OB: Maternal Newborn CMS || A+ Certified.
A need for fetal suctioning can occur after which which complication: correct answers
Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
If meconium is found in the amniotic fluid, notify: correct answers The neonatal resuscitation
team to be present at birth
An increased risk of meconium in the amniotic fluid occures after: correct answers 38 weeks or
breech presentation
Meconium stained amniotic fluid is often what color: correct answers Green
After presence of meconium stain in the amniotic fluid, if respiratory efforts are strong and
newborn HR is >100, suction via: correct answers Normal suctioning- mouth then nose using a
bulb syringe
After presence of meconium stain in the amniotic fluid, if respiratory efforts are depressed and
newborn HR is < 100, suction via: correct answers Endotracheal tube below the vocal cords
BEFORE first breath is taken
Fetal Distress indicated by what FHR pattern: correct answers <110
>160
Priority intervention for decreased or no variability that indicates fetal distress: correct answers
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
,Which type of uterus is indentable even during a contraction: correct answers Hypotonic uterus
Which type of uterus is nonindentable even in between contractions: correct answers Hypertonic
uterus
Which presentation accompanies the common complaint of greater back pain: correct answers
Persistent Occipital Posterior
A normal increase of pigmentation on the face during pregnancy is called: correct answers
Chloasma
During pregnancy, low levels of hCG might suggest: correct answers Miscarriage or ectopic
pregnancy
During pregnancy, high levels of hCG might suggest: correct answers Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
hCG peaks during: correct answers 60-70 days gestation
Meds that can cause false pregnancy tests (both - and +) are: correct answers Anticonvulsants
(Acetazolamide, Carbamazapine, Diazepam, Gaba, Lamotrigine)
Diuretics
tranquilizers (bezos)
For Group B, a culture is obtained (vag/anal) at: correct answers 35-37 weeks
A one hour glucose test is done ______________ and again at ____________________. A
follow up is required if the value is: correct answers Initial visit (if at risk)
, 24-28 weeks
>130- 140 (positive test)
Screening using AFP is done during: correct answers 16-18 weeks
Is it normal for a woman to be unhappy/ unsure about her pregnancy in the first trimester?
correct answers YES! Reassure her it's normal. Don't make an appointment for MH unless she
into her second or third trimester.
If the mother has PKU, she must follow a PKU diet: correct answers Three months prior to her
pregnancy and until birth.
Foods that are high in ____________________ are high in phenylketonuria (PKU). correct
answers Protein
Women following a PKU diet need to avoid: correct answers Fish, poultry, meat, eggs, nuts and
dairy
Placenta Previa sign: correct answers PAINLESS bright red during 2nd or 3rd trimester
For those at risk, HIV testing is performed at: correct answers Third trimester
Contraindications for HIV and pregnancy correct answers Use of internal fetal monitors, and
vacuum extraction/forceps
If a patient is pregnant with HIV, the nurse should encourage which vaccines: correct answers
Hep B, Pneumo, HiB, and Flu
For pregnant HIV patients, administer Retrovir at: correct answers 14 weeks, throughout and
before the onset of labor
A need for fetal suctioning can occur after which which complication: correct answers
Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
If meconium is found in the amniotic fluid, notify: correct answers The neonatal resuscitation
team to be present at birth
An increased risk of meconium in the amniotic fluid occures after: correct answers 38 weeks or
breech presentation
Meconium stained amniotic fluid is often what color: correct answers Green
After presence of meconium stain in the amniotic fluid, if respiratory efforts are strong and
newborn HR is >100, suction via: correct answers Normal suctioning- mouth then nose using a
bulb syringe
After presence of meconium stain in the amniotic fluid, if respiratory efforts are depressed and
newborn HR is < 100, suction via: correct answers Endotracheal tube below the vocal cords
BEFORE first breath is taken
Fetal Distress indicated by what FHR pattern: correct answers <110
>160
Priority intervention for decreased or no variability that indicates fetal distress: correct answers
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
,Which type of uterus is indentable even during a contraction: correct answers Hypotonic uterus
Which type of uterus is nonindentable even in between contractions: correct answers Hypertonic
uterus
Which presentation accompanies the common complaint of greater back pain: correct answers
Persistent Occipital Posterior
A normal increase of pigmentation on the face during pregnancy is called: correct answers
Chloasma
During pregnancy, low levels of hCG might suggest: correct answers Miscarriage or ectopic
pregnancy
During pregnancy, high levels of hCG might suggest: correct answers Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
hCG peaks during: correct answers 60-70 days gestation
Meds that can cause false pregnancy tests (both - and +) are: correct answers Anticonvulsants
(Acetazolamide, Carbamazapine, Diazepam, Gaba, Lamotrigine)
Diuretics
tranquilizers (bezos)
For Group B, a culture is obtained (vag/anal) at: correct answers 35-37 weeks
A one hour glucose test is done ______________ and again at ____________________. A
follow up is required if the value is: correct answers Initial visit (if at risk)
, 24-28 weeks
>130- 140 (positive test)
Screening using AFP is done during: correct answers 16-18 weeks
Is it normal for a woman to be unhappy/ unsure about her pregnancy in the first trimester?
correct answers YES! Reassure her it's normal. Don't make an appointment for MH unless she
into her second or third trimester.
If the mother has PKU, she must follow a PKU diet: correct answers Three months prior to her
pregnancy and until birth.
Foods that are high in ____________________ are high in phenylketonuria (PKU). correct
answers Protein
Women following a PKU diet need to avoid: correct answers Fish, poultry, meat, eggs, nuts and
dairy
Placenta Previa sign: correct answers PAINLESS bright red during 2nd or 3rd trimester
For those at risk, HIV testing is performed at: correct answers Third trimester
Contraindications for HIV and pregnancy correct answers Use of internal fetal monitors, and
vacuum extraction/forceps
If a patient is pregnant with HIV, the nurse should encourage which vaccines: correct answers
Hep B, Pneumo, HiB, and Flu
For pregnant HIV patients, administer Retrovir at: correct answers 14 weeks, throughout and
before the onset of labor
