NARM STUDY: MIA MODULE 10 QUESTIONS
When does preeclampsia usually present? - Answer -After 20w
What symptoms are diagnostic of pre-e? - Answer -Hypertension and proteinuria
What lab values are indicative of pre-e? - Answer -Low serum albumin and platelets,
high liver enzymes, uric acid and BUN
What other signs/symptoms may accompany pre-e? - Answer -Low urine output, hyper
reflexes, clonus, headache, visual changes, epigastric pain, nausea, edema
What herbs can be recommended with a threatened miscarriage? - Answer -Wild yam,
false unicorn, lobelia, cramp bark, black haw
At what gestational age would RhoGAM be appropriate after a miscarriage? - Answer -
12 weeks
What four basic pathological processes result in preterm labor? - Answer -premature
activation of the HPA axis, inflammation or infection, decidual hemorrhage, or uterine
distension
What percentage of pregnancies will naturally exceed 42 weeks? - Answer -around
12%
What risks are associated with postterm pregnancy? - Answer -Large baby, meconium,
intrapartal fetal death
If postterm pregnancy is expectantly managed, what should be increased? - Answer -
monitoring of fetal wellbeing
How can fetal wellbeing be monitored? - Answer -daily kick counts, NST or AAT once
or twice weekly, BPP once or twice weekly
With a postterm pregnancy, what changes about labor management? - Answer -
increased fetal monitoring, preparation to clear thick meconium from airway at birth if
needed
Classic signs of placenta previa include: - Answer -bleeding before 30 weeks, painless
vaginal bleeding in the 3rd trimester, malpresentation or lack of engagement
At what point is the fetal nervous system mature, and should FHR patterns demonstrate
healthy patterns on NST or AAT? - Answer -by 32 weeks
When does preeclampsia usually present? - Answer -After 20w
What symptoms are diagnostic of pre-e? - Answer -Hypertension and proteinuria
What lab values are indicative of pre-e? - Answer -Low serum albumin and platelets,
high liver enzymes, uric acid and BUN
What other signs/symptoms may accompany pre-e? - Answer -Low urine output, hyper
reflexes, clonus, headache, visual changes, epigastric pain, nausea, edema
What herbs can be recommended with a threatened miscarriage? - Answer -Wild yam,
false unicorn, lobelia, cramp bark, black haw
At what gestational age would RhoGAM be appropriate after a miscarriage? - Answer -
12 weeks
What four basic pathological processes result in preterm labor? - Answer -premature
activation of the HPA axis, inflammation or infection, decidual hemorrhage, or uterine
distension
What percentage of pregnancies will naturally exceed 42 weeks? - Answer -around
12%
What risks are associated with postterm pregnancy? - Answer -Large baby, meconium,
intrapartal fetal death
If postterm pregnancy is expectantly managed, what should be increased? - Answer -
monitoring of fetal wellbeing
How can fetal wellbeing be monitored? - Answer -daily kick counts, NST or AAT once
or twice weekly, BPP once or twice weekly
With a postterm pregnancy, what changes about labor management? - Answer -
increased fetal monitoring, preparation to clear thick meconium from airway at birth if
needed
Classic signs of placenta previa include: - Answer -bleeding before 30 weeks, painless
vaginal bleeding in the 3rd trimester, malpresentation or lack of engagement
At what point is the fetal nervous system mature, and should FHR patterns demonstrate
healthy patterns on NST or AAT? - Answer -by 32 weeks
