NM706 EXAMINATION TEST 2026
COMPREHENSIVE Q&A STUDY GUIDE
◉Classification of Asthma Severity: Intermittent (well controlled)..
Answer: -Symptom frequency 2 days per week or less
-Nighttime awakening twice per month or less, interference with
normal activity none
-Peak Flow/FEW is more than 80%.
◉Classification of Asthma Severity: Mild Persistent (not well
controlled). Answer: -Symptom frequency more than 2 days per
week, but not daily, nighttime awakening more than twice per
month
-Interference with normal activity minor limitation
-FEV/Peak Flow is more than 80%.
,◉Classification of Asthma Severity: Moderate Persistent (not well
controlled). Answer: -Symptoms Frequency daily symptoms,
nighttime awakening more than once per week
-Interference with normal activity some limitation
-FEV/Peak Flow is 60-80%
◉Classification of Asthma Severity: Severe Persistent (very poorly
controlled). Answer: -Symptoms frequency throughout the day,
nighttime awakening four times per week or more
-Interference with normal activity extremely limited
-FEV/Peak Flow is less than 60%
◉Maternal Implications of Uncontrolled Asthma In Pregnant
Women. Answer: -More complications if asthma is uncontrolled
(moderate to severely controlled Asthma).
-Uncontrolled asthma can cause adverse effects: preeclampsia.
-1/3 of women will get better, 3rd will get worse it depends on the
woman if their asthma gets better or worse, we don't know
,◉How Does Pregnancy Affect Asthma Severity: Progesterone &
Respiratory System. Answer: -Causes relaxed bronchioles, causing
decreased airway conductance and decreased pulmonary resistance
◉How Does Pregnancy Affect Asthma Severity: Gravida Uterus &
Respiratory System. Answer: -Pushes up diaphragm, causes
decreased functional residual capacity and causes and decreased
residual air volume
-RR, Vital Capacity the same, increase In tidal volume, minute
ventilation increases 40%, minute oxygen uptake increases by 20%
◉Pregnancy is a Hyper- Ventilatory State. Answer: -Feeling SOB-
dyspnea- feel more around 30 weeks
-Causing a chronic respiratory alkalosis: decreased pC02, decreased
bicarbonate, increased pH; thus, promoting more efficient gas
exchange from maternal lungs to the blood (exhaling more C02,
better oxygenated but doesn't feel that way).
◉Fetal Implications on Asthma in Pregnancy. Answer: -Concern is
that if women is not getting enough oxygen r/t asthma that fetus will
not either, hypoxia will lead to FGR (asthma or the use of oral
corticosteroids-can cause alterations in growth), prematurity
, ◉Differential Diagnosis for Asthma in Pregnancy. Answer: -Dyspnea
of pregnancy (76% of women around 30 weeks- differentiate
between asthma by listening to lung sounds for wheezes, and rest of
physical exam would be normal if just dyspnea of pregnancy).
◉Assessment Of Asthma In Pregnancy. Answer: -Rely on her
symptoms (watch, listen, ask about symptoms); or check
PEFR/FEV1
◉FEV1. Answer: -Forced expiratory volume in 1 second, measured
by spirometry, ideal is >80% predicted personal best (over 2 weeks-
decreased over preg d/t uterus enlargement).
◉PEF/PERF. Answer: -Peak expiratory flow rate
-PEFR decrease as gestation advances
-Measured by peak flow meter, ideal is >80% personal best
-Alternative to PEFR symptom-based asthma action plan, Pregnancy
COMPREHENSIVE Q&A STUDY GUIDE
◉Classification of Asthma Severity: Intermittent (well controlled)..
Answer: -Symptom frequency 2 days per week or less
-Nighttime awakening twice per month or less, interference with
normal activity none
-Peak Flow/FEW is more than 80%.
◉Classification of Asthma Severity: Mild Persistent (not well
controlled). Answer: -Symptom frequency more than 2 days per
week, but not daily, nighttime awakening more than twice per
month
-Interference with normal activity minor limitation
-FEV/Peak Flow is more than 80%.
,◉Classification of Asthma Severity: Moderate Persistent (not well
controlled). Answer: -Symptoms Frequency daily symptoms,
nighttime awakening more than once per week
-Interference with normal activity some limitation
-FEV/Peak Flow is 60-80%
◉Classification of Asthma Severity: Severe Persistent (very poorly
controlled). Answer: -Symptoms frequency throughout the day,
nighttime awakening four times per week or more
-Interference with normal activity extremely limited
-FEV/Peak Flow is less than 60%
◉Maternal Implications of Uncontrolled Asthma In Pregnant
Women. Answer: -More complications if asthma is uncontrolled
(moderate to severely controlled Asthma).
-Uncontrolled asthma can cause adverse effects: preeclampsia.
-1/3 of women will get better, 3rd will get worse it depends on the
woman if their asthma gets better or worse, we don't know
,◉How Does Pregnancy Affect Asthma Severity: Progesterone &
Respiratory System. Answer: -Causes relaxed bronchioles, causing
decreased airway conductance and decreased pulmonary resistance
◉How Does Pregnancy Affect Asthma Severity: Gravida Uterus &
Respiratory System. Answer: -Pushes up diaphragm, causes
decreased functional residual capacity and causes and decreased
residual air volume
-RR, Vital Capacity the same, increase In tidal volume, minute
ventilation increases 40%, minute oxygen uptake increases by 20%
◉Pregnancy is a Hyper- Ventilatory State. Answer: -Feeling SOB-
dyspnea- feel more around 30 weeks
-Causing a chronic respiratory alkalosis: decreased pC02, decreased
bicarbonate, increased pH; thus, promoting more efficient gas
exchange from maternal lungs to the blood (exhaling more C02,
better oxygenated but doesn't feel that way).
◉Fetal Implications on Asthma in Pregnancy. Answer: -Concern is
that if women is not getting enough oxygen r/t asthma that fetus will
not either, hypoxia will lead to FGR (asthma or the use of oral
corticosteroids-can cause alterations in growth), prematurity
, ◉Differential Diagnosis for Asthma in Pregnancy. Answer: -Dyspnea
of pregnancy (76% of women around 30 weeks- differentiate
between asthma by listening to lung sounds for wheezes, and rest of
physical exam would be normal if just dyspnea of pregnancy).
◉Assessment Of Asthma In Pregnancy. Answer: -Rely on her
symptoms (watch, listen, ask about symptoms); or check
PEFR/FEV1
◉FEV1. Answer: -Forced expiratory volume in 1 second, measured
by spirometry, ideal is >80% predicted personal best (over 2 weeks-
decreased over preg d/t uterus enlargement).
◉PEF/PERF. Answer: -Peak expiratory flow rate
-PEFR decrease as gestation advances
-Measured by peak flow meter, ideal is >80% personal best
-Alternative to PEFR symptom-based asthma action plan, Pregnancy
