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    Cmca Lab Exam

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    Quainoo
    The document describes a clinical rotation where the assistant is assigned three patients - Patient AB who is 25 and inquiring about conceiving, Patient XY who is 35 with a globular abdomen, and Patient OB who is 20 with abdominal pain. For Patient AB, the assistant determines that ovulation usually occurs two weeks before menstruation. For Patient XY, using Nagele's rule, the assistant calculates an estimated due date of October 21. The assistant measures Patient XY's fundal height and performs Leopold's maneuvers to determine the fetus is in breech presentation with the back on the right side of the mother.

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    Cmca Lab Exam

    Uploaded by

    Quainoo
    33 views13 pages
    The document describes a clinical rotation where the assistant is assigned three patients - Patient AB who is 25 and inquiring about conceiving, Patient XY who is 35 with a globular abdomen, and Patient OB who is 20 with abdominal pain. For Patient AB, the assistant determines that ovulation usually occurs two weeks before menstruation. For Patient XY, using Nagele's rule, the assistant calculates an estimated due date of October 21. The assistant measures Patient XY's fundal height and performs Leopold's maneuvers to determine the fetus is in breech presentation with the back on the right side of the mother.

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    The document describes a clinical rotation where the assistant is assigned three patients - Patient AB who is 25 and inquiring about conceiving, Patient XY who is 35 with a globular abdomen, and Patient OB who is 20 with abdominal pain. For Patient AB, the assistant determines that ovulation usually occurs two weeks before menstruation. For Patient XY, using Nagele's rule, the assistant calculates an estimated due date of October 21. The assistant measures Patient XY's fundal height and performs Leopold's maneuvers to determine the fetus is in breech presentation with the back on the right side of the mother.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    33 views13 pages

    Cmca Lab Exam

    Uploaded by

    Quainoo
    The document describes a clinical rotation where the assistant is assigned three patients - Patient AB who is 25 and inquiring about conceiving, Patient XY who is 35 with a globular abdomen, and Patient OB who is 20 with abdominal pain. For Patient AB, the assistant determines that ovulation usually occurs two weeks before menstruation. For Patient XY, using Nagele's rule, the assistant calculates an estimated due date of October 21. The assistant measures Patient XY's fundal height and performs Leopold's maneuvers to determine the fetus is in breech presentation with the back on the right side of the mother.

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    You are on page 1of 13

    01 In one of your clinical rotations, you are assigned

    at the Women Wellness Clinic at Saint Frances Cabrini


    Medical Center. Your Clinical Instructor gave you
    three patients to handle. Patient AB, 25 years old
    assisted with his husband, Patient XY, 35 years old,
    with globular abdomen Patient OB, 20 years old,
    complaining of abdominal pain Based on the cueing
    system your first patient is Patient AB. After taking
    her vital signs, the patient then suddenly asks
    information about conceiving. She asks you to explain
    when ovulation usually occurs. Which statement is
    correct?

    a.
    Immediately before menstruation.

    b.
    Immediately after menstruation.

    c.
    Three weeks before menstruation.

    d.
    Two weeks before menstruation.
    Question 2
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    Question text
    02 You ask patient AB regarding her LMP, and she
    stated that it was July 5, 2020. Her estimated date of
    delivery (EDD) should be which of the following?

    a.
    March 28, 2021

    b.
    April 12, 2021

    c.
    January 2, 2021

    d.
    October 12, 2020
    Question 3
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    03 You are developing a teaching plan for Patient AB
    who is 8 weeks pregnant. You should tell the patient
    that she can expect to feel the fetus move at which
    time?

    a.
    Between 21 and 23 weeks’ gestation.

    b.
    Between 24 and 26 weeks’ gestation.

    c.
    Between 16 and 20 weeks’ gestation.

    d.
    Between 10 and 12 weeks’ gestation
    Question 4
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    04 In your health teaching to Patient AB, you also
    included the topic on the expected weight gained
    during the whole course of pregnancy. Which of the
    following represents the average amount of weight
    gained?

    a.
    15 to 25 lb
    b.
    12 to 22 lb

    c.
    25 to 40 lb

    d.
    25 to 30 lb
    Question 5
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    05 Which of the following would you use as the basis
    for the teaching plan when caring for Patient AB
    concerned about gaining too much weight during
    pregnancy?

