APEA Pregnancy QBank Questions
1. Adequate daily dietary intake of folic acid in pregnancy is:
a. 400mcg
2. If fetal movement cannot be perceived after
... [Show More] 24 weeks gestation, all of the following may
be considered except:
a. A normal finding
3. As tension on the abdominal wall increases with advancing pregnancy, the rectus
abdominus muscles may separate at the midline of the abdomen. This finding is termed:
a. Diastasis recti
4. During the last trimester of pregnancy, the supine position causes the uterus to overlie
the vertebral column and compress the descending aorta and inferior vena cava. This
position the patient to become faint and dizzy resulting in:
a. Supine hypotensive syndrome
5. Murmurs audible during pregnancy may suggest:
a. Anemia
6. When should all pregnant women be screened for HIV?
a. At the first prenatal visit
7. During pregnancy, which hormone promotes endometrial growth that supports the early
embryo?
a. Estrogen
8. During pregnancy, the Leopold maneuvers assist in determining all of the following
except:
a. Cervical effacement
9. When performing the third Leopold maneuver on a pregnant woman, the fetal head is
the presenting part. This finding is referred to as the:
a. Vertex presentation
10. When performing a pelvic exam on a pregnant woman, a larger speculum may be
needed because of:
a. Vaginal wall relaxation
11. Normal findings of the vaginal wall of a pregnant woman, include all of the following
except:
a. Lochia, is a term given to the substance that is discharged from the uterus,
through the vagina after birth, it consists of blood, mucus, and placental tissue
12. Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI
is 18.5-24.9, the total weight gain should be:
a. 25-35 pounds
13. During pregnancy, if fundal height is 4cm smaller than expected, consider:
a. Intrauterine growth restriction, if fundal height is 4cm or smaller, consider low
level of amniotic fluid, missed abortion, intrauterine growth restriction, or fetal
anomaly.
14. When performing the first Leopold maneuver on a pregnant woman, if the fetal buttocks
and head are not easily palpated at the fundus, the fetus is said to be in:
a. Transverse lie
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15. B/P readings greater than 140mm HG systolic and greater than 90mm HG diastolic prior
to pregnancy, before 20 weeks gestation, or beyond 12 weeks postpartum is:
a. Chronic hypertension
16. 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?
a. Venous hum
17. During pregnancy, which hormone is produced by the placenta and supports
progesterone synthesis in the corpus luteum?
a. Human chorionic gonadotropin (HCG)
18. If regular uterine contractions occur prior to 37 weeks gestation, this could be:
a. Preterm labor
19. Ingestion of large sea-going fish, such as tuna, swordfish and shark should be avoided in
pregnant women, because they contain large amounts of:
a. Mercury
20. When examining the pregnant patient, conjunctival pallor may indicate:
a. Anemia
21. Inflamed and overgrown gingiva during pregnancy is:
a. A common finding during pregnancy
22. During pregnancy, which hormone results in increased blood viscosity?
a. Erythropoietin
23. Which substance used during pregnancy accounts for the leading cause of intellectual
disability?
a. Alcohol
24. When might fundal height in a pregnant woman most accurately predict gestational
age?
a. 18 weeks, uterine fundal height measured in centimeters correlates with
gestational age between 18-34 weeks.
25. Inaudible fetal heart tones (FHT) may include:
a. Earlier gestation than expected
26. Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during
pregnancy are:
a. Chloasma, otherwise known as the mask of pregnancy
27. Which of the following is NOT a condition associated with 25thyroidism in pregnancy?
a. Gestational diabetes
28. New onset hypertension with proteinuria or end-organ damage is:
a. Preeclampsia
29. Increased vascularity throughout the pelvis during pregnancy gives the vagina a bluish
color. This sign is:
a. Chadwick’s sign
30. During pregnancy, a patient’s fundal height measured 26 centimeters. This would
suggest that the gestational age was:
a. 26 weeks
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31. During pregnancy, which hormone increases tidal volume and alveolar minute
ventilation, lowers esophageal sphincter tone, and relaxes tone in the uterus and
bladder?
a. Progesterone
32. The cervical opening or shortening noted during a bimanual examination prior to 37
weeks gestation, may indicate:
a. Preterm labor
33. Upon cervical examination of the pregnant woman, cervical erosion, erythema, and
irritation are noted. These findings could be suggestive of:
a. Cervicitis
34. Facial edema in a pregnant woman after 20 weeks gestation, could be:
a. Suggestive of preeclampsia
35. Pregnant women should avoid unpasteurized dairy products, such as soft cheese, raw
eggs, and delicatessen meats because of the risk of:
a. Contracting toxoplasmosis
36. Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI
is = 30, the total weight gain should be:
a. 11-20 pounds
37. During pregnancy, which hormone is responsible for increasing insulin resistance and
hyperglycemia associated with gestational diabetes?
a. Human placental lactogen
38. Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI
is 25-29.9, the total weight gain should be:
a. 15-25 pounds
39. A five percent weight loss during the first trimester due to vomiting would be
considered:
a. Excessive weight loss
40. Hypertension that occurs after 20 weeks gestation in the absence of proteinuria is:
a. Gestational hypertension
41. Which one of the following symptoms would be seen in a 39 week gestational age
patient who was suspected of having HELLP syndrome?
a. Vomiting, flu-like symptoms, and platelet count <100,000
42. A form of milk produced by the mammary glands during late pregnancy is referred to as:
a. Colostrum
43. Normal changes in the breast and nipples during pregnancy include all of the following
except:
a. Mastitis
44. Which substance used during pregnancy accounts for one third of all low-birth-weight
infants, placental abruption, and preterm labor?
a. Tobacco
45. When should a vaginal swab for Group B streptococcus be obtained in a pregnant
woman?
a. 35-37 weeks
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46. Symptoms on initial assessment of a pregnant woman with preeclampsia are: blood
pressure 158/100; urinary output 50ml/hr; 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?
a. Urinary output of 20ml/hour
47. During pregnancy, which supplement is recommended to decrease the risk of neutral
tube defect?
a. Folic acid
48. During pregnancy, a palpable softening of the cervical isthmus is noted. This finding is:
a. Hegar’s sign
49. 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:
a. Vertical lie
50. When should an oral glucose tolerance test be performed during pregnancy?
a. 24 weeks
51. Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI
is <18.5, the total weight gain should be:
a. 28-40 pounds
52. During the examination of a pregnant woman, knee and ankle deep tendon reflexes
appear hyperreflexic. This finding could be suggestive of:
a. Preeclampsia
53. To estimate the expected date of delivery (EDD) using Naegele’s rule, if the last menses
was March 3, 2014, the EDD would be:
a. December 10, 2014. Naegele’s rule: LMP + 7 days – 3 months + 1 year
54. When performing the third Leopold Maneuver on a pregnant woman, the cephalic
prominence is on the sane side as the back. This finding is referred to as the:
a. Face presentation
55. After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in
different locations with varying rates suggests:
a. Multiple gestation
56. During pregnancy, if fundal height is 4 centimeters larger than expected, consider all of
the following except:
a. Fetal anomaly
57. In the third trimester of pregnancy, which position affords the greatest comfort by
reducing the weight of the uterus on the abdominal vessels?
a. Semi-sitting with knees bent
58. Which of the following STD [Show Less]