NARM study. MIA module 10
When does preeclampsia usually present? - answer After 20w
What symptoms are diagnostic of pre-e? – answer Hypertension and proteinuria
What lab values are indicative of pre-e? – answer Low serum albumin and platelets,
high liver enzymes, uric acid and BUN
What other signs/symptoms may accompany pre-e? - answer Low urine output, hyper
reflexes, clonus, headache, visual changes, epigastric pain, nausea, edema
What herbs can be recommended with a threatened miscarriage? - answer Wild yam,
false unicorn, lobelia, cramp bark, black haw
At what gestational age would RhoGAM be appropriate after a miscarriage? - answer12
weeks
What four basic pathological processes result in preterm labor? - answerpremature
activation of the HPA axis, inflammation or infection, decidual hemorrhage, or uterine
distension
What percentage of pregnancies will naturally exceed 42 weeks? - answeraround 12%
What risks are associated with postterm pregnancy? - answerLarge baby, meconium,
intrapartal fetal death
If postterm pregnancy is expectantly managed, what should be increased? -
answermonitoring of fetal wellbeing
How can fetal wellbeing be monitored? - answerdaily kick counts, NST or AAT once or
twice weekly, BPP once or twice weekly
With a postterm pregnancy, what changes about labor management? -
answerincreased fetal monitoring, preparation to clear thick meconium from airway at
birth if needed
Classic signs of placenta previa include: - answerbleeding before 30 weeks, painless
vaginal bleeding in the 3rd trimester, malpresentation or lack of engagement
At what point is the fetal nervous system mature, and should FHR patterns demonstrate
healthy patterns on NST or AAT? - answerby 32 weeks
When does preeclampsia usually present? - answer After 20w
What symptoms are diagnostic of pre-e? – answer Hypertension and proteinuria
What lab values are indicative of pre-e? – answer Low serum albumin and platelets,
high liver enzymes, uric acid and BUN
What other signs/symptoms may accompany pre-e? - answer Low urine output, hyper
reflexes, clonus, headache, visual changes, epigastric pain, nausea, edema
What herbs can be recommended with a threatened miscarriage? - answer Wild yam,
false unicorn, lobelia, cramp bark, black haw
At what gestational age would RhoGAM be appropriate after a miscarriage? - answer12
weeks
What four basic pathological processes result in preterm labor? - answerpremature
activation of the HPA axis, inflammation or infection, decidual hemorrhage, or uterine
distension
What percentage of pregnancies will naturally exceed 42 weeks? - answeraround 12%
What risks are associated with postterm pregnancy? - answerLarge baby, meconium,
intrapartal fetal death
If postterm pregnancy is expectantly managed, what should be increased? -
answermonitoring of fetal wellbeing
How can fetal wellbeing be monitored? - answerdaily kick counts, NST or AAT once or
twice weekly, BPP once or twice weekly
With a postterm pregnancy, what changes about labor management? -
answerincreased fetal monitoring, preparation to clear thick meconium from airway at
birth if needed
Classic signs of placenta previa include: - answerbleeding before 30 weeks, painless
vaginal bleeding in the 3rd trimester, malpresentation or lack of engagement
At what point is the fetal nervous system mature, and should FHR patterns demonstrate
healthy patterns on NST or AAT? - answerby 32 weeks
