WGU D120 COMPLETE QUESTIONS AND
CORRECT ANSWERS EXAM REVIEW
◉ trichomoniasis treatment
Answer: women: metronidazole 500 mg bid x7 days
men: metronidazole 2g po once
◉ How does progesterone affect the GI system during pregnancy?
Answer: Delays gastric emptying time and decreases intestinal
peristalsis;
Progesterone affects the GI system by decreasing smooth muscle
tone, delaying gastric emptying, and decreasing intestinal
peristalsis.
◉ During pregnancy, what is estrogen responsible for?
Answer: Hyperpigmentation;
During pregnancy, estrogen is responsible for stimulation of the
melanin-stimulating hormone, resulting in hyperpigmentation.
The other factors are related to progesterone.
◉ What is a positive sign of pregnancy?
Answer: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of
the fetus by ultrasonography.
,◉ What are the normal cardiovascular physiologic responses to
pregnancy?
Answer: Increased HR, decreased cardiac output, increased blood
volume, and systolic murmur;
During pregnancy, a hyperdynamic state is caused by an increase
in blood volume, which results in a slightly increased heart rate
and increased cardiac output. Systolic ejection murmurs are
common and are caused by increased flow across the pulmonic
and aortic valves.
◉ During the regular prenatal visits, what assessment data other
than vital signs and weight are determined with each visit?
Answer: Fundal height, fetal heart rate, urine dip for protein and
glucose, and presence of edema
◉ The recommended office visit interval for a low-risk patient at
28 weeks of pregnancy is every:
Answer: 2 weeks until 36 weeks;
The interval for prenatal visits for low-risk women is every 4
weeks until 28 weeks, every 2 weeks from 28-36 weeks, and
weekly after 36 weeks.
◉ At an initial prenatal visit occurring in the first trimester, which
blood test is NOT recommended?
Answer: Maternal serum alpha-fetoprotein;
, Routine laboratory tests include CBC, blood type and Rh, antibody
screen, HBSAg, syphilis screen, and rubella immune titer. The
MSAFP is done between 15 and 20 weeks and is time-sensitive.
◉ The FNP teaches a prenatal patient that a significant source of
toxoplasmosis is:
Answer: Undercooked red meat is a major source of
toxoplasmosis. Pregnant women should be cautioned against
eating undercooked meats. Cats are also known to be hosts.
Toxoplasmosis is spread through cat feces. Pregnant women
should be educated about not cleaning the litter box and about
avoiding contaminated soil
◉ The FNP would note which finding as a possible sign of
preeclampsia?
Answer: Edema in all extremities and a puffy face;
Classic signs of pre-eclampsia are hypertension and proteinuria.
Generalized edema of the extremities and around the face occurs
due to increased permeability and capillary leakage.
◉ Which is an abnormal complaint in the second trimester of
pregnancy?
Answer: Frequent uterine contractions;
Contractions can represent preterm labor and should always be
evaluated to rule out early cervical change.
CORRECT ANSWERS EXAM REVIEW
◉ trichomoniasis treatment
Answer: women: metronidazole 500 mg bid x7 days
men: metronidazole 2g po once
◉ How does progesterone affect the GI system during pregnancy?
Answer: Delays gastric emptying time and decreases intestinal
peristalsis;
Progesterone affects the GI system by decreasing smooth muscle
tone, delaying gastric emptying, and decreasing intestinal
peristalsis.
◉ During pregnancy, what is estrogen responsible for?
Answer: Hyperpigmentation;
During pregnancy, estrogen is responsible for stimulation of the
melanin-stimulating hormone, resulting in hyperpigmentation.
The other factors are related to progesterone.
◉ What is a positive sign of pregnancy?
Answer: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of
the fetus by ultrasonography.
,◉ What are the normal cardiovascular physiologic responses to
pregnancy?
Answer: Increased HR, decreased cardiac output, increased blood
volume, and systolic murmur;
During pregnancy, a hyperdynamic state is caused by an increase
in blood volume, which results in a slightly increased heart rate
and increased cardiac output. Systolic ejection murmurs are
common and are caused by increased flow across the pulmonic
and aortic valves.
◉ During the regular prenatal visits, what assessment data other
than vital signs and weight are determined with each visit?
Answer: Fundal height, fetal heart rate, urine dip for protein and
glucose, and presence of edema
◉ The recommended office visit interval for a low-risk patient at
28 weeks of pregnancy is every:
Answer: 2 weeks until 36 weeks;
The interval for prenatal visits for low-risk women is every 4
weeks until 28 weeks, every 2 weeks from 28-36 weeks, and
weekly after 36 weeks.
◉ At an initial prenatal visit occurring in the first trimester, which
blood test is NOT recommended?
Answer: Maternal serum alpha-fetoprotein;
, Routine laboratory tests include CBC, blood type and Rh, antibody
screen, HBSAg, syphilis screen, and rubella immune titer. The
MSAFP is done between 15 and 20 weeks and is time-sensitive.
◉ The FNP teaches a prenatal patient that a significant source of
toxoplasmosis is:
Answer: Undercooked red meat is a major source of
toxoplasmosis. Pregnant women should be cautioned against
eating undercooked meats. Cats are also known to be hosts.
Toxoplasmosis is spread through cat feces. Pregnant women
should be educated about not cleaning the litter box and about
avoiding contaminated soil
◉ The FNP would note which finding as a possible sign of
preeclampsia?
Answer: Edema in all extremities and a puffy face;
Classic signs of pre-eclampsia are hypertension and proteinuria.
Generalized edema of the extremities and around the face occurs
due to increased permeability and capillary leakage.
◉ Which is an abnormal complaint in the second trimester of
pregnancy?
Answer: Frequent uterine contractions;
Contractions can represent preterm labor and should always be
evaluated to rule out early cervical change.
