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Chapter 06: Special Populations: Pregnant and Nursing Women Test Bank

Chapter 06: Special Populations: Pregnant and Nursing Women Test Bank

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Chapter 06: Special Populations: Pregnant and Nursing Women
Test Bank
MULTIPLE CHOICE
1.   A woman is in the 36th week of pregnancy. The nurse practitioner (NP) providing prenatal care learns that the woman has a history of two previous urinary tract infections during this pregnancy. A dipstick urinalysis in the office today is negative for leukocyte esterase and nitrites. The NP should:
a.

prescribe a low-dose sulfonamide antibiotic for urinary tract infection prophylaxis.

b.

order nitrofurantoin daily to minimize the patient’s risk of urinary tract infection late in her pregnancy.

c.

encourage the patient to increase daily water intake and to wear only cotton underwear.

d.

order a voiding cystourethrogram to rule out structural anomalies that may cause urinary tract infection.

2.   A woman tells a primary care NP that she is considering getting pregnant. During a health history, the NP learns that the patient has seasonal allergies, asthma, and epilepsy, all of which are well controlled with a second-generation antihistamine daily, an inhaled steroid daily with albuterol as needed, and an antiepileptic medication daily. The NP should counsel this patient to:
a.

take her asthma medications only when she is having an acute exacerbation.

b.

avoid using antihistamine medications during her first trimester of pregnancy.

c.

discontinue her seizure medications at least 6 months before becoming pregnant.

d.

use only oral corticosteroids and not inhaled steroids while pregnant for improved asthma control.

3.   A woman has just learned she is pregnant and is in her 10th gestational week. The woman reports that she takes valproic sodium (Depakote) for a seizure disorder and has been seizure-free for several years. The NP should:
a.

prescribe folic acid supplements.

b.

change her antiepileptic drug to lamotrigine (Lamictal).

c.

order prophylactic vitamin K to be given in the second trimester.

d.

recommend that she discontinue taking the valproic sodium by 12 weeks.

4.   A woman who is pregnant develops gestational diabetes. The NP’s initial action is to:
a.

prescribe an oral antidiabetic agent.

b.

give her information about diet and exercise.

c.

begin treating her with daily insulin injections.

d.

reassure her that her glucose levels will return to normal after pregnancy.

5.   A woman who takes an angiotensin converting enzyme inhibitor for hypertension tells her primary care NP that she is trying to get pregnant. The NP should:
a.

consider replacing her angiotensin converting enzyme inhibitor with methyldopa.

b.

lower her angiotensin converting enzyme inhibitor dose during the first trimester.

c.

counsel her to increase her antihypertensive medications during pregnancy.

d.

add an angiotensin receptor blocker (ARB) during the first trimester of her pregnancy.


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