2025 ACTUAL EXAM| NU 661 PRIMARY
CARE CHILDBEARING WOMEN FINAL
EXAM REVIEW WITH 100 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!)
alcohol and pregnancy
Have a higher rate of spontaneous abortion
Infants born to drinking mothers have a high probability of being afflicted
with FAS
FAS is characterized by facial deformities, growth deficiency, and CNS
problems.
The severity of FAS is dose-related.
cocaine and pregnancy
unable to detox the drug
smaller head
spontaneous abortion
low birth weight
strokes
premature labor
respirator distress
SID risk
fetal demise
congenital abnormalities
,Heroin and pregnancy
premature birth weight, tremulous behavior, poor sleep, poor sucking and
feeding, risk of SIDS
Withdrawal, NAS
Risk of PTL
risk of PTB
Miscarriage
suboxone in pregnancy
used in MAT program for women
Fetus will need to be monitored for NAS symptoms
Labor pain relief will be complicated at patient has a higher tolerance (
epidural will offer pain relief)
heroine withdrawal in pregnancy
symptoms like tachycardia, hypertension, nausea, vomiting, chills, etc.
OXYCODONE PREGNANCY
Maternal risk : symptoms like tachycardia, hypertension, nausea,
vomiting, chills, etc.
Fetal risk : miscarriage, premature rupture of membranes, placental
abruption, and neonatal death, Neonatal abstinence syndrome (NAS),
Skin problems, neuro problems, high pitched cry, problems breathing
marijuana and pregnancy
PTL
IUGR
Neonatal morbidity
NICU admission
NAS
cerclage placement
suture is placed around the cervix to "close" the internal os to prevent
premature rupture of membranes and preterm birth , performed between
16-24 week gestation. contraindicated if signs of labor or ROM, and if over
28 weeks.
Cerclage indication
, prior PTB
cervical trauma
progressively earlier birth
consecutive 2 trimester losses
Schedule for prenatal visits
1. Initial prenatal visit
2. Monthly visits during the 2nd trimester ( weeks 12-24)
3. Visits every other week during the 3rd trimester up to 36 weeks
gestation
4. Once-a-week visits from 36 weeks to delivery
When do we do antibody screening in RH negative women ?
an RH - mother carrying a RH+ fetus can become alloimmunized against
fetal cell( RH incompatibility)
Why do we check for RH - negative status ?
an RH - mother carrying a RH+ fetus can become alloimmunized against
fetal cell( RH incompatibility), subsequent pregnancies.
SSRIs in pregnancy
BNF says to weigh up benefits and risk when deciding whether to use in
pregnancy.
Use during the first trimester gives a small increased risk of congenital
heart defects
Use during the third trimester can result in persistent pulmonary
hypertension of the newborn
Paroxetine has an increased risk of congenital malformations, particularly
in the first trimester
Swelling feet in pregnancy
reduce salt intake
elevate legs
reduced standing
exercises
compression stockings
Nonreactive NST protocol