©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
WHNP Exam 2 - Dating, Prenatal Visit, Perinatal Genetics,
WHNP Exam 2 - Implantation, Fertilization, Fetal Development,
WHNP Exam 2 - Maternal Adaptation, WHNP Exam 2 –
Contraception Questions and Answers (Success)
Amenorrhea, breast pain, fatigue, n/v, skin changes, basal body temp - ✔️✔️What are
examples of presumptive signs of pregnancy?
Subjective - ✔️✔️What kind of data are presumptive signs?
Enlarged abdomen, change in uterine shape, ballottement, positive hCG, Braxton hicks
- ✔️✔️What are examples of probable signs of pregnancy?
Bulge where uterus meets uterine tube - ✔️✔️What is piskacek's sign?
Softened uterus - ✔️✔️What is Hegar's sign?
Bluish discoloration - ✔️✔️What is Chadwick's sign?
Softened cervix - ✔️✔️What is Goodell's sign?
FHTs, visible fetus - ✔️✔️What are positive signs of pregnancy?
10 days - ✔️✔️When can you detect hCG in maternal serum?
14 days (day of missed period) - ✔️✔️When can you detect hCG in maternal urine?
q48 - ✔️✔️How often does hCG double?
hCG doesn't double - ✔️✔️What might indicate abnormal implantation?
Quantitative - ✔️✔️How much hCG present, can monitor trends
Fresh urine, morning - ✔️✔️What kind of urine should be used for pregnancy test?
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
4-6 weeks - ✔️✔️How long can urine pregnancy test stay positive after
miscarriage/abortion?
>1500 - ✔️✔️What hCG level indicates a pregnancy visible on transvaginal ultrasound?
7500-10000 - ✔️✔️What hCG level indicates a pregnancy is visible on abdominal
ultrasound?
~1 week - ✔️✔️How long before missed period is serum hCG positive?
15-18 weeks - ✔️✔️When does quickening occur?
6 weeks - ✔️✔️When can you begin abdominal ultrasounds?
9-11 - ✔️✔️When are FHTs audible via doppler?
20 weeks - ✔️✔️When are FHTs audible via fetoscope?
First trimester - ✔️✔️When is pregnancy dating most accurate?
5 days - ✔️✔️If EDD varies > _____ ___________ from US estimate at <9 weeks, you
should change EDD to US estimate.
7 days - ✔️✔️If EDD varies > _____ ___________ from US estimate at 9-16 weeks, you
should change EDD.
Non intervention in absence of complication - ✔️✔️What's an important part of prenatal
care as an NP?
Iatrogenic - ✔️✔️What complications occur from overuse or unnecessary interventions?
Preventative - ✔️✔️Prenatal care is the ultimate form of _____________ healthcare.
Optimize health of mother and fetus, prevent and recognize complications - ✔️✔️What
are the goals of prenatal care?
Screening, risk assessment, health promotion, intervention, anticipatory guidance -
✔️✔️What are the key elements of prenatal care?
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
True - ✔️✔️T/F: Multiple gestations count as 1 birth.
Parity - ✔️✔️Number of times a woman has given birth to a viable fetus >20 weeks.
Detachment - ✔️✔️What might women feel in the 2nd trimester r/t work?
12-14 weeks - ✔️✔️What is considered the first trimester?
24-28 weeks - ✔️✔️What's considered the second trimester?
28-birth - ✔️✔️What's considered the third trimester?
3rd - ✔️✔️In what trimester are women most vulnerable to major life events?
When to return - ✔️✔️What MUST you include in your prenatal visits at the end?
Ambivalence - ✔️✔️What emotion is common in pregnancy, especially early on?
Establish baseline - ✔️✔️Why do you want a physical exam as early as possible in
pregnancy?
No - ✔️✔️Can you rely on a previous assessment from an outside provider at a prenatal
visit?
Health and parity, planned or not, clinical dating, risk factors, ddx prn - ✔️✔️What are
elements of a NOB dx?
Orientation, after hours call, schedule, warning signs, education, lab/screen - ✔️✔️What
are aspects of the POC for a NOB visit?
q4 until 28 weeks, q2 28-36 weeks, q1 36-birth - ✔️✔️What is the schedule for return OB
visits?
20 weeks - ✔️✔️When do you assess fundal height?
late 2nd-3rd - ✔️✔️When do you perform Leopold's maneuvers?
No - ✔️✔️Should you perform a cervical exam on every pt every visit?
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
No - ✔️✔️Should you perform routine urine dips?
Sx UTI, increased risk - ✔️✔️When should you repeat urine dips on pregnant women?
3D, 4D - ✔️✔️What ultrasounds pose unnecessary risk to the fetus?
Dating, viability, anatomy, screening - ✔️✔️What are indications for US?
Unnecessary c section, inductions, risk of damage - ✔️✔️What does overuse of US result
in?
Centering pregnancy, expect with me - ✔️✔️What are examples of group based
pregnancy care that its evidence based?
Risk - ✔️✔️What do genetic screens determine?
Direct - ✔️✔️What measures do diagnostic genetic tests use?
Indirect - ✔️✔️What measures do screening genetic tests use?
Diagnostic - ✔️✔️What kind of genetic testing is more invasive, costlier, and riskier?
Sensitivity - ✔️✔️Patients with disease who test positive, true positive
Negative - ✔️✔️What's the ideal results of a sensitive test?
Sensitive test rules out - ✔️✔️SnOut
Specificiity - ✔️✔️Pt without disease who test negative, true negative
Positive - ✔️✔️What's the ideal result of a specific test?
Specific test rules in - ✔️✔️SpIn
Cell free fetal DNA - ✔️✔️What's the newest form of genetic testing?
Direct or indirect - ✔️✔️What sample do you use for risk based/disorder specific tests?
Mother, father, fetus - ✔️✔️Who can you sample for risk based/disorder specific tests?
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