NM 706 Exam 1
What has helped prevent RH disease of the newborn? – answer RH testing
If a mother refuses rhogam, what testing may be helpful in determining the antenatal
identification of fetal Rh (D) phenotype? - answer Cell-free DNA
What are current hemolytic disease of newborn usually caused by? - answer(1) anti-C
(2) anti-E (3) anti-Kell antibodies
What are the steps of dealing with a uterine inversion? - answer(1) immediately
summoning help (2) institute resuscitation measures (3) quickly reposition the uterus
leaving the placenta attached
What is defined as a hemorrhage occurring 24 hours until 12 weeks postpartum? -
answer Secondary postpartum hemorrhage
What crosses the placenta, IgG or IgM? - answerIgG
When should you determine alloimmunizations? - answerFirst prenatal visit
What is the separation of the placenta, either partially or totally, from its implantation
before delivery? - answerPlacental abruption
What is placental abruption initiated by? - answerHemorrhage
Why does sonography have little use when diagnosing a placental abruption? -
answerFresh clots and the placenta look similar
What is the management of placental abruption? - answerDelivery
What is implantation in the lower uterine segment such that the placental edge does not
cover the internal os but lies within 2cm wide perimeter around the os? - answerLow-
lying placenta
What is it when the internal os is covered partially or completely by the placenta? -
answerPlacenta previa
What drugs may aid in the replacement of the uterus during an inversion? - answer(1)
mag sulfate (2) Terbutaline
What is a nonpathological cause of delayed involution of the uterus postpartum? -
answerNot resting enough or doing too much at home
,Should any digital exams be performed when a woman arrives with vaginal bleeding
while pregnant? - answerNo
What is the bleeding usually like with a placenta previa? - answerPainless
What will a midwife do if she suspects placenta previa? - answerContact consulting
physician
Women who are greater than 24 weeks gestation should have monitoring for how long
after abdominal trauma? - answerAt least 4 hours
When monitoring for abdominal trauma, how many contractions do you look for before
you would keep the woman for observation for 24 hours? - answer6 contractions
What are some risk factors for placenta abruption? - answer(1) pre-e (2) multiparity (3)
AMA (4) prior abruption (5) htn (6) PPROM (7) multifetal (8) low birthweight (9)
hydramnios (10) cigarette smoking (11) single umbilical artery (12) cocaine use (13)
uterine leiomyoma (14) abdominal trauma
What abdominal pain from placenta abruption be confused with? - answerUterine
contractions and bloody show
What are some risk factors for placenta previa? - answer(1) prior c-section (2) AMA (3)
cigarette smoking (4) uterine leiomyomas (5) increased maternal serum alpha-
fetoprotein levels (6) ART
By how many weeks should the placenta no longer be palpated abdominally? - answer2
weeks
What are some reasons for subinvolution? - answer(1) infection (2) retained placenta
(3) vascular malformation (4) leiomyomas (5) overactivity
What is the treatment for subinvolution? - answer(1) rest (2) methergine (3) abx
What is a localized collection of extravasated blood that is usually clotted? -
answerHematoma
What are dangers associated with a hematoma? - answer(1) bleeding (2) anemia (3)
infection
What are common sites for hematoma formation? - answer(1) vulva (2) vagina (3) round
ligament
Blood loss with large puerperal hematomas is nearly always _____ than the clinical
estimate? - answerLarger
, What occurs when the uterus collapses into the endometrial cavity, which turns the
uterus partially or completely inside out? - answerUterine inversion
What tend to cause severe fetal anemia by targeting fetal RBC precursors leading to the
suppression of RBC production? - answerKell immunization
What accounts for 75-80% of all cases of anemia during pregnancy? - answerIDA
What are IDA risk factors? - answer(1) pregnancy demands (2) tobacco use (3) closely
spaced pregnancies (4) blood loss (5) malabsorption syndromes (6) high altitude (7)
poor diet (8) adolescent
What are signs and symptoms of IDA? - answer(1) weakness/falls (2) fatigue (3)
dizziness (4) headache (5) SOB (6) restless legs (7) palpitations (8) irritability (9) pica
What are signs and symptoms of severe IDA? - answer(1) angular stomatitis (2)
glossitis (3) brittle spoon-shaped nails
When do you draw H&H? - answer(1) initial pregnancy (2) 24-28 weeks (3) 36 weeks
If a patient has low hgb or is symptomatic, what are some diagnostic tests you may
draw? - answer(1) CBC w/ RBC indices (2) iron panel
What is the most RBC in helping diagnose anemia? - answerMCV
What are maternal implications of anemia? - answer(1) pica (2) fatigue (3) depression
(4) preterm labor (5) can be comorbid with poor nutrition (6) dyspnea (7) falls (8) if
severe, heart attack or heart failure
What are the newborn implications of IDA? - answer(1) low birth weight (2) preterm birth
(3) cognitive impairment (4) increased infection risk (5) increased perinatal mortality (6)
infant lacking iron stores are at increased risk of anemia
What has a strong correlation with anemia in pregnancy? - answerLow SES
Who is at higher risk for hemoglobinopathies? - answer(1) African (2) Mediterranean (3)
Asian
Who is at higher risk for thalassemia or sickle cell anemia? - answer(1) African, Italian,
Greek, middle eastern, and Asian descent (2) family history of thalassemia or sickle cell
disease
What helps with absorption of iron supplementation? - answer(1) vitamin C or water (2)
take at bedtime (3) avoid caffeine and black tea with supplementation
