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:
New onset hypertension with proteinuria or end-organ damage is:
gestational hypertension.
preeclampsia. Correct
chronic hypertension.
primary hypertension.
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:
New onset hypertension with proteinuria or end-organ damage is:
gestational hypertension.
preeclampsia. Correct
chronic hypertension.
primary hypertension.
