A woman with a BMI of 18 gains 25 lbs during her preg-
nancy. This pregnancy is at increased risk for
a. cesarean delivery b. delivery of a low birthweight infant
b. Delivery of low birthweight delivery
c. preeclampsia
During pregnancy, which of the following cardiovascular
parameters increases by 60%
a. blood volume b. plasma volume
b. plasma volume
c. red cell mass
When pregnancy, a woman with epilepsy has a higher risk
of seizures
a. during labor through 24 hours postpartum a. during labor thru 24 hrs. pp
b. from 72 hours to 1 week pp
c. in the third trimester
The risk of developing diabetes in women with a history
of gestational diabetes is
a. increased only if there are also multiple diabetes risk
b. increased with onset within 10-15 years in about 50%
factors
of those women
b. increased with onset within 10-15 years in about 50%
of those women
c. the same as women who do not have gest. diabetes
A woman recieves magnesium sulfate during labor for
gestational hypertension. What ettect can this have on
newborn?
c. muscle weakness
a. elevated cortisol levels
b.hypoglycemia
c.muscle weakness
A pregnant woman was diagnosed with varicella-zoster
at 32 weeks gestation. She is now in active labor at 40
, NCC-Maternal Newborn Study Questions and Answers Rated A
weeks gestation. The nurse would expect that which of
the following would be appropriate in order to ensure the
health of the newborn.
a. admister zoster immunoglobulin to newborn at deliv-
c. the mother's antibodies will be protective so no action
ery
is needed
b. admister zoster immunoglobulin to patient before de-
livery
c. the mother's antibodies will be protective so no action
is needed
In order to decrease the risk of fetal death to that of a
non-smoker, a woman must quit smoking
a. before the pregnancy occurs b. by the end of the first trimester
b. by the end of the first trimester
c. by the end of the 2nd trimester
A patient in preterm labor at 30 weeks received indocin,
the newborn should be observed for?
a. duodenal atresia c. necrotizing enercolitis (NEC)
b. Hirschsprung disease
c. necrotizing entercolitis (NEC)
What are the characteristics of dizygotic pregnancy?
a. 1 placenta and 1 amniotic sac
c. 2 placentas and amniotic sacs
b. 1 placenta and 2 amniotic sacs
c. 2 placentas and 2 amniotic sacs
A woman is diagnosed with oligohydramnios during her
pregnancy. the fetus/newborn should be evaluated for
a. diabetes insipidus c
b. klippel-feil syndrome
c. polycystic kidney disease
A fetus at 36 weeks receives a BBP score of 6. the expec-
tated management is
, a. immediate delivery
b. repeat in 24 hrs b
c. schedule the next test in one week
In evaluating the patient census for statt assignments, the
pp nurse is told that a pateint in the high risk unit may be
delivered and transferred to pp after delivery. A L/S ratio
was performed with result of 2:0 the nurse would expect
the following to occur?
b
a. A PG (phosphatidyglycerol) test needs to be per-
formed
b. the lungs are mature, and delivery will occur
c. the lungs are still immature, and the L/S will be repeat-
ed in 1 week
Which of the following is a limitation of an alpha-fetapro-
tein (AFP) test?
a. closed neural tube defects are not detected a
b. it will not detect down syndrome
c. its best sensitivity is at 20 weeks
A postpartum woman's prenatal history shows a quad
screen with a maternal serum (MSAFP) lower than normal
and higher than HCG and Inhibin A. The nurse can expect
the diagnosis of the newborn? b
a. neural tube defect
b. Trisomy 21
c. Underestimated gestational age
An umbilical gas ( artery) reveals the following ph: 7.27,
PC02: 50mm Hg; HC03: 23 meq/Ll base excessl -3.6. this
a
represents
a. normal value