1
OB CMS EXAM NGN / CMS OB EXAM
WITH NGN LATEST ACTUAL EXAM ALL
110 QUESTIONS AND CORRECT
DETAILED ANSWERS
autosomal recessive disorders - (ANSWER)both parents; 25% change
tay sachs
CF
PKU
down syndrome - (ANSWER)triple screen-MSAFP
increased risk with increased mother age
confirm with amniocentesis (diagnostic test)
smoking during pregnancy - (ANSWER)low birth weight, IUGR
alcohol during pregnancy - (ANSWER)fetal alcohol syndrome(small head, growth
retardation, flat nasal bridge, strabismus) mental retardation, hyperactivity,
developmental delay
narcotics during pregnancy - (ANSWER)newborn is irritable, hyperactive, high
pitched ry, tremors, poor feeding and sucking, nasal stuffiness
, 2
swaddle, minimize handling, decrease stimuli, pacifier, prone, bulb syringe
may need morphine
fundal height - (ANSWER)place end of tape measure at symphysis pubis then go
to the top of uterus (fundus)
supine, head slightly elevated, knees flexed
20-22 weeks - (ANSWER)umbilicus
danger signs - (ANSWER)gush of fluid from the vagina
vaginal bleeding
abdominal pain
changes in fetal activity
persistant vomiting
severe headaches
elevated temp
dysuria
blurred vision
edema of face and hands
epigastric pain
, 3
first trimester bleeding - (ANSWER)1-12 weeks
spontaneous abortion
ectopic pregnancy
second trimester bleeding - (ANSWER)13-26 weeks
gestational trophoblastic disease/molar pregnancy
choriocarcinoma
third trimester bleeding - (ANSWER)placenta previa or abruption
fourth trimester bleeding - (ANSWER)pre term labor
normal weight gain - (ANSWER)gain 2.2-4.4 lbs in 1st trimester
gain 1 lb each week from 2nd trimester on
heartburn/nausea prevention - (ANSWER)eat five small meals daily
crackers, ginger, avoid fatty greasy foul odors
OB CMS EXAM NGN / CMS OB EXAM
WITH NGN LATEST ACTUAL EXAM ALL
110 QUESTIONS AND CORRECT
DETAILED ANSWERS
autosomal recessive disorders - (ANSWER)both parents; 25% change
tay sachs
CF
PKU
down syndrome - (ANSWER)triple screen-MSAFP
increased risk with increased mother age
confirm with amniocentesis (diagnostic test)
smoking during pregnancy - (ANSWER)low birth weight, IUGR
alcohol during pregnancy - (ANSWER)fetal alcohol syndrome(small head, growth
retardation, flat nasal bridge, strabismus) mental retardation, hyperactivity,
developmental delay
narcotics during pregnancy - (ANSWER)newborn is irritable, hyperactive, high
pitched ry, tremors, poor feeding and sucking, nasal stuffiness
, 2
swaddle, minimize handling, decrease stimuli, pacifier, prone, bulb syringe
may need morphine
fundal height - (ANSWER)place end of tape measure at symphysis pubis then go
to the top of uterus (fundus)
supine, head slightly elevated, knees flexed
20-22 weeks - (ANSWER)umbilicus
danger signs - (ANSWER)gush of fluid from the vagina
vaginal bleeding
abdominal pain
changes in fetal activity
persistant vomiting
severe headaches
elevated temp
dysuria
blurred vision
edema of face and hands
epigastric pain
, 3
first trimester bleeding - (ANSWER)1-12 weeks
spontaneous abortion
ectopic pregnancy
second trimester bleeding - (ANSWER)13-26 weeks
gestational trophoblastic disease/molar pregnancy
choriocarcinoma
third trimester bleeding - (ANSWER)placenta previa or abruption
fourth trimester bleeding - (ANSWER)pre term labor
normal weight gain - (ANSWER)gain 2.2-4.4 lbs in 1st trimester
gain 1 lb each week from 2nd trimester on
heartburn/nausea prevention - (ANSWER)eat five small meals daily
crackers, ginger, avoid fatty greasy foul odors
