NSG 6320 AGNP Board Exam – Pregnancy Assessment Exam
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. Question:
Inaudible fetal heart tones (FHT) may indicate:
extra amniotic fluid.
severe fetal morbidity.
earlier gestation than expected. Correct
intrauterine growth restriction.
Explanation:
Lack of audible fetal heart tones (FHT) may indicate earlier gestation than expected,
fetal demise, false pregnancy, or observer error; inability to locate the FHT should
always be investigated with ultrasound.
9. 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. Correct
25-35 pounds
28-40 pounds.
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.
10. Question:
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. Question:
Inaudible fetal heart tones (FHT) may indicate:
extra amniotic fluid.
severe fetal morbidity.
earlier gestation than expected. Correct
intrauterine growth restriction.
Explanation:
Lack of audible fetal heart tones (FHT) may indicate earlier gestation than expected,
fetal demise, false pregnancy, or observer error; inability to locate the FHT should
always be investigated with ultrasound.
9. 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. Correct
25-35 pounds
28-40 pounds.
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.
10. Question:
