NM 702 EXAM 4 QUESTIONS AND ANSWERS WITH COMPLETE
VERIFIED SOLUTIONS GRADED A++
What is the most commonly used diagnostic test in pregnancy?
Ultrasound
What is normal platelet count?
150,000-400,000
What is low platelet count associated with?
(1) HELLP (2) ITP (3) DIC (4) lupus (5) anemia (6) septicemia
What does early identification of blood incompatibilities reduce in pregnancy?
Severity of hemolytic disease
What is used as the initial antibody test in pregnancy?
Coomb's test
When is the risks associated with rubella in pregnancy the highest?
First trimester
Is there treatment for rubella during pregnancy?
No
How long should a woman wait to be vaccinated before pregnancy?
3 months
When can a woman be immunized for rubella?
After delivery
,Women who have not been previously immunized for Rubella in pregnancy
should be informed why?
They should avoid people who may be ill with rubella
When are HIV antibodies normally present?
3 months after infection
Who should be tested for TB?
High risk women
What is the major risk for developing pylenephritis?
Asymptomatic bacturia
What is the least expensive way to check for UTI?
Urine dipstick
What do you look for on urine dipstick for a UTI?
Nitrites/leukocytes
DO women need a urine dipstick at each pregnancy visit?
No (not supported by evidence)
When should GBS screening be done?
35-37 weeks
Who should be treated for GBS?
(1) positive for GBS (2) previous infant with GBS (3) preterm labor (4) membranes
ruptures > 18 hours (5) fever of 100.4
What initial labs do you do for the first prenatal visit?
(1) CBC (2) Blood type and antibody screening (3) Infection screening: syphilis, rubella,
hepatitis, HIV, CT, Gonorrhea, UTI
, What are individual specific screenings for initial prenatal tests?
(1) diabetes (2) Hgb electrophoresis
Who would need to receive a glucola screening at the initial prenatal visit?
A woman with a history of GDM
What is the initial test done to determine if a woman has anemia?
CBC
What is included in CBC?
(1) Hgb (2) Hct (3) MCH (4) MCHC (5) MCV (7) Plt (8) WBC (9) Differential
Why is a CBC done over a Hgb and hct?
Cheaper
What is the recommendation for doing a CBC?
Initial and 28 weeks
Why is a CBC done at 28 weeks?
Most hemodilution and most likely to be anemic
When is peak hemodilution for pregnant women?
24-26 weeks
What describes the proportionately greater increase in plasma volume as
compared to the rise in RBCs?
Physiologic anemia
What will you see on a CBC if a patient has iron deficiency anemia?
Decreased MCH, MCHC, MCV
What do RBC indices do?
Reflect Hgb amount and characteristics
VERIFIED SOLUTIONS GRADED A++
What is the most commonly used diagnostic test in pregnancy?
Ultrasound
What is normal platelet count?
150,000-400,000
What is low platelet count associated with?
(1) HELLP (2) ITP (3) DIC (4) lupus (5) anemia (6) septicemia
What does early identification of blood incompatibilities reduce in pregnancy?
Severity of hemolytic disease
What is used as the initial antibody test in pregnancy?
Coomb's test
When is the risks associated with rubella in pregnancy the highest?
First trimester
Is there treatment for rubella during pregnancy?
No
How long should a woman wait to be vaccinated before pregnancy?
3 months
When can a woman be immunized for rubella?
After delivery
,Women who have not been previously immunized for Rubella in pregnancy
should be informed why?
They should avoid people who may be ill with rubella
When are HIV antibodies normally present?
3 months after infection
Who should be tested for TB?
High risk women
What is the major risk for developing pylenephritis?
Asymptomatic bacturia
What is the least expensive way to check for UTI?
Urine dipstick
What do you look for on urine dipstick for a UTI?
Nitrites/leukocytes
DO women need a urine dipstick at each pregnancy visit?
No (not supported by evidence)
When should GBS screening be done?
35-37 weeks
Who should be treated for GBS?
(1) positive for GBS (2) previous infant with GBS (3) preterm labor (4) membranes
ruptures > 18 hours (5) fever of 100.4
What initial labs do you do for the first prenatal visit?
(1) CBC (2) Blood type and antibody screening (3) Infection screening: syphilis, rubella,
hepatitis, HIV, CT, Gonorrhea, UTI
, What are individual specific screenings for initial prenatal tests?
(1) diabetes (2) Hgb electrophoresis
Who would need to receive a glucola screening at the initial prenatal visit?
A woman with a history of GDM
What is the initial test done to determine if a woman has anemia?
CBC
What is included in CBC?
(1) Hgb (2) Hct (3) MCH (4) MCHC (5) MCV (7) Plt (8) WBC (9) Differential
Why is a CBC done over a Hgb and hct?
Cheaper
What is the recommendation for doing a CBC?
Initial and 28 weeks
Why is a CBC done at 28 weeks?
Most hemodilution and most likely to be anemic
When is peak hemodilution for pregnant women?
24-26 weeks
What describes the proportionately greater increase in plasma volume as
compared to the rise in RBCs?
Physiologic anemia
What will you see on a CBC if a patient has iron deficiency anemia?
Decreased MCH, MCHC, MCV
What do RBC indices do?
Reflect Hgb amount and characteristics
