Exam 4
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Questions and Answers

What is a characteristic of chronic hypertension in pregnancy?

  • Transient elevation of blood pressure after 20 weeks gestation
  • Proteinuria and other symptoms of preeclampsia
  • Onset before pregnancy or persistence beyond 12 weeks postpartum (correct)
  • Onset of hypertension after 20 weeks of gestation

What is the primary goal of fetal surveillance in a hypertensive patient?

  • To diagnose gestational hypertension
  • To detect signs of preeclampsia
  • To monitor maternal blood pressure
  • To monitor fetal growth and well-being (correct)

What is a complication of preeclampsia in the mother?

  • Chronic hypertension
  • Placental abruption
  • Gestational diabetes
  • Subcapsular hematoma of the liver (correct)

What is a risk factor for preeclampsia?

<p>Family history of preeclampsia (C)</p> Signup and view all the answers

What is the pathophysiologic mechanism of preeclampsia?

<p>Endothelial injury and vasospasm (A)</p> Signup and view all the answers

What is a characteristic of preeclampsia?

<p>A multisystem inflammatory disorder (C)</p> Signup and view all the answers

What is the primary cause of Shoulder Dystocia?

<p>Anterior shoulder impacted behind the pubic bone (B)</p> Signup and view all the answers

What is the goal of the McRoberts Maneuver?

<p>To dislodge the shoulder from behind the pubic bone (A)</p> Signup and view all the answers

What is a potential complication of Shoulder Dystocia?

<p>Fractured Clavicle (C)</p> Signup and view all the answers

What is the purpose of announcing 'Shoulder Dystocia' during delivery?

<p>To alert the nursing team to prepare for an emergency C-Section (C)</p> Signup and view all the answers

What is the primary action to take during a Shoulder Dystocia?

<p>Recognize the Shoulder Dystocia and alert the team (A)</p> Signup and view all the answers

What is the purpose of the Zavanelli maneuver?

<p>To replace the fetal head into the vagina and deliver by emergency C-Section (C)</p> Signup and view all the answers

What is the primary effect of estrogen and progesterone on a mother's insulin production during the first 20 weeks of pregnancy?

<p>Stimulate insulin production and increase tissue response (A)</p> Signup and view all the answers

What is the goal of A1C for pregnant women with diabetes?

<p>Below 6.5% (B)</p> Signup and view all the answers

When is the quadruple screen with alpha-fetoprotein (APP) typically performed?

<p>At 16-20 weeks (A)</p> Signup and view all the answers

What is the primary goal of glucose monitoring during antepartum DM management?

<p>To ensure euglycemia (D)</p> Signup and view all the answers

What is the primary risk factor for chorioamniotis?

<p>Prolonged ROM (D)</p> Signup and view all the answers

What is the recommended treatment for chorioamniotis?

<p>Antibiotics and pain management (B)</p> Signup and view all the answers

What is the primary mode of transmission of perinatal hepatitis B?

<p>Perinatal transmission during delivery (D)</p> Signup and view all the answers

What is the recommended treatment for newborns of HBsAg+ mothers?

<p>Hep B vaccine and Hep B immune globulin (A)</p> Signup and view all the answers

What is the primary goal of antiviral therapy for HIV-infected pregnant women?

<p>To prevent perinatal transmission (D)</p> Signup and view all the answers

What is the recommendation for pregnant women with HIV and a viral load >1000 copies/mL?

<p>Cesarean section (A)</p> Signup and view all the answers

What is the primary goal of tocolytic therapy in preterm labor?

<p>To delay birth by 24 hours (D)</p> Signup and view all the answers

What is the most common risk factor for preterm premature rupture of membranes (PPROM)?

<p>Infection (C)</p> Signup and view all the answers

What is the primary concern with oligohydramnios?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary complication of placenta previa?

<p>Hemorrhage of fetus and mom (D)</p> Signup and view all the answers

What is the primary risk factor for placental abruption?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary concern with polyhydramnios?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary complication of cephalopelvic disproportion?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary goal of management of preterm premature rupture of membranes (PPROM)?

<p>To prevent infection (B)</p> Signup and view all the answers

What is the primary risk factor for multiple gestations?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary complication of dystocia?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary cause of a prolapsed umbilical cord?

<p>Cord trapped between presenting part and mother's pelvic outlet (C)</p> Signup and view all the answers

What is the goal of the clinical therapy for a prolapsed umbilical cord?

<p>To maintain upward pressure on the presenting part and off the prolapsed cord (D)</p> Signup and view all the answers

What is a risk factor for uterine rupture?

<p>Previous cesarean section (C)</p> Signup and view all the answers

What is a complication of uterine rupture for the baby?

<p>Anemia (C)</p> Signup and view all the answers

What is the recommended delivery method for a patient with a prolapsed umbilical cord?

<p>Emergency cesarean section (D)</p> Signup and view all the answers

What is a sign of uterine rupture during labor?

<p>Abdominal pain (C)</p> Signup and view all the answers

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