CMN568/ CMN 568 (Latest 2023/ 2024) Intro to Family NP Unit 6 Exam Questions and Verified Answers| 100% Correct| Grade A
CMN568/ CMN 568 (Latest 2023/ 2024) Intro
to Family NP Unit 6 Exam Questions and
Verified Answers| 100% Correct| Grade A
Q: Where do the majority of ectopic pregnancies occur?
Answer:
fallopian tube
Q: What are risk factors for ectopic pregnancy?
Answer:
Smoking, IUD use, assisted reproductive technology, PID, endometriosis, previous tubal surgery,
DES exposure, previous ectopic
Q: What are S/S of ectopic pregnancy?
Answer:
Pelvic/abdominal pain especially cervical motion tenderness or adnexal pain. Possible referred
pain to shoulders
Abnormal uterine bleeding: light spotting to heavy bleeding
Poorly rising BHCG levels in serial titers: should rise 50% every 48 hr
Absent intrauterine gestational sac – intrauterine sac should be visible when BHCG is 1500-2000
Q: When do most ectopic ruptures occur?
Answer:
between 6 and 12 weeks gestation
Q: How are ectopic pregnancies managed?
Answer:
< 200 BHCG may resolve in its own
< 3 cm Adnexal mass and no fetal heart motion: can use methotrexate protocol (one dose or two
doses)
Laparascopic surgery for other cases
Q: What is the first hint of inappropriate intrauterine growth?
Answer:
fundal height measurements that have not changed or even decreased (not accurate in the last 4
weeks of pregnancy)
Q: What fetoplacental factors can cause IUGR?
Answer:
genetic disorders, infection (TORCH), placental disorders, multiple gestation
Q: What maternal factors can cause IUGR?
Answer:
HTN, anemia, IBD, malnutrition, Kidney/heart disease, substance abuse especially nicotine
abuse, anticonvulsants
Q: What should be done to assess growth and amniotic fluid volume in suspected IUGR?
Answer:
serial fetal u/s
Q: What conditions should you assess for in IUGR patients?
Answer:
preeclampsia and maternal infection
Q: What are S/S of PUPPS?
Answer:
Erythematous, pruritic papules that coalesce into plaques. Severe itching concentrated on
abdomen, often following the lines of stretch marks
Q: When does PUPPS normally appear and disappear?
Answer:
Usually appear during the third trimester and disappear 2 weeks postpartum
Q: How is PUPPS normally tx?
Answer:
topical steroids, antihistamines and Sarna lotion
Q: How is chronic HTN defined?
Answer:
B/P > 140/90 before pregnancy or before the 20th week of pregnancy or the presence of
persistent hypertension > 12 weeks post-partum
Q: When is medication initiated for pregnant chronic HTN patients?
Answer:
Medications begun at BP >140/90 with end organ damage, >150/100 without end organ damage
Q: What is first line tx of chronic HTN in pregnant patients?
Answer:
Methyldopa
Q: What HTN meds are contraindicated in pregnancy?
Answer:
ACE and ARBs are contraindicated in pregnancy
Q: When is PIH diagnosed?
Answer:
BP > 140/90 after 20 weeks of pregnancy
Q: How is PIH distinguished from pre-eclampsia?
Answer:
neg. proteinuria in PIH
Q: How is PIH tx?
Answer:
rest and medications. Instruct pt. to monitor bp at home
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