NRNP 6552 Final Exam

NRNP 6552 Final Exam

Question 1

WIC is a federally operated assistance program that also offers dietary counseling and provides vouchers for healthy foods for women living at or below 185% of the poverty level. WIC stands for:

A. Women in Care
B. Why I Care
C. Women, Infants, and Children
D. Wonderful Infants and Children




Question 2

Ibandronate (Boniva, a medication for osteoporosis, can be administered: NRNP 6552 Final Exam

A. Orally
B. Through an IM injection
C. Intravenously
D. A and C
E. A, B, and C


Question 3

Osteoporosis is characterized by:

A. Low bone mass
B. Deterioration of bone tissue
C. Disruption of bone architecture
D. All of the above


Question 4

The three trisomies for which testing is offered during the second trimester are:

A. 13. 18, 21
B. 16, 19, 21
C. 3, 9, 19
D. 16, 21, 22


Question 5

The following are differential diagnoses for pelvic pain that are of gynecologic origin except: NRNP 6552 Final Exam

A. Interstitial cystitis
B. Mittelschmerz
C. Fibroids
D. Uterine prolapse


Question 6

Progestin-only methods are:

A. Likely to improve menstrual symptoms
B. Unlikely to ever cause breakthrough bleeding
C. A and B
D. None of the above


Question 7

Contractions that may occur in early pregnancy are called:

A. Souffle contractions
B. Chadwick contractions
C. Uteroplacental contractions
D. Braxton-Hicks contractions


Question 8

The following are foods to avoid during pregnancy except:

A. Soy products
B. Unpasteurized milk
C. Raw eggs
D. Raw alfalfa sprouts


Question 9

In a woman who is 20 weeks pregnant, the fundus is typically the same height as:

A. The symphysis pubis
B. The umbilicus
C. The xiphoid process
D. None of the above


Question 10

With prepackaged lunch meat, hot dogs, pate, and meat spreads there is an increased risk of:

A. Toxoplasmosis
B. Cytomegalovirus
C. Listeriosis
D. Coliform bacteria


Question 11

The HPV vaccine is contraindicated in:

A. Pregnancy
B. Breastfeeding
C. Males
D. A and B
E. A, B, and C


Question 12

When discussing contraception, LARC stands for:

A. Less aggressive reversible contraception
B. Long awaited reversible contraception
C. Long acting reversible contraception
D. None of the above


Question 13

Prior to giving semen for an analysis, a male should be abstinent for:

A. 24 hours prior to the test
B. 2-5 days prior to the test
C. 2 weeks prior to the test
D. None of the above


Question 14

As women age, adipose tissue is redistributed and begins to accumulate in the:

A. Hips and thighs
B. Breasts
C. Waist
D. Triceps area


Question 15

A generic prenatal vitamin supplement should be prescribed and should include:

A. Iron, folic acid, and vitamins
B. Mercury, folic acid, and vitamins
C. Vitamins only with no other supplements
D. Iron and Vitamins with no other supplements


Question 16

A complete male evaluation usually includes:

A. Two semen analyses, approximately one hour apart
B. Two semen analyses, approximately one month apart
C. One complete semen analysis
D. A fractionated semen analysis


Question 17

Physiologic methods of contraception include: NRNP 6552 Final Exam

A. Abstinence
B. Coitus interruptus
C. Lactational amenorrhea method
D. B and C
E. A, B, and C


Question 18

All of the following are barrier methods of contraception except

A. Male condom
B. Female condom
C. Diaphragm
D. Coitus interruptus


Question 19

A woman who is pregnant should never lift more than ___________ during pregnancy.

A. 10 pounds
B. 22 pounds
C. 28 pounds
D. 36 pounds


Question 20

Paula is 30 weeks pregnant and is in your office today. She is very concerned about her stretch marks. She wants to know if there is anything, she can put on them to make them go away. She has seen a few products on infomercials and wonders if they work. You tell her:

A. There are a few products on the market which have proven to be very helpful in making stretch marks disappear
B. Despite advertiser’s claims, there is no magic cream to prevent them or make them go away.
C. Watching weight gain and eating nutritiously can help decrease their number and severity
D. B and C


Question 21

Vulvovaginitis in the vulva and vagina can be caused by which of the following organisms? NRNP 6552 Final Exam

A. Bacteria
B. Fungi
C. Protozoa
D. All of the above


Question 22

It is believed that women acquire most of their bone mass

A. As infants
B. In early adolescence
C. In their 20’s
D. In their 50’s


Question 23

The progestin implant is ____________ inserted into the upper arm.

