Pregnancyue(physicalueassessment,uepharmueanduepathophysiology)examuequestions
ueandueanswers/correct/ueverifiedue100%
1.ueWhenueshoulduefolicueaciduebeueinitiatedueinueauefemaleuepatientuecontemplatinguepregnancyue
ifuesheueisuenotuetakingueitueatuethisuetime?ue
A.ueNow
B.ueAtuetheuediagnosisueofuepregnancyue
C.ueInuetheueseconduetrimesterue
D.ueInuetheuethirduetrimesterue-uecorrectueanswers-
A.ueNowue(Folicueaciduehasuebeenuefounduetouesignificantlyuedecreaseuetheueincidenceueofueneural
uetubeuedefectsue(NTDS).ueItueshoulduebeuesupplementedueatueauedosageueofue0.4uemguedailyueinuea
lluewomenueofuechildbearingueageuebeforeuebecominguepregnant.ueFolateueplaysueanueessentialue
roleueinuesynthesisueofueaminoueacidsueandueDNA.ueSinceuetheseueareuecriticalueinuecelluedivisionuea
ndueadequateueamountsueshoulduebeueonueboarduewhenuecelluedivisionuebegins,uefolicueaciduesho
ulduebeuetakenueprioruetoueconception,uewheneveruepossible.ueNTDsueareuetheueseconduemostueco
mmonuecongenitalueanomaly.)
2.ueHyperemesisuegravidarumueis:ue
A.uemorninguesickness.ue
B.uepersistent,ueintractableuevomitingueduringuepregnancy.ue
C.uealwaysueassociateduewithuehydatiformuemole.
D.ueindicativeueofuemultipleuegestation.ue-uecorrectueanswers-
B.uepersistent,ueintractableuevomitingueduringuepregnancy.ue(Hyperemesisuegravidarumue(HE
G)ueisueauesevereueformueofuenauseaueanduevomitinguethatueoccursueduringuepregnancy.ueInuecontr
ast,uemorninguesicknessueisuemilder.ueAuecommonuedefinitionueuseduetouedefineueHEGueisuepersist
entuevomitinguethatueproducesueaueweightuelossueexceedingue5%ueofueprepregnancyuebodyueweig
ht.ueThe
etiologyueofuemorninguesicknessueandueHEGueisueunknown.)
3.ueFewuepregnantuepatientsueactuallyuedeliverueonuetheiruedueuedates.ueWhyueisueauedueuedateuees
tablished?ue
, A.ueToueevaluateuefetaluegrowthue
B.ueForueevaluationueofuematernalueuterineuesizeue
C.ueForuedeterminationueofueadequateuefetaluenutritionue
D.ueTouedetermineuetimingueofuematernal/fetaluescreeningsue-uecorrectueanswers-
D.ueTouedetermineuetimingueofuematernal/fetaluescreeningsue
(Accurateuedatingueisuecriticaluesouethatuematernalueanduefetaluescreeninguetestsuemayuebeuedoneue
atuetheuemostueappropriateuetime.ueIfueauescreeninguetestueisuesupposeduetouetakeueplaceueatue20uew
eeks,ueandueitueisuedoneuetooueearly,uetheueopportunityuetoueidentifyueanueabnormalityuemayuebeuemi
ssed.ueInuetheueU.S.,ueifueauelastuemenstrualueperiodue(LMP)uecannotuebeueestablished,ueorueauewo
manuebecomesuepregnantuewhileuetakinguecontraceptives,ueanueultrasoundueshoulduebeueperfor
meduetoueestablishueanueaccurateuedueuedate.ueNaegele'sueruleueisueanueacceptableuemeansueofue
predictinguegestationalueageueofuetheuefetus.ueThisuecalculateduebyueaddingue7uedaysuetouetheuelast
uemenstrualueperiodueanduesubtractingue3uemonths.)
4.ueAue24-year-olduepatientuepresentsuetoueyourueclinicuewithue
intermittentuenauseaueanduevomitingueforuetheuepastue5uedays.ueSheuefeelsuewellueotherwise.ueShe
ueisueafebrile.ueHeruevitaluesignsueareuewithinuenormaluelimits.ueWhatueshoulduetheuenurseuepractitio
nerueorderueinitially?ue
A.ueCBCueandueurineueforueketonesue
B.ueElectrolytesueanduequalitativeuebetauehCGue
C.ueElectrolytesueanduequantitativeuebetauehCGue
D.ueMetabolicuepanelueanduepotassiumuelevelue-uecorrectueanswers-
B.ueElectrolytesueanduequalitativeuebetauehCGue(Thereueareueauenumberueofuepossibleueetiologies
ueforueheruevomiting.ueWithoutueknowingueheruelastuemenstrualueperiodue(andueevenueifuesheuerepor
tedueone),uepregnancyuemustuebeueruledueinueorueout.ueTheueotherueconcemueisueherueelectrolyteues
tatus,ueespeciallyueheruepotassium.)
