NUR 166 EXAM QUESTIONS AND
ANSWERS
Why do we do non-stress test (NST) - ANSWER-it tell us if the fetus is neurologically
intact and getting enough oxygen
Biophysical Profile (BPP) - ANSWER-Assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid
volume, and fetal heart rate reactivity.
Danger signs of pregnancy - ANSWER-gush of fluid or bleeding from vagina,
abdominal pain, abnormal kick count, persistent vomiting, epigastric pain, edema of
face and hands, severe persistent headache, blurred vision or dizziness, chills with
fever, painful urination or decreased urination
hyperemesis gravidarum - ANSWER-severe nausea and vomiting in pregnancy that
can cause severe dehydration in the mother and fetus (not the same as morning
sickness)
Gestational Diabetes Mellitus (GDM) - ANSWER-glucose intolerance first recognized
during pregnancy (can lead to type 2 later in life)
medical management of GDM - ANSWER-diagnosis
diet modifications
monitor blood glucose
insulin
exercise
selected fetal assessments
When is GDM screening done? - ANSWER-24-28 weeks
if pregnant women's blood glucose is over 130 what happens? - ANSWER-a second
3 hr complex glucose test is done
two abnormal 3 hr tests is diagnosis for GDM
Infant complications of GDM - ANSWER-hypoglycemia
respiratory distress
injury caused by macrosomia
growth restriction due to poor placenta functioning
TORCH - ANSWER-Toxoplasmosis
Rubella
Cytomegalovirus
Herpes Simplex Virus
Cytomegalovirus (CMV) - ANSWER-sexually transmitted
mother is often asymptomatic
, cmv complications in fetus - ANSWER-intellectual impairment
seizures
blindness
deafness
dental abnormalities
petechia
rubella - ANSWER-mild viral disease with low fever and rash
rubella complications in fetus - ANSWER-microcephaly
intellectual impairment
congenital cataracts
deafness
cardiac defects
intrauterine growth restrictions
Herpes virus - ANSWER-can infect fetus through ascending into uterus after
membrane ruptures or fetus comes in direct contact with open lesions in vaginal
cavity
neonatal herpes can be? - ANSWER-localized or disseminated (widespread)
what happens if a pregnant woman as active lesions? - ANSWER-must have c
section
herpes complications in fetus - ANSWER-low birth weight
enlarged liver and spleen
jaundice
inflammation of eye structures
neurological damage
iron - ANSWER-nutritional supplement
folic acid - ANSWER-nutritional supplement
prenatal vitamins - ANSWER-Vitamins taken by a pregnant woman before the child
is born
take with food
rhogam - ANSWER-Used to prevent an immune response to Rh positive blood in
people with an Rh negative blood type
given at 28 weeks, protects future pregnancies
penicillin - ANSWER-given to moms who tested positive for group b strep, given in iv
bag every 4 hrs until baby is born
tested around 34-35 weeks
ANSWERS
Why do we do non-stress test (NST) - ANSWER-it tell us if the fetus is neurologically
intact and getting enough oxygen
Biophysical Profile (BPP) - ANSWER-Assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid
volume, and fetal heart rate reactivity.
Danger signs of pregnancy - ANSWER-gush of fluid or bleeding from vagina,
abdominal pain, abnormal kick count, persistent vomiting, epigastric pain, edema of
face and hands, severe persistent headache, blurred vision or dizziness, chills with
fever, painful urination or decreased urination
hyperemesis gravidarum - ANSWER-severe nausea and vomiting in pregnancy that
can cause severe dehydration in the mother and fetus (not the same as morning
sickness)
Gestational Diabetes Mellitus (GDM) - ANSWER-glucose intolerance first recognized
during pregnancy (can lead to type 2 later in life)
medical management of GDM - ANSWER-diagnosis
diet modifications
monitor blood glucose
insulin
exercise
selected fetal assessments
When is GDM screening done? - ANSWER-24-28 weeks
if pregnant women's blood glucose is over 130 what happens? - ANSWER-a second
3 hr complex glucose test is done
two abnormal 3 hr tests is diagnosis for GDM
Infant complications of GDM - ANSWER-hypoglycemia
respiratory distress
injury caused by macrosomia
growth restriction due to poor placenta functioning
TORCH - ANSWER-Toxoplasmosis
Rubella
Cytomegalovirus
Herpes Simplex Virus
Cytomegalovirus (CMV) - ANSWER-sexually transmitted
mother is often asymptomatic
, cmv complications in fetus - ANSWER-intellectual impairment
seizures
blindness
deafness
dental abnormalities
petechia
rubella - ANSWER-mild viral disease with low fever and rash
rubella complications in fetus - ANSWER-microcephaly
intellectual impairment
congenital cataracts
deafness
cardiac defects
intrauterine growth restrictions
Herpes virus - ANSWER-can infect fetus through ascending into uterus after
membrane ruptures or fetus comes in direct contact with open lesions in vaginal
cavity
neonatal herpes can be? - ANSWER-localized or disseminated (widespread)
what happens if a pregnant woman as active lesions? - ANSWER-must have c
section
herpes complications in fetus - ANSWER-low birth weight
enlarged liver and spleen
jaundice
inflammation of eye structures
neurological damage
iron - ANSWER-nutritional supplement
folic acid - ANSWER-nutritional supplement
prenatal vitamins - ANSWER-Vitamins taken by a pregnant woman before the child
is born
take with food
rhogam - ANSWER-Used to prevent an immune response to Rh positive blood in
people with an Rh negative blood type
given at 28 weeks, protects future pregnancies
penicillin - ANSWER-given to moms who tested positive for group b strep, given in iv
bag every 4 hrs until baby is born
tested around 34-35 weeks
