OB Maternal Newborn CMS EXAM Questions and Answers . 100% COMPLETE (RATED A+).

OB Maternal Newborn CMS EXAM Questions and Answers . 100% COMPLETE (RATED A+). A need for fetal suctioning can occur after which complication: -- Correct Answer- Meconium in the amniotic fluid (May also be benign- requires fetal assessment) If meconium is found in the amniotic fluid, notify: -- Correct Answer- The neonatal resuscitation team to be present at birth An increased risk of meconium in the amniotic fluid occurs after: -- Correct Answer- 38 weeks or breech presentation Meconium stained amniotic fluid is often what color: -- Correct Answer- Green After presence of meconium stain in the amniotic fluid, if respiratory efforts are strong and newborn HR is 100, suction via: -- Correct Answer- 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: -- Correct Answer- Endotracheal tube below the vocal cords BEFORE first breath is taken Fetal Distress indicated by what FHR pattern: -- Correct Answer- 110 160 Priority intervention for decreased or no variability that indicates fetal distress: -- Correct Answer- 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 indent able even during a contraction: -- Correct Answer- Hypotonic uterus Which type of uterus is non-indent table even in between contractions: -- Correct Answer- Hypertonic uterus Which presentation accompanies the common complaint of greater back pain: -- Correct Answer- Persistent Occipital Posterior A normal increase of pigmentation on the face during pregnancy is called: -- Correct Answer- Chloasma During pregnancy, low levels of HCG might suggest: -- Correct Answer- Miscarriage or ectopic pregnancy During pregnancy, high levels of HCG might suggest: -- Correct Answer- Multifocal pregnancy, ectopic pregnancy, mole, or genetic abnormality HCG peaks during: -- Correct Answer- 60-70 days gestation Meds that can cause false pregnancy tests (both - and +) are: -- Correct Answer- Anticonvulsants (Acetazolamide, Carbamazepine, Diazepam, Gaba, Lamotrigine) Diuretics tranquilizers (bezos) For Group B, a culture is obtained (vag/anal) at: -- Correct Answer- 35-37 weeks A one hour glucose test is done and again at . A follow up is required if the value is: -- Correct Answer- Initial visit (if at risk) 24-28 weeks 130- 140 (positive test) Screening using AFP is done during: -- Correct Answer- 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 an appointment for MH unless she into her second or third trimester. If the mother has PKU, she must follow a PKU diet: -- Correct Answer- Three months prior to her pregnancy and until birth. Protein Women following a PKU diet need to avoid: -- Correct Answer- Fish, poultry, meat, eggs, nuts and dairy Placenta Previa sign: -- Correct Answer- PAINLESS bright red during 2nd or 3rd trimester For those at risk, HIV testing is performed at: -- Correct Answer- Third trimester Contraindications for HIV and pregnancy - Use of internal fetal monitors, and vacuum extraction/forceps If a patient is pregnant with HIV, the nurse should encourage which vaccines: -- Correct Answer- Hep B, Pneumo, HiB, and Flu For pregnant HIV patients, administer Retrovir at: -- Correct Answer- 14 weeks, throughout and before the onset of labor (Admin to infant at delivery and for 6 weeks) Can HIV client’s breastfeed? - No Is HIV reportable? - Yes Symptoms of toxoplasmosis: -- Correct Answer- Flu like (fever, tender lymph nodes) Symptoms of Rubella: -- Correct Answer- Joints and muscle pain (rash, fever, mild lymphedema) Cytomegalovirus Symptoms - -Caused by Cytomegalovirus -May be among the most common diseases in U.S. -Fever, malaise, enlarged spleen Symptoms of herpes simplex: -- Correct Answer- Painful blisters and tender lymph nodes Can you give a rubella vaccine to a pregnant woman? - No Clients who are pregnant and have tested positive with Chlamydia should be retested After Rx. - 3 weeks Meds to treat pregnant women who test positive for Chlamydia: -- Correct Answer- azithromycin amoxicillin Meds to treat pregnant women who test positive for Gonorrhea: -- Correct Answer- azithromycin ceftriaxone Meds to treat pregnant women who test positive for Syphilis: -- Correct Answer- Pen G IM single dose Is syphilis a reported disease? - Yes Treatment meds for HPV: -- Correct Answer- imiquimod cream trichloroacetic acid Can a mother with HIV have a C section? - Yes- not contra