NURS 629 MVU EXAM 1 PRACTICE EXAM 2026
QUESTIONS WITH ACCURATE ANSWERS
◉ Quad screen results for NTD. Answer: Inhibin-A: Normal
AFP: Increased
HCG: Normal
uE3: Normal
◉ endomyometritis. Answer: most common postpartum infection,
originates at placental site. Fever, chills, anorexia, nausea, fatigue,
pelvic pain, foul lochia
CBC- elevated WBC, sed rate, Blood and cervical cultures *Send to
hospital
Tx: triple IV antibiotics, hydration, rest, and nutrition
◉ UTI in pregnancy increases risk for. Answer: Renal damage
Preterm labor
◉ UTI in pregnancy positive UA and culture. Answer: •Urine dipstick
-+nitrites
-+leukocytes
•Urine culture
,-25,000 - 100,000 = tx. Indicated
◉ UTI in pregnancy treatment options. Answer: Treatment
•Macrobid—category B
•Ampicillin—category B
•Keflex—category B
•Pyridium—category B
•Bactrim—category C
-Do not use <13 weeks or >36 weeks
◉ Effects of Preexisting DM in pregnancy maternal risks. Answer:
•PIH
•Cystitis
•DKA
•Spont Ab
◉ Effects of Preexisting DM in pregnancy fetal risks. Answer: •NTD's
•Cardiac defects
•Macrosomia or
•IUGR
•hyperbilirubinemia
fetal lung immaturity
,◉ Effects of Macrosomia. Answer: •excess weight is truncal fat,
hence shoulder dystocia
•Macrosomia occurs in 25% of infants of type 1 diabetic mothers
•Excessive insulin secretion persists after birth, hypoglycemia of
newborn
•Hyperglycemia is the main causative factor in delayed lung
maturation
◉ Treatment of Preexisting DM in pregnancy. Answer: •Team
approach
•Monitor HgA1c
•Diet: 50% carb, 20% prot, 30% fat
•Insulin TID
•Hourly glucoses during labor
•NST's weekly (starting at 28 to 30 weeks)
•Amnio (P lung maturity)
◉ Gestational Diabetes. Answer: •Defined as diabetes developing in
pregnancy (usually after 20 weeks), which remits after delivery
•Occurs in 4% to 7% of pregnancies
, ◉ Risks for Developing Gestational Diabetes. Answer: •Aged 35 or
over
•Overweight
•Previous FBS 110 to 125 mg/dl
•Previous gestational diabetes
•Previous infant > 9 lbs.
•Previous unexplained stillbirth
•Family history of diabetes
◉ Risks to the Fetus Associated with GDM. Answer: •Congenital
malformations are not an issue
•Same risk as for preconception diabetes as regards:
·macrosomia (strongly linked to maternal weight)
·neonatal hypoglycemia (5-24% of infants of GDM mothers have
blood glucose < 2.2 soon after birth)
◉ 1 hour GTT. Answer: 1° GTT (24-28 weeks)
drink 50g glucose,
if 1° BS > 130-140 + and they need a 3 hour test
◉ 3 hour GTT. Answer: 3° GTT
• high carb diet X 2 days, then NPO after MN
QUESTIONS WITH ACCURATE ANSWERS
◉ Quad screen results for NTD. Answer: Inhibin-A: Normal
AFP: Increased
HCG: Normal
uE3: Normal
◉ endomyometritis. Answer: most common postpartum infection,
originates at placental site. Fever, chills, anorexia, nausea, fatigue,
pelvic pain, foul lochia
CBC- elevated WBC, sed rate, Blood and cervical cultures *Send to
hospital
Tx: triple IV antibiotics, hydration, rest, and nutrition
◉ UTI in pregnancy increases risk for. Answer: Renal damage
Preterm labor
◉ UTI in pregnancy positive UA and culture. Answer: •Urine dipstick
-+nitrites
-+leukocytes
•Urine culture
,-25,000 - 100,000 = tx. Indicated
◉ UTI in pregnancy treatment options. Answer: Treatment
•Macrobid—category B
•Ampicillin—category B
•Keflex—category B
•Pyridium—category B
•Bactrim—category C
-Do not use <13 weeks or >36 weeks
◉ Effects of Preexisting DM in pregnancy maternal risks. Answer:
•PIH
•Cystitis
•DKA
•Spont Ab
◉ Effects of Preexisting DM in pregnancy fetal risks. Answer: •NTD's
•Cardiac defects
•Macrosomia or
•IUGR
•hyperbilirubinemia
fetal lung immaturity
,◉ Effects of Macrosomia. Answer: •excess weight is truncal fat,
hence shoulder dystocia
•Macrosomia occurs in 25% of infants of type 1 diabetic mothers
•Excessive insulin secretion persists after birth, hypoglycemia of
newborn
•Hyperglycemia is the main causative factor in delayed lung
maturation
◉ Treatment of Preexisting DM in pregnancy. Answer: •Team
approach
•Monitor HgA1c
•Diet: 50% carb, 20% prot, 30% fat
•Insulin TID
•Hourly glucoses during labor
•NST's weekly (starting at 28 to 30 weeks)
•Amnio (P lung maturity)
◉ Gestational Diabetes. Answer: •Defined as diabetes developing in
pregnancy (usually after 20 weeks), which remits after delivery
•Occurs in 4% to 7% of pregnancies
, ◉ Risks for Developing Gestational Diabetes. Answer: •Aged 35 or
over
•Overweight
•Previous FBS 110 to 125 mg/dl
•Previous gestational diabetes
•Previous infant > 9 lbs.
•Previous unexplained stillbirth
•Family history of diabetes
◉ Risks to the Fetus Associated with GDM. Answer: •Congenital
malformations are not an issue
•Same risk as for preconception diabetes as regards:
·macrosomia (strongly linked to maternal weight)
·neonatal hypoglycemia (5-24% of infants of GDM mothers have
blood glucose < 2.2 soon after birth)
◉ 1 hour GTT. Answer: 1° GTT (24-28 weeks)
drink 50g glucose,
if 1° BS > 130-140 + and they need a 3 hour test
◉ 3 hour GTT. Answer: 3° GTT
• high carb diet X 2 days, then NPO after MN
