NARM EXAM 2026 EXAM PREP STUDY GUIDE
COMPREHENSIVE REVIEW
◉ 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
COMPREHENSIVE REVIEW
◉ 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
