Family Nurse Practitioner (Fnp) Certification Exam Review Ques

Family Nurse Practitioner (FNP) Certification Exam Review Questions: Comprehensive Clinical Practice for Board Preparation Murphy's sign (how to) - --- ANSWER>>>-on deep inspiration (pt), palpate firmly RUQ below the costovertebral angel Murphy's sign (diagnostic of?) - --- ANSWER>>>-biliary disorders gallbladder comes in contact w/fingers and may elect pain (+) to be positive, same maneuver must not elicit pain on left side -breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder comes by fingers antihypertensive to avoid in emphysema - --- ANSWER>>>-Beta-blockers -reduction in forced expiratory volume -increased airway hyperresponsiveness -inhibition of bronchodilator response to beta agoniststhreatened abortion (definition) - --- ANSWER>>>-vaginal bleeding and cramping present, but cervix remains closed milky white discharge (increased) alkaline pH cells with blurred margins (microscope) - --- ANSWER>>>-BV also: fishy odor, adherent discharge pos whiff (when discharge mixed w/ KOH) = fishy odor low levels of alpha fetoprotein and estriol w/ high levels of hcg (what to order and what does it mean?) - --- ANSWER>>>-ultrasound down syndrome or fetal demise normally elevated lab in someone expecting twins - --- ANSWER>>>-alpha fetoprotein AFP produced by fetal (and mother's) liver, common to be higher if having twins "Triple Screen" (prenatal screening) vs. Quad