NM702 EXAM 4* QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
A cbc is routinely obtained at what point(s) in pregnancy
first prenatal and 28 weeks
women are most likely to be found anemic in the late second/early third trimester
because
this is the point of maximum maternal hemodilution
The lab test that measures the avg size of red blood cells is
MCV (mean corpuscular volume)
the term "physiologic anemia" describes
the greater rise in plasma volume as compared to rbc
An african american woman is best offered which tests to screen for
hemoglobinopathy
CBC and hgb electrophoresis
a shift to the left indicates
the presence of more immature WBC
A reactive RPR result with a titer of 1:16 most likely indicates
active syphilis
who is more likly to transmit Hepatitis B to her fetus
a woman who screens HBsAg positive and HBeAg positive
,T/F, all women should be screened for Hep C in pregnancy b/c there is an
effective treatment to prevent vertical transmission
false
what is a high risk for GDM
hx of GDM
impaired glucose metabolism
BMI >30
Lab testing for HIV commonly includes
ELISA followed by the Western Blot
when should women who are at high risk for chlamydia and gonorrhea be
screened
at the first prenatal and in the 3rd trimester
a woman who has a urine cx indicating the presence of less than 100k colonies of
GBS should be informed
it is recommended that she receive abx prophylaxis in labor
T/F, all women should be screened for trichomonas and bacterial vaginitis at the
first prenatal
false
how many ml of maternal-fetal hemorrhage does a routine dose of Rhogam cover
15ml
what test should be ordered on the cord blood when an Rh negative mother
delivers an Rh positive baby
Direct Coombs
, T/F, administration of Rhogam at 28 weeks should occur even if the antibody
screen is not known to be negative at the time of Rhogam administration.
True
At which point in pregnancy is an Rh negative woman most likely to become Rh
alloimmunized
at birth
in what forms can you order Rh D Immune Globulin
IM
IV
What is the appropriate time in pregnancy to draw an antibody screen for all
women
at the first prenatal
ABNORMAL Hgb values 1st, 2nd, 3rd trimester
1st: <11
2nd: <10.5
3rd: <11
ABNORMAL Hct values 1, 2, 4 trimester
1: <33
2: <32
3: <33
Abnormal MCV
<80
Abnormal MCH
SOLUTIONS VERIFIED
A cbc is routinely obtained at what point(s) in pregnancy
first prenatal and 28 weeks
women are most likely to be found anemic in the late second/early third trimester
because
this is the point of maximum maternal hemodilution
The lab test that measures the avg size of red blood cells is
MCV (mean corpuscular volume)
the term "physiologic anemia" describes
the greater rise in plasma volume as compared to rbc
An african american woman is best offered which tests to screen for
hemoglobinopathy
CBC and hgb electrophoresis
a shift to the left indicates
the presence of more immature WBC
A reactive RPR result with a titer of 1:16 most likely indicates
active syphilis
who is more likly to transmit Hepatitis B to her fetus
a woman who screens HBsAg positive and HBeAg positive
,T/F, all women should be screened for Hep C in pregnancy b/c there is an
effective treatment to prevent vertical transmission
false
what is a high risk for GDM
hx of GDM
impaired glucose metabolism
BMI >30
Lab testing for HIV commonly includes
ELISA followed by the Western Blot
when should women who are at high risk for chlamydia and gonorrhea be
screened
at the first prenatal and in the 3rd trimester
a woman who has a urine cx indicating the presence of less than 100k colonies of
GBS should be informed
it is recommended that she receive abx prophylaxis in labor
T/F, all women should be screened for trichomonas and bacterial vaginitis at the
first prenatal
false
how many ml of maternal-fetal hemorrhage does a routine dose of Rhogam cover
15ml
what test should be ordered on the cord blood when an Rh negative mother
delivers an Rh positive baby
Direct Coombs
, T/F, administration of Rhogam at 28 weeks should occur even if the antibody
screen is not known to be negative at the time of Rhogam administration.
True
At which point in pregnancy is an Rh negative woman most likely to become Rh
alloimmunized
at birth
in what forms can you order Rh D Immune Globulin
IM
IV
What is the appropriate time in pregnancy to draw an antibody screen for all
women
at the first prenatal
ABNORMAL Hgb values 1st, 2nd, 3rd trimester
1st: <11
2nd: <10.5
3rd: <11
ABNORMAL Hct values 1, 2, 4 trimester
1: <33
2: <32
3: <33
Abnormal MCV
<80
Abnormal MCH
