successful intrauterine insemination (IUI) on January 25th presents to the clinic for care
on March 19th. Her last menstrual period (LMP) was November 11th of the previous
year. Which of the following is true about the gestational age of her pregnancy?
\u2713 Answer: It is determined by date of insemination plus 2 weeks.<\/li>\n\n\n\n
may be pregnant after missing one cycle of her menses, which was previously very
regular. A urine human chorionic gonadotropin (HCG) test is positive. Presuming a
normal pregnancy, what can the physician expect to find on examination and ultrasound?
\u2713 Answer: A bluish hue of the cervix known as the Chadwick sign<\/li>\n\n\n\n
Leopold maneuvers indicate that the fetus is in a transverse lie, with the fetal skull
palpable at the woman’s left side. Fetal heart tones are heard at the uterine fundus with a
baseline rate of 140 and beat-to-beat variability noted. Which of the following steps is
appropriate to take at this time?
\u2713 Answer: schedule a return visit in ~2 weeks.<\/li>\n\n\n\n
experiencing several abdominal symptoms that she attributes to pregnancy: nausea,
vomiting, urinary frequency, discomfort in the lower abdomen, tenderness over the
suprapubic area, and severe constipation. Which of the following is true regarding these
pregnancy symptoms?<\/li>\n<\/ol>\n\n\n\n
\u2713 Answer: iron supplementation, hormonal changes, slowed
intestinal transit, physical pressure from the gravid uterus, and
increased blood volume all contribute to abdominal symptoms in
pregnant women.<\/p>\n\n\n\n
- \n
- A 42-year-old G2P1 arrives at clinic for a routine prenatal visit late in her third trimester.
On exam, the physician notes a subtle murmur; on further auscultation, it becomes
apparent that the murmur occurs during the diastolic phase. The patient has minimal
complaints but does reveal that she has had swelling in her feet and shortness of breath.
Because these symptoms have been only slightly more severe than during her last
pregnancy, she assumed this was normal for pregnancy. Which of the following is true
about her presentation?
\u2713 Answer: a diastolic murmur during pregnancy is likely
pathological and should always be investigated.<\/li>\n\n\n\n - A 17-year-old G1P0 presents at a routine prenatal check. By last menstrual period
(LMP), her gestational age at this visit is 36 weeks, 2 days. A first-trimester ultrasound
confirmed her estimated delivery date. On exam, her fundus measures 31 centimeters.
Ultrasound imaging might reveal which of the following anatomical findings that would
explain this size?
\u2713 Answer: Renal agenesis of the fetus resulting in intrauterine
growth restriction.<\/li>\n\n\n\n - A 26-year-old G0P0 is interested in becoming pregnant and presents for prepregnancy
counseling. She was not vaccinated as a child and unsure if she wishes to be vaccinated
now. She asks if she can change her mind during pregnancy and receive vaccinations
during that time. What should she be told?
\u2713 Answer: If a pregnant woman does not show sufficient titers to
rubella, measles\/mumps\/rubella (MMR) vaccination should be
given postpartum to protect future pregnancies from the effects of
congenital rubella.<\/li>\n\n\n\n - A 31-year-old marathon runner presents for prenatal care with her first pregnancy. She is
in her second trimester and is experiencing some fatigue and muscle aches. Her
prepregnancy body mass index (BMI) was noted at 19.2. How should she be counseled
on exercise and nutrition during pregnancy?
\u2713 Answer: she should increase her calorie intake to 300 calories per
day or more from her pre pregnancy baseline.<\/li>\n\n\n\n - A 29-year-old G2P1 presents to the clinic after a positive home pregnancy test. She
confides at the appointment that her male partner has become increasingly abusive lately
and once struck her while she was holding her older child. How should she be counseled?
\u2713 Answer: Ask open-ended questions, allow her to make decisions
that she feels are best for herself given he circumstance, and
provide immediate or long-term referrals to domestic violence
resources.<\/li>\n\n\n\n - A 34-year-old G3P2 at 27 weeks’ gestation is referred to the clinic upon discharge from a
correctional institution where she has been incarcerated for 25 days for a drug offense.
She denies any further substance abuse, but her behavior is concerning for intoxication,
and she smells of alcohol and cigarettes. The clinician inquires about her drug use with
open-ended questions and counsels her that which of the following is true?
\u2713 Answer: Pregnant women are not routinely screened for hep c, but
this test should be added to the panel of prenatal blood tests for
patients with a history of intravenous drug use.<\/li>\n\n\n\n - A 78-year-old woman presents to clinic with her two daughters, who are concerned about
her continued ability to live independently. She has thus far been highly self-reliant and is
opposed to the idea of leaving of her home of 30 years. The clinician performs a
complete history and physical exam (including mental status and memory testing) as well
as orders laboratory tests before providing the patient and her family the finding that she
has age-appropriate changes that do not reflect any particular disease process. Which of
the following findings is most consistent with the normal aging process and does not
impair the ability to live alone?
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![\"\"](\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/12\/FINAL-EXAM-NR-509-NR509-ADVANCED-PHYSICAL-ASSESSMENT-FINAL-PRACTICE-QUESTIONS-WITH-VERIFIED-ANSWERS-LATEST-2023-2024-CHAMBERLAIN-725x1024.png\")
<\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"Final Exam: NR 509\/ NR509 Advanced Physical Assessment Final Practice Questions with Verified Answers (Latest 2023\/ 2024)- Chamberlain Final Exam: NR 509\/ NR509 AdvancedPhysical Assessment Final Practice Questionswith Verified Answers (Latest 2023\/ 2024)-Chamberlain \u2713 Answer: iron supplementation, hormonal changes, slowedintestinal transit, physical pressure from the gravid uterus, andincreased blood volume all contribute to abdominal symptoms […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-129936","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/129936","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=129936"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/129936\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=129936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=129936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=129936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- <\/li>\n<\/ol>\n\n\n\n