago and is bottle feeding. She is concerned that something is wrong as she has cramping and started a light but red blood flow again 3 days ago. Which of the following is your best response A. You have probably started you period, but I will examine you today B. You need to stop going to class and rest to stop the bleeding C. I hope you called the office the first day since this could be serious D. Sing you are bottle feeding, this is an unusual concern

A. You have probably started you period, but I will examine you today

What places a woman at risk for osteoporosis

Alcohol consumption

A 65 year old woman on oral biophosphates complains of severe heartburn .What should be your first question?

Are you lying down after taking it?

Which of the following represents the usual fertile period during a 28 day menstrual cycle A. 5 days after the beginning of the cycle to 7 days after the beginning B. 5 days before ovulation to 2 days after ovulation C. 2 days after ovulation to 5 days after ovulation D. 2 days after the beginning of the cycle to 5 days after the beginning

B. 5 days before ovulation to 2 days after ovulation

Which of the following statements regarding alcohol consumption in pregnancy and fetal alcohol syndrome is true? A. Limit alcohol intake to one or two glasses of wine B. Abstain completely from alcohol during pregnancy C. Fetal alcohol syndrome is decreasing in the US A and C B and C

B. Abstain completely from alcohol during pregnancy

A patient comes to you to say that her partner is being treated for gonorrhea. They have not used condoms, because she has an IUD in place. Besides ceftriaxone 250 mg IM, what should her treatment include A. Removal of the IUD now B. Azythromycin 1 gm PO now C. Doxycycline 100 mg BID x 7 days D. Acyclovir 400 mg PO 5 x daily

B. Azythromycin 1 gm PO now

At the initial prenatal visit, a thorough history and physical exam is completed. Which of the following laboratory tests should be included in the initial OB labs A. Atypical antibody scree, blood typing, rubella titer, HIV testing B. Blood typing, CBC, Rubella titer, serology, urinalysis, hepatitis B C. Blood typing, rubella titer, serology, urinalysis, LFTs D. Blood typing, CBC, rubella titer, serology, urinalysis, hepatitis B

B. Blood typing, CBC, Rubella titer, serology, urinalysis, hepatitis B

A 35 year old primigravida comes to your office at 16 weeks gestation. She is a new patient. Her medical history is unremarkable. She denies a history of hypertension although she had not had her blood pressure measured for 5 years. On physical examination, her blood pressure after 5 minutes of rest is 160/100. A repeat 1 week later is 154/98. Funduscopy is normal, and no other abnormalities are determined. What is the most likely diagnosis? A. Transient hypertension B. Chronic hypertension C. Labine hypertension D. Chronic hypertension with superimposed preeclampsia E. Preeclampsia

B. Chronic hypertension

Which of the following is included in a routine well woman exam for a 30 year old woman? A. Self breast exam, pap smear, lung auscultation B. Clinical breast exam, pap smear, HPV testing C. Pap smear, self breast exam, history update D. Clinical breast exam, pap smear, abdominal palpitation

B. Clinical breast exam, pap smear, HPV testing

A 34 year old, G3P2, has abnormal glucose tolerance testing and is newly diagnosed with gestational diabetes. The most appropriate initial management plan for this client would include A. Low dose insulin B. Dietary control and exercise C. No need for intervention unless blood sugar is > 350

B. Dietary control and exercise

A 23 year old nulligravida comes to your office requesting the contraceptive Ortho Evra patch. She states she has never had any major medical problems. She denies a history of liver disease, thrombophlebitis, STDs migraine headaches, or estrogen neoplasia. On examination, her blood pressure is 160/100. Her weight is 220 lbs and she is 5 ft 5 inches. Other than that, her general examination is normal. Her pelvic examination is remarkable. You perform a Pap smear. What would your next step be? A. Prescribe Ortho Evra, advise her to watch her weight and monitor her blood pressure at home B. Discuss other forms of birth control with her at this time C. Obtain a more detailed history today and retake her blood pressure D. Refer her to one of your partners who specialized in this area E. None of the above

