NRNP 6552 FINAL EXAM 2024-2025ACTUAL 120

NRNP 6552 FINAL EXAM 2024-2025/ACTUAL 120

QUESTIONS AND CORRECT VERIFIED ANSWERS/

NRNP6552 ADVANCED NURSE PRACTICE IN

REPRODUCTIVE HEALTH CARE FINAL EXAM/A+

GRADED

• 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?

• "As long as you're in your first trimester, the HPV vaccine is safe and

effective."

• "Research has not shown this vaccine to be effective against preventing

cervical cancer."

• "After the age of 20, the HPV vaccine is not recommended."

• "You should not receive the vaccination when you are pregnant." -

CORRECT ANSWER:->>>D. "You should not receive the vaccination when you are pregnant."

• 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?

• "Jill should take 60 mg/day of an iron supplement to enhance stores to

support fetal development."

• "It is a matter of genetics, and there is nothing you can do."
• "Have a CVS performed at 12 to 14 weeks gestation to determine the health

of the fetus." 1 / 4

• "Jill should take 4 mg/day of folic acid, beginning before conception." -

CORRECT ANSWER: ->>>D. "Jill should take 4 mg/day of folic acid,

beginning before conception."

• 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

• "no nit" policies that exclude children until all nits are removed are

essential to eradicate this problem

• the American Academy of Pediatrics and the National Association of

School Nurses discourage "no nit" policies that exclude children from school

• occlusive agents, such as petroleum shampoo and herbal oils, applied to

suffocate the lice are showing promising results in randomized controlled trials

• lindane is recommended by the American Academy of Pediatrics as a

treatment choice - CORRECT ANSWER:->>>B. the American Academy of

Pediatrics and the National Association of School Nurses discourage "no nit" policies that exclude children from school

• What is the simplest and safest method of suppressing lactation after it has

started?

• administering oral and long-acting injections of hormonal preparations

• using breast binders
• gradually weaning the baby to a bottle or cup over a 3-week period
• stopping "cold-turkey" - CORRECT ANSWER: ->>>C. gradually weaning the

baby to a bottle or cup over a 3-week period

• When can you hear fetal heart tones with a conventional fetoscope?
• 7 to 8 weeks
• 10 to 12 weeks

• 18 to 20 weeks
• more than 20 weeks - CORRECT ANSWER: ->>>C. 18 to 20 weeks 2 / 4

• The reaspn most often cited to explain why women who have had a usual length

of stay and normal delivery discontinue breastfeeding before 8 weeks postpartum is

• that the mother returned to work or school
• the perception that the infant is not receiving enough milk

• the ease of formula use
• maternal or infant illness - CORRECT ANSWER: ->>>B. the perception that

the infant is not receiving enough milk

• Pediatric clients may now be prescribed OxyContin for pain. Clients must be

already responding to and tolerating a minimum opioid dose equal to at least 20 mg of oxycodone per day before they can be prescribed an equivalent dose of OxyContin. In order to be prescribed OxyContin, pediatric client must be

• 5 to 16 years
• 11 to 16 years

• 8 to 16 years

D. over 10 years - CORRECT ANSWER: ->>>B. 11 to 16 years

• Hegar's sign, a physiological sign of pregnancy is

• cervical blueness
• softness of the uterus and ballottement at the isthmus
• cervical softness

D. quickening - CORRECT ANSWER: ->>>B. softness of the uterus and

ballottement at the isthmus

• Carrie, of Irish descent, 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 3 / 4

always had menorrhagia, and bruises easily. Her lab work reveals a normal blood workup, including a normal prothrombin time and activated partial thromboplastin time. What do you suspect?

• Von Willebrand's disease
• Hemophilia

• Sickle cell anemia

D. Beta thalassemia - CORRECT ANSWER: ->>>A. Von Willebrand's disease

• Koplik spots are small, white spots that occur on the inside of the

cheeks early in the course of

• measles
• varicella
• fifth disease

D. rheumatic fever - CORRECT ANSWER: ->>>A. measles

• Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen

during an argument with her boyfriend. She has no obvious injuries and denies pain. Aida needs to be monitored for the occurrence of

• abruptio placentae

• liver hemorrhage
• ruptured spleen

D. placenta previa - CORRECT ANSWER: ->>>A. abruptio placentae

• Growth hormone treatment for short stature in children remains

controversial. The clinician should be aware of the following regarding the assessment of growth problems and idiopathic short stature

• identification of a growth problem can be made based on one

measurement

• dysmorphic facial features will be present
• / 4