Exam (elaborations)
NU 518 EXAM 2 QUESTIONS AND ANSWERS 2024
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NU 518 EXAM 2 QUESTIONS AND ANSWERS 2024
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NU 518 EXAME 2A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal
check. Her last period was 2 months ago. She has had three previous pregnancies
and deliveries with no complications. She has no medical problems and has had
no surgeries. Her only current complaint is of severe reflux that occurs in the
mornings and evenings. On examination she is in
no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16.
Her head, eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal
examinations are unremarkable. On bimanual examination her cervix is soft and
her uterus is 10 weeks in size. Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - ANSWERS-C
A 26-year-old telephone operator comes to your office for her first prenatal visit.
This is her first pregnancy. Her last period was about 2 months ago. She has no
current complaints. She is eating healthily, taking vitamins, and exercising. She
has a past medical history of an appendectomy as a teenager. Her mother had
three children vaginally with no complications. On
examination she appears healthy and her vital signs are unremarkable. Her head,
eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations
are also unremarkable. By speculum examination, her cervix appears bluish in
color and highly vascular. A bimanual examination reveals a soft cervix and a 12-
,week-sized uterus. No masses are felt in either adnexal area. Results of her Pap,
cultures, and blood work are pending. What clinical sign is responsible for her
blue, highly vascular cervix?
A) Chadwick's sign
B) Hegar's sign
C) Leopol - ANSWERS-A
A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. She is
in her second trimester and has had prenatal care since she was 8 weeks
pregnant. Her only complaint is that she has a new brownish line straight down
her abdomen. On examination her vital signs are unremarkable. Her urine has no
protein, glucose, or leukocytes. With a Doptone the fetal
heart rate is 140, and her uterus is palpated to the umbilicus. Today you are
sending her for congenital abnormality screening and setting up an ultrasound.
What physical finding is responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti - ANSWERS-B
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an
increase in urination. Her last period was 3 months ago (June 20, 2008). She is
sexually active and always uses condoms. Her past medical history is
unremarkable. On examination you see a young, anxious-appearing woman. Her
vital signs are unremarkable. Her head, eyes, ears, throat, neck,
,thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On
pelvic examination a soft cervix is palpated and a 14-week-sized uterus is
palpated. A urine pregnancy test is positive. You then inform the patient that she
is expecting and, using Naegele's rule, give her the estimated date of confinement
(EDC, or due date). What was the due date you gave her?
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009 - ANSWERS-A
A 19-year-old childcare worker comes to you for her first prenatal visit. She
cannot remember when her last period was but thinks it was between 2 and 5
months ago. When she began gaining weight and feeling "something" moving
down there, she did a home pregnancy test and it was positive. She states she felt
the movement about a week ago. She has had no nausea, vomiting,
fatigue, or fevers. Her past medical history is remarkable only for irregular
periods. She has been dating the same young man for a year. She says they were
not using condoms. On examination you see an overweight young lady appearing
her stated age. Her head, eyes, ears, nose, throat, neck, thyroid, cardiac, and
pulmonary examinations are unremarkable. Her abdomen is
nontender, with normal bowel sounds, and the gravid uterus is palpated to the
level of the umbilicus. Fetal tones are easily found with Doptone, and with the
fetoscope a faint heart rate - ANSWERS-C
A 32-year-old attorney comes to your office for her second prenatal visit. She has
had two previous pregnancies with uneventful prenatal care and vaginal
deliveries. Her only problem was that with each pregnancy she gained 50 lbs (23
kg) and had difficulty losing the weight afterward. She has no complaints today.
, Looking at her chart, you see she is currently 10 weeks pregnant and that her
prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs (60.9 kg). Her
height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine tests
are unremarkable. The fetal heart tone is difficult to find but is located and is 150.
While you give her first trimester education, you tell her how much weight you
expect her to gain. How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( - ANSWERS-C
A 35-year-old bus driver comes to your office for a prenatal visit. She is
approximately 28 weeks pregnant and has had no complications. She is
complaining only of heartburn and has had no fatigue, headaches, leg swelling,
contractions, leakage of fluid, or bleeding. On examination
her blood pressure is 142/92 and her urine shows no glucose, protein, or
leukocytes. Her weight gain is appropriate, with no large recent increases. Fetal
tones are 140 and her uterus measures 32 cm from the pubic bone. Looking back
through her chart, you see her prenatal blood pressure was 120/70 and her blood
pressures during the first 20 weeks were usually 120 to 130/70 to 80. What type
of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - ANSWERS-C
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