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Exam (elaborations)

OB Maternal Newborn CMS Exam with precise detailed solutions

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OB Maternal Newborn CMS Exam with precise detailed solutions

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OB: Maternal Newborn CMS Exam with
|| || || || || ||




precise detailed solutions || ||




A need for fetal suctioning can occur after which which complication:
|| || || || || || || || || || ||




- ✔✔Meconium in the amniotic fluid
|| || || || ||




(may also be benign- requires fetal assessment)
|| || || || || ||




If meconium is found in the amniotic fluid, notify: - ✔✔The neonatal
|| || || || || || || || || || || ||




resuscitation team to be present at birth || || || || || ||




An increased risk of meconium in the amniotic fluid occures after: -
|| || || || || || || || || || || ||




✔✔38 weeks or breech presentation
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Meconium stained amniotic fluid is often what color: - ✔✔Green
|| || || || || || || || ||




After presence of meconium stain in the amniotic fluid, if respiratory
|| || || || || || || || || || ||




efforts are strong and newborn HR is >100, suction via: - ✔✔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: -
|| || || || || || || || || || || ||

,2



✔✔Endotracheal tube below the vocal cords BEFORE first breath is || || || || || || || || || ||




taken


Fetal Distress indicated by what FHR pattern: - ✔✔<110
|| || || || || || || ||




>160


Priority intervention for decreased or no variability that indicates fetal
|| || || || || || || || || ||




distress: - ✔✔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: -
|| || || || || || || || || || ||




✔✔Hypotonic uterus ||




Which type of uterus is nonindentable even in between contractions: -
|| || || || || || || || || || ||




✔✔Hypertonic uterus ||




Which presentation accompanies the common complaint of greater
|| || || || || || || ||




back pain: - ✔✔Persistent Occipital Posterior
|| || || || ||

,2



A normal increase of pigmentation on the face during pregnancy is
|| || || || || || || || || || ||




called: - ✔✔Chloasma || ||




During pregnancy, low levels of hCG might suggest: - ✔✔Miscarriage
|| || || || || || || || || ||




or ectopic pregnancy
|| ||




During pregnancy, high levels of hCG might suggest: - ✔✔Multifetal
|| || || || || || || || || ||




pregnancy, ectopic pregnancy, mole, or genetic abnormality || || || || || ||




hCG peaks during: - ✔✔60-70 days gestation
|| || || || || ||




Meds that can cause false pregnancy tests (both - and +) are: -
|| || || || || || || || || || || || ||




✔✔Anticonvulsants (Acetazolamide, Carbamazapine, Diazepam, || || || ||




Gaba, Lamotrigine) ||




Diuretics
tranquilizers (bezos) ||




For Group B, a culture is obtained (vag/anal) at: - ✔✔35-37 weeks
|| || || || || || || || || || ||




A one hour glucose test is done ______________ and again at
|| || || || || || || || || || ||




____________________. A follow up is required if the value is: - || || || || || || || || || || ||




✔✔Initial visit (if at risk) || || || ||




24-28 weeks ||

, 2



>130- 140 (positive test) || || ||




Screening using AFP is done during: - ✔✔16-18 weeks || || || || || || || ||




Is it normal for a woman to be unhappy/ unsure about her pregnancy
|| || || || || || || || || || || || ||




in the first trimester? - ✔✔YES! Reassure her it's normal. Don't make
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an appointment for MH unless she into her second or third trimester.
|| || || || || || || || || || ||




If the mother has PKU, she must follow a PKU diet: - ✔✔Three
|| || || || || || || || || || || || ||




months prior to her pregnancy and until birth.
|| || || || || || ||




Foods that are high in ____________________ are high in
|| || || || || || || || ||




phenylketonuria (PKU). - ✔✔Protein || || ||




Women following a PKU diet need to avoid: - ✔✔Fish, poultry, meat,
|| || || || || || || || || || || ||




eggs, nuts and dairy || || ||




Placenta Previa sign: - ✔✔PAINLESS bright red during 2nd or 3rd
|| || || || || || || || || || ||




trimester


For those at risk, HIV testing is performed at: - ✔✔Third trimester
|| || || || || || || || || || ||

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