Questions only Flashcards
<p>The FNP knows that giving a teenager the three-injection vaccine series of Gardasil will reduce the teen’s chances of contracting what?
<br></br>
<br></br>
<br></br>Breast cancer
<br></br>
<br></br>Rubella
<br></br>
<br></br>Human papilloma virus
<br></br>
<br></br>Syphilis</p>
<p>Human papilloma virus</p>
A woman who is 32 weeks gestation comes to the FNP’s office reporting leaking of clear, odorless fluid since two days ago. The woman denies fever, chills, or reduced fetal movement. What test will give the FNP the best information to address this issue and form a diagnosis?
Doing the first sonogram
Doing a ferning test
Doing a Leopold’s maneuver
Doing a HA1C
- Doing a ferning test
The ferning test will evaluate whether the woman has spontaneous rupture of membranes (SROM). An initial sonogram cannot be compared to anything to assess if amniotic fluid volume is reduced. A Leopold’s maneuver or hA1C do not evaluate for SROM.
A patient who is 27 weeks gestation comes for her fourth prenatal appointment with the FNP. She reports no issues but asks, “Is it okay for me to use peripads to keep my panties dry? I continue to have wet panties since last week.” What is the best response from the FNP?
“Peripads are fine to Just don’t use tampons.”
“Tell me more about this wetness that you are describing.”
“Any wetness in your panties during pregnancy is due to what we call leukorrhea. It is normal in pregnancy.”
“Don’t worry about anything. I will make sure everything is okay with your pregnancy.”
- “Tell me more about this wetness that you are describing.”
The best response is this therapeutic one. The others are not accurate or helpful.
The menopausal woman has many hormonal changes that may cause her to have dyspareunia. The FNP knows that, in order to reduce dyspareunia, the woman could be put on hormone replacement therapy (HRT). What is an absolute contraindication to doing this?
History of hirsutism
History of fibrocystic disease
History of a mastectomy
History of mood changes
- History of a mastectomy
A history of breast cancers for which a mastectomy was done is an absolute contraindication to HRT. History of hirsutism and fibrocystic disease are not contraindications for HRT. Mood changes are potential side effects of HRT but are not absolute contraindications.
