OB: Maternal Newborn CMS
Study online at https://quizlet.com/_8cr4hp
1. A need for fetal suctioning can occur after which which complication:: -
Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
2. If meconium is found in the amniotic fluid, notify:: The neonatal resuscitation
team to be present at birth
3. An increased risk of meconium in the amniotic fluid occures after:: 38 weeks
or breech presentation
4. Meconium stained amniotic fluid is often what color:: Green
5. After presence of meconium stain in the amniotic fluid, if respiratory efforts
are strong and newborn HR is >100, suction via:: Normal suctioning- mouth then
nose using a bulb syringe
6. After presence of meconium stain in the amniotic fluid, if respiratory efforts
are depressed and newborn HR is < 100, suction via:: Endotracheal tube below
the vocal cords BEFORE first breath is taken
7. Fetal Distress indicated by what FHR pattern:: <110
>160
8. Priority intervention for decreased or no variability that indicates fetal dis-
tress:: Left Side lying reclining position with legs elevated
8-10L O
D/C oxy
Increase IV fluids to combat hypotension (if indicated)
Prepare for C- Section
9. Which type of uterus is indentable even during a contraction:: Hypotonic
uterus
10. Which type of uterus is nonindentable even in between contractions:: Hy-
pertonic uterus
11. Which presentation accompanies the common complaint of greater back
pain:: Persistent Occipital Posterior
12. A normal increase of pigmentation on the face during pregnancy is called:-
: Chloasma
13. During pregnancy, low levels of hCG might suggest:: Miscarriage or ectopic
pregnancy
14. During pregnancy, high levels of hCG might suggest:: Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
15. hCG peaks during:: 60-70 days gestation
16. Meds that can cause false pregnancy tests (both - and +) are:: Anticonvul-
sants (Acetazolamide, Carbamazapine, Diazepam, Gaba, Lamotrigine)
Diuretics
tranquilizers (bezos)
, OB: Maternal Newborn CMS
Study online at https://quizlet.com/_8cr4hp
17. For Group B, a culture is obtained (vag/anal) at:: 35-37 weeks
18. A one hour glucose test is done ______________ and again at
____________________. A follow up is required if the value is:: Initial visit (if
at risk)
24-28 weeks
>130- 140 (positive test)
19. Screening using AFP is done during:: 16-18 weeks
20. Is it normal for a woman to be unhappy/ unsure about her pregnancy in the
first trimester?: YES! Reassure her it's normal. Don't make an appointment for MH
unless she into her second or third trimester.
21. If the mother has PKU, she must follow a PKU diet:: Three months prior to
her pregnancy and until birth.
22. Foods that are high in ____________________ are high in phenylketonuria
(PKU).: Protein
23. Women following a PKU diet need to avoid:: Fish, poultry, meat, eggs, nuts
and dairy
24. Placenta Previa sign:: PAINLESS bright red during 2nd or 3rd trimester
25. For those at risk, HIV testing is performed at:: Third trimester
26. Contraindications for HIV and pregnancy: Use of internal fetal monitors, and
vacuum extraction/forceps
27. If a patient is pregnant with HIV, the nurse should encourage which vac-
cines:: Hep B, Pneumo, HiB, and Flu
28. For pregnant HIV patients, administer Retrovir at:: 14 weeks, throughout and
before the onset of labor
(Admin to infant at delivery and for 6 weeks)
29. Can HIV clients breastfeed?: No
30. Is HIV reportable?: Yes
31. Symptoms of toxoplasmosis:: Flu like
(fever, tender lymph nodes)
32. Symptoms of Rubella:: Joints and muscle pain
(rash, fever, mild lymphedema)
33. Cytomegalovirus Symptoms: -Caused by Cytomegalovirus
-May be among the most common diseases in U.S.
