Narm Study Cards Exam With
Complete Solutions
What are the risks of rubella to baby? - CORRECT ANSWER✔✔If the mother contracts rubella in the 1st
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trimester: congenital cataracts, skin lesions, sensorineural deafness, eye abnormalities, congenital heart
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disease
J
If mom has varicella in the first part of her pregnancy, what percent of babies catch fetal varicella syndrome
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before 20 wks gestation? - CORRECT ANSWER✔✔2%. fetal varicella syndrome symptoms include
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encephalitis, hypoplasia, skin lesions, scarring, cataracts, microcephaly, developmental delay
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What is the risk to baby if mom gets chicken pox anywhere from 36 wks gestation to 2 days PP? - CORRECT
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ANSWER✔✔can result in 50% inf. rate of baby, 25% of these will develop neonatal clinical varicella. Most
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babies affected will develop a rash and about 30% will die.
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when doing an exam on a woman with a gynecoid pelvis, what will you feel? - CORRECT ANSWER✔✔Sacral
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promontory is not reached, unless pelvis is smaller in general, sacrum is parallel to symphisis pubis, side
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walls are straight, ischial spines are blunt and not prominent or encroaching, public arch is =or> 90 degrees.
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, what percent of pregnant women usually test positive for GBS? - CORRECT ANSWER✔✔25%
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What % of babies born to moms with + GBS tests will likely become colonized with GBS? - CORRECT
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ANSWER✔✔50%
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What % of BABIES who become colonized with GBS will develop a serious life-threatening infection? -
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CORRECT ANSWER✔✔1-2%
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How does abx in labor affect GBS illness rates? - CORRECT ANSWER✔✔Decreases the rate by 80%. So,
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colonized babies have a .2-.4% risk if mom does receive abx, as opposed to a 1-2% if she does not
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What is the ductus arteriosis and what does it do? - CORRECT ANSWER✔✔A vessel between the
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pulmonary artery and the aorta. It allows blood to go from the pulmonary artery, to the aorta ( Because the
J J J J J J J J J J J J J J J J J J J J
lungs are pressurized with fluid). This allows for blood to return to placenta.
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What is the foramen ovale and what does it do? - CORRECT ANSWER✔✔it is a valve that allows blood to go
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from one atrium over to the other.
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hydatidiform mole - CORRECT ANSWER✔✔partial mole: 2 sperm fertilize 1 egg, resulting in 69
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chromosomes.
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complete mole: 1 or 2 sperm fertilize and empty egg. 2 % of these can turn into choriocarcinomas which is
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malignant trophoblastic tissue made up of cytotrophoblasts and syncitiotrophoblasts without villi.
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What are the symptoms of a hydatidiolform mole? - CORRECT ANSWER✔✔1st trimester bleeding, HG and
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tremors (due to increased levels of hCG), hyperthyroidism.
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How to diagnose hydatidiform mole: - CORRECT ANSWER✔✔Perform US. Will look like a snow storm and
J J J J J J J J J J J J J J J
clusters of grapes in uterus. Run a quantitative beta-hCG test. levels above 100,000 mIU/ml raise suspicion
J J J J J J J J J J J J J J J J
of molar pregnancy as they indicate exuberant trophoblastic growth.
J J J J J J J J J
Complete Solutions
What are the risks of rubella to baby? - CORRECT ANSWER✔✔If the mother contracts rubella in the 1st
J J J J J J J J J J J J J J J J J
trimester: congenital cataracts, skin lesions, sensorineural deafness, eye abnormalities, congenital heart
J J J J J J J J J J J
disease
J
If mom has varicella in the first part of her pregnancy, what percent of babies catch fetal varicella syndrome
J J J J J J J J J J J J J J J J J J
before 20 wks gestation? - CORRECT ANSWER✔✔2%. fetal varicella syndrome symptoms include
J J J J J J J J J J J J
encephalitis, hypoplasia, skin lesions, scarring, cataracts, microcephaly, developmental delay
J J J J J J J J J
What is the risk to baby if mom gets chicken pox anywhere from 36 wks gestation to 2 days PP? - CORRECT
J J J J J J J J J J J J J J J J J J J J J
ANSWER✔✔can result in 50% inf. rate of baby, 25% of these will develop neonatal clinical varicella. Most
J J J J J J J J J J J J J J J J J
babies affected will develop a rash and about 30% will die.
J J J J J J J J J J J
when doing an exam on a woman with a gynecoid pelvis, what will you feel? - CORRECT ANSWER✔✔Sacral
J J J J J J J J J J J J J J J J J
promontory is not reached, unless pelvis is smaller in general, sacrum is parallel to symphisis pubis, side
J J J J J J J J J J J J J J J J J
walls are straight, ischial spines are blunt and not prominent or encroaching, public arch is =or> 90 degrees.
J J J J J J J J J J J J J J J J J J
, what percent of pregnant women usually test positive for GBS? - CORRECT ANSWER✔✔25%
J J J J J J J J J J J J
What % of babies born to moms with + GBS tests will likely become colonized with GBS? - CORRECT
J J J J J J J J J J J J J J J J J J
ANSWER✔✔50%
J
What % of BABIES who become colonized with GBS will develop a serious life-threatening infection? -
J J J J J J J J J J J J J J J
CORRECT ANSWER✔✔1-2%
J J
How does abx in labor affect GBS illness rates? - CORRECT ANSWER✔✔Decreases the rate by 80%. So,
J J J J J J J J J J J J J J J J
colonized babies have a .2-.4% risk if mom does receive abx, as opposed to a 1-2% if she does not
J J J J J J J J J J J J J J J J J J J J
What is the ductus arteriosis and what does it do? - CORRECT ANSWER✔✔A vessel between the
J J J J J J J J J J J J J J J
pulmonary artery and the aorta. It allows blood to go from the pulmonary artery, to the aorta ( Because the
J J J J J J J J J J J J J J J J J J J J
lungs are pressurized with fluid). This allows for blood to return to placenta.
J J J J J J J J J J J J J
What is the foramen ovale and what does it do? - CORRECT ANSWER✔✔it is a valve that allows blood to go
J J J J J J J J J J J J J J J J J J J J
from one atrium over to the other.
J J J J J J J
hydatidiform mole - CORRECT ANSWER✔✔partial mole: 2 sperm fertilize 1 egg, resulting in 69
J J J J J J J J J J J J J
chromosomes.
J J
complete mole: 1 or 2 sperm fertilize and empty egg. 2 % of these can turn into choriocarcinomas which is
J J J J J J J J J J J J J J J J J J J
malignant trophoblastic tissue made up of cytotrophoblasts and syncitiotrophoblasts without villi.
J J J J J J J J J J J
What are the symptoms of a hydatidiolform mole? - CORRECT ANSWER✔✔1st trimester bleeding, HG and
J J J J J J J J J J J J J J
tremors (due to increased levels of hCG), hyperthyroidism.
J J J J J J J J
How to diagnose hydatidiform mole: - CORRECT ANSWER✔✔Perform US. Will look like a snow storm and
J J J J J J J J J J J J J J J
clusters of grapes in uterus. Run a quantitative beta-hCG test. levels above 100,000 mIU/ml raise suspicion
J J J J J J J J J J J J J J J J
of molar pregnancy as they indicate exuberant trophoblastic growth.
J J J J J J J J J