NR509 APEA Test Pregnancy / NR 509 APEA Exam Pregnancy (Latest-2021): Advanced physical assessment: Chamberlain College of Nursing |100% Correct Q &
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NR 509 APEA Test (Pregnancy) / NR509 APEA Exam (Pregnancy) (Latest): Advanced physical assessment: Chamberlain College of Nursing
NR509 APEA Test Pregnancy / NR 509 APEA Exam Pregnancy (Latest): Advanced physical assessment: Chamberlain College of Nursing
Question:
What is the standard instrument used to auscultate fetal heart tones?
Stethoscope
Doppler
Pre-natal monitor
Ultrasound
Question:
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?
Diastolic murmur
Systolicmurmur
Venous hum
Bruit
Question:
If regular uterine contractions occur prior to 37 weeks gestation, this could be:
a normal finding.
preterm labor.
preeclampsia.
supine hypotensive syndrome.
Question:
Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is 18.5 - 24.9, the total weight gain should be:
11-20 pounds.
15-25 pounds.
25-35 pounds
28-40 pounds.
Question:
During pregnancy, a palpable softening of the cervical isthmus is noted. This finding is:
Hegar's sign.
Chadwick'ssign.
striaegravidarum.
lineanigra.
Question:
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:
striaegravidarum.
lineanigra.
adnexae.
diastasis recti.
Question:
Facial edema in a pregnant woman after 20 weeks gestation, could be:
a normal finding.
suggestive of preeclampsia.
renal failure. In
heart failure.
Question:
Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is < 18.5, the total weight gain should be:
11-20 pounds.
15-25 pounds.
25-35 pounds
28-40 pounds.
Question:
Murmurs audible during pregnancy may suggest:
preeclampsia.
hypertension.
Inanemia.
pulmonary embolus.
Question:
What is the importance of prenatal care?
Determines gestational age
Estimates expected date of delivery
Optimizes health and minimizes risk for mother and fetus
Obtain family history
Question:
During pregnancy, which hormone promotes endometrial growth that supports the early embryo?
Progesterone In
Human chorionic gonadotropin (HCG)
Estrogen
Human placental lactogen
Question:
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:
gestationalhypertension.
preeclampsia.
chronic hypertension.
primary hypertension. In
Question:
Pregnant women should avoid unpasteurized dairy products, such as soft cheese, raw eggs, and delicatessen meats because of the risk of:
ingesting large amounts of mercury.
ingestion large amounts of vitamin A.
contracting toxoplasmosis.
contracting botulism. In
Question:
When performing a pelvic exam on a pregnant woman, a larger speculum may be needed because of:
increased vascularity of the vagina.
vaginal wall relaxation.
increased vascularity of the cervical structures.
swelling in the vaginal cavity.
Question:
During pregnancy, which hormone is produced by the placenta and supports progesterone synthesis in the corpus luteum?
Progesterone
Human chorionic gonadotropin (HCG)
Estrogen
Human placental lactogen
Question:
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:
vertical lie.
transverselie.
facepresentation.
vertex presentation. In
Question:
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:
multiplegestation.
a fibroid tumor. In
an ectopic pregnancy.
a false pregnancy.
Question:
Normal changes in the breast and nipples during pregnancy include all of the following except:
a marked venous pattern on the breast.
darkenednipples.
mastitis.
darkened areola.
Question:
During pregnancy, a patient's fundal height measured 26 centimeters. This would suggest that the gestational age was:
13 weeks.
26 weeks.
30 weeks.
36 weeks.
Question:
When should an oral glucose tolerance test be performed during pregnancy?
Initially, when the pregnancy is confirmed
8 weeks
24 weeks
30 weeks
Question:
Inflamed and overgrown gingiva during pregnancy is:
a common finding during pregnancy.
suggestive of anemia.
suggestive of periodontal disease.
indicative of poor nutrition.
Question:
When performing the third Leopold maneuver on a pregnant woman, the fetal head is the presenting part. This finding is referred to as the:
verticallie.
transverselie.
facepresentation.
vertex presentation.
Question:
Inaudible fetal heart tones (FHT) may indicate:
extra amniotic fluid. In
severe fetal morbidity.
earlier gestation than expected.
intrauterine growth restriction.
Question:
Which one of the following symptoms would be seen in a 39 week gestational age patient who was suspected of having HELLP syndrome?
Decreased liver enzymes, low platelet count, and nausea
Vomiting, flu - like symptoms, and platelet count < 100,000
Flu - like symptoms, low platelet count, and decreased liver enzymes
Hypotensive, malaise, and elevated platelet count > 100,000 In
Question:
The cervical opening or shortening noted during a bimanual examination prior to 37 weeks gestation, may indicate:
ectopicpregnancy.
preterm labor.
leiomyomata.
cervical erosion.
Question:
Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is 25 - 29.9, the total weight gain should be:
11-20 pounds.
15-25 pounds.
25-35 pounds
28-40 pounds.
Question:
During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark may appear. This finding is:
Hegar'ssign.
Chadwick'ssign.
striaegravidarum.
lineanigra.
Question:
During pregnancy, dyspnea accompanied by increased respiratory rate, cough, rales, or respiratory distress raises concerns of:
preeclampsia.
hypertension.
peripartum cardiomyopathy.
cocaine use.
Question:
When should a vaginal swab for Group B streptococcus be obtained in a pregnant woman?
Initially, when the pregnancy is confirmed
12-18 weeks
24-30 weeks
35 -37 weeks
Question:
Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor?
Illicit drugs
Alcohol
Tobacco
Prescription drugs
Question:
Normal findings of the vaginal wall of a pregnant woman, include all of the following except:
bluishcolor.
deeprugae.
leukorrhea.
lochia.
