NARM (CPM EXAM) II Questions and
Complete Solutions Graded A+
Supine Hypotensive Syndrome - Answer: When a women lies on her back it can cause her to feel dizzy or
lightheaded because the uterus rests on the inferior vena cava
chloasma - Answer: Irregular pigmentation of the cheeks. "The mask of pregnancy"
AFP/MSAFP and Triple/Multiple Screen
15-20wks - Answer: • (hCG, AFP and unconjugated estrogens) all from maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of chromosomes) and more - this test done
@ 15-20wks
- No risk of test itself, however because of false-positives it can lead to more invasive tests (US, AC,
&CVS)
Iatrogenic
complication - Answer: relating to illness caused by medical examination or treatment.
Friedman's
curve - Answer: Dilate one cm per hour
Food sources of IRON - Answer: red meat, beans, dark lefy, dried fruit, soy beans, pumpkin seeds, lentils
Essure - Answer: Transcervical female sterilization. Permanent occlusion of the fallopian tubes. Nickel
coil created scarring
,oliguria - Answer: abnormally small amounts of urine <5oo ml in 24 hours severe pre-eclampsia
Herpes Virus - Answer: type 1 mouth and type 2 genital
Gynecoid Pelvis - Answer: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt and neither prominent or
encourching. Wide arch either greater than or equal to 90 degrees
Android Pelvis (not for birth) - Answer: Commonly known as, "The male" pelvis. Increase incidence of
posterior. Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
Anthropoid AAAA LONG (anterior to posterior) - Answer: Most common in non-white races.
anthr"OP"id. Favors OP
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
Platypelloid - Answer: RARE looks like a kidney bean. Long from side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
, Foramen Ovale - Answer: The temporary opening between the left and right atria that allows blood to
pass since it does not need to pass through the fetal lungs.
2 shunts for fetal circulation - Answer: foramen ovale, ductus arteriosus, and ductus venosus (Figure 37-
1). Because the lungs are a closed, fluid-filled organ, they need minimal blood flow and the fetal
circulation has high pulmonary vascular resistance. Oxygenated blood bypasses the lungs by flowing
through the opening between the right and left atria called the foramen ovale and then into the
descending aorta. In the second shunt, blood in the right ventricle does not flow into the high-pressure
pulmonary vasculature, but rather flows through the ductus arteriosus into the descending aorta.
Placental prostaglandin, prostacyclin, and low oxygen tension keep the ductus arteriosus open. 12 The
third fetal shunt, the ductus venosus, connects the umbilical vein to the inferior vena cava, which allows
a portion of fetal blood to bypass the circulation through the liver.
Ductus Venosus - Answer: connects the umbilical vein to the inferior vena cava, which allows a portion
of fetal blood to bypass the circulation through the liver.
Disease that passes from parent to offspring through the placenta - Answer: Vertical transmission
Herb that is contraindicated in pregnancy - Answer: Pennyroyal
Uterine muscles actions to dilate and efface the cervix - Answer: retraction and contraction
an anterior cervix indicated what type of uterus - Answer: Antiverted
Another name for the follicular phase and which hormone dominates it. - Answer: Proliferative phase
and estrogen.
Essential Oil that can help reduce Blood pressure in pregnancy - Answer: Ylang Ylang
Normal Diagonal conjugate - Answer: 11.5 less than 10 is not normal Varney
cervical cap - Answer: Adheres to the cervix by suction
Complete Solutions Graded A+
Supine Hypotensive Syndrome - Answer: When a women lies on her back it can cause her to feel dizzy or
lightheaded because the uterus rests on the inferior vena cava
chloasma - Answer: Irregular pigmentation of the cheeks. "The mask of pregnancy"
AFP/MSAFP and Triple/Multiple Screen
15-20wks - Answer: • (hCG, AFP and unconjugated estrogens) all from maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of chromosomes) and more - this test done
@ 15-20wks
- No risk of test itself, however because of false-positives it can lead to more invasive tests (US, AC,
&CVS)
Iatrogenic
complication - Answer: relating to illness caused by medical examination or treatment.
Friedman's
curve - Answer: Dilate one cm per hour
Food sources of IRON - Answer: red meat, beans, dark lefy, dried fruit, soy beans, pumpkin seeds, lentils
Essure - Answer: Transcervical female sterilization. Permanent occlusion of the fallopian tubes. Nickel
coil created scarring
,oliguria - Answer: abnormally small amounts of urine <5oo ml in 24 hours severe pre-eclampsia
Herpes Virus - Answer: type 1 mouth and type 2 genital
Gynecoid Pelvis - Answer: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt and neither prominent or
encourching. Wide arch either greater than or equal to 90 degrees
Android Pelvis (not for birth) - Answer: Commonly known as, "The male" pelvis. Increase incidence of
posterior. Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
Anthropoid AAAA LONG (anterior to posterior) - Answer: Most common in non-white races.
anthr"OP"id. Favors OP
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
Platypelloid - Answer: RARE looks like a kidney bean. Long from side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
, Foramen Ovale - Answer: The temporary opening between the left and right atria that allows blood to
pass since it does not need to pass through the fetal lungs.
2 shunts for fetal circulation - Answer: foramen ovale, ductus arteriosus, and ductus venosus (Figure 37-
1). Because the lungs are a closed, fluid-filled organ, they need minimal blood flow and the fetal
circulation has high pulmonary vascular resistance. Oxygenated blood bypasses the lungs by flowing
through the opening between the right and left atria called the foramen ovale and then into the
descending aorta. In the second shunt, blood in the right ventricle does not flow into the high-pressure
pulmonary vasculature, but rather flows through the ductus arteriosus into the descending aorta.
Placental prostaglandin, prostacyclin, and low oxygen tension keep the ductus arteriosus open. 12 The
third fetal shunt, the ductus venosus, connects the umbilical vein to the inferior vena cava, which allows
a portion of fetal blood to bypass the circulation through the liver.
Ductus Venosus - Answer: connects the umbilical vein to the inferior vena cava, which allows a portion
of fetal blood to bypass the circulation through the liver.
Disease that passes from parent to offspring through the placenta - Answer: Vertical transmission
Herb that is contraindicated in pregnancy - Answer: Pennyroyal
Uterine muscles actions to dilate and efface the cervix - Answer: retraction and contraction
an anterior cervix indicated what type of uterus - Answer: Antiverted
Another name for the follicular phase and which hormone dominates it. - Answer: Proliferative phase
and estrogen.
Essential Oil that can help reduce Blood pressure in pregnancy - Answer: Ylang Ylang
Normal Diagonal conjugate - Answer: 11.5 less than 10 is not normal Varney
cervical cap - Answer: Adheres to the cervix by suction
