HIGH RISK PERINATAL FINAL PAPER 2026
QUESTIONS WITH ANSWERS ALREADY
PASSED
●● cervical insufficiency. Answer: premature dilation of the cervix
causing multiple miscarriages
●● habitual aborter. Answer: 3 or more consecutive SABs; recurrent
pregnancy loss
●● ectopic pregnancy. Answer: implantation of the fertilized egg in any
site other than the normal uterine location
●● molar pregnancy: hyaditiform mole: gestational trophoblastic
disease. Answer: also known as gestational trophoblastic disease;
abnormal proliferation of trophoblastic cells in the first trimester
●● oligohydramnios. Answer: too little amniotic fluid puts @ risk for
cord compression & fetal hypoxia
●● Oligohydramnios is associated with. Answer: SGA fetus, post dates,
OR renal tract abnormalities (renal agenesis), and urinary tract dysplasia
, ●● polyhydramnios. Answer: excessive amniotic fluid @ risk for
umbilical cord prolapse, malpresentation
●● Polyhydramnios/Hydramnios. Answer: too much amniotic fluid > 2
L
-Suspect gestational diabetes, fetal anomalies of GI tract/neural
tube/atresia, or multiple gestation.
-The mother is also at risk for prolapse of the umbilical cord because the
increased amount of fluid pushes the fetus high into the uterine cavity.
Preterm rupture of the membranes, another complication associated with
hydramnios, increases the risks of both infection and prolapsed cord.
●● placenta previa. Answer: implantation of the placenta over the
cervical opening or in the lower region of the uterus, causes painless
bleeding. GUARDIAN OF THE VAGINA, prevent cervical exams until
U/S confirms placental location with bleeding
●● placenta previa s/s
placental abrution s/s. Answer: previa - there is no pain, but there is
bleeding
abrution - there is pain, but no bleeding (board like abd)
QUESTIONS WITH ANSWERS ALREADY
PASSED
●● cervical insufficiency. Answer: premature dilation of the cervix
causing multiple miscarriages
●● habitual aborter. Answer: 3 or more consecutive SABs; recurrent
pregnancy loss
●● ectopic pregnancy. Answer: implantation of the fertilized egg in any
site other than the normal uterine location
●● molar pregnancy: hyaditiform mole: gestational trophoblastic
disease. Answer: also known as gestational trophoblastic disease;
abnormal proliferation of trophoblastic cells in the first trimester
●● oligohydramnios. Answer: too little amniotic fluid puts @ risk for
cord compression & fetal hypoxia
●● Oligohydramnios is associated with. Answer: SGA fetus, post dates,
OR renal tract abnormalities (renal agenesis), and urinary tract dysplasia
, ●● polyhydramnios. Answer: excessive amniotic fluid @ risk for
umbilical cord prolapse, malpresentation
●● Polyhydramnios/Hydramnios. Answer: too much amniotic fluid > 2
L
-Suspect gestational diabetes, fetal anomalies of GI tract/neural
tube/atresia, or multiple gestation.
-The mother is also at risk for prolapse of the umbilical cord because the
increased amount of fluid pushes the fetus high into the uterine cavity.
Preterm rupture of the membranes, another complication associated with
hydramnios, increases the risks of both infection and prolapsed cord.
●● placenta previa. Answer: implantation of the placenta over the
cervical opening or in the lower region of the uterus, causes painless
bleeding. GUARDIAN OF THE VAGINA, prevent cervical exams until
U/S confirms placental location with bleeding
●● placenta previa s/s
placental abrution s/s. Answer: previa - there is no pain, but there is
bleeding
abrution - there is pain, but no bleeding (board like abd)
