ANW 8054 EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Sickle Cell Risk Factors - ANSWER Increased risk for UTI
Autosomal recessive hemoglobinopathy in a homozygous form
Polyhydramnios - ANSWER AFV > 2100mL or AFI >24
Etiologies - diabetes type 1 or 2, fetal maternal hemorrhage, idiopathic
Oligohydramnios - ANSWER Decreased amniotic fluid AFV < 200-500 or AFI <5
Etiologies- dehydration, HTN disorders, APS, Uteroplacental insufficiency, Renal issues
fetus, Urinary tract obstruction, PPROM, IUGR
Asthma - ANSWER (Albuterol) are the mainstay treatment in women with mild asthma.
Never use Hemabate
Hyperthyroidism - ANSWER Decreased TSH level and increased T4 level. (Graves
Disease)
Hyperthyroid treatment in pregnancy - ANSWER Propylthiouracil (in the 1st trimester)
and methimazole (in the 2nd and 3rd trimesters)
Hypothyroidism - ANSWER Elevated TSH level and decreased T4 level. (Hashimoto's)
hypothyroidism treatment in pregnancy - ANSWER levothyroxine at least 100 mcg per
day
Synthroid monitoring - ANSWER erform early thyroid function screening, levothyroxine
at least 100 mcg per day, TSH done at new OB and every 4-6 weeks. Generally increase
levothyroxine by 2 tablets weekly to nine tablets weekly. Recheck levels every 4-6
weeks.
Fetal thyroid production of T4 - ANSWER the most critical time is the 1st trimester.
NST (non-stress test) - ANSWER Evaluation of fetal response (fetal heart rate) to natural
contractile uterine activity or to an increase in fetal activity.
Reactive vs non reactive - ANSWER Reactive 2 accelerations within 20mins, moderate
variability, no decelerations, and normal baseline (110-160 bpm).
CST - ANSWER oxytocin challenge test
Monitoring the FHR strip for late or repetitive variables in response to a contraction
, pattern of 3 or more contractions in a 10 min period, each contraction lasts at least 40
seconds.
Negative (Normal) absence of late or deep variables
Positive (abnormal) presence of recurrent (presence in 50% or more) late decals or
significant variables.
BPP - ANSWER -Fetal breathing movement
-Fetal movements of body or limbs
-Fetal tone
-Amniotic fluid volume
Reactive fetal heart rate (FHR) with activity (reactive non-stress test [NST])
*Scores of 8 (with normal amniotic fluid) and 10 considered normal*
Fetal fibronectin (fFN) - ANSWER Glue like protein that connects amniotic membrane to
the lining of the uterus and if detected between 22-37 weeks could signify increased risk
of pre-term labor. Negative Result means 99% of women will not give birth in the next 1-2
weeks.
Influenza - ANSWER Oseltamivir 75 mg BId X 5
encouraged inactivated influenza vaccine IIV!!
Gestational Diabetes Mellitus (GDM) - ANSWER any degree of glucose intolerance with
onset or first recognition during pregnancy
GDM pathophysiology - ANSWER GDM-disease of insulin resistance. Hormonal changes
alter cells responsive to insulin peak effect of hPL occurs around 26-28 weeks (hence
testing requirements
**Target Fasting Blood Glucose - ANSWER < 95
GDM testing - ANSWER >200 mg/dL GDM
>130/140 mg/dL. Move to 3 hour GTT
Management with diet (24 kcal/day) and exercise,
monitor fasting and 2 hour glucose daily
Fasting >105
2 hour > 120 need pharm
Metformin first some insulin
100% CORRECT ANSWERS
Sickle Cell Risk Factors - ANSWER Increased risk for UTI
Autosomal recessive hemoglobinopathy in a homozygous form
Polyhydramnios - ANSWER AFV > 2100mL or AFI >24
Etiologies - diabetes type 1 or 2, fetal maternal hemorrhage, idiopathic
Oligohydramnios - ANSWER Decreased amniotic fluid AFV < 200-500 or AFI <5
Etiologies- dehydration, HTN disorders, APS, Uteroplacental insufficiency, Renal issues
fetus, Urinary tract obstruction, PPROM, IUGR
Asthma - ANSWER (Albuterol) are the mainstay treatment in women with mild asthma.
Never use Hemabate
Hyperthyroidism - ANSWER Decreased TSH level and increased T4 level. (Graves
Disease)
Hyperthyroid treatment in pregnancy - ANSWER Propylthiouracil (in the 1st trimester)
and methimazole (in the 2nd and 3rd trimesters)
Hypothyroidism - ANSWER Elevated TSH level and decreased T4 level. (Hashimoto's)
hypothyroidism treatment in pregnancy - ANSWER levothyroxine at least 100 mcg per
day
Synthroid monitoring - ANSWER erform early thyroid function screening, levothyroxine
at least 100 mcg per day, TSH done at new OB and every 4-6 weeks. Generally increase
levothyroxine by 2 tablets weekly to nine tablets weekly. Recheck levels every 4-6
weeks.
Fetal thyroid production of T4 - ANSWER the most critical time is the 1st trimester.
NST (non-stress test) - ANSWER Evaluation of fetal response (fetal heart rate) to natural
contractile uterine activity or to an increase in fetal activity.
Reactive vs non reactive - ANSWER Reactive 2 accelerations within 20mins, moderate
variability, no decelerations, and normal baseline (110-160 bpm).
CST - ANSWER oxytocin challenge test
Monitoring the FHR strip for late or repetitive variables in response to a contraction
, pattern of 3 or more contractions in a 10 min period, each contraction lasts at least 40
seconds.
Negative (Normal) absence of late or deep variables
Positive (abnormal) presence of recurrent (presence in 50% or more) late decals or
significant variables.
BPP - ANSWER -Fetal breathing movement
-Fetal movements of body or limbs
-Fetal tone
-Amniotic fluid volume
Reactive fetal heart rate (FHR) with activity (reactive non-stress test [NST])
*Scores of 8 (with normal amniotic fluid) and 10 considered normal*
Fetal fibronectin (fFN) - ANSWER Glue like protein that connects amniotic membrane to
the lining of the uterus and if detected between 22-37 weeks could signify increased risk
of pre-term labor. Negative Result means 99% of women will not give birth in the next 1-2
weeks.
Influenza - ANSWER Oseltamivir 75 mg BId X 5
encouraged inactivated influenza vaccine IIV!!
Gestational Diabetes Mellitus (GDM) - ANSWER any degree of glucose intolerance with
onset or first recognition during pregnancy
GDM pathophysiology - ANSWER GDM-disease of insulin resistance. Hormonal changes
alter cells responsive to insulin peak effect of hPL occurs around 26-28 weeks (hence
testing requirements
**Target Fasting Blood Glucose - ANSWER < 95
GDM testing - ANSWER >200 mg/dL GDM
>130/140 mg/dL. Move to 3 hour GTT
Management with diet (24 kcal/day) and exercise,
monitor fasting and 2 hour glucose daily
Fasting >105
2 hour > 120 need pharm
Metformin first some insulin
