Peds) UPDATED ACTUAL Exam Questions
and CORRECT Answers
What is the #1 STI in the United States? What is the #2 STI? - CORRECT ANSWER -1.
Chlamydia
2. Gonorrhea
What two STI's crosses the placenta? What should we be educating on? - CORRECT
ANSWER -Syphilis and HIV
-We should educate on protection
What is the #1 viral infection in the United States? - CORRECT ANSWER -HPV
Define Oligohydramnios and Polyhydramnios. - CORRECT ANSWER -O: Too little fluid
(<500 CC)
P: Too much fluid (>2000 CC)
What are the presumptive S/S of pregnancy? - CORRECT ANSWER -Amenorrhea,
fatigue, N/V, breast changes, etc.
What are the probable S/S of pregnancy? - CORRECT ANSWER -Pregnancy test,
Hegar's, Goddell's, & Chadwick's sign.
How do you calculate Nagele's Rule (Due Date)? - CORRECT ANSWER -Take the 1st
day of last menstrual period, subtract 3 months, and add 1 year & 7 days for the due date
, What is the recommendation of weight gain over the length of pregnancy? - CORRECT
ANSWER -25-35 pounds
When are the doses for Rhogam given? What is the standard dose? - CORRECT
ANSWER --1st: At 28 weeks gestation for EVERY pregnancy woman who is RH
Negative
-2nd: If baby is RH+ within 72 hours of delivery
-Standard: 300 MCG IM
Identify Prenatal Lab tests. - CORRECT ANSWER -•RUBELLA TITER - IMMUNITY
TO RUBELLA (RISK OF CONGENITAL ANOMALIES), RUBELLA VACCINE GIVEN
POSTPARTUM IF NO IMMUNITY ( CAUTION IF IMMUNOSUPPRESSED FAMILY
MEMBER BECAUSE RUBELLA IS A LIVE VACCINE)
•HEPATITIS B SCREEN - CARRIER?
•GROUP B STREPTOCOCCUS (GBS) - VAGINAL OR ANAL CULTURE AT 35-37 WKS.;
IF POSITIVE WILL NEED ANTIBIOTICS IN LABOR, USUALLY PENICILLIN OR
AMPICILLIN
•1 HOUR GLUCOSE CHALLENGE TEST - ALL PREGNANT WOMEN AT 24-28 WKS;
130-140 OR HIGHER IS A POSITIVE RESULT, REQUIRES 3HR TEST
•3 HOUR GLUCOSE TOLERANCE TEST (GTT) - FASTING OVERNIGHT REQUIRED,
FOLLOW-UP TO POSITIVE 1 HR. TEST. IF 2 ELEVATIONS = DX OF GDM
•VDRL OR RPR - BLOOD TEST FOR SYPHILIS ( REPEAT ON ADMISSION)