________ is the sudden onset of psychotic symptoms after giving birth, often occurring in patients with bipolar disorder.
Fill in the blank with correct word.
(
Q. 2) ________Inflammation of the breast
Fill in the blank with correct word.
(
Q. 3) Approximately how many pregnant women experience one or more complications of pregnancy?
a. 20
b. 10
c. 15
d. 25
(
Q. 4) Which of the following is NOT true about CNMscertified nurse midwives?
a. Is an advanced practice nurse with specialized education in nursing and obstetrics.
b. Provides care for relatively healthy women with uncomplicated pregnancies.
c. Often work with obstetricians/gynecologists.
d. They are the same as a birthing coach known as a doula.
(
Q. 5) Olivia is 23 weeks pregnant. Her pregnancy was uneventful until last week when she found a suspicious looking mole on her left shoulder. Her obstetrician sent Olivia to a dermatologist for removal of the mole. The pathology report showed malignant melanoma. Olivia will be undergoing a wide excision procedure to make sure that all of the melanoma has been removed. Further treatment will depend on how the procedure goes and if the excision produces clean margins. Olivia is seeing her OB doctor for clearance for the procedure. They are hoping to do the procedure using a local anesthesia. If the excision proves to be too extensive for a local, she will have an anesthesiology consult and they will proceed from there.
Dx: 23 weeks pregnant; malignant melanoma
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 6) Patsy is 40 weeks pregnant and arrives at the hospital in labor. She is admitted to an L&D bed. Up until now, the pregnancy had been uneventful. On physical exam, the physician notes the fetus has turned since Patsy's last in-office examination. Instead of being head down, the fetus is presenting feet first. Patsy's doctor agrees to a trial of labor with the baby in this position. Patsy goes on to deliver a 7 lb. 14 oz. footling breech. Both Patsy and the baby are healthy and doing well.
Dx: Footling breech
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 7) Lucy is a 23-year-old Asian female who is carrying her first child. She is in her 13th week of pregnancy. She is seen today for a routine prenatal appointment.
Dx: Routine prenatal visit; 13 weeks pregnant
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
(
Q. 8) June is 22 weeks pregnant. This is her third pregnancy. June is seen in the outpatient prenatal clinic complaining of spotting. The spotting started several hours ago and she is concerned about the baby. Her physician asked her to come to the clinic so she could be examined for any potential complications. On physical exam, both June and the fetus are fine, however, the doctor has put June on bed rest for the next four days to see if the spotting stops. June is to call tomorrow to report on the spotting. She is to return to the clinic immediately if the spotting becomes heavier or more frequent.
Dx: Spotting; 22nd week of pregnancy
First-listed diagnosis: ________
Second-listed diagnosis: ________
Fill in the blank with correct word.
(
Q. 9) Louise arrived at the hospital in labor. She is 39 weeks and six days into her pregnancy. She started having contractions two hours ago and on arrival at the hospital, the contractions are approximately three minutes apart. She has quickly placed in bed and examined. She is 9 centimeters dilated, and her bag of water ruptures spontaneously. She soon delivers a 6 lb. 4 oz. healthy baby girl.
Dx: Precipitate labor; 39 weeks pregnant; NSVD.
First-listed diagnosis: ________
Secondary diagnoses:
(
Q. 10) Jamal is a 37 year old black male who admittedly has not seen a physician in years. He felt there was no need, as he is physically fit, eats right, and watches his weight. He had to take a physical for a new job and his blood pressure was exceptionally high. So high, in fact, that he was sent to the ED for immediate attention. Fortunately, they were able to get his blood pressure down to acceptable limits. It was almost miraculous that he did not have a stroke. The blood work done at the time of the physical revealed very high levels of creatinine. He also had proteinuria. He was referred to a urologist for further workup. The workup proved that Jamal has hypertensive chronic kidney diseaseStage 1. He is quite fortunate that the kidney disease was caught in the very early stages. At this point, his hypertension will be managed with ACE inhibitors. He was counseled to maintain his weight, limit his sodium intake and follow a sensible diet. He will be periodically monitored and will return to the office in three months.
Dx. Hypertensive chronic kidney disease, Stage 1
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
Quick Reply
