NM 706 Exam 4
What is the bluish discoloration of the palms of the hands and the soles of the feed? –
answer Acrocyanosis
How long can acrocyanosis last? - answer48 hours
What can exacerbate acrocyanosis? - answer Low environmental temperatures
How long can circumoral cyanosis be present? - answer12-24 hours after birth
If acrocyanosis persists beyond the first few days after birth, what should happen? -
answer Investigate
Is nulliparity a risk factor for preE? - answerYes
When do you recommend asa to prevent PreE? - answer12 weeks gestation
What might you order for a 28 weeker who has possible preE? - answer(1) collaborate
(2) daily fetal kick count (3) biweekly fetal surveillance (4) growth ultrasound every 4
weeks (5) educate about warning signs (6) modify activity by increasing rest periods (7)
weekly labs
What type of diagnosis is gHTN? - answerRetrospective
Increased swelling of face, hands, and feet can demonstrate a risk for what? -
answerPulmonary edema
What are the most common heart conditions in the acyanotic category? - answer(1)
atrial septal defect (2) ventricular septal defect (3) patent ductus arteriosis
What would make you suspicious about an infant having heart disease? - answer(1)
cyanosis (2) tachypnea (3) poor feeding (4) cyanosis with feeding (5) poor weight gain
(6) edema (7) sweating
What is midwifery management for any arrhythmia? - answer(1) immediate referral (2)
supportive care of the family (3) assurance in the case of PDA or other benign murmurs
(4) therapeutic listening
Cyanosis _____ respiratory distress is almost always a cardiac problem. -
answerWithout
, If a an observed infant limb becomes pink after being warmed, what would you suspect
with cyanosis? - answerPeripheral
When does central cyanosis occur? - answerWhen at least 5gm/100ml of circulating
hgb is deoxygenated
How is central cyanosis best inspected? - answerTongue and mucus membranes
If an infant is acyanotic, tachypneic, or showing retractions, what would you not
suspect? - answerCardiac problem
What diseases in infancy cause cyanosis? - answer(1) tetralogy of fallot (2) pulmonary
atresia (3) severe pulmonary stenosis (4) truncus arteriosus (5) transposition of great
arteries (6) total anomalous pulmonary venous connection
What happens with cyanotic heart conditions? - answerRequire ductal patency to
maintain pulmonary blood flow
Almost any structural defect of the heart can present as what? - answerMurmur
What works on the assumption that when there is a right to left shunt in cyanotic heart
disease no amount of oxygenation in the pulmonary circulation will alter the
desaturating effect of the shunt? - answerHyperoxia test
What does the hyperoxia test suggest? - answerCyanotic heart disease
Commencement of prostaglandins can be life saving while waiting for what? -
answerDefinitive diagnosis
What do women with HELLP syndrome report? - answerMalaise or flu-like symptoms
HELLP syndrome, refer, collaborate, consult? - answerRefer
How do you manage a woman with a history of mitral valve prolapse during labor? -
answerExpectant (abx not recommended)
What is it when the heart is rotated to the right side of the chest? - answerDextrocardia
Is dextrocardia a cyanotic or acyanotic condition? - answerNeither
What can improve outcome of baby with dextrocardia? - answerAll organs are also
reversed (situs inversus)
With acyanotic heart disease, which side has higher pressure? - answerLeft
What are examples of acyanotic heart disease? - answer(1) PDA (2) VSD (3) ASD
What is the bluish discoloration of the palms of the hands and the soles of the feed? –
answer Acrocyanosis
How long can acrocyanosis last? - answer48 hours
What can exacerbate acrocyanosis? - answer Low environmental temperatures
How long can circumoral cyanosis be present? - answer12-24 hours after birth
If acrocyanosis persists beyond the first few days after birth, what should happen? -
answer Investigate
Is nulliparity a risk factor for preE? - answerYes
When do you recommend asa to prevent PreE? - answer12 weeks gestation
What might you order for a 28 weeker who has possible preE? - answer(1) collaborate
(2) daily fetal kick count (3) biweekly fetal surveillance (4) growth ultrasound every 4
weeks (5) educate about warning signs (6) modify activity by increasing rest periods (7)
weekly labs
What type of diagnosis is gHTN? - answerRetrospective
Increased swelling of face, hands, and feet can demonstrate a risk for what? -
answerPulmonary edema
What are the most common heart conditions in the acyanotic category? - answer(1)
atrial septal defect (2) ventricular septal defect (3) patent ductus arteriosis
What would make you suspicious about an infant having heart disease? - answer(1)
cyanosis (2) tachypnea (3) poor feeding (4) cyanosis with feeding (5) poor weight gain
(6) edema (7) sweating
What is midwifery management for any arrhythmia? - answer(1) immediate referral (2)
supportive care of the family (3) assurance in the case of PDA or other benign murmurs
(4) therapeutic listening
Cyanosis _____ respiratory distress is almost always a cardiac problem. -
answerWithout
, If a an observed infant limb becomes pink after being warmed, what would you suspect
with cyanosis? - answerPeripheral
When does central cyanosis occur? - answerWhen at least 5gm/100ml of circulating
hgb is deoxygenated
How is central cyanosis best inspected? - answerTongue and mucus membranes
If an infant is acyanotic, tachypneic, or showing retractions, what would you not
suspect? - answerCardiac problem
What diseases in infancy cause cyanosis? - answer(1) tetralogy of fallot (2) pulmonary
atresia (3) severe pulmonary stenosis (4) truncus arteriosus (5) transposition of great
arteries (6) total anomalous pulmonary venous connection
What happens with cyanotic heart conditions? - answerRequire ductal patency to
maintain pulmonary blood flow
Almost any structural defect of the heart can present as what? - answerMurmur
What works on the assumption that when there is a right to left shunt in cyanotic heart
disease no amount of oxygenation in the pulmonary circulation will alter the
desaturating effect of the shunt? - answerHyperoxia test
What does the hyperoxia test suggest? - answerCyanotic heart disease
Commencement of prostaglandins can be life saving while waiting for what? -
answerDefinitive diagnosis
What do women with HELLP syndrome report? - answerMalaise or flu-like symptoms
HELLP syndrome, refer, collaborate, consult? - answerRefer
How do you manage a woman with a history of mitral valve prolapse during labor? -
answerExpectant (abx not recommended)
What is it when the heart is rotated to the right side of the chest? - answerDextrocardia
Is dextrocardia a cyanotic or acyanotic condition? - answerNeither
What can improve outcome of baby with dextrocardia? - answerAll organs are also
reversed (situs inversus)
With acyanotic heart disease, which side has higher pressure? - answerLeft
What are examples of acyanotic heart disease? - answer(1) PDA (2) VSD (3) ASD
