APEA MSN 572 PREGNANCY EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

APEA MSN 572 PREGNANCY EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Weight gain should be monitored during pregnancy. You're pregnant woman has BMI is 25 to 29.9, the total weight gain should be. - Answers 15-25 lbs 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 less than 18.5, should gain 28 to 40 pounds. BMI of 18.5 to 24.9 should gain 25 to 35 pounds. BMI 25 to 29.9 should gain 15 to 25 pounds. The obese pregnant women should gain 11 to 20 pounds . A 5% weight loss during the first trimester due to vomiting would be considered - Answers Excessive weight loss Weight loss in excess of 5% prepregnancy weight is considered excessive, representing hyperemesis, gravidarum, and may lead to adverse pregnancy outcomes. When performing a pelvic exam on a pregnant woman, a larger speculum may be needed because of - Answers Vaginal wall relaxation Because of vaginal wall relaxation, a larger than usual speculum may be needed When should a vaginal swab for Group B streptococcus be obtained in a pregnant woman - Answers 35-37 weeks A vaginal swab for Group B streptococcus between 35 to 37 weeks gestation. Group B streptococcus can normally be found in 15 to 45% of all healthy adult women. It can commonly be found in the intestine vagina and rectal area. Most women who are carriers will not have any symptoms. However, under certain circumstances, infection of both the mother, and or the newborn can develop During pregnancy, a brownish black pigmented vertical stripe along the midline of the abdomen me up here this finding is - Answers Linea Nigra Linea nigra is a brownish, black, pigmented vertical stripe along the midline skin of the abdomen. As the skin over the abdomen stretches to accommodate the fetus, purpleish striae gravidarum, or a stretch marks may appear. Hegar 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 a vagina a bluish color, known as Chadwick sign. During pregnancy, which supplement is recommended to decrease the risk of neural tube defect - Answers folic acid Taking a prenatal vitamin with the recommended 400 mcg of folic acid before, and during pregnancy, can help prevent neural tube defects in the brain and spinal cord Which substance used during pregnancy accounts for the leading cause of preventable, intellectual disability - Answers Alcohol Fetal alcohol syndrome, the neurodevelopmental sequelae of alcohol exposure during fetal development, is the leading cause of preventable intellectual disability in the United States When performing the third Leopold maneuver on a pregnant woman, the fetal head is the presenting part. This finding is referred to as the. - Answers Vertex presentation When performing the third Leopold maneuver on a pregnant woman, the fetal head is the presenting part. This finding is referred to as the vertex or cephalic presentation. Additionally, if the cephalic prominence is on the same side as the small parts, then the fetus is in vertex presentation. If the cephalic prominence is on the same side as the back, and the head is extended, then the fetus is in face presentation. 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 - Answers 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 - Answers anemia In pregnant women, conjunctival pallor, may indicate anemia Facial edema in pregnant women after 20 weeks, gestation, could be - Answers 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 - Answers 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 - Answers 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. - Answers 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. - Answers 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 - Answers Progesterone Progesterone affects numerous body systems. Raising progesterone leads to increased tidal volume and alveolar ventilation, though respiratory rate remains constant. Respiratory alkalosis and subjective shortness of breath result from the changes. Lower esophageal sphincter tone results from raising levels of estradiol and progesterone, contributing to gastroesophageal reflux. Progesterone, relaxes tone in ureters and bladder, Causing hydronephrosis and an increased risk of bacteriuria In the third trimester of pregnancy, which position of words the greatest comfort by reducing the weight of the uterus on the abdominal vessels - Answers Semi sitting with knees bent In later, Trimesters, the semi sitting position with knees bent, affords greater comfort by reducing the weight of the gravid uterus on abdominal vessels. In contrast, the supine position causes the uterus to overlie the vertebral column in compress, the descending aorta and inferior vena cava. Upon cervical examination of the pregnant woman, cervical erosion, erythema, and irritation, are noted. These findings could be suggestive of. - Answers Cervicitis Cervical erosion, erythema, discharge, or irritation, may suggest cervicitis and warrants investigation for sexually transmitted infections. A pink cervix suggests a non-pregnant state. After 24 weeks, gestation, auscultation of more than one fetal heart tone in different locations with varying rate suggest - Answers Multiple gestation After 24 weeks gestation, auscultation of more than one fetal heart tones in different locations with varying rate, suggest multiple gestation Which substance used during pregnancy accounts for 1/3 of all low birth, weight infants, placental, abruption, and preterm labor - Answers Tobacco When might fundal height in a pregnant woman most accurately predict gestational age? - Answers 18 weeks gestation Uterine fundal height measured in centimeters correlates with gestational age between 18 and 34 weeks. Fundal height is measured in centimeters from symphysis pubis to top of the uterus. This is known as McDonald's rule. During pregnancy, if the height is 4 cm larger than expected, consider all of the following, except - Answers fetal anomaly If fetal movement cannot be perceived after 24 weeks, gestation, all of the following may be considered, except - Answers normal finding If fetal movement cannot be perceived after 24 weeks, consider error in calculating gestational age, fetal death or severe morbidity or false pregnancy. Confirm fetal health and gestational age with an ultrasound. During pregnancy, which hormone is secreted by the corpus luteum, and present it to promote ligamentous laxity, and they sacroiliac joint and pubic synthesis for passage of the fetus - Answers Relaxin Relaxin is secreted by the corpus luteum and the placenta, promoting ligamentous laxity in the sacroiliac joints and pubic synthesis in preparation for birth The normal fetal heart rate range is - Answers 120-160bpm The fetal heart rate ranges between 120 and 160 bpm A heart rate of 60 to 90 bpm is usually maternal but an adequate fetal heart rate should be confirmed Which of the following sexually transmitted disease screening tests is not routinely recommended during pregnancy - Answers HSV-2 Evidence does not support routine genital herpes serological testing among asymptomatic, pregnant women. The CDC recommends screening for syphilis, gonorrhea, and hepatitis B at the first prenatal visit for all pregnant women. During pregnancy, the leopold maneuvers assist in determining all of the following except - Answers cervical effacement Leopold maneuvers are used to determine the fetal position within the maternal abdomen beginning of the second trimester. Accuracy is greatest after 36 weeks gestation period. These exam findings can help ascertain the adequacy of fetal growth and the readiness for vaginal