Chamberlain College of Nursing
NURSING NR 509 APEA Pregnancy
2021
,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 IncorrectSystolic murmurVenous 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's sign.striae gravidarum.linea nigra.
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
striae gravidarum (“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:
striae gravidarum.linea nigra.adnexae.diastasis recti. Correct
Explanation:
NURSING NR 509 APEA Pregnancy
2021
,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 IncorrectSystolic murmurVenous 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's sign.striae gravidarum.linea nigra.
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
striae gravidarum (“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:
striae gravidarum.linea nigra.adnexae.diastasis recti. Correct
Explanation:
