NARM Exam – Questions & Detailed Solutions
Diaphoresis ✔️Ans - Perspiring profusely
Diaphoretic ✔️Ans - Something that has the power to increase
perspiration
Ortolani sign ✔️Ans - Relocates hip after Barlow maneuver
Alkalosis ✔️Ans - Condition reducing hydrogen ion concentration in the
blood
Acidosis ✔️Ans - Increased hydrogen in the blood
Menses returns postpartum ✔️Ans - 8-12 weeks
Kernig sign ✔️Ans - Diagnosis meningitis
Homan sign ✔️Ans - Diagnosis deep thrombophlebitis. Leg extended and
foot dorsiflexed will cause pain in calf
Heparin ✔️Ans - Prevents thrombus formation
Warfarin ✔️Ans - Anticoagulant, teratogen, asses prothrombin time
(measures how long it takes for blood to clot)
Crossed extension reflex ✔️Ans - One foot is held and flicked while
opposite leg try's to push away
Amniotic fluid embolism s/sx ✔️Ans - Chest pain, pink frothy sputum,
duaphoresis
Amniocentesis risks ✔️Ans - 1% miscarriage or amnionitis
When to perform amnionitis ✔️Ans - 15-18 weeks
When is chorionic villus sampling done? ✔️Ans - After 10 weeks
,Risks of cvs testing ✔️Ans - Oligo, ROM, synchronic hematoma, limb
reduction if done before 8-9 weeks, miscarriage
Nuchal translucency screening (NT) ✔️Ans - Ultra sound screen for
trisomies 21, 18, & 13, Turner syndrome, cardiac defects, other anomalies
What are the biochemical markers to screen for downs? ✔️Ans - hCG- 10-
22wks levels high
PAPP-A- 10-14wks (lower)
UE3- 14-22wks (lower)
AFP- 15-20wks (lower)
Inhibin A- 15-20 wks high
All maternal serum. Sometimes intergrated (NT test)
Parvovirus B19 ✔️Ans - Rash on the body. Passed via respiratory
secretions and blood. 20-30% placenta transfer. Fetal infection= aplastic
anemia, non immune hydrops, death
PKU- phenylketonuria ✔️Ans - A genetic metabolism disorder. It is caused
by failure to make enzymes that break down amnio acid phenylalanine and
can lead to brain damage.
Vit D ✔️Ans - Bone mineralization, calcium homeostasis. Fish oil
Copper ✔️Ans - Legumes, grains, nuts and seeds, organ meat. Enzyme
constituent, energy production and release
Magnesium ✔️Ans - Vegetables, milk, cereal, bread. Enzyme activities-
present in cells, body fluids and bone
Calcium foods ✔️Ans - Dairy, fortified flour, cereals, green vegetable
Calcium for... ✔️Ans - Bone and teeth, blood clotting, muscle contraction
and nerve impulse conduction
Effects of in utero exposure to DES ✔️Ans - Poor pregnancy outcomes,
structural anomalies of the uterus, clear cell adencarcinomas, infertility,
constricting bands in endometrial cavity, anomalies of the vagina,anomalies of
the cervix
, Hypospadias ✔️Ans - A birth defect where the opening of the urethra is
on the underside of the penis
This hormone, produced, ensures proper fetal development and stimulates
the milk glands in the breast in anticipation of breast feeding. ✔️Ans -
Human placental lactogen (HPL)
This hormone stops the uterus from making spontaneous movements and
from contracting. ✔️Ans - Progesterone
How do contractions start? ✔️Ans - Levels of progesterone drop off.
