NCC-MATERNAL NEWBORN QUESTIONS WITH CORRECT ANSWERS

NCC-MATERNAL NEWBORN QUESTIONS WITH CORRECT ANSWERS A woman with a BMI of 18 gains 25 lbs during her pregnancy. This pregnancy is at increased risk for a. caesarean delivery b. Delivery of low birthweight delivery c. preeclampsia - ANSWER-b. delivery of a low birthweight infant During pregnancy, which of the following cardiovascular parameters increases by 60% a. blood volume b. plasma volume c. red cell mass - ANSWER-b. plasma volume When pregnancy, a woman with epilepsy has a higher risk of seizures a. during labour through 24 hours postpartum b. from 72 hours to 1 week pp c. in the third trimester - ANSWER-a. during labour thru 24 hrs. pp The risk of developing diabetes in women with a history of gestational diabetes is a. increased only if there are also multiple diabetes risk factors 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 - ANSWER-b. increased with onset within 10-15 years in about 50% of those women A woman receives magnesium sulphate during labour for gestational hypertension. What effect can this have on newborn? a. elevated cortisol levels b. hypoglycaemia c. muscle weakness - ANSWER-c. muscle weakness A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation. She is now in active labour at 40 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 delivery b. admister zoster immunoglobulin to patient before delivery c. the mother's antibodies will be protective so no action is needed - ANSWER-c. the mother's antibodies will be protective so no action is needed In order to decrease the risk of foetal 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 c. by the end of the 2nd trimester - ANSWER-b. by the end of the first trimester A patient in preterm labour at 30 weeks received Indocin, the newborn should be observed for? a. duodenal atresia b. Hirschsprung disease c. necrotizing enterocolitis (NEC) - ANSWER-c. necrotizing enterocolitis (NEC) What are the characteristics of dizygotic pregnancy? a. 1 placenta and 1 amniotic sac b. 1 placenta and 2 amniotic sacs c. 2 placentas and 2 amniotic sacs - ANSWER-c. 2 placentas and amniotic sacs A woman is diagnosed with oligohydramnios during her pregnancy. the fetus/newborn should be evaluated for a. diabetes insipidus b. klippel-feil syndrome c. polycystic kidney disease - ANSWER-c A foetus at 36 weeks receives a BBP score of 6. the expected management is a. immediate delivery b. repeat in 24 hrs c. schedule the next test in one week - ANSWER-b In evaluating the patient census for staff 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? a. A PG (phosphatidylglycerol) test needs to be performed b. the lungs are mature, and delivery will occur c. the lungs are still immature, and the L/S will be repeated in 1 week - ANSWER-b Which of the following is a limitation of an alpha-fetoprotein (AFP) test? a. closed neural tube defects are not detected b. it will not detect down syndrome c. its best sensitivity is at 20 weeks - ANSWER-a