Tiêu đề RECALLS 10 - NP2 - SC ✅

4 | Page 32. A pregnant woman in her second trimester is discussing common pregnancy changes with her healthcare provider. They discuss how the vaginal environment changes to protect the developing fetus. The change in vaginal pH during pregnancy from alkaline to acidic is primarily due to: A. Increased estrogen levels altering glandular vaginal secretions B. The shift in the vaginal flora due to increased Human Chorionic Gonadotropin (hCG) C. The metabolic activity of Lactobacillus acidophilus producing lactic acid D. A decrease in the production of alkaline mucus components Situation: You are working at a prenatal clinic. Jamaica, a single woman who is 4 months pregnant, asks you about teratogens and their possible effects on pregnancy. The following set of questions applies. 33. Jamaica is worried about contracting toxoplasmosis since she is responsible for cleaning her cat's stool daily. She asks you about the possible effects of this infection on her baby. What is the correct answer? A. Hydrocephalus, chronic liver disease, and blueberry- muffin lesions B. Pulmonary stenosis, cleft palate, and thrombocytopenic purpura C. Microcephaly, intracerebral calcification and retinal deformities. D. Extreme rhinitis, oddly shaped teeth, rashes 34. Pregnancy risk category C includes drugs for which animal studies have shown adverse effects on the fetus, but adequate studies in humans are unavailable. Which of the following drugs is an exception to this category? A. Bufferin B. Tannate C. Gentamicin D. Ethambutol 35. Which antihypertensive drug lowers blood pressure in a normal adult but can cause oligohydramnios when taken during pregnancy? A. Orinase B. Tegison C. Etretinate D. Capoten 36. Nina, a 19-year-old woman, fell off her bike causing her to feel intense pain in her pelvic area. Her doctor orders her to be scheduled for a pelvic x-ray examination. When should a woman in a childbearing age be scheduled for pelvic x-ray examinations? A. First 10 days of a menstrual cycle B. During ovulation period C. 3 to 5 days after menstruation D. None of the above 37. These are teratogens in pregnancy. Which is a socially accepted teratogen that can cause major damage to a fetus? A. Smoking B. Cocaine C. Alcohol D. Over the counter drugs 38. A pregnant woman, Hannah, is experiencing frequent urination and pain, likely due to a urinary tract infection (UTI), which is common in pregnancy because of hormonal changes. The nurse must educate Hannah about a medication she should strictly avoid during pregnancy, as it can retard bone growth and stain the fetal teeth. Which of the following medications should the nurse advise Hannah to avoid? A. Ampicillin B. Sulfanilamide C. Tetracyclines D. Ceftriaxone 39. What is the narrowest diameter of the pelvis at the outlet? A. Transverse diameter B. Diagonal conjugate C. Ischial spine D. Symphysis pubis 40. Which of the following fetal skull areas have the narrowest diameter which can easily pass through both the pelvic inlet and outlet? A. Occipitomental B. Biparietal C. Suboccipitobregmatic D. Occipitofrontal 41. Nurse Anne performed a Leopold's Maneuver to a pregnant woman. During the procedure, Anne felt a plain mass at the right side of the mother and heard the FHR on the lower segment of the uterus. What is the fetal position? A. LSaA, breech presentation B. RSaA, breech presentation C. LOA, cephalic presentation D. ROA, cephalic presentation 42. The cardinal movements of labor is the passage of a fetus through the birth canal involving several different position changes to: A. Prevent umbilical cord prolapse through assuring an engaged fetal station. B. Allow maximum contraction time and assist with vaginal birth through the pelvic canal. C. Maintain vertex presentation and not allow misalignment of fetal position. D. Keep the smallest diameter of the fetal head parallel to the smallest diameter of the pelvis. 43. Abdominal ultrasound shows that the fetus hips are flexed but the knees are extended to rest on the chest. The buttocks alone present to the cervix. What is the fetal presentation? A. Single-footling breech B. Frank breech C. Double-footling breech D. Complete breech 44. Solana, a new and breastfeeding mother, chooses intramuscular injections as her method of reproductive life planning. Which of the following is not true in regard to this method? A. One of the advantageous effects of Depo-Provera is reduction in the frequency of sickle cell crises B. Medroxyprogesterone Acetate may impair glucose tolerance in women at risk for diabetes. C. Medroxyprogesterone Acetate should be avoided if you are breastfeeding D. Women taking Depo-Provera are advised to maintain a high calcium diet. 45. Josephine is 38 weeks pregnant and wants to use an IUD for contraception after giving birth. When is the optimal time for her to have the IUD fitted? A. 6 weeks after birth B. 3 months after birth C. At her second postpartum checkup D. Immediately after birth 46. Seventeen-year-old Joannah visits your community health clinic seeking advice on contraception methods. If she chooses to use a combination oral contraceptive (COC) for family planning, which of the following side effects are CORRECT? I. Nausea II. Monilial vaginal infections