NR 509 APEA Pregnancy
NR 509 Advanced physical assessment
,NR 509 APEA Pregnancy
Question:
What is the standard instrument used to auscultate fetal heart tones?
StethoscopeDoppler CorrectPre-natal monitorUltrasound
Explanation:
The Doppler fetal rate monitor is the standard instrument used for this
measurement, and can detect the fetal rate (FHR) as early as 10 weeks
gestation.
Question:
During pregnancy, what sound may be auscultated at the second or third
intercostal space at the sternal border due to increased blood flow
through the vessels?
Diastolic murmur IncorrectSystolicmurmurVenous hum CorrectBruit
Explanation:
A venous hum, or continuous mammary souffle that occurs during
pregnancy is due to increased blood flow through normal vessels. The
mammary souffle is commonly heard during late pregnancy or lactation.
It is heard loudest in the second or third intercostal space at the sternal
,border, and is typically both systolic and diastolic, though only the
systolic component may be audible.
Question:
If regular uterine contractions occur prior to 37 weeks gestation, this
could be:
a normal finding. Incorrectpreterm labor. Correctpreeclampsia.supine
hypotensive syndrome.
Explanation:
Before 37 weeks, regular uterine contractions with or without pain and
bleeding are abnormal, suggesting preterm labor.
Question:
Weight gain should be monitored during pregnancy. For a pregnant
woman whose BMI is 18.5 - 24.9, the total weight gain should be:
11-20 pounds.15-25 pounds.25-35 pounds Correct28-40 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.
Question:
During pregnancy, a palpable softening of the cervical isthmus is noted.
This finding is:
Hegar's sign. CorrectChadwick'ssign.striaegravidarum.lineanigra.
Explanation:
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. As the skin over the abdomen stretches to
accommodate the fetus, purplish striaegravidarum (“stretch marks”) may
appear. Linea nigra is a brownish black pigmented vertical stripe along
the midline skin of the abdomen.
Question:
As tension on the abdominal wall increases with advancing pregnancy,
the rectus abdominis muscles may separate at the midline of the
abdomen. This finding is termed:
striaegravidarum.lineanigra.adnexae.diastasis recti. Correct
Explanation:
NR 509 Advanced physical assessment
,NR 509 APEA Pregnancy
Question:
What is the standard instrument used to auscultate fetal heart tones?
StethoscopeDoppler CorrectPre-natal monitorUltrasound
Explanation:
The Doppler fetal rate monitor is the standard instrument used for this
measurement, and can detect the fetal rate (FHR) as early as 10 weeks
gestation.
Question:
During pregnancy, what sound may be auscultated at the second or third
intercostal space at the sternal border due to increased blood flow
through the vessels?
Diastolic murmur IncorrectSystolicmurmurVenous hum CorrectBruit
Explanation:
A venous hum, or continuous mammary souffle that occurs during
pregnancy is due to increased blood flow through normal vessels. The
mammary souffle is commonly heard during late pregnancy or lactation.
It is heard loudest in the second or third intercostal space at the sternal
,border, and is typically both systolic and diastolic, though only the
systolic component may be audible.
Question:
If regular uterine contractions occur prior to 37 weeks gestation, this
could be:
a normal finding. Incorrectpreterm labor. Correctpreeclampsia.supine
hypotensive syndrome.
Explanation:
Before 37 weeks, regular uterine contractions with or without pain and
bleeding are abnormal, suggesting preterm labor.
Question:
Weight gain should be monitored during pregnancy. For a pregnant
woman whose BMI is 18.5 - 24.9, the total weight gain should be:
11-20 pounds.15-25 pounds.25-35 pounds Correct28-40 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.
Question:
During pregnancy, a palpable softening of the cervical isthmus is noted.
This finding is:
Hegar's sign. CorrectChadwick'ssign.striaegravidarum.lineanigra.
Explanation:
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. As the skin over the abdomen stretches to
accommodate the fetus, purplish striaegravidarum (“stretch marks”) may
appear. Linea nigra is a brownish black pigmented vertical stripe along
the midline skin of the abdomen.
Question:
As tension on the abdominal wall increases with advancing pregnancy,
the rectus abdominis muscles may separate at the midline of the
abdomen. This finding is termed:
striaegravidarum.lineanigra.adnexae.diastasis recti. Correct
Explanation:
