NMNC 3210 Exam 3 actual questions and
CORRECT answers
Fertility: Requirements - CORRECT ANSWER Requirements for WOMEN:
Functioning ovaries and open fallopian tubes
Regular menstrual cycle
Normal uterine contour
Requirements for MEN:
Sufficient number of sperm
Sperm motility
Sperm shape
Fertility: Risk factors - CORRECT ANSWER Teratogens
Alcohol, drug use, smoking
Vaccination status
Chronic/infectious disease states
Nutritional status (BMI)
Genetic abnormalities
Fertility: Side effects of medications and treatments - CORRECT
ANSWER Clomiphene (Clomid) - selective estrogen receptor modulator that binds to
estrogen receptors, induces ovulation by increasing output of pituitary gonadotropins (FSH
and LH). Can cause multiple pregnancies.
Teratogens: alcohol effects on a fetus - CORRECT ANSWER Fetal alcohol syndrome:
alcohol interferes with the absorption and use of vitamin B12, folic acid, and magnesium. It
will cause possible fetal growth restrictions. Alcohol can pass easily through the placenta and
can cause spontaneous abortions or physical abnormalities to the fetus.
,What period of pregnancy is the most vulnerable for the fetus for congenital abnormalities? -
CORRECT ANSWER The most vulnerable period for the fetus is the first 3 months
because during this time the fetus' organs are growing.
What is GTPAL? - CORRECT ANSWER G - gravida: number of pregnancies
T - term: how many carried to term (37 weeks)
P - preterm: how many were early
A - abortions: spontaneous or elective
L - living
What is Ptyalism? - CORRECT ANSWER Excessive salivation. It is caused by
stimulation of the salivary glands by the ingestion of starch. Decreased swallowing during
nausea and vomiting may also play a part. Small frequent meals, gum chewing, and oral
lozenges offer limited relief.
What is para? - CORRECT ANSWER the number of pregnancies that have progressed
to 20 weeks or more weeks at delivery
What is gravida? - CORRECT ANSWER The number of pregnancies
Maternal infections (viral & bacterial) interventions. - CORRECT ANSWER Mother's
immune system is decreased due to progesterone decreasing the airway resistance.
Decreased gastric emptying and constipation
Ears maybe be blocked (mild hearing loss) due to changes in mucous membranes
Diminished smell due to nasal congestion
Appropriate weight gain for mom - CORRECT ANSWER Normal weight gain for
mom (total gain) -
Total gain of 11.5 to 16 kg (25 to 35 lb).
Weekly gain of 0.35 to 0.5 kg (0.8 to 1 lb)
, Calculate BMI - CORRECT ANSWER kg/m2
Folic acid sources and importance - CORRECT ANSWER legumes, asparagus, eggs,
leafy greens, beets, citrus fruits, and Brussel sprouts. It is used for metabolism and cell
growth.
Gestational hypertension: - CORRECT ANSWER Blood pressure elevation after 20
weeks of pregnancy. No accompanied by proteinuria. It can progress to preeclampsia. If it
persists more than 6 weeks after the birth, chronic hypertension is diagnosed
Preeclampsia: - CORRECT ANSWER Gestational hypertension with proteinuria.
Thought to be disease of placenta. The placental blood vessels don't seem to develop
properly. Narrower than normal blood vessels and reacts differently to hormonal signaling
which limits the amount of blood that can flow through them. Liver, kidney, and brain are all
affected.
Eclampsia: - CORRECT ANSWER Progression of preeclampsia to generalized
seizures. Can be life threatening or cause hypoxic injury to fetus. It can cause seizures.
Magnesium sulfate is used to prevent seizures.
Chronic hypertension: - CORRECT ANSWER Hypertension that preceded the
pregnancy or less than 20 weeks' gestation. Women with chronic HTN are at increased risk
for preeclampsia. Monitor closely for proteinuria and edema.
Know the early and late types of hemorrhage, the signs and symptoms and various treatments
for each, both antepartum and post-partum. - CORRECT ANSWER
Placenta Previa: - CORRECT ANSWER Implantation of the placenta in the lower
uterus and partially covering the cervix. Painless uterine bleeding in the latter half of
pregnancy. Administer oxytocin to stimulate labor should be AVOIDED! Manual vaginal
exam or contraction stimulation can interrupt connection between maternal and placental
vessels if the placenta is attached low in the uterus.
CORRECT answers
Fertility: Requirements - CORRECT ANSWER Requirements for WOMEN:
Functioning ovaries and open fallopian tubes
Regular menstrual cycle
Normal uterine contour
Requirements for MEN:
Sufficient number of sperm
Sperm motility
Sperm shape
Fertility: Risk factors - CORRECT ANSWER Teratogens
Alcohol, drug use, smoking
Vaccination status
Chronic/infectious disease states
Nutritional status (BMI)
Genetic abnormalities
Fertility: Side effects of medications and treatments - CORRECT
ANSWER Clomiphene (Clomid) - selective estrogen receptor modulator that binds to
estrogen receptors, induces ovulation by increasing output of pituitary gonadotropins (FSH
and LH). Can cause multiple pregnancies.
Teratogens: alcohol effects on a fetus - CORRECT ANSWER Fetal alcohol syndrome:
alcohol interferes with the absorption and use of vitamin B12, folic acid, and magnesium. It
will cause possible fetal growth restrictions. Alcohol can pass easily through the placenta and
can cause spontaneous abortions or physical abnormalities to the fetus.
,What period of pregnancy is the most vulnerable for the fetus for congenital abnormalities? -
CORRECT ANSWER The most vulnerable period for the fetus is the first 3 months
because during this time the fetus' organs are growing.
What is GTPAL? - CORRECT ANSWER G - gravida: number of pregnancies
T - term: how many carried to term (37 weeks)
P - preterm: how many were early
A - abortions: spontaneous or elective
L - living
What is Ptyalism? - CORRECT ANSWER Excessive salivation. It is caused by
stimulation of the salivary glands by the ingestion of starch. Decreased swallowing during
nausea and vomiting may also play a part. Small frequent meals, gum chewing, and oral
lozenges offer limited relief.
What is para? - CORRECT ANSWER the number of pregnancies that have progressed
to 20 weeks or more weeks at delivery
What is gravida? - CORRECT ANSWER The number of pregnancies
Maternal infections (viral & bacterial) interventions. - CORRECT ANSWER Mother's
immune system is decreased due to progesterone decreasing the airway resistance.
Decreased gastric emptying and constipation
Ears maybe be blocked (mild hearing loss) due to changes in mucous membranes
Diminished smell due to nasal congestion
Appropriate weight gain for mom - CORRECT ANSWER Normal weight gain for
mom (total gain) -
Total gain of 11.5 to 16 kg (25 to 35 lb).
Weekly gain of 0.35 to 0.5 kg (0.8 to 1 lb)
, Calculate BMI - CORRECT ANSWER kg/m2
Folic acid sources and importance - CORRECT ANSWER legumes, asparagus, eggs,
leafy greens, beets, citrus fruits, and Brussel sprouts. It is used for metabolism and cell
growth.
Gestational hypertension: - CORRECT ANSWER Blood pressure elevation after 20
weeks of pregnancy. No accompanied by proteinuria. It can progress to preeclampsia. If it
persists more than 6 weeks after the birth, chronic hypertension is diagnosed
Preeclampsia: - CORRECT ANSWER Gestational hypertension with proteinuria.
Thought to be disease of placenta. The placental blood vessels don't seem to develop
properly. Narrower than normal blood vessels and reacts differently to hormonal signaling
which limits the amount of blood that can flow through them. Liver, kidney, and brain are all
affected.
Eclampsia: - CORRECT ANSWER Progression of preeclampsia to generalized
seizures. Can be life threatening or cause hypoxic injury to fetus. It can cause seizures.
Magnesium sulfate is used to prevent seizures.
Chronic hypertension: - CORRECT ANSWER Hypertension that preceded the
pregnancy or less than 20 weeks' gestation. Women with chronic HTN are at increased risk
for preeclampsia. Monitor closely for proteinuria and edema.
Know the early and late types of hemorrhage, the signs and symptoms and various treatments
for each, both antepartum and post-partum. - CORRECT ANSWER
Placenta Previa: - CORRECT ANSWER Implantation of the placenta in the lower
uterus and partially covering the cervix. Painless uterine bleeding in the latter half of
pregnancy. Administer oxytocin to stimulate labor should be AVOIDED! Manual vaginal
exam or contraction stimulation can interrupt connection between maternal and placental
vessels if the placenta is attached low in the uterus.