This hormone found in maternal plasma and urine increase dramatically in
the 1st trimester. May cause nausea and vomiting. ✔️Ans - Human
chorionic gonadotropin (HCG)
This hormone prevents the release of eggs from the ovaries and stimulates the
production of the hormones estrogen and progesterone ✔️Ans - Human
chorionic gonadotropin (HCG)
This hormone protects female fetuses from the effects of androgens in the
mothers system. ✔️Ans - Estrogen
Accutane ✔️Ans - Anti-acne drug know to cause birth defects
Production if the hormone diminishes once the placenta is mature enough to
take over estrogen and progesterone production. ✔️Ans - Human
Chorionic Gonadotropin (hCG)
during pregnancy these 2 hormones work in conjunction to stimulate the
growth of breast tissue and prevent lactation till after birth ✔️Ans -
Progesterone and estrogen
This hormone is prescribed as a fertility treatment or to assist in reducing the
risk of miscarriage ✔️Ans - Progesterone
Diaphoresis ✔️Ans - Perspiring profusely
Diaphoretic ✔️Ans - Something that has the power to increase
perspiration
Ortolani sign ✔️Ans - Relocates hip after Barlow maneuver
Alkalosis ✔️Ans - Condition reducing hydrogen ion concentration in the
blood
Acidosis ✔️Ans - Increased hydrogen in the blood
Menses returns postpartum ✔️Ans - 8-12 weeks
Kernig sign ✔️Ans - Diagnosis meningitis
Homan sign ✔️Ans - Diagnosis deep thrombophlebitis. Leg extended and
foot dorsiflexed will cause pain in calf
Heparin ✔️Ans - Prevents thrombus formation
Warfarin ✔️Ans - Anticoagulant, teratogen, asses prothrombin time
(measures how long it takes for blood to clot)
Crossed extension reflex ✔️Ans - One foot is held and flicked while
opposite leg try's to push away
Amniotic fluid embolism s/sx ✔️Ans - Chest pain, pink frothy sputum,
duaphoresis
Amniocentesis risks ✔️Ans - 1% miscarriage or amnionitis
When to perform amnionitis ✔️Ans - 15-18 weeks
When is chorionic villus sampling done? ✔️Ans - After 10 weeks
,Risks of cvs testing ✔️Ans - Oligo, ROM, synchronic hematoma, limb
reduction if done before 8-9 weeks, miscarriage
Nuchal translucency screening (NT) ✔️Ans - Ultra sound screen for
trisomies 21, 18, & 13, Turner syndrome, cardiac defects, other anomalies
What are the biochemical markers to screen for downs? ✔️Ans - hCG- 10-
22wks levels high
PAPP-A- 10-14wks (lower)
UE3- 14-22wks (lower)
AFP- 15-20wks (lower)
Inhibin A- 15-20 wks high
All maternal serum. Sometimes intergrated (NT test)
Parvovirus B19 ✔️Ans - Rash on the body. Passed via respiratory
secretions and blood. 20-30% placenta transfer. Fetal infection= aplastic
anemia, non immune hydrops, death
PKU- phenylketonuria ✔️Ans - A genetic metabolism disorder. It is caused
by failure to make enzymes that break down amnio acid phenylalanine and
can lead to brain damage.
Vit D ✔️Ans - Bone mineralization, calcium homeostasis. Fish oil
Copper ✔️Ans - Legumes, grains, nuts and seeds, organ meat. Enzyme
constituent, energy production and release
Magnesium ✔️Ans - Vegetables, milk, cereal, bread. Enzyme activities-
present in cells, body fluids and bone
Calcium foods ✔️Ans - Dairy, fortified flour, cereals, green vegetable
Calcium for... ✔️Ans - Bone and teeth, blood clotting, muscle contraction
and nerve impulse conduction
Effects of in utero exposure to DES ✔️Ans - Poor pregnancy outcomes,
structural anomalies of the uterus, clear cell adencarcinomas, infertility,
constricting bands in endometrial cavity, anomalies of the vagina,anomalies of
the cervix
, Hypospadias ✔️Ans - A birth defect where the opening of the urethra is
on the underside of the penis
This hormone, produced, ensures proper fetal development and stimulates
the milk glands in the breast in anticipation of breast feeding. ✔️Ans -
Human placental lactogen (HPL)
This hormone stops the uterus from making spontaneous movements and
from contracting. ✔️Ans - Progesterone
How do contractions start? ✔️Ans - Levels of progesterone drop off.
This hormone found in maternal plasma and urine increase dramatically in
the 1st trimester. May cause nausea and vomiting. ✔️Ans - Human
chorionic gonadotropin (HCG)
This hormone prevents the release of eggs from the ovaries and stimulates the
production of the hormones estrogen and progesterone ✔️Ans - Human
chorionic gonadotropin (HCG)
This hormone protects female fetuses from the effects of androgens in the
mothers system. ✔️Ans - Estrogen
Accutane ✔️Ans - Anti-acne drug know to cause birth defects
Production if the hormone diminishes once the placenta is mature enough to
take over estrogen and progesterone production. ✔️Ans - Human
Chorionic Gonadotropin (hCG)
during pregnancy these 2 hormones work in conjunction to stimulate the
growth of breast tissue and prevent lactation till after birth ✔️Ans -
Progesterone and estrogen
This hormone is prescribed as a fertility treatment or to assist in reducing the
risk of miscarriage ✔️Ans - Progesterone