A. A single rod
B. Two rods
C. 6 rods
D. None of the above


Question 24

Annabelle is a 17-year-old who came in to see you because she is concerned about a “lump” in her right breast. She first noticed it about a month ago and it has not changed in size since then. On exam you note the mass to be about 2 cm in diameter at about 7:00 on her breast. It feels well-delineated and is freely mobile. There is no nipple discharge. You decide to proceed with imaging. The best diagnostic imaging test for this patient would be: NRNP 6552 Final Exam

B. Diagnostic mammography
C. Ultrasound
D. CT scan


Question 25

When assessing fetal heart tones with the doppler, the normal range is:

A. 60-80 BPM
B. 100-120 BPM
C. 120-160 BPM
D. 160-200 BPM


Question 26

The copper IUD is a T shaped device and

A. Is made entirely of copper
B. Is made of polyethylene with copper wire around the stem and arms
C. Releases hormones from the copper to help prevent pregnancy
D. Does not really have copper; it is just called the copper IUD


Question 27

Your patient, Autumn, is 9 weeks pregnant and is asking you if she should have a flu shot this year as it is flu season. You tell her:

A. She should wait until the second trimester and then have the flu shot.
B. She can have the flu shot anytime during the pregnancy
C. Flu shots are contraindicated during pregnancy
D. The flu shot should be administered in the delivery room as soon as the baby is delivered NRNP 6552 Final Exam


Question 28

The bluish hue that the cervix takes on during pregnancy is called:

A. Goodell’s sign
B. Baby Blues sign
C. Cervical ripening sign
D. Chadwick’s sign


Question 29

Blood serum pregnancy tests can detect the presence of HCG ________ days after fertilization.

A. 24 hours
B. 1-3 days
C. 3-5 days
D. 8-10 days


Question 30

How long is the vaginal ring left in place?

A. 1 week
B. 2 week
C. 3 week
D. 3 month


Question 54

What factors can cause premature menopause?

A. Smoking
B. Autoimmune disorders
C. A women’s mother had early menopause
D. All of the above


Question 55

The following are warning signs of pregnancy except:

A. Bleeding more than light spotting
B. Severe abdominal pain
C. Extreme nausea and vomiting
D. Braxton-Hicks contractions


Question 56

When a woman is pregnant and calculating the last menstrual period (LMP), it should be counted from:

A. The first day of the last period
B. The last day of the last period
C. The middle of the last period
D. None of the above NRNP 6552 Final Exam


Question 57

To reduce risk of illness during pregnancy, fish and shellfish should be:

A. Served raw
B. Cooked thoroughly
C. Served at every meal
D. Encouraged as often as possible


Question 58

The vaginal ring (Nuva ring) is:

A. Replaced on a weekly basis
B. Left in place for 21 days and then removed for a week
C. Replaced on a monthly basis
D. Placed in the vagina at least 2 hours prior to intercourse and removed at least 6 hours after intercourse


Question 59

All of the following are risk factors for fetal genetic or development abnormalities in maternal, paternal, and family history except:

A. Maternal age equal or greater than 30 years
B. Mother and father related by blood
C. Maternal exposure to toxins
D. Congenital blindness or deafness


Question 60

A woman with a normal BMI of 18.5-24.9 should ideally gain ____________ pounds during pregnancy.

A. 11-20
B. 15-25
C. 25-35
D. 28-40


Question 61

The following are LARC methods of contraception except: NRNP 6552 Final Exam

A. Mirena
B. Nexplanon
C. Liletta
D. Oral contraceptives


Question 62

A blood test can help confirm if a woman is beginning menopause. The test measures the level of which of these?

A. Follicle-stimulating hormone
B. Estrogen
C. Progesterone
D. Cholesterol


Question 63

The current FDA approval limit for the copper IUD is:

A. 3 years
B. 5 years
C. 7 years
D. 10 years




Question 64

The following are risk factors for breast cancer except:

A. Menarche after the age of 12
B. Nulliparity
C. Menopause at age 55 years or older
D. First full-term pregnancy after age 30


Question 65

While there is no conclusive data on safe doses, caffeine intake during pregnancy should be limited to approximately ____________ mg daily.

