HIGH RISK PREGNANCY EXAM QUESTIONS AND ANSWERS
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What is the most common cause of serious vaginal bleeding? - CORRECT
ANSWERS Abruptio placenta
Bleeding + pain = _________ Placenta - CORRECT ANSWERS Abruptio
No pain + bleeding = Placenta _________ - CORRECT ANSWERS Previa
What is the most common cause of increased risk of placenta abruptio? -
CORRECT ANSWERS Hypertension
Why can the premature ROM increase risk for Abruptio Placenta? - CORRECT
ANSWERS The uterus is overdistended with fluid and collapses, sometimes
causing the compressio of uterine muscels and the placenta is scrunchin in on
itself and can start to peel off
Uterine fibroids are fed by what and can get bigger during pregnancy? - CORRECT
ANSWERS Placenta Abruptio
What are the s/s of abruptio? - CORRECT ANSWERS -sudden onset of intense
localized uterine pain (abdominal, or low back pain)
-vaginal bleeding
-board like abd that is tender
-fetal distress
-maternal symptoms of hypovolemic shock
,HIGH RISK PREGNANCY EXAM QUESTIONS AND ANSWERS
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What color is thet bleeding of placenta abruptio? - CORRECT ANSWERS dark
How does abruptio affect contractions? - CORRECT ANSWERS can be ineffective
or occurring too rapidly
How does abruptio show on the fetal heart strip? - CORRECT ANSWERS
Hyperactivity of the fetus, then decreased activity and loss of FHR variability and if
continues loss of FHR
What do you need to prepare mother for with a mild abruptio? - CORRECT
ANSWERS Induce labor and vaginal delivery
Kleihauer-Betke (KB) test
IV (largest gauge possible) - bc of increased risk of DIC
evaluate clotting
Type and cross match blood
Hospitaliz and monitor maternal bleeding and sx's of labor
Monitor FHR
Administer betamethasone to stimulate fetal lung maturity
What does a positive KB test indicate? - CORRECT ANSWERS There is fetal blood
in mom's circulation
, HIGH RISK PREGNANCY EXAM QUESTIONS AND ANSWERS
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What does a negative KB test indicate? - CORRECT ANSWERS -no blood in
circulation but still give Rh if Rh negative mother
What is the tx for SEVERE abruptio &/or fetal distress? - CORRECT ANSWERS -
Monitor volume status of mother
-Restore blood loss quickly
-Continuously monitor fetus
-Correct coagulation defect if present
-Expedite delivery (prepare for C/S)
Placenta _______: implantation of placenta in lower uterine segment - CORRECT
ANSWERS Placenta Previa - ..where it encroaches on the internal os and may
cover a portion or all of os. As cervix dilates and effaces, placental attachment is
disrupted and bleeding occurs
Why is mag sulfate given to a mother 24 hours before a premie is to be delivered?
- CORRECT ANSWERS To reduce incidence of cerebral palsy (brain protectant)
If a mother has a complete previa, what do you need to explain to her? - CORRECT
ANSWERS She needs to have a c/s because we don't want her dilating probably
at 36 weeks. We need to check fetal lung maturity by and amnio or l/s ratio. If
she's dilating you need to tocolyze her to stop
If a pt presents to triage with vaginal bleeding, should you assess her cervix? -
CORRECT ANSWERS No, she will have U/S to determine placenta location
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What is the most common cause of serious vaginal bleeding? - CORRECT
ANSWERS Abruptio placenta
Bleeding + pain = _________ Placenta - CORRECT ANSWERS Abruptio
No pain + bleeding = Placenta _________ - CORRECT ANSWERS Previa
What is the most common cause of increased risk of placenta abruptio? -
CORRECT ANSWERS Hypertension
Why can the premature ROM increase risk for Abruptio Placenta? - CORRECT
ANSWERS The uterus is overdistended with fluid and collapses, sometimes
causing the compressio of uterine muscels and the placenta is scrunchin in on
itself and can start to peel off
Uterine fibroids are fed by what and can get bigger during pregnancy? - CORRECT
ANSWERS Placenta Abruptio
What are the s/s of abruptio? - CORRECT ANSWERS -sudden onset of intense
localized uterine pain (abdominal, or low back pain)
-vaginal bleeding
-board like abd that is tender
-fetal distress
-maternal symptoms of hypovolemic shock
,HIGH RISK PREGNANCY EXAM QUESTIONS AND ANSWERS
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What color is thet bleeding of placenta abruptio? - CORRECT ANSWERS dark
How does abruptio affect contractions? - CORRECT ANSWERS can be ineffective
or occurring too rapidly
How does abruptio show on the fetal heart strip? - CORRECT ANSWERS
Hyperactivity of the fetus, then decreased activity and loss of FHR variability and if
continues loss of FHR
What do you need to prepare mother for with a mild abruptio? - CORRECT
ANSWERS Induce labor and vaginal delivery
Kleihauer-Betke (KB) test
IV (largest gauge possible) - bc of increased risk of DIC
evaluate clotting
Type and cross match blood
Hospitaliz and monitor maternal bleeding and sx's of labor
Monitor FHR
Administer betamethasone to stimulate fetal lung maturity
What does a positive KB test indicate? - CORRECT ANSWERS There is fetal blood
in mom's circulation
, HIGH RISK PREGNANCY EXAM QUESTIONS AND ANSWERS
UPDATED 2024/2025 A COMPLETE SOLUTION ALL ANSWERS
100% CORRECT DETAILED BEST GRADED A+ FOR SUCCESS
What does a negative KB test indicate? - CORRECT ANSWERS -no blood in
circulation but still give Rh if Rh negative mother
What is the tx for SEVERE abruptio &/or fetal distress? - CORRECT ANSWERS -
Monitor volume status of mother
-Restore blood loss quickly
-Continuously monitor fetus
-Correct coagulation defect if present
-Expedite delivery (prepare for C/S)
Placenta _______: implantation of placenta in lower uterine segment - CORRECT
ANSWERS Placenta Previa - ..where it encroaches on the internal os and may
cover a portion or all of os. As cervix dilates and effaces, placental attachment is
disrupted and bleeding occurs
Why is mag sulfate given to a mother 24 hours before a premie is to be delivered?
- CORRECT ANSWERS To reduce incidence of cerebral palsy (brain protectant)
If a mother has a complete previa, what do you need to explain to her? - CORRECT
ANSWERS She needs to have a c/s because we don't want her dilating probably
at 36 weeks. We need to check fetal lung maturity by and amnio or l/s ratio. If
she's dilating you need to tocolyze her to stop
If a pt presents to triage with vaginal bleeding, should you assess her cervix? -
CORRECT ANSWERS No, she will have U/S to determine placenta location
