APEA MSN572 Pregnancy Exam Study
Guide with Verified Solutions
Weight gain should be monitored during pregnancy. You're pregnant woman has BMI is
25 to 29.9, the total weight gain should be. - Answer✔️✔️-15-25 lbs
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 less than 18.5, should gain 28 to 40 pounds. BMI of 18.5 to 24.9
should gain 25 to 35 pounds. BMI 25 to 29.9 should gain 15 to 25 pounds. The obese
pregnant women should gain 11 to 20 pounds .
A 5% weight loss during the first trimester due to vomiting would be considered -
Answer✔️✔️-Excessive weight loss
Weight loss in excess of 5% prepregnancy weight is considered excessive, representing
hyperemesis, gravidarum, and may lead to adverse pregnancy outcomes.
When performing a pelvic exam on a pregnant woman, a larger speculum may be
needed because of - Answer✔️✔️-Vaginal wall relaxation
Because of vaginal wall relaxation, a larger than usual speculum may be needed
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When should a vaginal swab for Group B streptococcus be obtained in a pregnant
woman - Answer✔️✔️-35-37 weeks
A vaginal swab for Group B streptococcus between 35 to 37 weeks gestation. Group B
streptococcus can normally be found in 15 to 45% of all healthy adult women. It can
commonly be found in the intestine vagina and rectal area. Most women who are
carriers will not have any symptoms. However, under certain circumstances, infection of
both the mother, and or the newborn can develop
During pregnancy, a brownish black pigmented vertical stripe along the midline of the
abdomen me up here this finding is - Answer✔️✔️-Linea Nigra
Linea nigra is a brownish, black, pigmented vertical stripe along the midline skin of the
abdomen. As the skin over the abdomen stretches to accommodate the fetus, purpleish
striae gravidarum, or a stretch marks may appear.
Hegar 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 a vagina a bluish color, known as Chadwick sign.
During pregnancy, which supplement is recommended to decrease the risk of neural
tube defect - Answer✔️✔️-folic acid
Taking a prenatal vitamin with the recommended 400 mcg of folic acid before, and
during pregnancy, can help prevent neural tube defects in the brain and spinal cord
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Which substance used during pregnancy accounts for the leading cause of preventable,
intellectual disability - Answer✔️✔️-Alcohol
Fetal alcohol syndrome, the neurodevelopmental sequelae of alcohol exposure during
fetal development, is the leading cause of preventable intellectual disability in the United
States
When performing the third Leopold maneuver on a pregnant woman, the fetal head is
the presenting part. This finding is referred to as the. - Answer✔️✔️-Vertex presentation
When performing the third Leopold maneuver on a pregnant woman, the fetal head is
the presenting part. This finding is referred to as the vertex or cephalic presentation.
Additionally, if the cephalic prominence is on the same side as the small parts, then the
fetus is in vertex presentation.
If the cephalic prominence is on the same side as the back, and the head is extended,
then the fetus is in face presentation.
The top of the uterus or fundus is palpated to establish which end of the fetus or fetal
pole is in the upper part of the uterus. If either the head or buttocks (breach) of the fetus
is in the fundus, than the fundus is in vertical lie. Otherwise, the fetus is most likely in
transversely.
In pregnant women, between 10 to 18 weeks gestation, fetal heart tones can be
auscultated along the - Answer✔️✔️-Midline of the women's lower abdomen
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