NSPN 7200 EXAMS SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS TAGGED A+
✔✔Threshold for viability - ✔✔22-25 weeks
✔✔Indications for fetal fibronectin testing - ✔✔-threatened PTL between 24 and 34
weeks gestation
-intact amniotic membranes
-cervix less than 3 cm dilated
-established fetal well-being
✔✔Contraindications for fetal fibronectin testing - ✔✔ROM
active vaginal bleeding
vaginal exam or vaginal intercourse in the past 24 hours
✔✔Tocolytics Purpose - ✔✔to allow time for corticosteroids to be administered and to
allow for transfer to a tertiary site if needed
✔✔Corticosteroids for PTL - ✔✔Used to accelerate fetal lung maturity by stimulating
fetal surfactant
✔✔MgSO4 in PTL - ✔✔Neuroprotective agent and is administered when preterm birth
at <34 weeks is imminent
✔✔Four serious side effects of MgSO4 - ✔✔Hypotension, tachycardia, respiratory
depression, pulmonary edema
✔✔Neonatal side effects of MgSO4 - ✔✔hypotonia and apnea
✔✔Where can fetal fibronectins be found? - ✔✔In vaginal secretions up until 22 weeks
gestation, then not again until within two weeks of labour starting.
✔✔Complications for preterm infants - ✔✔respiratory distress
asphyxia
ineffective thermoregulation
feeding problems
infection
hyperbilirubinemia
metabolic disturbances
fluid and electrolyte imbalance
neurologic and behavioural problems
nutritional deficits
chronic respiratory disease
cardiovascular disturbances
hematologic disturbances
, ✔✔Pink (preterm baby) - ✔✔higher incidence of respiratory distress syndrome
✔✔Warm (preemie) - ✔✔susceptible to hypothermia due to their thin skin and lack of
sufficient brown fat
✔✔Sweet (preemie) - ✔✔face difficulties with oral feeding due to immature coordination
of suck, swallow, and breathing, and immature GI tract function which can cause reflux
and slow motility
risk of hypoglycemia
✔✔Organized (preemie) - ✔✔focus on reducing sensory overload and providing
developmentally supportive care tailored to the infant's cues
✔✔Clean (preemie) - ✔✔Due to their immature immune systems and the invasive
nature of their care, preterm infants are highly susceptible to infections
✔✔Attached (preemie) - ✔✔Skin-to-skin or kangaroo care is emphasized for its benefits
in stabilizing the infant's physiological state, improving sleep patterns, reducing stress,
and enhancing neurodevelopment
✔✔Identify four risk factors for preeclampsia - ✔✔Primigravida, <19 yrs or > 40 years,
multiple gestation, renal disease, diabetes, obesity, connective tissue disease, family
history
✔✔What's the root cause of pre-eclampsia - ✔✔With the placenta (defective placental
implantation)
✔✔What causes endothelial dysfunction? - ✔✔Placental ischemia
✔✔Why would a woman experience epigastric pain? - ✔✔Due to liver edema and
subcapsular hematoma
✔✔What to do for decreased fetal movement -> FIRST STEP - ✔✔position on left side
✔✔Bloodwork for pre-eclampsia - ✔✔CBC
platelet count
INR
PTT
fibrinogen
serum creatinine
serum uric acid
glucose
AST, ALT, & LDH
albumin
ANSWERS TAGGED A+
✔✔Threshold for viability - ✔✔22-25 weeks
✔✔Indications for fetal fibronectin testing - ✔✔-threatened PTL between 24 and 34
weeks gestation
-intact amniotic membranes
-cervix less than 3 cm dilated
-established fetal well-being
✔✔Contraindications for fetal fibronectin testing - ✔✔ROM
active vaginal bleeding
vaginal exam or vaginal intercourse in the past 24 hours
✔✔Tocolytics Purpose - ✔✔to allow time for corticosteroids to be administered and to
allow for transfer to a tertiary site if needed
✔✔Corticosteroids for PTL - ✔✔Used to accelerate fetal lung maturity by stimulating
fetal surfactant
✔✔MgSO4 in PTL - ✔✔Neuroprotective agent and is administered when preterm birth
at <34 weeks is imminent
✔✔Four serious side effects of MgSO4 - ✔✔Hypotension, tachycardia, respiratory
depression, pulmonary edema
✔✔Neonatal side effects of MgSO4 - ✔✔hypotonia and apnea
✔✔Where can fetal fibronectins be found? - ✔✔In vaginal secretions up until 22 weeks
gestation, then not again until within two weeks of labour starting.
✔✔Complications for preterm infants - ✔✔respiratory distress
asphyxia
ineffective thermoregulation
feeding problems
infection
hyperbilirubinemia
metabolic disturbances
fluid and electrolyte imbalance
neurologic and behavioural problems
nutritional deficits
chronic respiratory disease
cardiovascular disturbances
hematologic disturbances
, ✔✔Pink (preterm baby) - ✔✔higher incidence of respiratory distress syndrome
✔✔Warm (preemie) - ✔✔susceptible to hypothermia due to their thin skin and lack of
sufficient brown fat
✔✔Sweet (preemie) - ✔✔face difficulties with oral feeding due to immature coordination
of suck, swallow, and breathing, and immature GI tract function which can cause reflux
and slow motility
risk of hypoglycemia
✔✔Organized (preemie) - ✔✔focus on reducing sensory overload and providing
developmentally supportive care tailored to the infant's cues
✔✔Clean (preemie) - ✔✔Due to their immature immune systems and the invasive
nature of their care, preterm infants are highly susceptible to infections
✔✔Attached (preemie) - ✔✔Skin-to-skin or kangaroo care is emphasized for its benefits
in stabilizing the infant's physiological state, improving sleep patterns, reducing stress,
and enhancing neurodevelopment
✔✔Identify four risk factors for preeclampsia - ✔✔Primigravida, <19 yrs or > 40 years,
multiple gestation, renal disease, diabetes, obesity, connective tissue disease, family
history
✔✔What's the root cause of pre-eclampsia - ✔✔With the placenta (defective placental
implantation)
✔✔What causes endothelial dysfunction? - ✔✔Placental ischemia
✔✔Why would a woman experience epigastric pain? - ✔✔Due to liver edema and
subcapsular hematoma
✔✔What to do for decreased fetal movement -> FIRST STEP - ✔✔position on left side
✔✔Bloodwork for pre-eclampsia - ✔✔CBC
platelet count
INR
PTT
fibrinogen
serum creatinine
serum uric acid
glucose
AST, ALT, & LDH
albumin