B. Discuss other forms of birth control with her at this time

A 32 year-old, married woman comes to the clinic for her six-week postpartum exam. She is breastfeeding her baby but is concerned about adequate contraception. She prefers to take birth control pills instead of using barrier methods. What is the most appropriate action by the NP? A. Explain that breastfeeding should protect against pregnancy now B. Explain that progestin-only pills can be very effective for breastfeeding women C. Tell the client she can continue with her previous birth control pills D. Advise that only barrier methods can be used while breastfeeding

B. Explain that progestin-only pills can be very effective for breastfeeding women

Under the ACA, which of the following services in not covered by health plans without a copay? A. Prenatal care B. HPV treatment C. STD counseling D. Breast feeding support

B. HPV treatment

Which of the following conditions would cause an insulin-dependent diabetic client the most difficulty during pregnancy? A. Placenta previa B. Hyperemesis gravidem C. Abruptio placenta D. Rh incompatibility

B. Hyperemesis gravidem

Which statement made by a pregnancy patient would indicate that she understands the teaching you provided A. I am avoiding exercise to stay well rested B. I elevate my legs while sitting at my desk C. I try to limit my fluid intake to 3-4 glasses each day D. I like down after eating to relieve heartburn

B. I elevate my legs while sitting at my desk

A 24 year old woman complains of heavy periods that last 8 to 10 days ever since she began combination oral contraceptive pills 6 months ago. She takes the pills as prescribed. Which of the following would be included in management of her care? A. Stop exercise the first 4 days of menses B. Increase the dose of estrogen to 50 ug PO C. Take seasonal OCPs continuously D. Take ibuprofen 800 mg PO tid for 1-2 weeks

B. Increase the dose of estrogen to 50 ug PO

Which of the following statements would be regarded as reasonable nutrition advice throughout an uncomplicated pregnancy? A. Supplementation with 60-100 mg PO of iron daily with low sodium B. Increased calorie diet with salt added to taste C. Seek weight gain of 21-25 pounds without salt D. Supplementation with folic acid 1 mg daintily thought pregnancy

B. Increased calorie diet with salt added to taste

A 32 year old woman calls the family practice office to report severe, stabbing lower abdominal pain, spotting, and inability to stand straight to walk. On questioning, the client relates that she is sexual active and confirmed pregnancy by urine test 8 weeks ago. She denies fever. What is the most appropriate action of the NP to take? A. Instruct the client to come to the office the next day for evaluation B. Instruct the client to immediately go to the ER C. Send the client to the lab for a pregnancy test as soon as possibly D. Tell the client to take two ibuprofen and call back in the morning

B. Instruct the client to immediately go to the ER

a 24 year old female client presents for her first well-woman exam; she has just had intercourse for the first time using condoms. her family history and past medical history are negative for any gynecologic disease. her menses occur every 28 days, lasting 5 days, with a relatively moderate flow and no significant abdominal cramps. Her physical exam.visit today should include which tests? A. Cervical HPV B. Pap smear C. Baseline mammogram D. Cultures for gonorrhea and chlamydia

B. Pap smear

A patient is diagnosed with HPV. He cannot understand how he got it. Both he and his partner claim monogamy. Which of the following is important to elicit from his history? A. Practice of anal sex B. Previous partners C. Diet history D. Condom use

B. Previous partners

A 30 year old 14-day postpartum patient with a recent history of antibiotic treatment for endometritis presents to the clinic with complaint of lower abdominal pain, nausea, vomiting and chills. your examination of her reveals a non-ill appearing patient with a fever of 102F, resting HR of 100. tachypnea and stride, a transverse cesarean in scion, cervical motion tenderness with tender, palpable, ropelike mass on the right extending from the top of uterus along the uterine horns. What is your next action A. Order a chest x-ray B. Refer immediately C. Send her home to rest D. Change her antibiotic

B. Refer immediately

Which of the following is a key competent in treatment of postpartum infections? A. Warm packs B. Rest C. Culture Results D. Massage

