NARM TEST QUESTIONS AND ANSWERS A+ GRADED
What is standard care for women who have active herpes lesions at the onset of
labor?
A cesarian- neonatal infection can cause central nervous system damage or death.
Dangers of tobacco use during pregnancy ?
Intrauterine growth restriction , miscarriage , congenital heart disease , fetal hypoxia in
labor, and sudden infant death syndrome.
Risks of chorionic villus sampling ?
Miscarriage & infection -the sample of placental tissue must be obtained through the
cervix.
Procedure may cause fetal anomalies. (Significant false positive and negative findings)
What ethnicities are at increased risk for
B - thalassemia and A thalassemia?
B - Greek or Italian
A - Asian or Filipino
Both are life threatening anemias
What are the risks of syphilis during pregnancy?
Miscarriage
Prematurity
Neonatal infection
Fetal malformation
Fetal death
What does blood or nitrates in the urine indicate?
Blood and nitrates suggest urinary tract infection
Findings of blood require a clean catch to rule out contamination
What is the denominator in each of the three possible fetal presentations?
Cephalic = Occipital Bone
Breech = Sacrum
Transverse = - Acromion
What is the hemoglobin and what is the hematocrit ? What should their pregnant
values be ?
Hemoglobin - (the protein in the RBC's that carries oxygen) The amount of hemoglobin
per red blood cell .
Hematocrit -The percentage of RBC per total volume .
HGB should be above II . HCT should be 33 or more .
What might a finding of protein in the urine indicate ?
After 26 wks, anything over a trace of protein may indicate preeclampsia
protein is also correlated with vaginal infections.
Findings of protein require a clean catch to rule out contamination
, What are the classic symptoms of ectopic pregnancy what is the window of
rupture ?
Bleeding or spotting accompanied by nonrhythmic pain as well as pelvic pain.
Pain becomes severe with rupture and may be referred to the shoulder area.
The window of rupture is 10-13 wks.
Painless bleeding with intercourse is the prime symptom of
Fibroids- They can grow during pregnancy and are benign.
Internally they can cause reduced intrauterine space, disrupted placental implantation
and postpartum hemorrhage.
What is the characteristic sign of a yeast ( monilia ) infection ? What causes yeast
infections in pregnancy ?
Yeast infection is characterized by white curd like discharge.
Yeast is a naturally occurring and tends to overgrow in pregnancy because of increased
vaginal alkalinity caused by elevated progesterone levels.
If the quadruple screen comes back positive what comes next ?
Ultrasound and amniocentesis
Ultrasound can detect some anomalies and has a significant rate of false positives,
whereas amniocentesis is more accurate.
guidelines for the treatment of a pregnant HIV positive women outlined by WHO ?
Recommended antiviral treatment (ARV) at 14 weeks and continuing through
breastfeeding. Studies have shown this to prevent transmission altogether.
Dangers of severe anemia during pregnancy ?
Maternal infection , prolonged labor , hemorrhage , intrauterine growth restriction and
hypoxia during labor
While performing step 4 of pelvimetry what would you expect the width of the
pubic arch to be ?
You should be able to fit two fingers beneath the arch and spread them slightly apart.
Name some of the benefits of water birth
Neurotransmission of pain is reduced ; oxygen uptake via uterine muscles increases ;
muscle tone is normalized ; glucose metabolism is improved ; stress hormones are
lowered ; placental separation is facilitated
Mother must be in water for 30 minutes. After 2-3 hours benefits diminish
What problems might a woman who has had a cone biopsy encounter ?
Scarring from cone biopsy may retard cervical dilation .
most common frequency of prenatals throughout pregnancy ?
Up to 28 weeks, every four weeks; from 28-34 weeks, every 2 weeks; from 35 weeks
on, once weekly.
What dosage of iron should a pregnant woman not exceed during pregnancy?
100 mg per day. This is because of the potential of toxicity.
What is standard care for women who have active herpes lesions at the onset of
labor?
A cesarian- neonatal infection can cause central nervous system damage or death.
Dangers of tobacco use during pregnancy ?
Intrauterine growth restriction , miscarriage , congenital heart disease , fetal hypoxia in
labor, and sudden infant death syndrome.
Risks of chorionic villus sampling ?
Miscarriage & infection -the sample of placental tissue must be obtained through the
cervix.
Procedure may cause fetal anomalies. (Significant false positive and negative findings)
What ethnicities are at increased risk for
B - thalassemia and A thalassemia?
B - Greek or Italian
A - Asian or Filipino
Both are life threatening anemias
What are the risks of syphilis during pregnancy?
Miscarriage
Prematurity
Neonatal infection
Fetal malformation
Fetal death
What does blood or nitrates in the urine indicate?
Blood and nitrates suggest urinary tract infection
Findings of blood require a clean catch to rule out contamination
What is the denominator in each of the three possible fetal presentations?
Cephalic = Occipital Bone
Breech = Sacrum
Transverse = - Acromion
What is the hemoglobin and what is the hematocrit ? What should their pregnant
values be ?
Hemoglobin - (the protein in the RBC's that carries oxygen) The amount of hemoglobin
per red blood cell .
Hematocrit -The percentage of RBC per total volume .
HGB should be above II . HCT should be 33 or more .
What might a finding of protein in the urine indicate ?
After 26 wks, anything over a trace of protein may indicate preeclampsia
protein is also correlated with vaginal infections.
Findings of protein require a clean catch to rule out contamination
, What are the classic symptoms of ectopic pregnancy what is the window of
rupture ?
Bleeding or spotting accompanied by nonrhythmic pain as well as pelvic pain.
Pain becomes severe with rupture and may be referred to the shoulder area.
The window of rupture is 10-13 wks.
Painless bleeding with intercourse is the prime symptom of
Fibroids- They can grow during pregnancy and are benign.
Internally they can cause reduced intrauterine space, disrupted placental implantation
and postpartum hemorrhage.
What is the characteristic sign of a yeast ( monilia ) infection ? What causes yeast
infections in pregnancy ?
Yeast infection is characterized by white curd like discharge.
Yeast is a naturally occurring and tends to overgrow in pregnancy because of increased
vaginal alkalinity caused by elevated progesterone levels.
If the quadruple screen comes back positive what comes next ?
Ultrasound and amniocentesis
Ultrasound can detect some anomalies and has a significant rate of false positives,
whereas amniocentesis is more accurate.
guidelines for the treatment of a pregnant HIV positive women outlined by WHO ?
Recommended antiviral treatment (ARV) at 14 weeks and continuing through
breastfeeding. Studies have shown this to prevent transmission altogether.
Dangers of severe anemia during pregnancy ?
Maternal infection , prolonged labor , hemorrhage , intrauterine growth restriction and
hypoxia during labor
While performing step 4 of pelvimetry what would you expect the width of the
pubic arch to be ?
You should be able to fit two fingers beneath the arch and spread them slightly apart.
Name some of the benefits of water birth
Neurotransmission of pain is reduced ; oxygen uptake via uterine muscles increases ;
muscle tone is normalized ; glucose metabolism is improved ; stress hormones are
lowered ; placental separation is facilitated
Mother must be in water for 30 minutes. After 2-3 hours benefits diminish
What problems might a woman who has had a cone biopsy encounter ?
Scarring from cone biopsy may retard cervical dilation .
most common frequency of prenatals throughout pregnancy ?
Up to 28 weeks, every four weeks; from 28-34 weeks, every 2 weeks; from 35 weeks
on, once weekly.
What dosage of iron should a pregnant woman not exceed during pregnancy?
100 mg per day. This is because of the potential of toxicity.
