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. Correct
Explanation:
Weight gain should be closely monitored during pregnancy, as both excessive and inadequate weight gain
are associated with poor birth outcomes. The pregnant woman who has a BMI of <18.5, should gain 28 - 40
pounds; BMI 18.5-24.9 should gain 25 - 35 pounds; BMI 25-29.9 should gain 15 - 25 pounds; and the obese
pregnant woman should gain 11 - 20 pounds.
Question:
During pregnancy, which hormone is produced by the placenta and supports progesterone synthesis in the
corpus luteum?
Progesterone
Human chorionic gonadotropin (HCG) Correct
Estrogen
Human placental lactogen
Explanation:
Human chorionic gonadotropin (HCG) is produced by the placenta and supports progesterone synthesis in
the corpus luteum, effectively preventing the early embryo from being lost to menstruation.
Question:
During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark
may appear. This finding is:
Hegar's sign.
Chadwick's sign.
striae gravidarum. Correct
linea nigra.
Explanation:
As the skin over the abdomen stretches to accommodate the fetus, purplish striae gravidarum (“stretch
marks”) may appear. Linea nigra is a brownish black pigmented vertical stripe along the midline skin.
Hegar’s sign is the palpable softening of the cervical isthmus, the portion of the uterus that narrows into
the cervix. Increased vascularity throughout the pelvis during pregnancy gives the vagina a bluish color,
known as Chadwick’s sign.
, Question:
When should all pregnant woman be screened for human immunodeficiency virus (HIV)?
Routine screening is not recommended
At the first prenatal visit Correct
During the second trimester
During the third trimester
Explanation:
The Centers for Disease Control and Prevention (CDC) recommends screening of all pregnant women for
human immunodeficiency virus (HIV) at the first prenatal visit. During the third trimester, women at high
risk for acquiring HIV infection should be rescreened.
Question:
Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are:
pallor.
nevi.
chloasma. Correct
hirsutism.
Explanation:
Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are known
as chloasma (or melasma) or the "mask of pregnancy". This is considered a normal finding.
Question:
After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in different locations with
varying rates suggests:
decelerations.
fetal distress.
intrauterine growth restriction.
multiple gestation. Correct
Explanation:
After 24 weeks' gestation, auscultation of more than one FHT in different locations with varying rates
suggests multiple gestation.
Question:
During pregnancy, which supplement is recommended to decrease the risk of neural tube defect?
Vitamin B12
Iron
Folic acid Correct
Calcium
Explanation:
Taking a prenatal vitamin with the recommended 400 micrograms of folic acid before and during
pregnancy can help prevent neural tube defects in the brain and spinal cord.
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