NARM (CPM EXAM) II
Study online at https://quizlet.com/_husbu9
1. Supine Hypotensive Syndrome: When a women lies on her back it can cause her to feel dizzy or
lightheaded because the uterus rests on the inferior vena cava
2. chloasma: Irregular pigmentation of the cheeks. "The mask of pregnancy"
3. AFP/MSAFP and Triple/Multiple Screen
15-20wks: • (hCG, AFP and unconjugated estrogens) all from maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of chromosomes) and more - this test done @ 15-20wks
- No risk of test itself, however because of false-positives it can lead to more invasive tests (US, AC, &CVS)
4. Iatrogenic
complication: relating to illness caused by medical examination or treatment.
5. Friedman's
curve: Dilate one cm per hour
6. Food sources of IRON: red meat, beans, dark lefy, dried fruit, soy beans, pumpkin seeds, lentils
7. Essure: Transcervical female sterilization. Permanent occlusion of the fallopian tubes. Nickel coil created scarring
8. oliguria: abnormally small amounts of urine <5oo ml in 24 hours severe pre-eclampsia
9. Herpes Virus: type 1 mouth and type 2 genital
10. Gynecoid Pelvis: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt and neither prominent or encourching. Wide
arch either greater than or equal to 90 degrees
11. Android Pelvis (not for birth): Commonly known as, "The male" pelvis. Increase incidence of posterior.
Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
12. Anthropoid AAAA LONG (anterior to posterior): Most common in non-white races.
anthr"OP"id. Favors OP
, NARM (CPM EXAM) II
Study online at https://quizlet.com/_husbu9
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
13. Platypelloid: RARE looks like a kidney bean. Long from side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
14. Foramen Ovale: The temporary opening between the left and right atria that allows blood to pass since it
does not need to pass through the fetal lungs.
15. 2 shunts for fetal circulation: foramen ovale, ductus arteriosus, and ductus venosus (Figure 37-1).
Because the lungs are a closed, fluid-filled organ, they need minimal blood flow and the fetal circulation has high
pulmonary vascular resistance. Oxygenated blood bypasses the lungs by flowing through the opening between the
right and left atria called the foramen ovale and then into the descending aorta. In the second shunt, blood in the right
ventricle does not flow into the high-pressure pulmonary vasculature, but rather flows through the ductus arteriosus
into the descending aorta. Placental prostaglandin, prostacyclin, and low oxygen tension keep the ductus arteriosus
open. 12 The third fetal shunt, the ductus venosus, connects the umbilical vein to the inferior vena cava, which allows
a portion of fetal blood to bypass the circulation through the liver.
16. Ductus Venosus: connects the umbilical vein to the inferior vena cava, which allows a portion of fetal blood
to bypass the circulation through the liver.
17. Disease that passes from parent to offspring through the placenta: Vertical
transmission
18. Herb that is contraindicated in pregnancy: Pennyroyal
19. Uterine muscles actions to dilate and efface the cervix: retraction and contraction
20. an anterior cervix indicated what type of uterus: Antiverted
21. Another name for the follicular phase and which hormone dominates it.: Pro-
liferative phase and estrogen.
22. Essential Oil that can help reduce Blood pressure in pregnancy: Ylang Ylang
23. Normal Diagonal conjugate: 11.5 less than 10 is not normal Varney
24. cervical cap: Adheres to the cervix by suction
25. Placenta Percreta: chorionic villi invade through the entire uterine wall to the serosa layer
26. Placenta accreta list: AIP! Accreta, Increta and Percreta
, NARM (CPM EXAM) II
Study online at https://quizlet.com/_husbu9
27. After a pregnancy has been clinically diagnosed, how often do miscarriages
occur: 1 in 10
28. Miscarriage in the frist trimester: Miscarriage in the first trimester occurs in approximately 30% of
all pregnancies. Many
.
29. Smoking during pregnancy may harm the fetus in all of the following ways-
: causes prematurity and low birth weight
causes narrowing of the blood vessels in the umbilical cord
causes approximately 4,000 chemicals, including lead, to get into the mother's bloodstream
30. smoking during pregnancy: smoking during pregnancy doubles the chances that a baby will be born
premature
31. Progressive relaxation: deliberately tightening a single muscle group as tight as possible and then
letting it go as limp as possible and then repeating the exercise with different muscle groups
32. What is the smallest pelvic diameter to which the fetus has to accommodate
itself?: the interspinous diameter
33. Bladder descent into the vagina is termed:: cystocele
34. Constipation can be treated with:: increased water, exercise, and natural sources of iron
35. While doing pelvimetry, what is not usually felt, and if it is felt, it could
indicate a too narrow inlet:: diagonal conjugate
36. ELISA test signifies the possible presence of: HIV
37. Mary delivered 15 minutes ago. The placenta delivered 5 minutes ago. Blood
loss so far has been 1,000 cc and she is still trickle bleeding. Mary is showing
signs of shock. What will the midwife do first?: determine the cause of bleeding and take vital
signs
38. Implantation occurs about how many days after fertilization?: 7-9 days
39. The chorion is:: a thick membrane that develops from the trophoblast
40. Intrauterine compression of the umbilical cord is prevented by:: connective tissue
known as Wharton's jelly, plus high blood volume pulsing through the vessels
41. At term, the placenta is:: composed of 15-20 cotyledons and approximately 1/5 to 1/6th of the baby's
weight
Study online at https://quizlet.com/_husbu9
1. Supine Hypotensive Syndrome: When a women lies on her back it can cause her to feel dizzy or
lightheaded because the uterus rests on the inferior vena cava
2. chloasma: Irregular pigmentation of the cheeks. "The mask of pregnancy"
3. AFP/MSAFP and Triple/Multiple Screen
15-20wks: • (hCG, AFP and unconjugated estrogens) all from maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of chromosomes) and more - this test done @ 15-20wks
- No risk of test itself, however because of false-positives it can lead to more invasive tests (US, AC, &CVS)
4. Iatrogenic
complication: relating to illness caused by medical examination or treatment.
