NCC obstetric inpatient Exam 33 Questions with Verified Answers,100% CORRECT

NCC obstetric inpatient Exam 33 Questions with Verified Answers Surgical infection - CORRECT ANSWER An infection occurring within 30 days of medical procedure (CDC) Incidence of abdominal incision infections following cesarean birth - CORRECT ANSWER 3-15% (average 5%) With antibiotic prophylaxis, the incidence of abdominal incision infections following c/s - CORRECT ANSWER 2% or less. Risk for cesarean postpartum VTE - CORRECT ANSWER 1:1000 Cesarean complications in subsequent pregnancies, incidence of abnormal placenta room (accreta, increta, percreta) - CORRECT ANSWER Accreta- 75-78% Increta- 17% Percreta- 5% TORCH - CORRECT ANSWER Group of viral, bacterial, and protozoan infections that gain access to fetal bloodstream transplacentally via chorionic villi (toxoplasmosis, other infections, rubella, cytomegalovirus, herpes simplex virus) Toxoplasmosis - CORRECT ANSWER T. Gondii (oocyst formed in the cat intestine and subsequently excretes in the feces) Definition of postpartum infection - CORRECT ANSWER Temperature of 100.4 (38c) occurring in any two successive days within the first 10 days postpartum exclusive of the first 24 hours Endometritis - CORRECT ANSWER Infection of the lining of the uterus The most common cause of postpartum fever - CORRECT ANSWER Endometritis Chorioamnionitis - CORRECT ANSWER An inflammation of the fetal membranes (chorion and amnion) caused by bacteria (can occur up to 10% of all pregnancies) Syphilis - CORRECT ANSWER Caused by the spirochete Treponema pallidum. Has four clinical categories: primary, secondary, tertiary and neurosyphilis. Screening: VDRL and RPR Fetal lung maturity - CORRECT ANSWER 2:1 ratio of phospholipids lecithin/spingomyelin (L/S ratio) and presence of phosphatidyglycerol (PG) Surfactant production - CORRECT ANSWER Lowers the surface tension of alveoli preventing collapse during inspiration/expiration Atelectasis - CORRECT ANSWER Incomplete expansion or collapse of the alveoli, possibly resulting from a deficiency of surfactant Transient tachypnea (wet lung) - CORRECT ANSWER Newborn develops rapid realizations with minimal radiographic and blood gas abnormalities Pneumothorax - CORRECT ANSWER Air leaks occur when alveoli become overdistended and burst Mechanisms of heat loss (4 types) - CORRECT ANSWER Evaporation (liquid to gas), convection (wind), conduction (laying on cold surface), radiation (not wearing a hat or clothes) A naked newborn exposed to an environmental temperature of 75F suffers the same heat loss as a names adult in 32F - CORRECT ANSWER True IgG - CORRECT ANSWER The only antibody that crosses the placenta to the fetus, make up 75-80% of all antibodies in newborn IgA - CORRECT ANSWER Present in breastmilk and provides passive immunity IgM - CORRECT ANSWER Antibodies produced in response to an infection while exposed in utero Neonatal infections early onset vs late onset - CORRECT ANSWER Early: hours to 7 days, maternal source Late: 7 days to 3 months, check 2nd twin, many sources. Fetal glucose is [___]% the same as maternal blood sugar at time of birth - CORRECT ANSWER 80% Clinical manifestations of newborn hypoglycemia - CORRECT ANSWER Tremors, jitteriness, respiratory distress,cyanosis, poor suck, irritability, high pitched cry, limpness, lethargy, seizures, temperature instability, pallor, diaphoresis Causes of neonatal seizures - CORRECT ANSWER 49%: hypoxic-ischemic encephalopathy 12%: cerebral infarction 7%: cerebral trauma 5%: infections 3%: metabolic abnormalities like hypoglycemia 4%: narcotic drug withdrawal Newborn blood volume at term - CORRECT ANSWER 80cc/kg Newborn polycythemia - CORRECT ANSWER Central venous hct of 65% or hgb 20-22 Newborn anemia - CORRECT ANSWER Hgb 14 at term or hgb 13 preterm Hyperbilirubinemia - CORRECT ANSWER Bili level 12mg/dL Bilirubin conjugation - CORRECT ANSWER Unconjugated (indirect)- free, not bound, fat soluble, not yet metabolized and not easily excreted Conjugated (direct)- bound to protein, has been metabolized, water soluble and readily excreted Indirect uterine monitoring is also known as - CORRECT ANSWER External uterine monitoring Non-shivering thermogenesis - CORRECT ANSWER Brown fat metabolism