NSPN 7100 Final Exam Questions With Complete Solutions
What are the consequences of congenital toxoplasmosis if
unrecognized?
chorioretinitis
cognitive and developmental impairment, and
hearing loss
What are the potential consequences to a syphilis infection
during pregnancy?
spontaneous abortion
serious deformities in a growing fetus
Early exposure to the varicella virus (chickenpox) in pregnancy
is associated with what adverse outcomes?
limb hypoplasia, fetal death, damage to the CNS, and eye
abnormalities
A neonate was exposed to hep B in utero. What will the
newborn be given to treat/manage viral hepatitis?
1) Immunoglobulin
2) Antibiotics
3) Eye ointment
4) Hep B vaccine
1) Immunoglobulin
2) Antibiotics
3) Eye ointment
,4) Hep B vaccine
*also given hep B vaccine, but immunoglobulin gives them
immediately functional immunity
True or False
It is recommended to wait until after MMR vaccine immunity is
achieved BEFORE trying to get pregnant
TRUE
Early exposure to rubella can lead to fetal deformities
What can result from cytomegalovirus (CMV) infections during
pregnancy?
miscarriage, stillbirth, or congenital cytomegalic infection
(neonate has CMV infection at birth)
What are the SS of congenital CMV?
rash, petechiae, jaundice, hepatosplenomegaly, IUGR,
microcephaly, chorioretinities, and inttracerbral calcifications.
True or False
While consequences are serious, most neonates exposed to
CMV in utero are born asymptomatic.
TRUE
A nurse performs a urine dipstick test on a pregnant woman. The
result shows proteinuria. The nurse should suspect
A) Gestational diabetes
B) Gestational HTN
,C) Rhabdomyolysis
D) Nothing, this is normal during pregnancy
A) Gestational diabetes
B) Gestational HTN
C) Rhabdomyolysis
D) Nothing, this is normal during pregnancy
What is the decidua?
The proliferated endometrium during pregnancy
What is the significance of the isthmus during labor?
Isthmus is the space between cervix and uterus
In labor -> lower uterine segment
thins and elongates during labor, while upper uterus thickens as
muscle fibers become dense to support contractions/pushing
force
What are the main maternal physiological adaptations during
pregnancy?
CV/Resp
increased blood volume, CO, HR
slight decrease in blood pressure
increased RBCs
physiologic anemia
increased O2 requirements
increased vascularity in upper airways
Breasts
, Development of mammary glands
Colostrum by 2nd trimester
Renal
dilation of ureters
increased risk of UTIs
urinary frequency early in pregnancy/again at term
GI:
nausea and vomiting
delayed emptying of stomach
reflux
decreased tone and motility in intestines
Reproductive
continued uterine growth
Braxton hicks contractions start at approx.4 months
blood flow to the uterus increases 10 fold; 450-600 ml/min at
term
softening of cervix
vaginal mucosa thickens
leukorrhea
vaginal secretions more acidic
increased vascularity of vagina/cervix
Musculoskeletal:
pelvis tilts forward
center of gravity shifts
What are the consequences of congenital toxoplasmosis if
unrecognized?
chorioretinitis
cognitive and developmental impairment, and
hearing loss
What are the potential consequences to a syphilis infection
during pregnancy?
spontaneous abortion
serious deformities in a growing fetus
Early exposure to the varicella virus (chickenpox) in pregnancy
is associated with what adverse outcomes?
limb hypoplasia, fetal death, damage to the CNS, and eye
abnormalities
A neonate was exposed to hep B in utero. What will the
newborn be given to treat/manage viral hepatitis?
1) Immunoglobulin
2) Antibiotics
3) Eye ointment
4) Hep B vaccine
1) Immunoglobulin
2) Antibiotics
3) Eye ointment
,4) Hep B vaccine
*also given hep B vaccine, but immunoglobulin gives them
immediately functional immunity
True or False
It is recommended to wait until after MMR vaccine immunity is
achieved BEFORE trying to get pregnant
TRUE
Early exposure to rubella can lead to fetal deformities
What can result from cytomegalovirus (CMV) infections during
pregnancy?
miscarriage, stillbirth, or congenital cytomegalic infection
(neonate has CMV infection at birth)
What are the SS of congenital CMV?
rash, petechiae, jaundice, hepatosplenomegaly, IUGR,
microcephaly, chorioretinities, and inttracerbral calcifications.
True or False
While consequences are serious, most neonates exposed to
CMV in utero are born asymptomatic.
TRUE
A nurse performs a urine dipstick test on a pregnant woman. The
result shows proteinuria. The nurse should suspect
A) Gestational diabetes
B) Gestational HTN
,C) Rhabdomyolysis
D) Nothing, this is normal during pregnancy
A) Gestational diabetes
B) Gestational HTN
C) Rhabdomyolysis
D) Nothing, this is normal during pregnancy
What is the decidua?
The proliferated endometrium during pregnancy
What is the significance of the isthmus during labor?
Isthmus is the space between cervix and uterus
In labor -> lower uterine segment
thins and elongates during labor, while upper uterus thickens as
muscle fibers become dense to support contractions/pushing
force
What are the main maternal physiological adaptations during
pregnancy?
CV/Resp
increased blood volume, CO, HR
slight decrease in blood pressure
increased RBCs
physiologic anemia
increased O2 requirements
increased vascularity in upper airways
Breasts
, Development of mammary glands
Colostrum by 2nd trimester
Renal
dilation of ureters
increased risk of UTIs
urinary frequency early in pregnancy/again at term
GI:
nausea and vomiting
delayed emptying of stomach
reflux
decreased tone and motility in intestines
Reproductive
continued uterine growth
Braxton hicks contractions start at approx.4 months
blood flow to the uterus increases 10 fold; 450-600 ml/min at
term
softening of cervix
vaginal mucosa thickens
leukorrhea
vaginal secretions more acidic
increased vascularity of vagina/cervix
Musculoskeletal:
pelvis tilts forward
center of gravity shifts