B. Rest

At 32 weeks a prenatal client reports swelling in her feet especially after working all day. Her BP is 110/70, dipstick indicates no proteinuria and weight gain is 2 pounds since her visit two weeks ago. The plan of care would most appropriately include A. Hydrochlorothiazide 25 mg daily B. Return to the clinic in two weeks C. Bedrest at home for one week D. Re-evaluation within 48 hours

B. Return to the clinic in two weeks

The husband of a patient who delivered their first baby 5 days ago calls the office to say that is wife was crying a lot as she fed the baby when got home from work. She could not tell him why. he says she is usually very organized, but the hose is a mess. He is very concerned when you call him back. You best response to him is A. Tell her you need to know why she is crying so you can help B. Tell her to go to bed and rest while you make dinner and clean C. Tell her you will help her clean the house and make dinner D. Take her to an ER for a psychiatric evaluation

B. Tell her to go to bed and rest while you make dinner and clean

A young woman who is diagnosed with herpes simplex type 2 (genital). In discussing her care, it would be important for the NP educate on what information? A. If in the future she becomes pregnant, she will have to have a cesarean delivery B. The initial lesions are usually more painful than lesions with subsequent outbreaks C. This condition can be treated and cured if she takes all the antibiotics for 2 weeks D. Her sexual partner will not contract it if she does not have sex when the lesions are present

B. The initial lesions are usually more painful than lesions with subsequent outbreaks

You strongly suspect an ectopic tubal pregnancy for a patient who last menstrual period was 7 weeks ago. She cries and says that her mother told her that her fallopian tube would have to be removed, reducing her chance to become pregnant in the future. What teaching should you do with this patient? A. There is no way to determine if the tube can be saved with an ectopic B. There are now medications that may be used instead surgery C. It may be that the tube can be repaired afterward D. The tube must be removed in cases of ectopic pregnancy

B. There are now medications that may be used instead surgery

Which of the following describes the role of women and health? A. Women rely on men to make healthcare decisions B. Women are the health care decision-makers for the family C. Women seldom develop chronic disease D. Women take care of themselves better

B. Women are the health care decision-makers for the family

According to the Affordable Care Act rules, moderate copays are responsible for which of the following? A. Women being able to charge copays on credit cards for preventative services B. Women not seeking preventative services C. Women being able to access preventive services D. Women being able to afford preventive services

B. Women not seeking preventative services

When prescribing hormone therapy for postmenopausal woman with a uterus, what is the best approach

Begin right after menopause and end at 5 years

A 23 year old client tells you she is glad that she had a pap smear today "because my mother's beat friend just found out she has cancer of her uterus" and she ants to know if she has it as well. What is your best response? A. Yes, the pap smear results will be available within the next two weeks and will reveal if you have uterine cancer B. I understand you concern, but you are too young to have uterine cancer C. Actually the pap smear is a screening test for cervical cancer and precancerous conditions and does not test for uterine cancer yet D. Are you concerned because you have been spotting between periods as with uterine cancer?

C. Actually the pap smear is a screening test for cervical cancer and precancerous conditions and does not test for uterine cancer yet

Which of the following is a modifiable risk factor for pregnancy women? A. Backache B. Heartburn C. Caffeine D. Dyspnea

C. Caffeine

A 32 year old woman with diagnosed migraine headaches requests birth control pills. What is your first question for her? A. How do you headaches occur? B. How often do you have the headaches? C. Do you have an aura with the headaches? D. Do you have nausea with the headaches?

C. Do you have an aura with the headaches?

Women with chronic yeast infections should be evaluated for A. Chlamydia B. Pregnancy C. HIV D. Gonorrhea

C. HIV

A woman who is G1P0 comes to the clinic for her prenatal visit. She tells you she is "scared to death" because her mother told her that she is likely to miscarry because she is Rh positive and her husband is Rh negative. What is your best response? A. Since this is your first baby, you have the same chance of miscarriage as an Rh negative woman B. Since your mother is right, we will monitor you closely C. It is not a problem since you are Rh positive D. Since you have antibodies against Rh+ blood cells, you cannot miscarry

C. It is not a problem since you are Rh positive

The biggest symptomatic difference between postpartum blues and postpartum depression is A. Lack of energy B. Appetite changes C. Lack of interest in the baby D. Feelings of sadness

