NR 509 APEA Exam – Pregnancy

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NR 509 APEA Exam – Pregnancy (Question and Answers)

Question 1: What is the standard instrument used to auscultate fetal heart tones?

Question 2: During pregnancy, what sound may be auscultated at the second or third intercostal space at the sternal border due to increased blood flow through the vessels?

3: If regular uterine contractions occur prior to 37 weeks gestation, this could be:

4: Weight gain should be monitor during pregnancy. For a pregnant woman whose BMI is 18.5 – 24.9, the total weight gain should be:

5: During pregnancy, a palpable softening of the cervical isthmus is …… This finding is:

6: As tension on the abdominal wall increases with advancing pregnancy, the rectus abdominis muscles may separate at the midline of the abdomen. This finding is termed:

7: Facial edema in a pregnant woman after 20 weeks gestation, could be:

8: Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is < 18.5, the total weight gain should be:

9: Murmurs audible during pregnancy may suggest:

10: What is the importance of prenatal care?

11: During pregnancy, which hormone promotes endometrial growth that supports the early embryo?

12: B/P readings greater than 140 mm HG systolic and greater than 90 mm HG diastolic prior to pregnancy, before 20 weeks gestation, or beyond 12 weeks postpartum is:

13: Pregnant women should avoid unpasteurized dairy products, such as soft cheese, raw eggs, and delicatessen meats because of the risk of:

14: When performing a pelvic exam on a pregnant woman, a larger speculum may be ….because of:

15: During pregnancy, which hormone is ….by the placenta and supports progesterone synthesis in the corpus luteum?

16: When performing the first Leopold maneuver on a pregnant woman, if the fetal buttocks and head are easily palpated at the fundus, the fetus is said to be in:

17: During the vaginal examination of a pregnant woman in her first trimester, an adnexal mass with tenderness is palpated. This finding could be consistent with:

18: Normal changes in the breast and nipples during pregnancy include all of the following except:

19: During pregnancy, a patient’s fundal height measured 26 centimeters. This would suggest that the gestational age was:

Question 20: When should an oral glucose tolerance test be perform during pregnancy?

Question 21: Inflamed and overgrown gingiva during pregnancy is:

22: When performing the third Leopold maneuver on a pregnant woman, the fetal head is the presenting part. This finding is …..

23: Inaudible fetal heart tones (FHT) may indicate:

24: Which one of the following symptoms would be seen in a 39 week gestational age patient who was …..of having HELLP syndrome?

25: The cervical opening or shortening noted during a bimanual examination prior to 37 weeks gestation, may indicate:

26: Weight gain should be ….during pregnancy. For a pregnant woman whose BMI is 25 – 29.9, the total weight gain should be:

27: During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark may appear. This finding is:

28: During pregnancy, dyspnea accompanied by increased respiratory rate, cough, rales, or respiratory distress raises concerns of:

29: When should a vaginal swab for Group B streptococcus be obtained in a pregnant woman?

30: Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor?

31: Normal findings of the vaginal wall of a pregnant woman, include all of the following except:

32: During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia ……with gestational diabetes?

33: To estimate the expected date of delivery (EDD) using Naegele’s rule, if the last menses was March 3, 2014, the EDD would be:

34: During pregnancy, which hormone results in increased blood viscosity?

35: In the third trimester of pregnancy, which position affords the greatest comfort by reducing the weight of the uterus on the abdominal vessels?

36: Ingestion of large sea-going fish, such as tuna, swordfish and shark should be …..in pregnant women, because they contain large amounts of:

37: When might fundal height in a pregnant woman most accurately predict gestational age?

38: If fetal movement cannot be perceived after 24 weeks gestation, all of the following may be …..except:

39: During pregnancy, if fundal height is 4 centimeters smaller than ….., consider:

40: During pregnancy, the Leopold maneuvers assist in determining all of the following except:

41: Irregular brownish patches around the forehead, cheeks, nose, and jaw …..during pregnancy are….. nr 509 apea exam

42: Symptoms on initial assessment of a pregnant woman with preeclampsia are: blood pressure 158/100; urinary output 50 ml./hour; lungs clear upon auscultation; +1 urine protein on dipstick; and edema of the hands, ankles, and feet. On assessment an hour later, which one of the following symptoms would indicate worsening of preeclampsia?

43: During pregnancy, which hormone is ……by the corpus luteum and placenta to promote ligamentous laxity in the sacroiliac joint and pubic symphysis for passage of the fetus?

44: During the last trimester of pregnancy, the supine position causes the uterus to overlie the vertebral column and compress the descending aorta and inferior venal cava. This position causes the patient to become faint and dizzy resulting in:

45: Which substance used during pregnancy accounts for the leading cause of preventable intellectual disability?

46: A five percent weight loss during the first trimester due to vomiting would be ……

47: Increased vascularity throughout the pelvis during pregnancy gives the vagina a bluish color. This sign is:

48: Weight gain should be …..during pregnancy. For a pregnant woman whose BMI is = 30, the total weight gain should be:

49: In pregnant women, between 10 to 18 weeks gestation, fetal heart tones (FHT) can be auscultated along the nr 509 apea exam

50: When performing the third Leopold maneuver on a pregnant woman, the cephalic prominence is on the same side as the back.

51: Hypertension that occurs after 20 weeks gestation in the absence of proteinuria is:

52: During pregnancy, if fundal height is 4 centimeters larger than …., consider all of the following except:

53: During pregnancy, which hormone increases tidal volume and alveolar minute ventilation, lowers esophageal sphincter tone, and relaxes tone in the uterus and bladder?

54: The normal fetal heart rate (FHR) range is:

55: New onset hypertension with proteinuria or end-organ damage is nr 509 apea exam

56: A form of milk ….by the mammary glands during late pregnancy is ……

57: When examining the pregnant patient, conjunctival pallor may indicate:

58: When performing the first Leopold maneuver on a pregnant woman, if the fetal buttocks and head are not easily …. at the fundus, the fetus is …..

59: After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in different locations with varying rates suggests:

60: During pregnancy, a brownish black pigmented vertical stripe along the midline of the abdomen may appear. This finding is nr 509 apea exam

61: During the examination of a pregnant woman, knee and ankle deep tendon reflexes appear hyperreflexic. This finding could be suggestive of:

62: Upon cervical examination of the pregnant woman, cervical erosion, erythema, and irritation are noted. These findings could be suggestive of:nr 509 apea exam

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