    a.
    A total gain of 12 to 22 lb

    b.
    A total gain of 15 to 25 lb

    c.
    A total gain of 25 to 30 pounds.
    d.
    A total gain of 25 to 40 lb
    Question 6
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    06 As you interviewed patient AB, she verbalized that
    she is on her 5th pregnancy and has a history of
    abortion in the 4th pregnancy, and the first pregnancy
    was a twin. She is:

    a.
    G4P3

    b.
    G5P4

    c.
    G5P3

    d.
    G4P4
    Question 7
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    07 At the end of your health teaching, you know that
    Patient AB understand all the information that you
    imparted, when you asked her about conception, and
    she answered that, “conception is..”

    a.
    Within 2-4 hours after intercourse, conception is possible in a fertile
    woman.

    b.
    Conception is possible during menstruation in a long menstrual cycle.

    c.
    Generally, conception is possible 4 days after ovulation.

    d.
    To avoid conception, intercourse must be avoided 5 days before and 3
    days after menstruation.
    Question 8
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    08 You then called your next patient, Patent XY, she
    tells you that her last menstrual period started on
    January 14 and ended on January 20. Using Nagele’s
    rule, you determines her EDD to be which of the
    following?

    a.
    November 7

    b.
    October 21

    c.
    September 27

    d.
    December 27
    Question 9
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    09 To calculate the EDD by Nagele’s rule, add 7 days
    to the first day of the last menstrual period and count
    back 3 months, changing the year appropriately.
    When taking the obstetrical history on Patient XY who
    states, “I had a son born at 38 weeks’ gestation, a
    daughter born at 30 weeks’ gestation and I lost a baby
    at about 8 weeks,” you should record her obstetrical
    history as which of the following?

    a.
    G4 T1 P1 A1 L2

    b.
    G3 T2 P0 A0 L2

    c.
    G2 T2 P0 A0 L2

    d.
    G3 T1 P1 A0 L2
    Question 10
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    10 You accidentally ask Patient XY if she had preterm
    labor. Which of the following best describes preterm
    labor?

    a.
    Labor that begins after 20 weeks’ gestation and before 37 weeks’
    gestation.

    b.
    Labor that begins after 24 weeks gestation and before 28 weeks
    gestation.

    c.
    Labor that begins after 28 weeks’ gestation and before 40 weeks’
    gestation.

    d.
    Labor that begins after 15 weeks’ gestation and before 37 weeks’
    gestation
    Question 11
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    11 With Patient XY, you want to assess her globular
    abdomen thus you ask her to lie down and secure
    consent to measure it. When measuring the client’s
    fundal height, which of the following techniques
    denotes the correct method of measurement?

    a.
    From the symphysis pubis to the fundus.
    b.
    From the xiphoid process to the umbilicus.

    c.
    From the symphysis pubis to the xiphoid process.

    d.
    From the fundus to the umbilicus.
    Question 12
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    12 You also asked permission to Patient XY so you
    can performed Leopold’s maneuver and found the
    following: breech presentation, fetal back at the right
    side of the mother. Based on these findings, you can
    hear the fetal heartbeat BEST in which location?

    a.
    Left upper quadrant

    b.
    Right upper quadrant

    c.
    Right lower quadrant
    d.
    Left lower quadrant
    Question 13
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    13 As you perform the first maneuver you palpated a
    soft, broad mass that moves with the rest of the
    mass. The correct interpretation of this finding is:

    a.
    The mass palpated is the back.

    b.
    The presentation is breech.

    c.
    The mass palpated is the buttocks.

    d.
    The mass palpated at the fundal part is the head part.
    Question 14
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    14 As you perform the third maneuver, you palpated a
    hard round movable mass at the suprapubic area. The
    correct interpretation is that the mass palpated is:

    a.
    The mass is the fetal back.

    b.
    The buttocks because the presentation is breech.

    c.
    The mass palpated is the small fetal part.

    d.
    The mass palpated is the head.
    Question 15
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    15 As you assessed the abdomen of Patient XY, you
    remember that in Bartholomew’s Rule of 4, when the
    level of the fundus is midway between the umbilicus
    and xiphoid process the estimated age of gestation
    (AOG) is:

    a.
    5th month

    b.
    6th month

    c.
    7th month

    d.
    8th month

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