NM702 Exam 5 Winter | Verified Exam Questions and Answers | Latest
Updated Study Material 2026
Question:
What information do you need obtain for a pregnant woman presenting with first trimester
bleeding?
Answer:
Menstrual hx, maternal hx and gynecologic hx
Question:
What questions must be answered during the hx and physical exam of woman present with first
trimester bleeding?
Answer:
Is the pt hemodynamically stable, is fever
present, is the bleeding intrauterine or extrauterine, is the pregnancy intrauterine or ectopic, is the
pregnancy viable
Question:
What history do you need to obtain for a pregnant woman presenting with first trimester
bleeding?
Answer:
Date of LKMP, bleeding severity, amount of
bleeding, location of bleeding, severity of pain or cramping, quantity of pads being soaked,
presence of clots, associated symptoms (feeling faint, shoulder pain, vomiting), review risk
factors, present pregnancy hx
Question:
What are is the physical exam needed for a pregnant woman present with first trimester
bleeding?
Answer:
Vital signs, abdominal palpation for adnexal masses
or tenderness, assessment of uterus size, auscultation of FHT, speculum exam, cervix, bimanual
pelvic exam
Question:
What does the bimanual exam assess for?
,Answer:
Uterine size, shape
and cervical motion tenderness
Question:
What is the evaluated during the speculum exam?
Answer:
External
tissues for nonobstetrical causes such as trauma, infx, nonvaginal bleeding from external or
internal hemorrhoids; cervix for signs of infx, discharge, polyps, active bleeding, tissue at the os,
any dilation
Question:
What laboratory evaluation is needed when a woman presents with first trimester bleeding?
Answer:
Serial beta-hCG, CBC with differential (if more than minimal
bleeding), crossmatch
Question:
What is the diagnostic testing is needed when a woman presents with first trimester bleeding?
Answer:
Ultrasound
Question:
What are the differential diagnoses for (possible causes of) her bleeding?
Answer:
Spontaneous abortion, Ectopic pregnancy, Hydatidiform mole, normal,
subchorionic hemorrhage
Question:
How would you differentiate Spontaneous Abortion?
Answer:
ultrasound
(transvaginal since 10 wks) may see abnormal yolk sac, slow or absent FHT, hematoma, serial
beta-hCG done adjunct to ultrasound to determine viability
, Question:
How would you differentiate Ectopic pregnancy?
Answer:
women will
have significant pain with cervical motion tenderness, ultrasound (transvaginal since 10 wks)
with no extrauterine sac, serial beta-hCG adjunct, pelvic exam with adnexal mass
Question:
How would you differentiate Hydatidiform mole?
Answer:
increased
uterine size, marked N/V of pregnancy, ultrasound (transvaginal since 10 wks) showing absence
of fetal features, abnormally high hCG possible or normal
Question:
How would you differentiate Normal?
Answer:
ultrasound (transvaginal
since 10 wks) showing normal fetal FHR and parts
Question:
How would you differentiate Subchorionic hemorrhage?
Answer:
ultrasound shows subchorionic hematoma
Question:
How would you explain this information to the woman (verbatim)?
Answer:
There are many different reasons for a woman to have bleeding during the
first trimester. Most women who experience it in early pregnancy go on to have a normal
pregnancy, however, first trimester bleeding is associated with an increased risk of preterm birth.
Question:
The cause of first trimester bleeding is not always a normal cause, so in order to determine the
cause I will need to obtain an ultrasound and some blood work. The blood work will be checking
for the pregnancy hormone and this will be done today and then again in 2 days to recheck the
levels so that I can better determine the cause. Then depending on the cause of the bleeding will
Updated Study Material 2026
Question:
What information do you need obtain for a pregnant woman presenting with first trimester
bleeding?
Answer:
Menstrual hx, maternal hx and gynecologic hx
Question:
What questions must be answered during the hx and physical exam of woman present with first
trimester bleeding?
Answer:
Is the pt hemodynamically stable, is fever
present, is the bleeding intrauterine or extrauterine, is the pregnancy intrauterine or ectopic, is the
pregnancy viable
Question:
What history do you need to obtain for a pregnant woman presenting with first trimester
bleeding?
Answer:
Date of LKMP, bleeding severity, amount of
bleeding, location of bleeding, severity of pain or cramping, quantity of pads being soaked,
presence of clots, associated symptoms (feeling faint, shoulder pain, vomiting), review risk
factors, present pregnancy hx
Question:
What are is the physical exam needed for a pregnant woman present with first trimester
bleeding?
Answer:
Vital signs, abdominal palpation for adnexal masses
or tenderness, assessment of uterus size, auscultation of FHT, speculum exam, cervix, bimanual
pelvic exam
Question:
What does the bimanual exam assess for?
,Answer:
Uterine size, shape
and cervical motion tenderness
Question:
What is the evaluated during the speculum exam?
Answer:
External
tissues for nonobstetrical causes such as trauma, infx, nonvaginal bleeding from external or
internal hemorrhoids; cervix for signs of infx, discharge, polyps, active bleeding, tissue at the os,
any dilation
Question:
What laboratory evaluation is needed when a woman presents with first trimester bleeding?
Answer:
Serial beta-hCG, CBC with differential (if more than minimal
bleeding), crossmatch
Question:
What is the diagnostic testing is needed when a woman presents with first trimester bleeding?
Answer:
Ultrasound
Question:
What are the differential diagnoses for (possible causes of) her bleeding?
Answer:
Spontaneous abortion, Ectopic pregnancy, Hydatidiform mole, normal,
subchorionic hemorrhage
Question:
How would you differentiate Spontaneous Abortion?
Answer:
ultrasound
(transvaginal since 10 wks) may see abnormal yolk sac, slow or absent FHT, hematoma, serial
beta-hCG done adjunct to ultrasound to determine viability
, Question:
How would you differentiate Ectopic pregnancy?
Answer:
women will
have significant pain with cervical motion tenderness, ultrasound (transvaginal since 10 wks)
with no extrauterine sac, serial beta-hCG adjunct, pelvic exam with adnexal mass
Question:
How would you differentiate Hydatidiform mole?
Answer:
increased
uterine size, marked N/V of pregnancy, ultrasound (transvaginal since 10 wks) showing absence
of fetal features, abnormally high hCG possible or normal
Question:
How would you differentiate Normal?
Answer:
ultrasound (transvaginal
since 10 wks) showing normal fetal FHR and parts
Question:
How would you differentiate Subchorionic hemorrhage?
Answer:
ultrasound shows subchorionic hematoma
Question:
How would you explain this information to the woman (verbatim)?
Answer:
There are many different reasons for a woman to have bleeding during the
first trimester. Most women who experience it in early pregnancy go on to have a normal
pregnancy, however, first trimester bleeding is associated with an increased risk of preterm birth.
Question:
The cause of first trimester bleeding is not always a normal cause, so in order to determine the
cause I will need to obtain an ultrasound and some blood work. The blood work will be checking
for the pregnancy hormone and this will be done today and then again in 2 days to recheck the
levels so that I can better determine the cause. Then depending on the cause of the bleeding will