-Fever, malaise, enlarged spleen
34. Symptoms of herpes simplex:: Painful blisters and tender lymph nodes
35. Can you give a rubella vaccine to a pregnant woman?: No
36. Clients who are pregnant and have tested positive with Chlamydia should
be retested _____________________after Rx.: 3 weeks
Study online at https://quizlet.com/_8cr4hp
1. A need for fetal suctioning can occur after which which complication:: -
Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
2. If meconium is found in the amniotic fluid, notify:: The neonatal resuscitation
team to be present at birth
3. An increased risk of meconium in the amniotic fluid occures after:: 38 weeks
or breech presentation
4. Meconium stained amniotic fluid is often what color:: Green
5. After presence of meconium stain in the amniotic fluid, if respiratory efforts
are strong and newborn HR is >100, suction via:: Normal suctioning- mouth then
nose using a bulb syringe
6. After presence of meconium stain in the amniotic fluid, if respiratory efforts
are depressed and newborn HR is < 100, suction via:: Endotracheal tube below
the vocal cords BEFORE first breath is taken
7. Fetal Distress indicated by what FHR pattern:: <110
>160
8. Priority intervention for decreased or no variability that indicates fetal dis-
tress:: Left Side lying reclining position with legs elevated
8-10L O
D/C oxy
Increase IV fluids to combat hypotension (if indicated)
Prepare for C- Section
9. Which type of uterus is indentable even during a contraction:: Hypotonic
uterus
10. Which type of uterus is nonindentable even in between contractions:: Hy-
pertonic uterus
11. Which presentation accompanies the common complaint of greater back
pain:: Persistent Occipital Posterior
12. A normal increase of pigmentation on the face during pregnancy is called:-
: Chloasma
13. During pregnancy, low levels of hCG might suggest:: Miscarriage or ectopic
pregnancy
14. During pregnancy, high levels of hCG might suggest:: Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
15. hCG peaks during:: 60-70 days gestation
16. Meds that can cause false pregnancy tests (both - and +) are:: Anticonvul-
sants (Acetazolamide, Carbamazapine, Diazepam, Gaba, Lamotrigine)
Diuretics
tranquilizers (bezos)
, OB: Maternal Newborn CMS
Study online at https://quizlet.com/_8cr4hp
17. For Group B, a culture is obtained (vag/anal) at:: 35-37 weeks
18. A one hour glucose test is done ______________ and again at
____________________. A follow up is required if the value is:: Initial visit (if
at risk)
24-28 weeks
>130- 140 (positive test)
19. Screening using AFP is done during:: 16-18 weeks
20. Is it normal for a woman to be unhappy/ unsure about her pregnancy in the
first trimester?: YES! Reassure her it's normal. Don't make an appointment for MH
unless she into her second or third trimester.
21. If the mother has PKU, she must follow a PKU diet:: Three months prior to
her pregnancy and until birth.
22. Foods that are high in ____________________ are high in phenylketonuria
(PKU).: Protein
23. Women following a PKU diet need to avoid:: Fish, poultry, meat, eggs, nuts
and dairy
24. Placenta Previa sign:: PAINLESS bright red during 2nd or 3rd trimester
25. For those at risk, HIV testing is performed at:: Third trimester
26. Contraindications for HIV and pregnancy: Use of internal fetal monitors, and
vacuum extraction/forceps
27. If a patient is pregnant with HIV, the nurse should encourage which vac-
cines:: Hep B, Pneumo, HiB, and Flu
28. For pregnant HIV patients, administer Retrovir at:: 14 weeks, throughout and
before the onset of labor
(Admin to infant at delivery and for 6 weeks)
29. Can HIV clients breastfeed?: No
30. Is HIV reportable?: Yes
31. Symptoms of toxoplasmosis:: Flu like
(fever, tender lymph nodes)
32. Symptoms of Rubella:: Joints and muscle pain
(rash, fever, mild lymphedema)
33. Cytomegalovirus Symptoms: -Caused by Cytomegalovirus
-May be among the most common diseases in U.S.
-Fever, malaise, enlarged spleen
34. Symptoms of herpes simplex:: Painful blisters and tender lymph nodes
35. Can you give a rubella vaccine to a pregnant woman?: No
36. Clients who are pregnant and have tested positive with Chlamydia should
be retested _____________________after Rx.: 3 weeks
