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NM 717 Comps > Module 4 Kahoot Questions > Flashcards

Module 4 Kahoot Questions Flashcards

1
Q

When educating a person about the effects of pregnancy on the body, what should the NP include in the discussion?

A) “Your breasts decrease in size and prepare for breastfeeding.”
B) Your cervix acts as a barrier for maintaining the uterine contents.
C) “Your uterus increases to approximately three times its normal size.”
D) The cervix becomes hard and short, which allows for the passage of the baby

A

B) Your cervix acts as a barrier for maintaining the uterine contents.

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2
Q

Which hormone increases insulin resistance and stimulates the production of growth hormones during pregnancy?

A) Estrogen
B) Progesterone
C) Human placental lactogen (hPL)
D) Human chorionic gonadotropin (hCG)

A

C) Human placental lactogen (hPL)

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3
Q

The level of the free beta unit of hCG rises in early pregnancy and is first detectable approx ___days after ovulation.

A

8-10 days

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4
Q

Beta-hCG levels double approximately every 48 to _______ hours in 85% of women with normal pregnancies.

A

72

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5
Q

Fertilization is the process of two ___________ cells fusing to form a zygote.

A

haploid

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6
Q

Pregnancy lasts approx. 266 days or 38 weeks from ______. This translates into 10 lunar months or 9 calendar months

A

Ovulation

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7
Q

Which hormone stimulates the production of progesterone from the corpus luteum during pregnancy?

A

Human chorionic gonadotropin (hCG)

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8
Q

Which placental transport mechanism transfers oxygen, carbon dioxide, electrolytes, water, and certain medications?

A) Pinocytosis
B) Simple diffusion
C) Active transport
D) Facilitated diffusion

A

B) Simple diffusion

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9
Q

Which placental transport mechanism transfers glucose, which is essential for rapid fetal growth?

A) Pinocytosis
B) Simple diffusion
C) Active transport
D) Facilitated diffusion

A

D) Facilitated diffusion

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10
Q

What placental transport mechanism transfers maternal antibodies, which enables the transfer of immunities to the fetus?

A) Pinocytosis
B) Simple diffusion
C) Active transport
D) Facilitated diffusion

A

A) Pinocytosis

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11
Q

The NP is reviewing genetic counseling with an Ashkenazi Jewish couple & the risk for what autosomal recessive disease?

A) Thalassemia
B) Cystic fibrosis
C) Sickle Cell disease
D) Tay-Sachs disease

A

D) Tay-Sachs disease

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12
Q

The term ____________ refers to the regulation of gene expression via modifications of the DNA structure.

A

epigenetics

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13
Q

The NP is counseling a Black couple. Which autosomal recessive genetic disease does the NP discuss?

A) Thalassemia
B) Cystic fibrosis
C) Sickle Cell disease
D) Tay-Sachs disease

A

C) Sickle Cell disease

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14
Q

Which woman does the NP identify as having the greatest risk for giving birth to a newborn with trisomy 21?

A) A 25-year-old person
B) A 30-year-old person
C) A 35-year-old person
D) A 40-year-old person

A

D) A 40-year-old person

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15
Q

SATA: The NP is providing prenatal care to a person who is dx w/ cytomegalovirus infection. 2 possible consequences are?

A) Deafness
B) Microcephaly
C) Hydrocephaly
D) Chorioretinitis

A

A) Deafness
B) Microcephaly

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16
Q

___________ inheritance means the inherited genes are located on the first 22 pairs of chromosomes.

A) dominant
B) sex-linked
C) recessive
D) autosomal

A

D) autosomal

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17
Q

___________ means the inherited genes are located on the X or Y chromosome.

A

Sex-linked

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18
Q

What does the NP include when educating a pregnant person on the consequences of the MMR vaccine?

A) Deafness
B) Microcephaly
C) Hydrocephaly
D) Chorioretinitis

A

A) Deafness

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19
Q

What does the NP include when educating a pregnant person on the consequences of toxoplasmosis?

A) Deafness
B) Microcephaly
C) Hydrocephaly
D) Chorioretinitis

A

C) Hydrocephaly

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20
Q

What consequence does the NP include when educating a pregnant person exposed to varicella?

A) Deafness
B) Microcephaly
C) Hydrocephaly
D) Chorioretinitis

A

D) Chorioretinitis

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21
Q

SATA: When educating a pregnant person re: possible consequences of diabetes mellitus, the NP includes?

A) Cleft lip
B) Miscarriage
C) Prematurity
D) Heart Defects

A

B) Miscarriage
C) Prematurity
D) Heart Defects

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22
Q

Which term does the NP use when documenting the total number of times a woman has been pregnant?

A

Gravida

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23
Q

The gravida/para two-digit nomenclature to document a person who has been pregnant 2x with no births is ______.

A

G2P0

24
Q

Which term does the NP use when documenting a person who has never been pregnant?

A

Nulligravida

25
Q

Which term describes a person has had one pregnancy, remained pregnant > 20 weeks gestation and given birth/delivered?

A

Primipara

26
Q

Give the G/P TPAL: Currently pregnant with 3rd pregnancy, full term birth with each pregnancy, both are living.

A

G3 P2002

27
Q

The NP expects ____ thickening upon review of ultrasound for a woman who is approx. 3-4 wks gest w/ a B-hCG level of 750

A

Decidual

28
Q

Which is a presumptive sign of pregnancy?

A) Chadwick’s sign
B) Breast tenderness
C) Audible fetal heart tones
D) Enlargement of the uterus

A

B) Breast tenderness

29
Q

Which is a positive sign of pregnancy?