5. Friedman's
curve: Dilate one cm per hour
6. Food sources of IRON: red meat, beans, dark lefy, dried fruit, soy beans, pumpkin seeds, lentils
7. Essure: Transcervical female sterilization. Permanent occlusion of the fallopian tubes. Nickel coil created scarring
8. oliguria: abnormally small amounts of urine <5oo ml in 24 hours severe pre-eclampsia
9. Herpes Virus: type 1 mouth and type 2 genital
10. Gynecoid Pelvis: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt and neither prominent or encourching. Wide
arch either greater than or equal to 90 degrees
11. Android Pelvis (not for birth): Commonly known as, "The male" pelvis. Increase incidence of posterior.
Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
12. Anthropoid AAAA LONG (anterior to posterior): Most common in non-white races.
anthr"OP"id. Favors OP
, NARM (CPM EXAM) II
Study online at https://quizlet.com/_husbu9
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
13. Platypelloid: RARE looks like a kidney bean. Long from side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
14. Foramen Ovale: The temporary opening between the left and right atria that allows blood to pass since it
does not need to pass through the fetal lungs.
15. 2 shunts for fetal circulation: foramen ovale, ductus arteriosus, and ductus venosus (Figure 37-1).
Because the lungs are a closed, fluid-filled organ, they need minimal blood flow and the fetal circulation has high
pulmonary vascular resistance. Oxygenated blood bypasses the lungs by flowing through the opening between the
right and left atria called the foramen ovale and then into the descending aorta. In the second shunt, blood in the right
ventricle does not flow into the high-pressure pulmonary vasculature, but rather flows through the ductus arteriosus
into the descending aorta. Placental prostaglandin, prostacyclin, and low oxygen tension keep the ductus arteriosus
open. 12 The third fetal shunt, the ductus venosus, connects the umbilical vein to the inferior vena cava, which allows
a portion of fetal blood to bypass the circulation through the liver.
16. Ductus Venosus: connects the umbilical vein to the inferior vena cava, which allows a portion of fetal blood
to bypass the circulation through the liver.
17. Disease that passes from parent to offspring through the placenta: Vertical
transmission
18. Herb that is contraindicated in pregnancy: Pennyroyal
19. Uterine muscles actions to dilate and efface the cervix: retraction and contraction
20. an anterior cervix indicated what type of uterus: Antiverted
21. Another name for the follicular phase and which hormone dominates it.: Pro-
liferative phase and estrogen.
22. Essential Oil that can help reduce Blood pressure in pregnancy: Ylang Ylang
23. Normal Diagonal conjugate: 11.5 less than 10 is not normal Varney
24. cervical cap: Adheres to the cervix by suction
25. Placenta Percreta: chorionic villi invade through the entire uterine wall to the serosa layer
26. Placenta accreta list: AIP! Accreta, Increta and Percreta
, NARM (CPM EXAM) II
Study online at https://quizlet.com/_husbu9
27. After a pregnancy has been clinically diagnosed, how often do miscarriages
occur: 1 in 10
28. Miscarriage in the frist trimester: Miscarriage in the first trimester occurs in approximately 30% of
all pregnancies. Many
.
29. Smoking during pregnancy may harm the fetus in all of the following ways-
: causes prematurity and low birth weight
causes narrowing of the blood vessels in the umbilical cord
causes approximately 4,000 chemicals, including lead, to get into the mother's bloodstream
30. smoking during pregnancy: smoking during pregnancy doubles the chances that a baby will be born
premature
31. Progressive relaxation: deliberately tightening a single muscle group as tight as possible and then
letting it go as limp as possible and then repeating the exercise with different muscle groups
32. What is the smallest pelvic diameter to which the fetus has to accommodate
itself?: the interspinous diameter
33. Bladder descent into the vagina is termed:: cystocele
34. Constipation can be treated with:: increased water, exercise, and natural sources of iron
35. While doing pelvimetry, what is not usually felt, and if it is felt, it could
indicate a too narrow inlet:: diagonal conjugate
36. ELISA test signifies the possible presence of: HIV
37. Mary delivered 15 minutes ago. The placenta delivered 5 minutes ago. Blood
loss so far has been 1,000 cc and she is still trickle bleeding. Mary is showing
signs of shock. What will the midwife do first?: determine the cause of bleeding and take vital
signs
38. Implantation occurs about how many days after fertilization?: 7-9 days
39. The chorion is:: a thick membrane that develops from the trophoblast
40. Intrauterine compression of the umbilical cord is prevented by:: connective tissue
known as Wharton's jelly, plus high blood volume pulsing through the vessels
41. At term, the placenta is:: composed of 15-20 cotyledons and approximately 1/5 to 1/6th of the baby's
weight
