UMN NURS 4301 Families II Test 1 Questions With
Complete Solutions
3 types of placental abruptio Correct Answer Marginal
(external bleeding)
Partial (concealed bleeding)
Complete (concealed bleeding)
ABO incompatibility Correct Answer More common and less
severe than Rh issues, may contribute to jaundice or
hyperbilirubinemia
Amniocentesis Correct Answer Aspiration of amniotic fluid
from uterus and amniotic sac, may be performed after 14 weeks
gestation (need an empty bladder)
Antepartum RhoGam Correct Answer 300 mcg given IM with
every blood exposure and at 28 weeks gestation
Betamethasone Correct Answer PPROM <34 weeks, PTL
between 24-34 weeks.
Most effective 24 hours after first dose and before 7 days of last
dose.
RAISES BG!!!
Biophysical profile Correct Answer Real time ultrasound to
visualize physical characteristics of fetus and observe for fetal
biophysical responses to stimuli, ultrasound + NST
Classification of spontaneous abortion Correct Answer
Threatened (cervix closed)
,Inevitable (cervix open)
Incomplete (BAD, may lead to hemorrhage)
Complete
Missed (if 1st trimester--> D and C, if 2nd trimester-->cytotec)
Recurrent
Contraction Stress Test Correct Answer Enabling contractions
to stimulate fetal movement and determine how the fetus will
tolerate the stress of labor
Deep Vein Thrombosis (DVT) Correct Answer Same as SVT
BUT extremities are cool, pale, pedal edema, decreased pedal
pulses, and Homan's side.
Disseminated Intravascular Coagulation (DIC) Correct Answer
Life threatening complications of missed abortion, placental
abruption, uterine rupture and preeclampsia in which
procoagultaion and anticoagulation factors are simultaneously
active and bleeding occurs everywhere!!
Do you need antibiotics if GBS- or planned c/s? Correct
Answer NO
Eclampsia Correct Answer Same as severe but with onset of
seizure activity!
Ectopic Pregnancy Correct Answer implantation of the
fertilized ovum implants somewhere other than the endometrial
lining of the uterus...never viable. (often happens in FIRST
trimester)
, Epidural Correct Answer Infusion of anesthetic and opiate in
epidural space L4 and L5 during active labor.
HYPOTENSION!!
Fetal complications of preeclampsia Correct Answer
Oligohydraminos, growth restriction, fetal death, low birth
weight, prematurity, non reassuring fetal surveillance
Gestational Hypertension Correct Answer Begins after the
20th week of pregnancy, returns to normal with 6 weeks after
birth (if not-considered chronic!). +30/+15 above prenatal
baseline
Gestational Trophoblastic Disease Correct Answer
Hydatidiform mole or molar pregnancy (nonviable pregnancy,
the embryo doesn't form)
HELLP Correct Answer Hemolysis (low Hgb) , Elevated
Liver Enzymes (AST >33, ALT > 32), Low Platelets <100,000
Hematoma Correct Answer Injury of blood vessel during birth
Hemolytic Disease of the Newborn Correct Answer Rh
incompatibility, ABO incompatibility, Kernicertus
How are small for gestational age babies classified? Correct
Answer They are below the 10th percentile
How does RhoGam work? Correct Answer It has passive
antibodies to the Rh factor. therefore, the mom recognizes these
and realizes she doesn't need to make her own antibodies.
Complete Solutions
3 types of placental abruptio Correct Answer Marginal
(external bleeding)
Partial (concealed bleeding)
Complete (concealed bleeding)
ABO incompatibility Correct Answer More common and less
severe than Rh issues, may contribute to jaundice or
hyperbilirubinemia
Amniocentesis Correct Answer Aspiration of amniotic fluid
from uterus and amniotic sac, may be performed after 14 weeks
gestation (need an empty bladder)
Antepartum RhoGam Correct Answer 300 mcg given IM with
every blood exposure and at 28 weeks gestation
Betamethasone Correct Answer PPROM <34 weeks, PTL
between 24-34 weeks.
Most effective 24 hours after first dose and before 7 days of last
dose.
RAISES BG!!!
Biophysical profile Correct Answer Real time ultrasound to
visualize physical characteristics of fetus and observe for fetal
biophysical responses to stimuli, ultrasound + NST
Classification of spontaneous abortion Correct Answer
Threatened (cervix closed)
,Inevitable (cervix open)
Incomplete (BAD, may lead to hemorrhage)
Complete
Missed (if 1st trimester--> D and C, if 2nd trimester-->cytotec)
Recurrent
Contraction Stress Test Correct Answer Enabling contractions
to stimulate fetal movement and determine how the fetus will
tolerate the stress of labor
Deep Vein Thrombosis (DVT) Correct Answer Same as SVT
BUT extremities are cool, pale, pedal edema, decreased pedal
pulses, and Homan's side.
Disseminated Intravascular Coagulation (DIC) Correct Answer
Life threatening complications of missed abortion, placental
abruption, uterine rupture and preeclampsia in which
procoagultaion and anticoagulation factors are simultaneously
active and bleeding occurs everywhere!!
Do you need antibiotics if GBS- or planned c/s? Correct
Answer NO
Eclampsia Correct Answer Same as severe but with onset of
seizure activity!
Ectopic Pregnancy Correct Answer implantation of the
fertilized ovum implants somewhere other than the endometrial
lining of the uterus...never viable. (often happens in FIRST
trimester)
, Epidural Correct Answer Infusion of anesthetic and opiate in
epidural space L4 and L5 during active labor.
HYPOTENSION!!
Fetal complications of preeclampsia Correct Answer
Oligohydraminos, growth restriction, fetal death, low birth
weight, prematurity, non reassuring fetal surveillance
Gestational Hypertension Correct Answer Begins after the
20th week of pregnancy, returns to normal with 6 weeks after
birth (if not-considered chronic!). +30/+15 above prenatal
baseline
Gestational Trophoblastic Disease Correct Answer
Hydatidiform mole or molar pregnancy (nonviable pregnancy,
the embryo doesn't form)
HELLP Correct Answer Hemolysis (low Hgb) , Elevated
Liver Enzymes (AST >33, ALT > 32), Low Platelets <100,000
Hematoma Correct Answer Injury of blood vessel during birth
Hemolytic Disease of the Newborn Correct Answer Rh
incompatibility, ABO incompatibility, Kernicertus
How are small for gestational age babies classified? Correct
Answer They are below the 10th percentile
How does RhoGam work? Correct Answer It has passive
antibodies to the Rh factor. therefore, the mom recognizes these
and realizes she doesn't need to make her own antibodies.
