CMCA EXAM 2024 REAL EXAM QUESTIONS AND
CORRECT ANSWERS(VERIFIED ANSWERS)|
AGRADE
pregnancy development
involves
immense hormonal and physiological
changes occurring inside and outside
of the woman's body
week 1-12
first trimester
week 13-27
second trimester
week 28-40
third trimester
germinal, embryonic, fetal stage
stages of fetal development
blood hCG
detected 7-10 days after missed period
gestational
sac
visible in the ultrasound after week 5 of gestation
first visit
Everything is established such as the assessment, whether the pregnancy is confirmed,
and a little bit of planning for the future.
initial interview
↪ Schedule visits to make the woman aware and to avoid cancelling of appointments.
↪ The healthcare provider should establish rapport even on the first visit because
information such as what the woman feels about her pregnancy and if she has any fears
can only be taken once the woman trusts her healthcare provider.
↪ Personal interviews can also make the woman feel important.
↪ The interview must take place in a private, quiet environment.
↪ The woman must also understand your role in the assessment, because if she views
you only as the interviewer you would only get superficial information from her.
birth plan
A written document prepared during the first prenatal consultation.
birth plan
- the woman's condition during pregnancy
- Preferences for her place of delivery and choice of birth attendant. Discuss why facility
delivery v.s home delivery with skilled attendant is recommended
-available resources (transportation, companion, money) for her childbirth and newborn
baby
-preparations needed (blood donor, referral center) should an emergency situation arise
during pregnancy, childbirth and postpartum.
, emergency plan
AWHWWHSW
health history
Establishing a baseline health data is crucial especially when there is a new symptom
that arises from the woman and it could only be identified as new based on the data
gathered from her health history.
demographic data
are the superficial data that can be obtained from the woman. EXAMPLE: name, age,
address, telephone
chief complaints/concerns
These are the concerns of the woman when visiting the clinic, if she thinks she might be
pregnant.
-Assess the first day of the last menstrual period of the woman.
-Assess any early signs of pregnancy such as nausea and vomiting, fatigue, and breast
tenderness.
- inquire if she has tried any home pregnancy test kit or had a pregnancy test from a
clinic to establish her pregnancy.
History of Past Illnesses
↪ It is important to assess any past illness because it might become active during or
after the pregnancy.
↪ Assess if there are any infections from the past especially STD. Assess any allergies
present even before pregnancy.
History of Family Illnesses
↪ Assess the presence of family illnesses such as hypertension, diabetes, or asthma
on both the father and mother.
↪ There are illnesses that could become a potential problem during pregnancy or one
that could be transferred to the fetus.
Social Profile
↪ Assess the woman's current nutrition profile, or ask her to have a 24- hour recall to
obtain nutrition information.
↪ Assess the frequency, type, and amount of exercise she does to determine if her
pattern of activities is still recommended during pregnancy.
↪ Assess if the woman smokes or drinks, its frequency, and amount because these
vices could cause fetal alcohol syndrome or preterm birth.
↪ Assess history of medication intake and what medication the woman is taking during
pregnancy to determine its possible effects on the fetus.
gynecologic history
↪ Obtain the age of the woman's menarche, her usual cycle, the duration, and the
amount of menstrual flow.
↪ Assess any past reproductive tract surgery as it can affect the present pregnancy,
such as tubal surgery from ectopic pregnancy.
↪ Assess the reproductive planning method that the woman used or will be using after
pregnancy, and also her sexual history to educate her about safe sex practices.
↪ A slightly more informative system reflects the Gravida and Para numbers and
includes the number of Abortions in the patient's history.
CORRECT ANSWERS(VERIFIED ANSWERS)|
AGRADE
pregnancy development
involves
immense hormonal and physiological
changes occurring inside and outside
of the woman's body
week 1-12
first trimester
week 13-27
second trimester
week 28-40
third trimester
germinal, embryonic, fetal stage
stages of fetal development
blood hCG
detected 7-10 days after missed period
gestational
sac
visible in the ultrasound after week 5 of gestation
first visit
Everything is established such as the assessment, whether the pregnancy is confirmed,
and a little bit of planning for the future.
initial interview
↪ Schedule visits to make the woman aware and to avoid cancelling of appointments.
↪ The healthcare provider should establish rapport even on the first visit because
information such as what the woman feels about her pregnancy and if she has any fears
can only be taken once the woman trusts her healthcare provider.
↪ Personal interviews can also make the woman feel important.
↪ The interview must take place in a private, quiet environment.
↪ The woman must also understand your role in the assessment, because if she views
you only as the interviewer you would only get superficial information from her.
birth plan
A written document prepared during the first prenatal consultation.
birth plan
- the woman's condition during pregnancy
- Preferences for her place of delivery and choice of birth attendant. Discuss why facility
delivery v.s home delivery with skilled attendant is recommended
-available resources (transportation, companion, money) for her childbirth and newborn
baby
-preparations needed (blood donor, referral center) should an emergency situation arise
during pregnancy, childbirth and postpartum.
, emergency plan
AWHWWHSW
health history
Establishing a baseline health data is crucial especially when there is a new symptom
that arises from the woman and it could only be identified as new based on the data
gathered from her health history.
demographic data
are the superficial data that can be obtained from the woman. EXAMPLE: name, age,
address, telephone
chief complaints/concerns
These are the concerns of the woman when visiting the clinic, if she thinks she might be
pregnant.
-Assess the first day of the last menstrual period of the woman.
-Assess any early signs of pregnancy such as nausea and vomiting, fatigue, and breast
tenderness.
- inquire if she has tried any home pregnancy test kit or had a pregnancy test from a
clinic to establish her pregnancy.
History of Past Illnesses
↪ It is important to assess any past illness because it might become active during or
after the pregnancy.
↪ Assess if there are any infections from the past especially STD. Assess any allergies
present even before pregnancy.
History of Family Illnesses
↪ Assess the presence of family illnesses such as hypertension, diabetes, or asthma
on both the father and mother.
↪ There are illnesses that could become a potential problem during pregnancy or one
that could be transferred to the fetus.
Social Profile
↪ Assess the woman's current nutrition profile, or ask her to have a 24- hour recall to
obtain nutrition information.
↪ Assess the frequency, type, and amount of exercise she does to determine if her
pattern of activities is still recommended during pregnancy.
↪ Assess if the woman smokes or drinks, its frequency, and amount because these
vices could cause fetal alcohol syndrome or preterm birth.
↪ Assess history of medication intake and what medication the woman is taking during
pregnancy to determine its possible effects on the fetus.
gynecologic history
↪ Obtain the age of the woman's menarche, her usual cycle, the duration, and the
amount of menstrual flow.
↪ Assess any past reproductive tract surgery as it can affect the present pregnancy,
such as tubal surgery from ectopic pregnancy.
↪ Assess the reproductive planning method that the woman used or will be using after
pregnancy, and also her sexual history to educate her about safe sex practices.
↪ A slightly more informative system reflects the Gravida and Para numbers and
includes the number of Abortions in the patient's history.