C. Lack of interest in the baby

Preventative services under the ACA for obstetric care may result in which of the following effects? A. Higher incidence of malpractice claims due to failure to diagnose and lack of prevention B. Increased anxiety for obstetricians and patients C. Lowered concern about malpractice suits for professionals in obstetrics with patient coverage for prevention D. Higher liability insurance premiums for obstetricians

C. Lowered concern about malpractice suits for professionals in obstetrics with patient coverage for prevention

On the fourth day after the birth of their baby, a father calls the office. He relates that his wife has not been sleeping well, because she is so attentive to the new baby. She cries easily, but she cannot say what is bothering her. What is the most appropriate response by the NP? A. You need to take your wife for a psychological evaluation right away. Postpartum psychosis is a possibility B. I will prescribe a tranquilizer for her that you need to start immediately. She should make an appointment with a psychiatrist as soon as possible C. Many new mothers experience some crying episodes in the first few days after birth. She needs to rest as much as possible and have some help D. Many new mothers have post partum depression after delivery due to fatigue from caring for the baby so much

C. Many new mothers experience some crying episodes in the first few days after birth. She needs to rest as much as possible and have some help

A new mother who is breastfeeding returns to the clinic with her newborn for the baby's two week visit. She asks the NP when she can expect her menstrual periods to resume. What is the most appropriate response? A. The return of menstruation varies significantly with individual women B. With occasional breastfeeding, periods will resume in about six months C. Menstruation may not resume as long as you are breastfeeding exclusively D. Your periods should return in sex to eight weeks after delivery

C. Menstruation may not resume as long as you are breastfeeding exclusively

A new mother who is 5 days postpartum and breastfeeding calls the clinic and relates that she is concerned about whether her baby is getting enough to eat. What assessment by the NP is most appropriate? A. Consistency of the skin and any appearance of jaundice B. Frequent feeding, duration of feedings, and consolably C. Number of wet diapers and sleeping between feedings D. Weight gain and sleeping between feedings.

C. Number of wet diapers and sleeping between feedings

Screening for gestational diabetes is recommended during pregnancy. What management plan is mot appropriate? A. Assess fasting blood glucose at the first prenatal visit B. Order a 3-hr GTT at 20-24 weeks gestation C. Order a 1-hr GTT at 24-28 weeks gestation D. Order a 1-hr GTT at 34-36 weeks gestation

C. Order a 1-hr GTT at 24-28 weeks gestation

A 29-year old woman G3P2AB0L2 at 38 weeks gestation with a normal pregnancy says she wants to try to breastfeed again. She tells you that she is concerned about becoming pregnant right away after delivery, and she desires tow it a few years to decide if she wants another child, if ever. She says that she used breastfeeding as contraception after her first delivery, and now has two children who are 11 months apart in age. She used OCPs successfully after her second child who was bottle fed. What is the best option you can offer her? A. Combination OCPs at 6 weeks postpartum B. Progestin only OCPs right after delivery C. Paragard IUD placed in the delivery room D. Condoms 2 weeks after delivery

C. Paragard IUD placed in the delivery room

At her first prenatal visit, it is important to teach a patient to contact the clinic of which of the following occurs A. New constipation B. Painful hemorrhoids C. Persistent backache D. Heartburn

C. Persistent backache

A 21 year old female comes to your office of OCPs, she is healthy, has had no major medical problems, and is a nonsmoker, a nondrinker, and an exercise enthusiast. She is not obese On examination, her BP is 110/70. HR 72 and regular. General examination and pelvic examination are normal. She states she has multiple sexual partners. What would you do at this time? A. Prescribe OCPs without further counseling B. Prescribe OCPs but advise her to limit sexual partners C. Prescribe OCPs but stress only condoms will protect against STDs D. Tell her to use condoms only since the will protect against STDs and prevent pregnancy

C. Prescribe OCPs but stress only condoms will protect against STDs

A 28 year old client is seen for routine prenatal visit at 36weeks gestation. Her BP is 170/100, she has 2+ proteinuria, facial edema and has gained 7 pounds since her last visit 2 weeks ago. The most appropriate management plan would include A. Start methyldopa and monitor in 48 hours B. Rest at home, return to the clinic in 48 hours C. Refer to an OBGYN immediately D. Start an ACE inhibitor and monitor in one week

C. Refer to an OBGYN immediately

When reviewing pap results, you see that one patient has a pap smear result of LSIL and needs follow-up. What are your initial instructions for this patient? A. She should plan for hysterectomy in the future B. She needs to have pap smears every three months C. She needs to schedule a colposcopy D. She should return for a repeat pap smear this month

C. She needs to schedule a colposcopy

A client visits the clinic during the 12 week of pregnancy. She has gained 3 pounds above her normal pre-pregnant weight. What is the best interpretation of this data? A. This all weight gain puts her at risk for intrauterine growth retardation B. Observation of weight trends for several months is needed to assess adequate weight gain C. The weight gain is appropriate D. This large weight gain puts her at risk for pregnancy induced hypertension

C. The weight gain is appropriate

A 16 year old woman comes to the clinic requesting emergency contraception. What teaching will you do with her prior to prescribing A. This medication is 100% effective against pregnancy B. This medication cannot be taken by woman who are allergic to estrogen C. This medication is likely to prevent pregnancy if taken within 72 hours of unprotected intercourse D. This medication will cause an abortion

C. This medication is likely to prevent pregnancy if taken within 72 hours of unprotected intercourse

The pregnancy patient has asked the NP what kinds of medications cause birth defects. Which statement would best answer this question? A. Too much vitamin C is one of the most common issues B. Birth defects are very rare. Don't worry, we will watch for problems C. To be safe, don't take any medication without calling the clinic first D. Almost all medications will cause birth defects in pregnancy

C. To be safe, don't take any medication without calling the clinic first

A primigravida who is Rh- has her first prenatal check up at 7 weeks gestation. She is accompanied by her husband who tells you, he too is Rh-. What teaching about RhoGam will you include? A. RhoGam is only given to Rh+ mothers B. Since the father is Rh- she will not require RhoGam C. We routinely give RhoGam to Rh- mothers at 28 weeks D. We will give RhoGam only is she has antibodies

C. We routinely give RhoGam to Rh- mothers at 28 weeks

Hot flashes can be triggered by

Caffeine Alcohol Spicy foods

Passage of all uterine contents

Complete

Abnormal uterine bleeding is most often associated with A. Polycystic ovaries B. Ovulatory cycles C. Late ovulation D. Anovulatory cycles

D. Anovulatory cycles

A patient presents with grey, thin discharge with a fishy odor. Wet mount reveals the slide below with a pH of 6.0. What is your diagnosis? A. Candidiasis B. Trichomonas C. Chlamydia D. Bacterial vaginosis

D. Bacterial vaginosis

A patient who is experiencing her first pregnancy has just completed the initial prenatal examination. Which statement indicates that the patient does not need additional information? A. The increased size of my breasts means that I am pregnant B. My last period was 2 months ago, which means I am 2 months along C. Since I haven't felt the baby move yet, we don't know whether I'm pregnant D. Because we hear the baby's heartbeat, I am undoubtedly pregnant

D. Because we hear the baby's heartbeat, I am undoubtedly pregnant

A woman has come to the clinic for her 6 week postpartum check. She is breastfeeding her baby. The NP should advise her to A. Maintain a caloric intake of 300 additional calories per day B. Maintain a weight loss diet as she will likely lose unwanted weight now C. Continue taking her prenatal vitamins while breastfeeding D. Continue with the diet she had prior to pregnancy

D. Continue with the diet she had prior to pregnancy

What is the most basic pathophysiology of Rh incompatibility? A. It is produced by antibodies in the placenta B. The cause is unknown C. Pregnancy causes it D. It is a response to an antigen

