A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - ANSWER
Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - ANSWER
Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
ANSWER Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after
admission for severe gastric discomfort with nausea and vomiting. She is anxious and dizzy.
Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely diagnosis is
anxiety and... - ANSWER Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is an
increased risk for... - ANSWER Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent
with respiratory rate of 10. Which actions should be taken? - ANSWER Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... - ANSWER
As soon as possible.
1
,The relation of the fetal body parts to one another Is called fetal... - ANSWER Attitude.
The most accurate dating of a pregnancy by ultrasound is... - ANSWER First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered... - ANSWER Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - ANSWER Biophysical
profile.
Cordocentesis is more commonly used to detect fetal... - ANSWER Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - ANSWER
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - ANSWER 1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic fetal
monitor 10 minutes after stadol administration to a patient with a previously normal tracing.
The appropriate response to this fetal heart rate pattern would be to... - ANSWER
Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - ANSWER
Variability.
Which tachyarrhythmia can result in fetal hydrops? - ANSWER Persistent supraventricular
tachycardia-sign of anemia which can in turn cause hydrops.
2
, A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit. FHT's
were auscultated at 60. She was sent to labor and delivery for further evaluation. A
complete flat tracing suggests the fetus has... - ANSWER A complete heart block, which
can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal
of... - ANSWER Relieving cord compression.
Baroreceptors respond mainly to changes in... - ANSWER Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - ANSWER
increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - ANSWER Prolonged.
Normal uterine activity... - ANSWER Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
ANSWER Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
minutes of greater than... - ANSWER 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the
upper part of uterus, this is consistent with... - ANSWER Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal
heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this
3
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - ANSWER
Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - ANSWER
Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
ANSWER Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after
admission for severe gastric discomfort with nausea and vomiting. She is anxious and dizzy.
Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely diagnosis is
anxiety and... - ANSWER Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is an
increased risk for... - ANSWER Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent
with respiratory rate of 10. Which actions should be taken? - ANSWER Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... - ANSWER
As soon as possible.
1
,The relation of the fetal body parts to one another Is called fetal... - ANSWER Attitude.
The most accurate dating of a pregnancy by ultrasound is... - ANSWER First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered... - ANSWER Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - ANSWER Biophysical
profile.
Cordocentesis is more commonly used to detect fetal... - ANSWER Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - ANSWER
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - ANSWER 1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic fetal
monitor 10 minutes after stadol administration to a patient with a previously normal tracing.
The appropriate response to this fetal heart rate pattern would be to... - ANSWER
Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - ANSWER
Variability.
Which tachyarrhythmia can result in fetal hydrops? - ANSWER Persistent supraventricular
tachycardia-sign of anemia which can in turn cause hydrops.
2
, A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit. FHT's
were auscultated at 60. She was sent to labor and delivery for further evaluation. A
complete flat tracing suggests the fetus has... - ANSWER A complete heart block, which
can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal
of... - ANSWER Relieving cord compression.
Baroreceptors respond mainly to changes in... - ANSWER Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - ANSWER
increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - ANSWER Prolonged.
Normal uterine activity... - ANSWER Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
ANSWER Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
minutes of greater than... - ANSWER 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the
upper part of uterus, this is consistent with... - ANSWER Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal
heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this
3
