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NCC-MATERNAL NEWBORN CERTIFICATION STUDY GUIDE QUESTION AND ANSWER

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NCC-MATERNAL NEWBORN CERTIFICATION STUDY GUIDE QUESTION AND ANSWER An adolescent is at risk for cephalopelvic disproportion (CPD) secondary to A. Inadequate musculoskeletal development. B. Late onset of prenatal care C. Poor nutrition - ANSWER-A. Inadequate musculoskeletal development. A presumptive sign of pregnancy is: A. Amenorrhea B. Foetal movement C. Uterine enlargement - ANSWER-A. Amenorrhea Using basal body temperature method to determine ovulation includes: A. Measuring temperature after going to the bathroom. B. Measuring temperature immediately after awakening. C. Measuring temperature in the morning and temperature he evening. - ANSWER-B. Measuring temperature immediately after awakening. The basal body temperature provides evidence: A. Determining approaching ovulation. B. Predicting the day of ovulation. C. Supporting ovulation about a day after occurrence. - ANSWER-C. Supporting ovulation about a day after occurrence. Foetal heart tones can first be heard with a Doppler between: A. 10-12 weeks B. 16-19 weeks C. 20-24 weeks - ANSWER-A. 10-12 weeks Common emotional reactions, to pregnancy, during the first trimester include: A. Ambivalence and fear. B. Anxiety and passivity. C. Awkwardness and unattractiveness. - ANSWER-A. Ambivalence and fear. Which physiologic changes, occurring during pregnancy, predispose a woman to UTIs? A. Constriction of the upper third of the ureters. B. Compression of the ureters by the enlarging uterus. C. Decreased urinary frequency. - ANSWER-B. Compression of the ureters by the enlarging uterus. Decreased gastric motility, during pregnancy, results from increased levels of: A. Oestrogen B. Progesterone C. Relaxing - ANSWER-B. Progesterone Concentrations of Mag Sulphate depend on A. CNS sensitivity. B. Serum levels. C. Urine output. - ANSWER-C. Urine output. Mag sulphate is being administered to a woman in the immediate PP period. Which of the following assessment findings should be reported to the physician? A. Reflexes 2+ B. Respiratory rate of 14 C. Urine output of 40mL in the last hour - ANSWER-B. Respiratory rate of 14 The diagnosis of preeclampsia requires: A. Elevated blood pressure and proteinuria B. Elevated pressure and edema C. Elevated blood pressure and visual disturbances - ANSWER-A. Elevated blood pressure and proteinuria The pathological components of preeclampsia include: A. Decreased hydrostatic pressure, endothelial damage, and poor profusion B. Defective implantation, endothelial damage, and capillary permeability C. Defective implantation, increased osmotic pressure, and endothelial damage - ANSWER-B. Defective implantation, endothelial damage, and capillary permeability A predisposing factor for preeclampsia is: A. Nulliparity B. Obesity C. Previous history of preeclampsia - ANSWER-A. Nulliparity Which of the following class of medications are contraindicated, during pregnancy, for the client with HTN? A. ACE inhibitors B. Adrenergic blocking agents C. Ca+ channel blockers - ANSWER-A. ACE inhibitors

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