Question:
During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with gestational diabetes?
Progesterone
Human chorionic gonadotropin (HCG)
Estrogen
Human placental lactogen
Question:
To estimate the expected date of delivery (EDD) using Naegele's rule, if the last menses was March 3, 2014, the EDD would be:
December 7, 2014.
January 10, 2015.
January 7, 2015.
December 10, 2014.
Question:
During pregnancy, which hormone results in increased blood viscosity?
Human chorionic gonadotropin (HCG) In
Estrogen
Progesterone
Erythropoietin
Question:
In the third trimester of pregnancy, which position affords the greatest comfort by reducing the weight of the uterus on the abdominal vessels?
Left side lying In
Right side lying
Supine
Semi-sitting with knees bent
Question:
Ingestion of large sea-going fish, such as tuna, swordfish and shark should be avoided in pregnant women, because they contain large amounts of:
Vitamin A
Mercury
Iron
Toxoplasmosis
Question:
When might fundal height in a pregnant woman most accurately predict gestational age?
10 weeks gestation
14 weeks gestation
18 weeks gestation
40weeks gestation In
Question:
If fetal movement cannot be perceived after 24 weeks gestation, all of the following may be considered except:
fetaldemise.
false pregnancy.
an error in calculating gestational age.
a normal finding.
Question:
During pregnancy, if fundal height is 4 centimeters smaller than expected, consider:
large for gestationa
l age infantextra amniotic fluid
uterineleiomyomaintrauterine
growth restriction.
Question:
During pregnancy, the Leopold maneuvers assist in determining all of the following except:
fetal position within the maternal abdomen.
readiness for vaginal birth.
adequacy of fetal growth. In
cervical effacement.
Question:
Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are:
pallor.
nevi.
chloasma.
hirsutism.
Question:
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?
Blood pressure 158/104
Urinary output of 20 ml/ hour
Reflexes 2+
Platelet count of 150,000
Question:
During pregnancy, which hormone is secreted by the corpus luteum and placenta to promote ligamentous laxity in the sacroiliac joint and pubic symphysis for passage of the fetus?
Human chorionic gonadotropin (HCG)
Estrogen
Human placental lactogen
Relaxin
Question:
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:
a hypertensive crisis.
supine hypotensive syndrome.
preeclampsia.
gestational hypertension.
Question:
Which substance used during pregnancy accounts for the leading cause of preventable intellectual disability?
Illicit drugs
Alcohol
Tobacco
Prescription drugs
Question:
A five percent weight loss during the first trimester due to vomiting would be considered:
normal weight loss.
mild weight loss.
moderate weight loss.
excessive weight loss.
Question:
Increased vascularity throughout the pelvis during pregnancy gives the vagina a bluish color. This sign is:
Hegar'ssign.
Chadwick's sign.
Quickeningsign.
Leopold's sign.
Question:
Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is = 30, the total weight gain should be:
11-20 pounds.
15-25 pounds.
25-35 pounds
28-40 pounds.
Question:
In pregnant women, between 10 to 18 weeks gestation, fetal heart tones (FHT) can be auscultated along the:
woman'sback.
woman's upper left quadrant. In
midline of the woman's lower abdomen.
upper left quadrant.
Question:
When performing the third Leopold maneuver on a pregnant woman, the cephalic prominence is on the same side as the back. This finding is referred to as the:
verticallie.
transverse lie. In
face presentation.
vertex presentation.
Question:
Hypertension that occurs after 20 weeks gestation in the absence of proteinuria is:
gestational hypertension.
preeclampsia.
chronichypertension.
primary hypertension.
Question:
During pregnancy, if fundal height is 4 centimeters larger than expected, consider all of the following except:
large for gestational age
infantextra amniotic fluid
uterineleiomyomafetal
anomaly
Question:
During pregnancy, which hormone increases tidal volume and alveolar minute ventilation, lowers esophageal sphincter tone, and relaxes tone in the uterus and bladder?
Progesterone
Human chorionic gonadotropin (HCG)
Estrogen
Human placental lactogen
Question:
The normal fetal heart rate (FHR) range is:
60-90 beats per minute.
90-110 beats per minute.
120-160 beats per minute.
140-180 beats per minute.
Question:
New onset hypertension with proteinuria or end-organ damage is:
gestationalhypertension.
preeclampsia.
chronichypertension.
primary hypertension.
Question:
A form of milk produced by the mammary glands during late pregnancy is referred to as:
witch'smilk.
colostrum.
breastmilk.
lactating milk.
Question:
When examining the pregnant patient, conjunctival pallor may indicate:
leukemia.
anemia.
preeclampsia.
hypertension.
Question:
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:
verticallie.
transverse lie.
facepresentation.
vertex presentation.
Question:
After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in different locations with varying rates suggests:
decelerations.
fetaldistress.
intrauterine growth restriction.
multiple gestation.
Question:
During pregnancy, a brownish black pigmented vertical stripe along the midline of the abdomen may appear. This finding is:
Hegar'ssign.
Chadwick'ssign.
striaegravidarum.
lineanigra.
Question:
During the examination of a pregnant woman, knee and ankle deep tendon reflexes appear hyperreflexic. This finding could be suggestive of:
hypertension.
gestationaldiabetes.
preeclampsia.
an embolus.
Question:
Upon cervical examination of the pregnant woman, cervical erosion, erythema, and irritation are noted. These findings could be suggestive of:
cervicalcancer.
a non-pregnant state.
cervicitis.
bacterial vaginosis. [Show Less]