4/4/25, 5:47 NR509 Chapter 19 |
PM
NR509 CHAPTER 19 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED UPDATE
1. A 29-year-old homemaker who C) Increasing progesterone
is G4P3 comes to your clinic for her first
prenatal check. Her last
period was 2 months ago. She has had
three previous pregnancies and deliveries
with no complications. She has no
medical problems and has had no
surgeries. Her only current complaint is
of severe reflux that occurs in the
mornings and evenings. On examination
she is in no acute distress. Her vitals are
110/70 with a pulse of 88. Her
respirations are 16. Her head, eyes,
ears, nose, throat, thyroid,
cardiac, pulmonary,
and abdominal examinations are
unremarkable. On bimanual examination
her cervix is soft and her uterus is 10
weeks in size. Pap smear, cultures, and
blood work are pending. What is the most
likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone)
levels
C) Increasing progesterone
D) Enlarged gravid uterus
1/10
, 4/4/25, 5:47 NR509 Chapter 19 |
PM
2. A 26-year-old telephone A) Chadwick's sign
operator comes to your office for her
first prenatal visit. This is her first
pregnancy. Her last period was about 2
months ago. She has no current
complaints. She is eating
healthily, taking vitamins, and exercising.
She has a past medical history of an
appendectomy as a teenager. Her mother
had three children vaginally with no
complications. On examination she
appears healthy and her vital signs are
unremarkable. Her head, eyes, ears, nose,
throat, thyroid, cardiac, pulmonary, and
abdominal examinations are also
unremarkable. By speculum examination,
her cervix
appears bluish in color and highly
vascular. A bimanual examination reveals
a soft cervix and a 12-week-sized uterus.
No masses are felt in either adnexal area.
Results of her Pap, cultures, and
blood work are pending. What clinical
sign is
responsible for her blue, highly vascular
cervix?
A) Chadwick's sign
B) Hegar's sign
C) Leopold's sign
D) Leo's sign
3.A 22-year-old clerk, primigravida, B) Linea nigra
comes to your office for a prenatal
visit.
She is in her second trimester and has
had prenatal care since she was 8
weeks pregnant. Her only complaint is
that she has a new brownish line straight
down her abdomen. On examination her
vital signs are unremarkable. Her urine
has no
protein, glucose, or leukocytes. With a
Doptone the fetal heart rate is 140,
and her uterus is palpated to the
umbilicus.
Today you are sending her for congenital
abnormality screening and setting up
an ultrasound. What physical finding is
responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti
2/10
PM
NR509 CHAPTER 19 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED UPDATE
1. A 29-year-old homemaker who C) Increasing progesterone
is G4P3 comes to your clinic for her first
prenatal check. Her last
period was 2 months ago. She has had
three previous pregnancies and deliveries
with no complications. She has no
medical problems and has had no
surgeries. Her only current complaint is
of severe reflux that occurs in the
mornings and evenings. On examination
she is in no acute distress. Her vitals are
110/70 with a pulse of 88. Her
respirations are 16. Her head, eyes,
ears, nose, throat, thyroid,
cardiac, pulmonary,
and abdominal examinations are
unremarkable. On bimanual examination
her cervix is soft and her uterus is 10
weeks in size. Pap smear, cultures, and
blood work are pending. What is the most
likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone)
levels
C) Increasing progesterone
D) Enlarged gravid uterus
1/10
, 4/4/25, 5:47 NR509 Chapter 19 |
PM
2. A 26-year-old telephone A) Chadwick's sign
operator comes to your office for her
first prenatal visit. This is her first
pregnancy. Her last period was about 2
months ago. She has no current
complaints. She is eating
healthily, taking vitamins, and exercising.
She has a past medical history of an
appendectomy as a teenager. Her mother
had three children vaginally with no
complications. On examination she
appears healthy and her vital signs are
unremarkable. Her head, eyes, ears, nose,
throat, thyroid, cardiac, pulmonary, and
abdominal examinations are also
unremarkable. By speculum examination,
her cervix
appears bluish in color and highly
vascular. A bimanual examination reveals
a soft cervix and a 12-week-sized uterus.
No masses are felt in either adnexal area.
Results of her Pap, cultures, and
blood work are pending. What clinical
sign is
responsible for her blue, highly vascular
cervix?
A) Chadwick's sign
B) Hegar's sign
C) Leopold's sign
D) Leo's sign
3.A 22-year-old clerk, primigravida, B) Linea nigra
comes to your office for a prenatal
visit.
She is in her second trimester and has
had prenatal care since she was 8
weeks pregnant. Her only complaint is
that she has a new brownish line straight
down her abdomen. On examination her
vital signs are unremarkable. Her urine
has no
protein, glucose, or leukocytes. With a
Doptone the fetal heart rate is 140,
and her uterus is palpated to the
umbilicus.
Today you are sending her for congenital
abnormality screening and setting up
an ultrasound. What physical finding is
responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti
2/10