D. It is a response to an antigen

A couple definitely decided on preimplantation genetic diagnosis with a second pregnancy after the birth of child with cystic fibrosis. They tell you that they would still carry the pregnancy even if the baby was born with cystic fibrosis. What is your response? A. Having two children with cystic fibrosis will be overwhelming B. Couples who have an embryo with a genetic disease should about the pregnancy C. You should't have preimplantation genetic diagnosis if that is the case D. Preimplantation genetic diagnosis will give you the opportunity to adjust if that is the case

D. Preimplantation genetic diagnosis will give you the opportunity to adjust if that is the case

A 35 year old woman comes for her well woman exam. She has been on combined oral contraceptives of 10 years without side effects. She has an unremarkable history and physical exam., G2P2L2, married, nondrinker, smoker. What counseling for her will you provide? A. She will have to come in every three moths for vital signs while on OCPs B. She will have to stop taking OCPs after taking them for 10 years C. She will have to quit smoking over the next year to continue with her OCP D. She will have to choose between smoking and taking her OCPs

D. She will have to choose between smoking and taking her OCPs

A woman who is in good physical health with a negative history for chronic diseases experiences a spontaneous abortion of a 12 week pregnancy. She and her partner ask you what might have caused it. Your answer to them is based on your knowledge that A. This spontaneous abortion was probably caused by vigorous exercise on a hot day B. Paternal chronic disease most likely played a part in this spontaneous abortion C. Infection was the most likely cause of this abortion D. This spontaneous abortion was most likely the result of chromosomal abnormality

D. This spontaneous abortion was most likely the result of chromosomal abnormality

A young woman is complaining of tenderness and burning of her vulva. On examination the vulva is edematous and decorated. The wet mount appears as hyphae. The diagnosis for this client is A. Bacterial vaginosis B. Chlamydia C. Gonorrhea D. Vulvovaginal candidiasis

D. Vulvovaginal candidiasis

Which of the following can be serious side effects of OCPs? A. Headache B. Abdominal pain C. Chest pain D. Leg pain E. All of the above

E. All of the above

The nurse practitioner is completing a prenatal assessment with a client who is estimated to be twenty weeks gestation, Which of the following assessments would be considered normal?

Fundal height palpated at the level of the umbilicus

What is the first symptom of menopause?

Hot flashes

A 15 year old adolescent client has a positive pregnancy test. She tells you that she does not want anyone to know

I will keep this confidential unless I am concerned about your safety

Some but not all contents passed

Incomplete

Cervical dilation without passage of contents

Inevitable

What is not a part of diagnosing PCOS

Infertility

A 26 year old primigravida started her last menstrual period on September 9 2015. According to Naegle's rule, what is the patient's estimated date of delivery?

June 16, 2015

Fetal death without passage of contents

Missed

How do you differentiate between PMS v. PMDD

Number of symptoms

A 68 year old widow tells you that she has been sexually active for the past 6 months with her new partner. She tells you that after 15 years she has started menstruating again. What should you do?

Perform an endometrial biopsy

A young woman discloses to you that she is in a domestic violence situation. She has thought often of leaving, but recently he has been remorseful and affectionate. She believes it will not happen again, but she may leave if it does, what should you do?

Provide her with the hotline number

A 26 year-old woman is seen n the OB clinic. She reports having missed her last menstrual period. The nurse practitioner would most appropriately order what test?

Qualitative HCG

A 52 year old woman says her friend told her she needs 1500 mg of calcium and 1000 IU of vit D to prevent bone thinning

Research shows that 1200 mg of ca and 800 IU of vitamin D are the maximum daily for your age

The accompanying male of a 20 year old new client fills out all her forms and answers all the questions at the reception desk. You call the client from the waiting room for her exam and he approaches the door with her. What is your best action?

Tell him that only patients may come into the exam rooms

Prenatal lab work indicates the presence of atypical antibodies for a prenatal patient who is O negative. Which of the following indications is appropriate? A. There is concern about fetal well-being B. This is within normal limits

There is concern about fetal well-being

Vaginal bleeding without loss of pregnancy

Threatened

Signs of bulemia

Tooth enamel erosion Hoarse voice Abrasions on knuckles

What is not a sign of ovarian cancer

Urinary frequency