NURS 335 NURSING OF WOMEN
LATEST UPDATED (2025-2026) EXAM
3 STUDY NOTES, VIRGINIA
COMMONWEALTH UNIVERSITY
, Exam 3 NOTES
High Risk Newborns
1. Fill in the factors that increase risk for complications associated with each category.
Maternal factors Delivery factors Baby factors
Age. Fetal distress. Gestational age.
Chronic disease history. Meconium-stained amniotic Birth weight.
Pregnancy-specific fluid. Resuscitation or medications at
complications. Prolapsed or nuchal cord. delivery.
Medications (prescription and Shoulder dystocia. Birth defects.
illicit), alcohol use. Placental abruption or previa. Respiratory distress.
Socioeconomic factors and Mechanical interventions at Infection.
social support. birth (vacuum or forceps). Seizures.
Cesarean delivery. Hypoglycemia.
2. What problems are associated with poor glucose control in diabetic mothers?
a. Congenital anomalies.
b. Macrosomia.
c. Birth injury.
d. Respiratory Distress Syndrome (RDS).
e. Hypoglycemia.
f. Cardiomyopathy.
g. Hyperbilirubinemia.
3. What problems might you anticipate during the intrapartum and postpartum period for
macrosomia infants?
a. Difficult delivery.
b. Shoulder dystocia.
c. Fetal injury.
d. Risk of C/S.
4. What are the symptoms and treatment for Neonatal Opioid Withdrawal Syndrome (NOWS)?
a. Poor feeding.
b. Trembling.
c. Excessive crying.
d. Overactive reflexes.
5. Explain why is it not accurate to describe neonates withdrawing from opioids “little addicts?”
a. NOWS is a physical dependence on opioids because they were exposed to it throughout
pregnancy. Addiction is when there is compulsive drug seeking and usage despite
negative effects. Neonates did not choose to be exposed to opioids.
6. What are three possible complications that can result from shoulder dystocia?
a. Fetal:
i. Brachial plexus injury.
ii. Clavicle or arm fractures.
LATEST UPDATED (2025-2026) EXAM
3 STUDY NOTES, VIRGINIA
COMMONWEALTH UNIVERSITY
, Exam 3 NOTES
High Risk Newborns
1. Fill in the factors that increase risk for complications associated with each category.
Maternal factors Delivery factors Baby factors
Age. Fetal distress. Gestational age.
Chronic disease history. Meconium-stained amniotic Birth weight.
Pregnancy-specific fluid. Resuscitation or medications at
complications. Prolapsed or nuchal cord. delivery.
Medications (prescription and Shoulder dystocia. Birth defects.
illicit), alcohol use. Placental abruption or previa. Respiratory distress.
Socioeconomic factors and Mechanical interventions at Infection.
social support. birth (vacuum or forceps). Seizures.
Cesarean delivery. Hypoglycemia.
2. What problems are associated with poor glucose control in diabetic mothers?
a. Congenital anomalies.
b. Macrosomia.
c. Birth injury.
d. Respiratory Distress Syndrome (RDS).
e. Hypoglycemia.
f. Cardiomyopathy.
g. Hyperbilirubinemia.
3. What problems might you anticipate during the intrapartum and postpartum period for
macrosomia infants?
a. Difficult delivery.
b. Shoulder dystocia.
c. Fetal injury.
d. Risk of C/S.
4. What are the symptoms and treatment for Neonatal Opioid Withdrawal Syndrome (NOWS)?
a. Poor feeding.
b. Trembling.
c. Excessive crying.
d. Overactive reflexes.
5. Explain why is it not accurate to describe neonates withdrawing from opioids “little addicts?”
a. NOWS is a physical dependence on opioids because they were exposed to it throughout
pregnancy. Addiction is when there is compulsive drug seeking and usage despite
negative effects. Neonates did not choose to be exposed to opioids.
6. What are three possible complications that can result from shoulder dystocia?
a. Fetal:
i. Brachial plexus injury.
ii. Clavicle or arm fractures.
