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</p> Signup and view all the answers

    What is the pathophysiologic mechanism of preeclampsia?

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

    What is a characteristic of preeclampsia?

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

    What is the primary cause of Shoulder Dystocia?

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

    What is a potential complication of Shoulder Dystocia?

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

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

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

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

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

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

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

    What is the primary risk factor for chorioamniotis?

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

    What is the recommended treatment for chorioamniotis?

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

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

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

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

    <p>Infection</p> Signup and view all the answers

    What is the primary concern with oligohydramnios?

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

    What is the primary complication of placenta previa?

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

    What is the primary risk factor for placental abruption?

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

    What is the primary concern with polyhydramnios?

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

    What is the primary complication of cephalopelvic disproportion?

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

    What is the primary risk factor for multiple gestations?

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

    What is the primary complication of dystocia?

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

    What is a risk factor for uterine rupture?

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

    What is a complication of uterine rupture for the baby?

    <p>Anemia</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</p> Signup and view all the answers

    What is a sign of uterine rupture during labor?

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

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