Ricci Chapter 11: Maternal Adaptation
During Pregnancy UPDATED ACTUAL
Exam Questions and CORRECT Answers
Presumptive (Subjective) Signs of Pregnancy - CORRECT ANSWER - - Fatigue (12
weeks)
- Breast Tenderness (3 to 4 weeks)
- Nausea and vomiting (4 to 14 weeks)
- Amenorrhea (4 weeks)
- Urinary frequency (6 to 12 weeks)
- Hyperpigmentation of skin (16 weeks)
- Fetal movements (quickening) (16 to 20 weeks)
- Uterine enlargement (7 to 12 weeks)
- Breast enlargement (6 weeks)
Probable (Objective) Signs of Pregnancy - CORRECT ANSWER - - Braxton Hicks
contractions (16 to 28 weeks)
- Positive pregnancy test (4 to 12 weeks)
- Abdominal enlargement (14 weeks)
- Ballottement (16 to 28 weeks)
- Goodell's sign (5 weeks)
- Chadwick's sign (6 to 8 weeks)
- Hegar's sign (6 to 12 weeks)
ballottement - CORRECT ANSWER - the examiner pushes against the woman's cervix
during a pelvic examination and feels a rebound from the floating fetus
Chadwick's sign - CORRECT ANSWER - bluish-purple coloration of the vaginal mucosa
and cervix
, Goodell's sign - CORRECT ANSWER - softening of the cervix
Hegar's sign - CORRECT ANSWER - softening of the lower uterine segment or isthmus
Positive Signs of Pregnancy - CORRECT ANSWER - - Ultrasound verification of embryo
or fetus (4 to 6 weeks)
- Fetal movement felt by experienced clinician (20 weeks)
- Auscultation of fetal heart tones via Doppler (10 to 12 weeks)
Agglutination inhibition tests - CORRECT ANSWER - Specimen: Urine
Ex: Pregnosticon, Gravindex
- if hCG is present in urine, agglutination does not occur, which is positive for pregnancy
- reliable 14 - 21 days after conception
- 95% accurate in diagnosing pregnancy
Immunoradiometric assay - CORRECT ANSWER - Specimen: Blood serum
Ex: Neocept, Pregnosis
- measures ability of blood sample to inhibit the binding of radiolabeled hCG to receptors
- reliable 6 - 8 days after conception
- 99% accurate in diagnosing pregnancy
Enzyme-linked immunosorbent assay (ELISA) - CORRECT ANSWER - Specimen: Blood
serum or urine
Ex: OTC home/office pregnancy tests, precise
During Pregnancy UPDATED ACTUAL
Exam Questions and CORRECT Answers
Presumptive (Subjective) Signs of Pregnancy - CORRECT ANSWER - - Fatigue (12
weeks)
- Breast Tenderness (3 to 4 weeks)
- Nausea and vomiting (4 to 14 weeks)
- Amenorrhea (4 weeks)
- Urinary frequency (6 to 12 weeks)
- Hyperpigmentation of skin (16 weeks)
- Fetal movements (quickening) (16 to 20 weeks)
- Uterine enlargement (7 to 12 weeks)
- Breast enlargement (6 weeks)
Probable (Objective) Signs of Pregnancy - CORRECT ANSWER - - Braxton Hicks
contractions (16 to 28 weeks)
- Positive pregnancy test (4 to 12 weeks)
- Abdominal enlargement (14 weeks)
- Ballottement (16 to 28 weeks)
- Goodell's sign (5 weeks)
- Chadwick's sign (6 to 8 weeks)
- Hegar's sign (6 to 12 weeks)
ballottement - CORRECT ANSWER - the examiner pushes against the woman's cervix
during a pelvic examination and feels a rebound from the floating fetus
Chadwick's sign - CORRECT ANSWER - bluish-purple coloration of the vaginal mucosa
and cervix
, Goodell's sign - CORRECT ANSWER - softening of the cervix
Hegar's sign - CORRECT ANSWER - softening of the lower uterine segment or isthmus
Positive Signs of Pregnancy - CORRECT ANSWER - - Ultrasound verification of embryo
or fetus (4 to 6 weeks)
- Fetal movement felt by experienced clinician (20 weeks)
- Auscultation of fetal heart tones via Doppler (10 to 12 weeks)
Agglutination inhibition tests - CORRECT ANSWER - Specimen: Urine
Ex: Pregnosticon, Gravindex
- if hCG is present in urine, agglutination does not occur, which is positive for pregnancy
- reliable 14 - 21 days after conception
- 95% accurate in diagnosing pregnancy
Immunoradiometric assay - CORRECT ANSWER - Specimen: Blood serum
Ex: Neocept, Pregnosis
- measures ability of blood sample to inhibit the binding of radiolabeled hCG to receptors
- reliable 6 - 8 days after conception
- 99% accurate in diagnosing pregnancy
Enzyme-linked immunosorbent assay (ELISA) - CORRECT ANSWER - Specimen: Blood
serum or urine
Ex: OTC home/office pregnancy tests, precise