What has helped prevent RH disease of the newborn? – answer RH testing
If a mother refuses rhogam, what testing may be helpful in determining the antenatal
identification of fetal Rh (D) phenotype? - answer Cell-free DNA
What are current hemolytic disease of newborn usually caused by? - answer(1) anti-C
(2) anti-E (3) anti-Kell antibodies
What are the steps of dealing with a uterine inversion? - answer(1) immediately
summoning help (2) institute resuscitation measures (3) quickly reposition the uterus
leaving the placenta attached
What is defined as a hemorrhage occurring 24 hours until 12 weeks postpartum? -
answer Secondary postpartum hemorrhage
What crosses the placenta, IgG or IgM? - answerIgG
When should you determine alloimmunizations? - answerFirst prenatal visit
What is the separation of the placenta, either partially or totally, from its implantation
before delivery? - answerPlacental abruption
What is placental abruption initiated by? - answerHemorrhage
Why does sonography have little use when diagnosing a placental abruption? -
answerFresh clots and the placenta look similar
What is the management of placental abruption? - answerDelivery
What is implantation in the lower uterine segment such that the placental edge does not
cover the internal os but lies within 2cm wide perimeter around the os? - answerLow-
lying placenta
What is it when the internal os is covered partially or completely by the placenta? -
answerPlacenta previa
What drugs may aid in the replacement of the uterus during an inversion? - answer(1)
mag sulfate (2) Terbutaline
What is a nonpathological cause of delayed involution of the uterus postpartum? -
answerNot resting enough or doing too much at home
,Should any digital exams be performed when a woman arrives with vaginal bleeding
while pregnant? - answerNo
What is the bleeding usually like with a placenta previa? - answerPainless
What will a midwife do if she suspects placenta previa? - answerContact consulting
physician
Women who are greater than 24 weeks gestation should have monitoring for how long
after abdominal trauma? - answerAt least 4 hours
When monitoring for abdominal trauma, how many contractions do you look for before
you would keep the woman for observation for 24 hours? - answer6 contractions
What are some risk factors for placenta abruption? - answer(1) pre-e (2) multiparity (3)
AMA (4) prior abruption (5) htn (6) PPROM (7) multifetal (8) low birthweight (9)
hydramnios (10) cigarette smoking (11) single umbilical artery (12) cocaine use (13)
uterine leiomyoma (14) abdominal trauma
What abdominal pain from placenta abruption be confused with? - answerUterine
contractions and bloody show
What are some risk factors for placenta previa? - answer(1) prior c-section (2) AMA (3)
cigarette smoking (4) uterine leiomyomas (5) increased maternal serum alpha-
fetoprotein levels (6) ART
By how many weeks should the placenta no longer be palpated abdominally? - answer2
weeks
What are some reasons for subinvolution? - answer(1) infection (2) retained placenta
(3) vascular malformation (4) leiomyomas (5) overactivity
What is the treatment for subinvolution? - answer(1) rest (2) methergine (3) abx
What is a localized collection of extravasated blood that is usually clotted? -
answerHematoma
What are dangers associated with a hematoma? - answer(1) bleeding (2) anemia (3)
infection
What are common sites for hematoma formation? - answer(1) vulva (2) vagina (3) round
ligament
Blood loss with large puerperal hematomas is nearly always _____ than the clinical
estimate? - answerLarger
, What occurs when the uterus collapses into the endometrial cavity, which turns the
uterus partially or completely inside out? - answerUterine inversion
What tend to cause severe fetal anemia by targeting fetal RBC precursors leading to the
suppression of RBC production? - answerKell immunization
What accounts for 75-80% of all cases of anemia during pregnancy? - answerIDA
What are IDA risk factors? - answer(1) pregnancy demands (2) tobacco use (3) closely
spaced pregnancies (4) blood loss (5) malabsorption syndromes (6) high altitude (7)
poor diet (8) adolescent
What are signs and symptoms of IDA? - answer(1) weakness/falls (2) fatigue (3)
dizziness (4) headache (5) SOB (6) restless legs (7) palpitations (8) irritability (9) pica
What are signs and symptoms of severe IDA? - answer(1) angular stomatitis (2)
glossitis (3) brittle spoon-shaped nails
When do you draw H&H? - answer(1) initial pregnancy (2) 24-28 weeks (3) 36 weeks
If a patient has low hgb or is symptomatic, what are some diagnostic tests you may
draw? - answer(1) CBC w/ RBC indices (2) iron panel
What is the most RBC in helping diagnose anemia? - answerMCV
What are maternal implications of anemia? - answer(1) pica (2) fatigue (3) depression
(4) preterm labor (5) can be comorbid with poor nutrition (6) dyspnea (7) falls (8) if
severe, heart attack or heart failure
What are the newborn implications of IDA? - answer(1) low birth weight (2) preterm birth
(3) cognitive impairment (4) increased infection risk (5) increased perinatal mortality (6)
infant lacking iron stores are at increased risk of anemia
What has a strong correlation with anemia in pregnancy? - answerLow SES
Who is at higher risk for hemoglobinopathies? - answer(1) African (2) Mediterranean (3)
Asian
Who is at higher risk for thalassemia or sickle cell anemia? - answer(1) African, Italian,
Greek, middle eastern, and Asian descent (2) family history of thalassemia or sickle cell
disease
What helps with absorption of iron supplementation? - answer(1) vitamin C or water (2)
take at bedtime (3) avoid caffeine and black tea with supplementation
