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WHNP CNM Board Prep Questions And 100% Correct Answers
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WHNP CNM Board Prep Questions And 100%Correct Answers
Normal hematocrit findings - ANSWER 37-47% in normal adult. 33% in 1st trimester, 32%
in 2nd trimester
MCV - ANSWER average size or volume of a single RBC
Normal: 80-95 mm3, normocytic
microcytic/(abnormally small): iron deficiency anemia, thalassemia
macrocytic /abnormally large: seen w megaloblastic anemias such as vit B deficiency
and folic acid deficiency
MCH - ANSWER Mean corpuscular hemoglobin
average amount or wt of Hgb within an RBC
normal: 27-31 pg/cell
causes for abnormalities such as with MCV
MCHC - ANSWER Mean Corpuscular hemoglobin Concentration
average concentration or percentage of Hgb within a single RBC
normal: 32-36g/dL, normochromic
decreased concentration or hypochromic: iron deficiency anemia and thalassemia
neutrophils - ANSWER increased with bacterial infections.trauma "shift to left" with
acute bacterial infections
Basophils and eosinophils - ANSWER allergic rxns
,parasitic infections
UNAFFECTED by viral or bacterial infections
Lymphocytes and monocytes - ANSWER increased with chronic bacterial and acute
viral infections
Normal UA results- ANSWER pH 4.6-8.0
Protein 0-8
spec gravity - 1.005-1.030
WBCs 0-4 per high powered field
RBCs <2
fasting glucose- ANSWER normal: <100
impaired: 100-125
Diagnostic for DM: >126
2hr gtt- ANSWER 75g of glucose
normal: <140
impaired 140-199
dx for DM: >200
hgb a1c- ANSWER >6.5% dx for DM
for evaluating DM control: good control for someone with KNOWN DM is <7%
BUN- ANSWER liver/renal eval
10-20 : normal
elevated: hypovolemia, GI bleed, dehydration, sepsis, renal disease
,low: liver failure, malnutrition, nephrotic syndrome
creatinine - ANSWER 0.5-1.1
increased: renal disorder, dehydration
decreased: debilitation and decreased msl mass
CDC definition of positive PPD - ANSWER high risk: >5mm
mod risk: >10mm
general population: >15mm
contraindicated if hx of BCG vaccine or active TB d/t possible severe local rxn
autoantibodies/antinuclear antibodies (ANA) - ANSWER systemic lupus erythematosus
(SLE) or RA, scleroderma
extra heart sound NORMAL in pregnancy - ANSWER An increased S3 may be audible in
late pregnancy. This is an early diastolic heart sound occurring during the period of
rapid ventricular filling.
The second and third doses of the human papillomavirus (HPV) vaccination should be
given: - ANSWER two months and six months after the initial dose.
Alendronate - ANSWER bisphosphonate - for tx or prevention of osteoporosis in
postmenopausal women
must remain standing or sitting upright for 30mins following administration
nothing by mouth except water x at least 30-60 minutes following administration
2hrs between calcium or antacids
oxybutynin - ANSWER antimuscarinic anticholinergic
, tx for overactive bladder
can cause drying out anticholinergic effects - dry mouth, heatstroke
avoid dehydration
tamoxifen - ANSWER selective estrogen receptor modulator (SERM)
tx for estrogen positive BRCA
prevention of ER BRCA in high risk individuals
gonadotropin releasing hormones - ANSWER released from hypothalamus
stimulates ant pot to release fsh/lh
pulsatile release
Follicle-stimulating hormone (FSH) - ANSWER secreted by the ant pituitary gland to
stimulate maturation of the egg cell (ovum) acting on ovary
leutenizing hormone (LH) - ANSWER released by ant pit - surge responsible for ovulation
anti-mullerian hormone (AMH) - ANSWER produced exclusively by granulosa cells -
inhibits FHS-dependent follicular growth
plays a role in follicular recruitment
*marker of ovarian reserve
starts to decline late 20s/30s
undetectable 5yrs after menopause
inhibin B - ANSWER major ovarian peptide
highest mid cycle
regulates FSH with negative feedback loop
as # of follicles decline, inhibin B falls and FSH levels rise
Antral follicle count - ANSWER A measure of the number of ovarian follicles that are
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