NUR 314-1- MATERNAL NEWBORN NURSING
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
1. when does the fetal heart begin to 3rd week after conception
beat?
2. what fetal shunt connects the um- ductus venous
bilical vein to the inferior vena
cava? allows the majority of highly oxygenated blood to
enter the right atrium
3. the ductus venous allows deoxygenated, right atrium
deoxy-genated/oxygenated
blood to en-ter ?
4. what fetal shunt acts as an
foramen ovale
open-ing between the left +
right atri-um?
blood high in oxygen in shunted to the left
5. when does the foramen
ovale close? atrium after delivery
may take up to 3 months for full closure
6. what fetal shunt connects the
pul-monary artery w/ the ductus arteriosus
descending aorta?
shunts the majority of oxygenated blood to the
7. what happens to the ductus
arte-riosus after delivery? aorta it constricts
in response to the higher blood oxygen levels +
in-
creased prostaglandins
8. pregnancy risk category A no risk identified in controlled studies
1/
27
,NUR 314-1- MATERNAL NEWBORN NURSING
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
9. pregnancy risk category B no controlled human studies, but animal studies
have
shown no fetal risk
2/
27
, NUR 314-1- MATERNAL NEWBORN NURSING
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
10. pregnancy risk category C use only if benefit > risk
11. pregnancy risk category D positive evidence of human risk; benefit may
warrant use
12. pregnancy risk category X contraindicated in pregnancy
13. teratogenic agents: alcohol increased risk for fetal alcohol syndrome when
pregnany
women ingests >/= 6 drinks/day
14. what are newborn -low birth weight
characteristics of fetal
alcohol syndrome? -microcephaly
-mental retardation
-unusual facial features r/t midfacial hypoplasia
-cardiac defects
15. teratogenic agents: ACE inhibitors increased risk for renal tubular dysplasia
can lead to renal failure and fetal/neonatal death
16. teratogenic agents: increased risk for neural tubular defects
carba-mazepine
(anticonvulsant) -craniofacial defects
-cleft lip/palate
17. teratogenic agents: cocaine increased risk for heart, limbs, face, GI/GU tract
defects
3/
27
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
1. when does the fetal heart begin to 3rd week after conception
beat?
2. what fetal shunt connects the um- ductus venous
bilical vein to the inferior vena
cava? allows the majority of highly oxygenated blood to
enter the right atrium
3. the ductus venous allows deoxygenated, right atrium
deoxy-genated/oxygenated
blood to en-ter ?
4. what fetal shunt acts as an
foramen ovale
open-ing between the left +
right atri-um?
blood high in oxygen in shunted to the left
5. when does the foramen
ovale close? atrium after delivery
may take up to 3 months for full closure
6. what fetal shunt connects the
pul-monary artery w/ the ductus arteriosus
descending aorta?
shunts the majority of oxygenated blood to the
7. what happens to the ductus
arte-riosus after delivery? aorta it constricts
in response to the higher blood oxygen levels +
in-
creased prostaglandins
8. pregnancy risk category A no risk identified in controlled studies
1/
27
,NUR 314-1- MATERNAL NEWBORN NURSING
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
9. pregnancy risk category B no controlled human studies, but animal studies
have
shown no fetal risk
2/
27
, NUR 314-1- MATERNAL NEWBORN NURSING
EXAM #1 QUESTIONS & DETAILED ANSWERS
100%
10. pregnancy risk category C use only if benefit > risk
11. pregnancy risk category D positive evidence of human risk; benefit may
warrant use
12. pregnancy risk category X contraindicated in pregnancy
13. teratogenic agents: alcohol increased risk for fetal alcohol syndrome when
pregnany
women ingests >/= 6 drinks/day
14. what are newborn -low birth weight
characteristics of fetal
alcohol syndrome? -microcephaly
-mental retardation
-unusual facial features r/t midfacial hypoplasia
-cardiac defects
15. teratogenic agents: ACE inhibitors increased risk for renal tubular dysplasia
can lead to renal failure and fetal/neonatal death
16. teratogenic agents: increased risk for neural tubular defects
carba-mazepine
(anticonvulsant) -craniofacial defects
-cleft lip/palate
17. teratogenic agents: cocaine increased risk for heart, limbs, face, GI/GU tract
defects
3/
27