A) Chadwick’s sign
B) Breast tenderness
C) Audible fetal heart tones
D) Enlargement of the uterus

A

C) Audible fetal heart tones

30
Q

Which action by the NP is appropriate when providing care to a pregnant person with a negative rubella titer?

A) Offer the vaccination during the first trimester
B) Offer the vaccination during the second trimester
C) Offer the vaccination during the third trimester
D) Offer the vaccination during the postpartum period

A

D) Offer the vaccination during the postpartum period

31
Q

The NP schedules a standard ultrasound at ________ weeks gestation for the purpose of evaluating fetal anatomy.

A

18-20w

32
Q

SATA: What condition prior to pregnancy requires the NP to initiate a medical consult d/t the condition worsening in pregnancy

A) History of uterine fibroids
B) Pregnancy-induced hypertension
C) Gestational diabetes mellitus (DM)
D) Systemic lupus erythematosus (SLE)

A

C) Gestational diabetes mellitus (DM)
D) Systemic lupus erythematosus (SLE)

33
Q

Which gynecologic or reproductive history data indicate the need for the NP to initiate a medical consult or referral?

A) History of uterine fibroids
B) Pregnancy-induced hypertension
C) Gestational diabetes mellitus (DM)
D) Systemic lupus erythematosus (SLE)

A

A) History of uterine fibroids

34
Q

Which level of care does the NP plan for when providing care to a pregnant person who is critically ill?

A) Level I
B) Level II
C) Level III
D) Level IV

A

D) Level IV

35
Q

The NP uses what level of care for a person experiencing pregnancy complications that do not require subspecialty care:

A) Level I
B) Level II
C) Level III
D) Level IV

A

B) Level II

36
Q

What facility provides low-risk, uncomplicated services for people giving birth at term with a singleton vertex fetus:

A) Level I
B) Level II
C) Level III
D) Birth Center

A

D) Birth Center

37
Q

Which differential dx does the NP document when a 1st tri pregnant person develops back pain d/t increased breast size?

A) kidney stone
B) Dyspnea
C) Phlebitis
D) Preeclampsia

A

A) kidney stone

38
Q

Which pregnant person does the NP anticipate will experience more severe nausea and vomiting in pregnancy (NVP)?

A) The primigravida in the second trimester
B) The multigravida in the second trimester
C) The person who is experiencing a single-gestation pregnancy
D) The person who is experiencing a multiple-gestation pregnancy

A

D) The person who is experiencing a multiple-gestation pregnancy

39
Q

Which person is at an increased risk for experiencing hyperemesis gravidarum?

A) The person who is 34 years of age
B) The person with a history of hypertension
C) The person with a history of reflux disorder
D) The person who continues to smoke cigarettes

A

C) The person with a history of reflux disorder

40
Q

Which person does the NP identify as having the highest risk for developing an autoimmune disorder during pregnancy?

A) A Hispanic person
B) A Caucasian person
C) An Indigenous person
D) A Black person

A

D) A Black person

41
Q

Does systemic lupus erythematosus (SLE) significantly affect a woman’s fertility?

A) Yes
B) No

A

B) No

42
Q

Systemic lupus erythematosus (SLE) may _____ disease activity in pregnancy?

A) Increase
B) Decrease

A

A) Increase

43
Q

T/F: SLE in pregnancy, depending on the systems affected, can lead to serious complications for both the woman and her fetus.

A

True

44
Q

Which normal change in pregnancy could mask the diagnosis of an SLE exacerbation?

A) Emesis
B) Nausea
C) Malar erythema
D) Mild polycythemia

A

C) Malar erythema

45
Q

When teaching about gestational diabetes, the NP includes which statement?

A) “Gestationaldiabetes is similar to type 1 diabetes mellitus.”
B) “Gestational diabetes is similar to type 2 diabetes mellitus.”
C) “Gestational diabetes increases the risk for gestational hypertension.”
D) “GD increases the risk for multiple-gestation pregnancies in the future.”

A

B) “Gestational diabetes is similar to type 2 diabetes mellitus.”

46
Q

Which does the NP prescribe for the person who is diagnosed with gestational diabetes mellitus?

A) Eye examination
B) Nutritional therapy
C) Renal function test
D) Ultrasound to monitor fetal growth

A

B) Nutritional therapy

47
Q

An A1c level of _____ or higher is diagnostic for diabetes in a non-pregnant individual & dx for PGDM in pregnancy.

A

6.5

48
Q

With a 50 gm glucose load for GD screening, greater than _____ mg/dL warrants a 3-hour glucose test.

A

130 or 140

49
Q

The target fasting blood glucose value for the pregnant person is less than or equal to _____________ mg/dL.

A

95

50
Q

The target 1-hr postparandial value for the pregnant person is less than or equal to _____________ mg/dL.

A

140

51
Q

The target 2-hr postparandial value for the pregnant person is less than or equal to _____________ mg/dL.

A

120

52
Q

Which does the NP prescribe for the pregnant individual who is diagnosed with pregestational diabetes mellitus?

A) An HbA1c serum blood test
B) Lifelong screening for prediabetes mellitus
C) Postnatal glucose tolerance test 6 to 12 weeks after birth
D) Cesarean birth counseling for estimated fetal weight greater than 4500grams

A

A) An HbA1c serum blood test

53
Q

The target A1c value for the pregnant person is less than or equal to _________ %.

A

6.0

54
Q

What is the most common non-obstetric indication for surgery during pregnancy?

A) Appendicitis
B) Cholecystitis
C) Fractured bones in MVA
D) Dental emergency

A

A) Appendicitis

55
Q

Which hemoglobin level supports the NP diagnosing a person in the second trimester of pregnancy with anemia?

A

< 10.5 g/dL

NM 717 Comps (31 decks)

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