NU 333 - OB Exam 3 Questions With Complete Solutions
"blue" period Correct Answers Period following birth that is
characterized by emotional lability, depression, a let-down
feeling, restlessness, fatigue, insomnia, anxiety, sadness, and
anger. Lability peaks around the fifth day postpartum and
subsides by the tenth day.
"pink" period Correct Answers Period surrounding the first day
or two of birth, characterized by heightened joy and feelings of
well-being.
1. accreta
2. increta
3. precreta Correct Answers Major placental complications
involving abnormal attachment to the uterus that inhibits the
placental separation process after birth and can result in
hemorrhage.
1. Determine if the intrauterine environment continues to be
supportive of the fetus
2. Determine the timing of childbirth for women at risk for
interrupted oxygenation to the fetus by any of several
mechanisms Correct Answers 2 major goals of antepartal
assessment during the third trimester
,1. fetal breathing movements
2. fetal body movements
3. fetal tone
4. nonstress test (fetal heart rate reactivity)
5. amniotic fluid volume Correct Answers 5 variables assessed
during a BPP
1. hemolysis
2. elevated liver enzymes
3. low platelets Correct Answers HELLP characteristics
1. MSAFP
2. unconjugated estriol
3. hCG
4. inhibin
5. maternal age Correct Answers 5 factors used to determine
risk of Trisomy 18 and Trisomy 21
1. nipple-stimulated contraction stress test
2. oxytocin-stimulated contraction stress test Correct Answers
2 methods of contraction stress tests
,1. threatened
2. inevitable
3. incomplete
4. complete
5. missed Correct Answers five types of spontaneous
miscarriage
16 to 19 hours Correct Answers The newborn sleeps this many
hours a day, with periods of wakefulness gradually increasing.
5 categories for Apgar scoring Correct Answers 1. heart rate
2. respiratory effort
3. muscle tone
4. reflex irritability
5. color
A 34-year-old woman at 36 weeks of gestation has been
scheduled for a biophysical profile. She asks the nurse why the
test needs to be performed. The nurse tells her that the test is
performed because it:
A. Determines how well her baby will breathe after it is born
, B. Evaluates the response of her baby's heart to uterine
contractions
C. Measures her baby's head and length
D. Observes her baby's activities in utero to ensure that her baby
is getting enough oxygen Correct Answers D. Observes her
baby's activities in utero to ensure that her baby is getting
enough oxygen
An amniocentesis with analysis of amniotic fluid for the
lecithin/sphingomyelin (L/S) ratio and presence of
phosphatidylglycerol (Pg) is used to determine pulmonary
maturity; choice B refers to a contraction stress test; choice C
refers to serial measurements of fetal growth using ultrasound.
A 40-year-old woman at 18 weeks of gestation is having a quad
marker test performed. She is obese, and her health history
reveals that she is Rh negative. The primary purpose of this test
is to screen for:
A. Spina bifida
B. Down syndrome
C. Gestational diabetes
D. Rh antibodies Correct Answers B. Down syndrome
"blue" period Correct Answers Period following birth that is
characterized by emotional lability, depression, a let-down
feeling, restlessness, fatigue, insomnia, anxiety, sadness, and
anger. Lability peaks around the fifth day postpartum and
subsides by the tenth day.
"pink" period Correct Answers Period surrounding the first day
or two of birth, characterized by heightened joy and feelings of
well-being.
1. accreta
2. increta
3. precreta Correct Answers Major placental complications
involving abnormal attachment to the uterus that inhibits the
placental separation process after birth and can result in
hemorrhage.
1. Determine if the intrauterine environment continues to be
supportive of the fetus
2. Determine the timing of childbirth for women at risk for
interrupted oxygenation to the fetus by any of several
mechanisms Correct Answers 2 major goals of antepartal
assessment during the third trimester
,1. fetal breathing movements
2. fetal body movements
3. fetal tone
4. nonstress test (fetal heart rate reactivity)
5. amniotic fluid volume Correct Answers 5 variables assessed
during a BPP
1. hemolysis
2. elevated liver enzymes
3. low platelets Correct Answers HELLP characteristics
1. MSAFP
2. unconjugated estriol
3. hCG
4. inhibin
5. maternal age Correct Answers 5 factors used to determine
risk of Trisomy 18 and Trisomy 21
1. nipple-stimulated contraction stress test
2. oxytocin-stimulated contraction stress test Correct Answers
2 methods of contraction stress tests
,1. threatened
2. inevitable
3. incomplete
4. complete
5. missed Correct Answers five types of spontaneous
miscarriage
16 to 19 hours Correct Answers The newborn sleeps this many
hours a day, with periods of wakefulness gradually increasing.
5 categories for Apgar scoring Correct Answers 1. heart rate
2. respiratory effort
3. muscle tone
4. reflex irritability
5. color
A 34-year-old woman at 36 weeks of gestation has been
scheduled for a biophysical profile. She asks the nurse why the
test needs to be performed. The nurse tells her that the test is
performed because it:
A. Determines how well her baby will breathe after it is born
, B. Evaluates the response of her baby's heart to uterine
contractions
C. Measures her baby's head and length
D. Observes her baby's activities in utero to ensure that her baby
is getting enough oxygen Correct Answers D. Observes her
baby's activities in utero to ensure that her baby is getting
enough oxygen
An amniocentesis with analysis of amniotic fluid for the
lecithin/sphingomyelin (L/S) ratio and presence of
phosphatidylglycerol (Pg) is used to determine pulmonary
maturity; choice B refers to a contraction stress test; choice C
refers to serial measurements of fetal growth using ultrasound.
A 40-year-old woman at 18 weeks of gestation is having a quad
marker test performed. She is obese, and her health history
reveals that she is Rh negative. The primary purpose of this test
is to screen for:
A. Spina bifida
B. Down syndrome
C. Gestational diabetes
D. Rh antibodies Correct Answers B. Down syndrome
