NARM EXAM 2026 COMPREHENSIVE STUDY
GUIDE SOLVED QUESTION SET
◉ chloasma. Answer: Irregular pigmentation of the cheeks. "The mask
of pregnancy"
◉ AFP/MSAFP and Triple/Multiple Screen
15-20wks. Answer: • (hCG, AFP and unconjugated estrogens) all from
maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of
chromosomes) and more - this test done @ 15-20wks
- No risk of test itself, however because of false-positives it can lead to
more invasive tests (US, AC, &CVS)
◉ Iatrogenic
complication. Answer: relating to illness caused by medical examination
or treatment.
◉ Friedman's
,curve. Answer: Dilate one cm per hour
◉ Food sources of IRON. Answer: red meat, beans, dark lefy, dried
fruit, soy beans, pumpkin seeds, lentils
◉ Essure. Answer: Transcervical female sterilization. Permanent
occlusion of the fallopian tubes. Nickel coil created scarring
◉ oliguria. Answer: abnormally small amounts of urine <5oo ml in 24
hours severe pre-eclampsia
◉ Herpes Virus. Answer: type 1 mouth and type 2 genital
◉ Gynecoid Pelvis. Answer: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt
and neither prominent or encourching. Wide arch either greater than or
equal to 90 degrees
◉ Android Pelvis (not for birth). Answer: Commonly known as, "The
male" pelvis. Increase incidence of posterior. Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
,Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
◉ Anthropoid AAAA LONG (anterior to posterior). Answer: Most
common in non-white races.
anthr"OP"id. Favors OP
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
◉ Platypelloid. Answer: RARE looks like a kidney bean. Long from
side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
◉ Foramen Ovale. Answer: The temporary opening between the left and
right atria that allows blood to pass since it does not need to pass
through the fetal lungs.
◉ 2 shunts for fetal circulation. Answer: foramen ovale, ductus
arteriosus, and ductus venosus (Figure 37-1). Because the lungs are a
closed, fluid-filled organ, they need minimal blood flow and the fetal
, circulation has high pulmonary vascular resistance. Oxygenated blood
bypasses the lungs by flowing through the opening between the right and
left atria called the foramen ovale and then into the descending aorta. In
the second shunt, blood in the right ventricle does not flow into the high-
pressure pulmonary vasculature, but rather flows through the ductus
arteriosus into the descending aorta. Placental prostaglandin,
prostacyclin, and low oxygen tension keep the ductus arteriosus open. 12
The third fetal shunt, the ductus venosus, connects the umbilical vein to
the inferior vena cava, which allows a portion of fetal blood to bypass
the circulation through the liver.
◉ Ductus Venosus. Answer: connects the umbilical vein to the inferior
vena cava, which allows a portion of fetal blood to bypass the circulation
through the liver.
◉ Disease that passes from parent to offspring through the placenta.
Answer: Vertical transmission
◉ Herb that is contraindicated in pregnancy. Answer: Pennyroyal
◉ Uterine muscles actions to dilate and efface the cervix. Answer:
retraction and contraction
◉ an anterior cervix indicated what type of uterus. Answer: Antiverted
GUIDE SOLVED QUESTION SET
◉ chloasma. Answer: Irregular pigmentation of the cheeks. "The mask
of pregnancy"
◉ AFP/MSAFP and Triple/Multiple Screen
15-20wks. Answer: • (hCG, AFP and unconjugated estrogens) all from
maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of
chromosomes) and more - this test done @ 15-20wks
- No risk of test itself, however because of false-positives it can lead to
more invasive tests (US, AC, &CVS)
◉ Iatrogenic
complication. Answer: relating to illness caused by medical examination
or treatment.
◉ Friedman's
,curve. Answer: Dilate one cm per hour
◉ Food sources of IRON. Answer: red meat, beans, dark lefy, dried
fruit, soy beans, pumpkin seeds, lentils
◉ Essure. Answer: Transcervical female sterilization. Permanent
occlusion of the fallopian tubes. Nickel coil created scarring
◉ oliguria. Answer: abnormally small amounts of urine <5oo ml in 24
hours severe pre-eclampsia
◉ Herpes Virus. Answer: type 1 mouth and type 2 genital
◉ Gynecoid Pelvis. Answer: 41-42%
Inlet: Rounded Sacrum: parallel to symphasis pubis Ischial spines: blunt
and neither prominent or encourching. Wide arch either greater than or
equal to 90 degrees
◉ Android Pelvis (not for birth). Answer: Commonly known as, "The
male" pelvis. Increase incidence of posterior. Andy HEART love.
Inlet: Heart shaped.
Sacrum: anterior inclined inclined and flat
,Ischial Spines: Prominent and encroaching.
Pubic arch: narrow and less than 90 degrees.
◉ Anthropoid AAAA LONG (anterior to posterior). Answer: Most
common in non-white races.
anthr"OP"id. Favors OP
Inlet: Oval
Sacrum: posterior inclined
Ischial spines: usually prominent
Pubic arch: somewhat narrow
◉ Platypelloid. Answer: RARE looks like a kidney bean. Long from
side-to-side.
Inlet: wide transverse diameter
Ischial Spines: Somewhat prominent.
Pubic arch: very wide!
◉ Foramen Ovale. Answer: The temporary opening between the left and
right atria that allows blood to pass since it does not need to pass
through the fetal lungs.
◉ 2 shunts for fetal circulation. Answer: foramen ovale, ductus
arteriosus, and ductus venosus (Figure 37-1). Because the lungs are a
closed, fluid-filled organ, they need minimal blood flow and the fetal
, circulation has high pulmonary vascular resistance. Oxygenated blood
bypasses the lungs by flowing through the opening between the right and
left atria called the foramen ovale and then into the descending aorta. In
the second shunt, blood in the right ventricle does not flow into the high-
pressure pulmonary vasculature, but rather flows through the ductus
arteriosus into the descending aorta. Placental prostaglandin,
prostacyclin, and low oxygen tension keep the ductus arteriosus open. 12
The third fetal shunt, the ductus venosus, connects the umbilical vein to
the inferior vena cava, which allows a portion of fetal blood to bypass
the circulation through the liver.
◉ Ductus Venosus. Answer: connects the umbilical vein to the inferior
vena cava, which allows a portion of fetal blood to bypass the circulation
through the liver.
◉ Disease that passes from parent to offspring through the placenta.
Answer: Vertical transmission
◉ Herb that is contraindicated in pregnancy. Answer: Pennyroyal
◉ Uterine muscles actions to dilate and efface the cervix. Answer:
retraction and contraction
◉ an anterior cervix indicated what type of uterus. Answer: Antiverted
