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A 36 hours old breastfeeding infant has nursed 8 times in the last 24
hours on one breast each feeding. The infant demonstrated rhythmic
sucking and audible swallowing during feedings. The infant has had 2
wet diapers and 2 moderate-sized green bowel movements. This
assessment indicates that the infant is... - ANSWER-feeding well and
as expected for this age.
A 39 week gestation G3P2 who is currently 6cm/90%/-1, who received
an epidural test dose 10 minutes ago is having late decelerations. The
most likely cause is... - ANSWER-Maternal hypotension.
A 39 week gestation primigravida has had regular contractions for the
past 48 hours. She has remained 1 cm dilated since the onset of
contractions. She is exhausted, uncomfortable and unable to sleep.
Which medication is recommended for therapeutic rest? - ANSWER-
Morphine
,A biophysical score of 6 is considered... - ANSWER-Equivocal.
A Bishop score of 4 indicates... - ANSWER-an unfavorable cervix.
A cause to physiological jaundice can be a result of... - ANSWER-
delayed cord clamping.
A contraindication to the use of Dinoprostone (cervidil) would be... -
ANSWER-A patient with 6 or more previous term pregnancies.
A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category... - ANSWER-1
(one)
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 gravida 2 para 1 in active labor just reported SROM. Ten minutes
later, she suddenly complains of sever shortness of breath and
lightheadedness. The nurse should suspect... - ANSWER-
Anaphylactoid syndrome.
A maternal contraindication to breastfeeding is... - ANSWER-HTLV-1
(Human T-cell leukemia virus, type 1)
A negative fetal fibronectin at 30 weeks indicates... - ANSWER-risk of
delivery is very low for the next 7-14 days.
A neonate born to a mother whose HBsAg status is unknown should
have... - ANSWER-the first dose of hep B within 12 hours after birth.
, A neonate has scrotal swelling which is soft, non-tender and
transilluminates. There are no palpable masses. The most likely
diagnosis is... - ANSWER-hydrocele.
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.
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
A patient diagnosed with a postpartum infection states she does not
have any pain but seems confused and agitated. Her VS are: T99.9, BP
98/50, P125, Urinary output is decreased. The most likely diagnosis
is... - ANSWER-Septic shock.
A patient is being induced and is at an oxytocin level of 20 mU/min.
She reports nausea and vomiting, feels her heart beating rapidly,
feeling faint and has a headache. She most likely is experiencing... -
ANSWER-water intoxication.
A patient is examined and found to have a tender, red area in one
breast that feels small and hard, similar to a pea, just under the skin.
The expected management for this patient is... - ANSWER-gentle
massage to relieve the lump.
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