AGNP BOARD EXAM QUESTIONS Pregnancy Assessment_2021_67 Questions With Correct Answers And Rationale-Graded A+

AGNP BOARD EXAM QUESTIONS Pregnancy Assessment (67 Questions) Question: Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is 18.5, the total weight gain should be: 11-20 pounds. 15-25 pounds. 25-35 pounds 28-40 pounds. Correct Explanation: 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 18.5, should gain 28 - 40 pounds; BMI 18.5-24.9 should gain 25 - 35 pounds; BMI 25-29.9 should gain 15 - 25 pounds; and the obese pregnant woman should gain 11 - 20 pounds. Question: During pregnancy, which hormone is produced by the placenta and supports progesterone synthesis in the corpus luteum? Progesterone Human chorionic gonadotropin (HCG) Correct Estrogen Human placental lactogen Explanation: Human chorionic gonadotropin (HCG) is produced by the placenta and supports progesterone synthesis in the corpus luteum, effectively preventing the early embryo from being lost to menstruation. Question: During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark may appear. This finding is: Hegar's sign. Chadwick's sign. striae gravidarum. Correct linea nigra. Explanation: As the skin over the abdomen stretches to accommodate the fetus, purplish striae gravidarum (“stretch marks”) may appear. Linea nigra is a brownish black pigmented vertical stripe along the midline skin. Hegar’s 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 the vagina a bluish color, known as Chadwick’s sign.Question: When should all pregnant woman be screened for human immunodeficiency virus (HIV)? Routine screening is not recommended At the first prenatal visit Correct During the second trimester During the third trimester Explanation: The Centers for Disease Control and Prevention (CDC) recommends screening of all pregnant women for human immunodeficiency virus (HIV) at the first prenatal visit. During the third trimester, women at high risk for acquiring HIV infection should be rescreened. Question: Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are: pallor. nevi. chloasma. Correct hirsutism. Explanation: Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are known as chloasma (or melasma) or the "mask of pregnancy". This is considered a normal finding. Question: After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in different locations with varying rates suggests: decelerations. fetal distress. intrauterine growth restriction. multiple gestation. Correct Explanation: After 24 weeks' gestation, auscultation of more than one FHT in different locations with varying rates suggests multiple gestation. Question: During pregnancy, which supplement is recommended to decrease the risk of neural tube defect? Vitamin B12 Iron Folic acid Correct Calcium Explanation:Taking a prenatal vitamin with the recommended 400 micrograms of folic acid before and during pregnancy can help prevent neural tube defects in the brain and spinal cord. Question: Inaudible fetal heart tones (FHT) may indicate: extra amniotic fluid. severe fetal morbidity. earlier gestation than expected. Correct intrauterine growth restriction. Explanation: Lack of audible fetal heart tones (FHT) may indicate earlier gestation than expected, fetal demise, false pregnancy, or observer error; inability to locate the FHT should always be investigated with ultrasound. Question: Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is 25 - 29.9, the total weight gain should be: 11-20 pounds. 15-25 pounds. Correct 25-35 pounds 28-40 pounds. Explanation: 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 18.5, should gain 28 - 40 pounds; BMI 18.5-24.9 should gain 25 - 35 pounds; BMI 25-29.9 should gain 15 - 25 pounds; and the obese pregnant woman should gain 11 - 20 pounds. Question: New onset hypertension with proteinuria or end-organ damage is: gestational hypertension. preeclampsia. Correct chronic hypertension. primary hypertension