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Exam (elaborations)

AGNP BOARD EXAM QUESTION AND ANSWERS – PREGNANCY ASSESSMENT

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AGNP BOARD EXAM QUESTION AND ANSWERS – PREGNANCY ASSESSMENT (67 Questions) Question: Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is < 18.5, the total weight gain should be: 11-20 pounds. 15-25 pounds. 25-35 pounds 28-40 pounds. Correct 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, which hormone is produced by the placenta and supports progesterone synthesis in the corpus luteum? Progesterone Human chorionic gonadotropin (HCG) Correct Estrogen Human placental lactogen Explanation: Human chorionic gonadotropin (HCG) is produced by the placenta and supports progesterone synthesis in the corpus luteum, effectively preventing the early embryo from being lost to menstruation. Question: During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark may appear. This finding is: Hegar's sign. Chadwick's sign. striae gravidarum. Correct linea nigra. Explanation: 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. 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.

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