A. 50
B. 100
C. 200
D. 400


Question 66

All women should be offered testing for cystic fibrosis carrier status during pregnancy. This test should be done: NRNP 6552 Final Exam

A. Only once in a lifetime, as the status will not change
B. With every pregnancy that results in a live birth
C. With every pregnancy, including those that do not result in a live birth
D. Every five years


Question 67

Progestin-only contraceptives are generally considered safer for women who:

A. Have a diagnosis of Diabetes
B. Experience Migraines with aura
C. Are 15 or younger
D. Overweight

 Question 68

Advantages off the Lactational Amenorrhea method include all of the following except:

A. It is readily available
B. It can be used immediately postpartum
C. It is free
D. It is the most effective method of birth control


Question 69

When taking alendronate (Fosamax) for postmenopausal osteoporosis,

A. It should always be taken with food
B. It should be taken first think in the morning on an empty stomach
C. It should be taken with an 8 oz glass of water
D. B and C


Question 70

When the cervix softens in pregnancy, this is called:

A. Goodell’s sign
B. Cervical lip sign
C. Mucus plug sign
D. Vulvar sign


Question 71

When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know: NRNP 6552 Final Exam

A. She must have all the recommended tests done or it can be considered child abuse
B. She is required to have all tests done, except for the HIV test
C. She can “opt out” of any test
D. She should make sure that her partner signs the consent for all the tests done.


Question 72

Nonlatex condoms:

A. Fit tighter on the penis than latex condoms
B. Come in a variety of colors
C. Have an increased risk of breakage or slippage during intercourse than latex condom
D. Lead to a greater incidence of allergies than latex condoms


Question 73

In a patient with irritable bowel syndrome, a diet that eliminates ___________ is recommended.

A. Fat
B. Carbohydrates
C. Protein
D. Purine


Question 74

When using the TNM system for staging cancers, the letters stand for:

A. Tumor, nodes, melanoma
B. Tumor, nodes, metastasis
C. Tension, number, metastasis
D. Tumor, number, metastasis


Question 75

Paula also asks you about the dark line that starts at her sternal notch and goes down toward the genitalia vertically. You tell her that is called _________ and that is normal in pregnancy and may appear due to increasing levels of melanocyte-stimulating hormone. NRNP 6552 Final Exam

A. Linea alba
B. Striae gravidarum
C. Linea nigra
D. Melanin


Question 76

The following routines can help with sleep patterns:

A. Taking a warm bath
B. Exercising
C. Changing into sleepwear
D. A and C only
E. All of the above


Question 77

When performing a semen analysis, the following is/are measured:

A. Semen volume
B. Total motility
C. pH
D. A and B
E. A, B, and C


Question 78

HPV can be spread through:

A. Skin-to-skin genital contact
B. Only through actual intercourse
C. The air as it is an airborne virus
D. Dirty needles


Question 79

The following are presumptive signs of pregnancy except:

A. Urinary frequency
B. Nausea and vomiting
C. Fatigue
D. Nipple lightening



Question 94

Sometime in the last month of pregnancy, the fundal height drops slightly. This is called: NRNP 6552 Final Exam

A. Lightening
B. Flexing
C. Pubic cradling
D. Hegar’s sign


Question 95

The first-line medication for ovulation induction in women who do not have PCOS is:

A. Clomiphene citrate
B. Letrozole
C. Pergonal
D. Follistim


Question 96

Pelvic adhesions can be caused by:

A. Previous surgeries
B. Infection
C. Endometriosis
D. All of the above


Question 97

Urine pregnancy tests are considered to be:

A. Reliable
B. Unreliable
C. Expensive
D. Invasive


Question 98

The following are preventive factors for the development of ovarian cancer:

A. Pregnancy resulting in at least one full-term birth
B. Factors that inhibit ovulation
C. Breastfeeding
D. A and C
E. A, B, and C



Question 99

When using the Bethesda system to categorize epithelial cell abnormalities on pap smear, the term used when squamous cells do not appear completely normal, but it is not possible to determine the cause of the abnormal cells is; NRNP 6552 Final Exam



Question 100

The Tanner scale divides sexual physical maturity into ________ stages

A. Three
B. Five
C. Seven
D. Nine

NRNP 6552 Final Exam