5.ueAuepatientueinueheruefrstuetrimesterueofuepregnancyueisuefounduetouebeueinfecteduewithuechlamydi
aueanduegonorrhea.ueWhichuestatementuebelowueisuetrue?ue
A.ueSheueshoulduebeuetreateduenowueanduerescreeneduelaterueinuepregnancy.ue
B.ueSheueshoulduebeuetreatedueinuetheueseconduetrimester.ue
C.ueSheueshoulduebeuescreenedueforueotherueSTDsuelaterueinuepregnancy.ue
D.ueSheueshoulduebeuetreateduenowueanduerescreenedueifuesymptomsuereappear.ue-
uecorrectueanswers-
ueandueanswers/correct/ueverifiedue100%
1.ueWhenueshoulduefolicueaciduebeueinitiatedueinueauefemaleuepatientuecontemplatinguepregnancyue
ifuesheueisuenotuetakingueitueatuethisuetime?ue
A.ueNow
B.ueAtuetheuediagnosisueofuepregnancyue
C.ueInuetheueseconduetrimesterue
D.ueInuetheuethirduetrimesterue-uecorrectueanswers-
A.ueNowue(Folicueaciduehasuebeenuefounduetouesignificantlyuedecreaseuetheueincidenceueofueneural
uetubeuedefectsue(NTDS).ueItueshoulduebeuesupplementedueatueauedosageueofue0.4uemguedailyueinuea
lluewomenueofuechildbearingueageuebeforeuebecominguepregnant.ueFolateueplaysueanueessentialue
roleueinuesynthesisueofueaminoueacidsueandueDNA.ueSinceuetheseueareuecriticalueinuecelluedivisionuea
ndueadequateueamountsueshoulduebeueonueboarduewhenuecelluedivisionuebegins,uefolicueaciduesho
ulduebeuetakenueprioruetoueconception,uewheneveruepossible.ueNTDsueareuetheueseconduemostueco
mmonuecongenitalueanomaly.)
2.ueHyperemesisuegravidarumueis:ue
A.uemorninguesickness.ue
B.uepersistent,ueintractableuevomitingueduringuepregnancy.ue
C.uealwaysueassociateduewithuehydatiformuemole.
D.ueindicativeueofuemultipleuegestation.ue-uecorrectueanswers-
B.uepersistent,ueintractableuevomitingueduringuepregnancy.ue(Hyperemesisuegravidarumue(HE
G)ueisueauesevereueformueofuenauseaueanduevomitinguethatueoccursueduringuepregnancy.ueInuecontr
ast,uemorninguesicknessueisuemilder.ueAuecommonuedefinitionueuseduetouedefineueHEGueisuepersist
entuevomitinguethatueproducesueaueweightuelossueexceedingue5%ueofueprepregnancyuebodyueweig
ht.ueThe
etiologyueofuemorninguesicknessueandueHEGueisueunknown.)
3.ueFewuepregnantuepatientsueactuallyuedeliverueonuetheiruedueuedates.ueWhyueisueauedueuedateuees
tablished?ue
, A.ueToueevaluateuefetaluegrowthue
B.ueForueevaluationueofuematernalueuterineuesizeue
C.ueForuedeterminationueofueadequateuefetaluenutritionue
D.ueTouedetermineuetimingueofuematernal/fetaluescreeningsue-uecorrectueanswers-
D.ueTouedetermineuetimingueofuematernal/fetaluescreeningsue
(Accurateuedatingueisuecriticaluesouethatuematernalueanduefetaluescreeninguetestsuemayuebeuedoneue
atuetheuemostueappropriateuetime.ueIfueauescreeninguetestueisuesupposeduetouetakeueplaceueatue20uew
eeks,ueandueitueisuedoneuetooueearly,uetheueopportunityuetoueidentifyueanueabnormalityuemayuebeuemi
ssed.ueInuetheueU.S.,ueifueauelastuemenstrualueperiodue(LMP)uecannotuebeueestablished,ueorueauewo
manuebecomesuepregnantuewhileuetakinguecontraceptives,ueanueultrasoundueshoulduebeueperfor
meduetoueestablishueanueaccurateuedueuedate.ueNaegele'sueruleueisueanueacceptableuemeansueofue
predictinguegestationalueageueofuetheuefetus.ueThisuecalculateduebyueaddingue7uedaysuetouetheuelast
uemenstrualueperiodueanduesubtractingue3uemonths.)
4.ueAue24-year-olduepatientuepresentsuetoueyourueclinicuewithue
intermittentuenauseaueanduevomitingueforuetheuepastue5uedays.ueSheuefeelsuewellueotherwise.ueShe
ueisueafebrile.ueHeruevitaluesignsueareuewithinuenormaluelimits.ueWhatueshoulduetheuenurseuepractitio
nerueorderueinitially?ue
A.ueCBCueandueurineueforueketonesue
B.ueElectrolytesueanduequalitativeuebetauehCGue
C.ueElectrolytesueanduequantitativeuebetauehCGue
D.ueMetabolicuepanelueanduepotassiumuelevelue-uecorrectueanswers-
B.ueElectrolytesueanduequalitativeuebetauehCGue(Thereueareueauenumberueofuepossibleueetiologies
ueforueheruevomiting.ueWithoutueknowingueheruelastuemenstrualueperiodue(andueevenueifuesheuerepor
tedueone),uepregnancyuemustuebeueruledueinueorueout.ueTheueotherueconcemueisueherueelectrolyteues
tatus,ueespeciallyueheruepotassium.)
5.ueAuepatientueinueheruefrstuetrimesterueofuepregnancyueisuefounduetouebeueinfecteduewithuechlamydi
aueanduegonorrhea.ueWhichuestatementuebelowueisuetrue?ue
A.ueSheueshoulduebeuetreateduenowueanduerescreeneduelaterueinuepregnancy.ue
B.ueSheueshoulduebeuetreatedueinuetheueseconduetrimester.ue
C.ueSheueshoulduebeuescreenedueforueotherueSTDsuelaterueinuepregnancy.ue
D.ueSheueshoulduebeuetreateduenowueanduerescreenedueifuesymptomsuereappear.ue-
uecorrectueanswers-
