NCLEX : NCLEX

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #226 : Conditions And Treatments

Which of the following is not a risk-factor for uterine leiomyoma?

Possible Answers:

Smoking

Red meat consumption

Family history

Obesity

Correct answer:

Smoking

Explanation:

The main risk factors for uterine leiomyoma are family history, obesity, and red meat consumption. Smoking is not a risk factor.

Example Question #222 : Conditions And Treatments

Up to 90% of cases of pelvic inflammatory disease have what etiology?

Possible Answers:

Chlamydia trachomatis only

Neisseria gonorrhoeae only

Neisseria gonorrhoeae and chlamydia trachomatis

Human papillomavirus only

Correct answer:

Neisseria gonorrhoeae and chlamydia trachomatis

Explanation:

75 to 90% of cases of pelvic inflammatory disease are caused by neisseria gonorrhoeae and/or chlamydia trachomatis infections. This condition, typified by adhesion formation in the uterus and fallopian tubes, can result in serious issues such as infertility, ectopic pregnancy, or reproductive cancer. 

Example Question #18 : Causes And Treatments Of Ob/Gyn Conditions

Which of the following is part of the diagnostic criteria for pelvic inflammatory disease (PID)?

Possible Answers:

Elevated erythrocyte sedimentation rate (ESR)

All of these

Leukocytosis

Fever

Correct answer:

All of these

Explanation:

The criteria for diagnosis of PID are as follows: fever, cervical motion tenderness, abdominal pain, leukocytosis, elevated ESR, and purulent cervical discharge.

Example Question #223 : Conditions And Treatments

What would be the primary concern in the case of rubella infection during pregnancy?

Possible Answers:

Maternal ocular damage

Maternal death

Birth defects

Gestational diabetes

Correct answer:

Birth defects

Explanation:

The primary risk in rubella infection during pregnancy is to the fetus. The rubella virus is able to cross the placenta, and acts as a teratogen by inducing apoptosis in fetal cells. This is termed congenital rubella syndrome. Birth defects can include deafness, ocular damage, cataracts, congenital heart defects, hepatomegaly, and developmental disability or delays. 

Example Question #224 : Conditions And Treatments

At what time during gestation is a fetus most susceptible to congenital rubella syndrome?

Possible Answers:

Week 12-20

The first 12 weeks after conception

Week 30-40

Week 20-30

Correct answer:

The first 12 weeks after conception

Explanation:

Infants who are exposed to rubella during weeks 0-12 of gestation have a 51% chance of developing congenital rubella syndrome. If the fetus is exposed to the virus between 12 and 26 weeks, the incidence of defects drops to 23%. Congenital rubella syndrome is rare in infants whose mothers were initially exposed to the virus after 26 weeks of gestation. Interestingly, the fetus is more likely to have birth defects if the mother contracted rubella before conception - infants whose mothers contracted the virus 0-4 weeks before conception have as much as 43% incidence of congenital rubella syndrome, due to it's long incubation period. 

Example Question #231 : Conditions And Treatments

Which of the following is the definition of gestational hypertension?

Possible Answers:

Blood pressure over 160/95 mmHg or rise of more than 30 mmHg systolic or 15 mmHg diastolic over baseline

Blood pressure over 130/85 mmHg or rise of more than 35 mmHg systolic or 20 mmHg diastolic over baseline

Blood pressure over 140/90 mmHg or rise of more than 40 mmHg systolic or 25 mmHg diastolic over baseline

Blood pressure over 140/90 mmHg or rise of more than 30 mmHg systolic or 15 mmHg diastolic over baseline

Correct answer:

Blood pressure over 140/90 mmHg or rise of more than 30 mmHg systolic or 15 mmHg diastolic over baseline

Explanation:

Gestational hypertension is defined as a blood pressure over 140/90 mmHg or rise of more than 30 mmHg systolic or 15 mmHg diastolic over baseline. It generally develops after week 20 of pregnancy and returns to normal after delivery.

Example Question #1032 : Nclex

Which of the following is NOT a part of the triad of gestational hypertension?

Possible Answers:

Headache

Proteinuria

High blood pressure

Edema

Correct answer:

Headache

Explanation:

The classic triad of gestational hypertension is high blood pressure, proteinuria, and edema. New-onset headaches during a pregnancy that includes gestational hypertension may be a sign of a more severe condition, such as preeclampsia. 

Example Question #233 : Conditions And Treatments

At what point in a pregnancy is preeclampsia most likely to develop?

Possible Answers:

12-24 weeks

20-32 weeks

0-12 weeks

After 32 weeks

Correct answer:

After 32 weeks

Explanation:

Preeclampsia occurs more frequently in the last 8 weeks of pregnancy. Occurrence at an earlier gestational age is associated with increased severity and poorer outcomes for both mother and fetus.  

Example Question #232 : Conditions And Treatments

Which of the following increases risk of ectopic pregnancy?

Possible Answers:

History of pelvic inflammatory disease

All of these are correct

Endometriosis

Post-tubal ligation

Correct answer:

All of these are correct

Explanation:

Ectopic pregnancy is a serious condition in which an embryo implants in tissue outside the uterus. Risk factors include pelvic inflammatory disease, tubal ligation, endometriosis, tobacco smoking, history of infertility, and the use of assisted reproductive technology.

Example Question #233 : Conditions And Treatments

Which of the following is a risk factor for development of toxoplasmosis in pregnancy?

Possible Answers:

Undercooked meat

Exposure to cat feces (often via a litter box)

All of these

Contaminated water

Correct answer:

All of these

Explanation:

Toxoplasmosis is a parasitic infection that is capable of crossing the placenta. It can cause birth defects such as hearing loss, learning disorders, and visual impairment. Toxoplasmosis infection is primarily a concern only in individuals who have never been exposed to the parasite before pregnancy, as most people develop immunity to infection 6-9 months after their first exposure (often through contact with cat feces in litter boxes or soil). The main routes of toxoplasmosis infection in pregnant women are exposure to cat feces, water contamination, consumption of undercooked meats, and blood transfusion. 

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