APEA MSN572 Pregnancy Exam Study
Questions Solved 100% Correct
The top of the uterus or fundus is palpated to establish which end of the fetus or fetal pole is in
the upper part of the uterus. If either the head or buttocks (breach) of the fetus is in the
fundus, than the fundus is in vertical lie. Otherwise, the fetus is most likely in transversely.
In pregnant women, between 10 to 18 weeks gestation, fetal heart tones can be auscultated
along the - ✔✔Midline of the women's lower abdomen
From 10 to 18 weeks gestation, the fetal heart tones are located along the midline of the lower
abdomen. After that time, the fetal heart tones are best heard over the back or chest. It
depends on the fetal position.
When examining the pregnant patient, conjunctival pallor may indicate - ✔✔anemia
In pregnant women, conjunctival pallor, may indicate anemia
Facial edema in pregnant women after 20 weeks, gestation, could be - ✔✔Suggestive of
preeclampsia and should be investigated
Blood pressure readings greater than 140/90 prior to pregnancy, before 20 weeks gestation, or
beyond 12 weeks postpartum is - ✔✔Chronic hypertension
Gestational hypertension refers to elevated blood pressure detected after 20 weeks gestation
in the absence of proteinuria.
Preeclampsia occurs in a woman who was previously normotensive, but now has new onset
hypertension with either proteinuria or end organ damage.
, Primary hypertension, formerly known as essential, hypertension, is a disorder which is
associated with elevated blood pressure and an unidentifiable cause.
During pregnancy, dyspnea accompanied by increased respiratory rate, cough, rales, or
respiratory distress raises concern of - ✔✔Peripartum cardiomyopathy
This raises concern of possible infection, asthma, pulmonary embolus, or Peri partum
cardiomyopathy
Weight gain should be monitored during pregnancy period for a pregnant woman who is BMI is
less than 18.5, the total weight gain should be. - ✔✔28-40 lbs
Weight gain should be closely monitored during pregnancy, as both excessive and inadequate
weight are associated with poor birth outcomes.
The pregnant woman who has a BMI of less than 18.5, should gain 28 to 40 pounds. BMI of 18.5
to 24.9 should gain 25 to 35 pounds. BMI of 25 to 29 should gain 15 to 25 pounds. And the
obese pregnant woman should gain 11 to 20 pounds.
During the vaginal examination of a pregnant woman in her first trimester, and adnexal mass
with tenderness is palpated. This finding could be consistent with. - ✔✔An ectopic
pregnancy
Adnexal tenderness or masses identified early in gestation require ultrasound evaluation to rule
out ectopic pregnancy.
An enlarged uterus may indicate multiple gestation or a fibroid tumor.
During pregnancy, which hormone increases tidal, volume and alveolar minute, ventilation,
lowers, esophageal, sphincter, tone, and relax, is tone in the uterus and bladder -
✔✔Progesterone
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