RNC OB Part 1: Factors Affecting Fetus
and Newborn Questions and answers |
Latest 2024/25
300 - PreE is present when SBP is > 140 and DBP is greater than 90 and proteinuria is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
greater than _______mg per 24 hours (or 1g/L on dipstick)
ii ii ii ii ii ii ii ii ii ii
Proteinuria - Patient may be considered preeclamptic in absence of ____________ if she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
has headache, visual disturbances, RUQ pain, or other abnormal labs
ii ii ii ii ii ii ii ii ii ii
3 - CHTN in pregnancy is HTN present before 20th week gestation or perists after ___
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
months postpartum
ii ii
Vertical - Most infants infected with AIDS/HIV acquire infection from their mothers
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
(___________ transmission)
ii ii
30 - The perinatal transmission rate of HIV/AIDS is ___% in untreated mothers and is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
usually acquired during delivery, but optimal treatment reduces perinatal transmission rate
ii ii ii ii ii ii ii ii ii ii ii
to as low as 1-2%
ii ii ii ii ii
Pneumonia - Neonates infected with AIDS/HIV are usually asymptomatic but are at risk
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
for prematurity, low birth weight, SGA, FTT, hepatomegaly, interstitial lymphocytic
ii ii ii ii ii ii ii ii ii ii
____________. recurrent infections, and CNS abnormalities
ii ii ii ii ii ii
6-12 - For neonates born to HIV+ moms, Antiviral medications should be started within
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
_____ hours of birth and continued for first 6 weeks of life
ii ii ii ii ii ii ii ii ii ii ii ii
Chlamydia - While woman is usually asymptomatic, _________ can affect pregnancy by
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
increaseing risk of PTL, PROM, and chorioamnionitis.
ii ii ii ii ii ii ii
Erythromycin - _________ is opthalmic ointment that should be administered as
ii ii ii ii ii ii ii ii ii ii ii ii ii
prophylaxis against chlamydia and gonorrhea to prevent opthalmic neonatorum
ii ii ii ii ii ii ii ii ii
HPV - May exacerbate with pregnancy causing proliferation of lesions, but usual
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
treatments are contraindicated. Lesions may be excised, cauterized, or treated with
ii ii ii ii ii ii ii ii ii ii ii
cryotherapy
ii
HPV - This virus can be transmitted to infant during delivery resulting in recurrent
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
epithelial tumors in neonate's mucous membranes and larynx (recurrent repiratory
ii ii ii ii ii ii ii ii ii ii
papillomatosis)
ii
HPV - Neonates exposed to _____ may exhibit weak cry, dysphagia, cough, or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
inspiratory stridor
ii ii ii
, Prevent with immunization of preadolescent children! ii ii ii ii ii
Endocervicitis - Gonorrhea may cause ___________ which weakens fetal membranes
ii ii ii ii ii ii ii ii ii ii ii ii
and increases risk of PTL and PROM
ii ii ii ii ii ii ii
Placenta - Syphillis can be transmitted through the ______ resulting in SAB, stillbirth,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
PTL, and congenital syphyilis
ii ii ii ii
50-80 - Transmission rates to fetus are ________% if mother has untreated primary or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
secondary syphilis
ii ii
First - Fetus is affected by Syphilis after the ____ trimester, so organs develop nomrally
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
but all body systems may be affected
ii ii ii ii ii ii ii
Syphilis - Neonates exposed to _______ may be asymptomatic at birth but exhibit
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
multiple symptoms such as mucous patches, skin lesions, gumma, and neurological
ii ii ii ii ii ii ii ii ii ii ii
impairment (meningitis, hydrocephalus, and seizures) within first 3 months (early onset) or
ii ii ii ii ii ii ii ii ii ii ii ii
after 2 years (late onset)
ii ii ii ii ii
Syphilis - Benzathine Penicillin G is drug of choice for treatment of mothers and infants
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
exposed to _______
ii ii ii
Herpes - Risk of transmission of ____is greatest if mother is experiencing a primary
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
infection with lesions present. C-section delivery required
ii ii ii ii ii ii ii
Herpes - Neonate exposed to _______ may exhibit clusters of vesicles, fever, poor
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
feeding, seizures, encephalitis, and jaundice
ii ii ii ii ii
48 - Maternal influenza should be treated with Olseltamivir within ____ hours of onset and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
continued for 5 days to reduce risk of PTL, stillbirth, and defects of heart, brain, or spine
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
6 - If a mother gets flu shot during pregnancy, neonate has reduced risk for first ____
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
months
ii
4.5 - BV is characterized by white-gray to yellow fishy smelling discharge and discharge
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
with a pH over ___.
ii ii ii ii ii
Metronidazole - Treatment for BV is normally ______ or clindamycin. Treatment is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
necessary to prevent SAB, PROM chorio, and low birth weight
ii ii ii ii ii ii ii ii ii ii
Vasa Previa - Condition in which umbilical arteries and veins are are in an abnormal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
position at the opening of the uterus, can result in vessel rupture during ROM and rapid
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
fetal demise from hemorrhage
ii ii ii ii
Antiphospholipid - _________ Antibody Syndrome results when changes occur in
ii ii ii ii ii ii ii ii ii ii ii ii
platelet and endothelial cell membranes causing maternal antibodies to form, increasing
ii ii ii ii ii ii ii ii ii ii ii
and Newborn Questions and answers |
Latest 2024/25
300 - PreE is present when SBP is > 140 and DBP is greater than 90 and proteinuria is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
greater than _______mg per 24 hours (or 1g/L on dipstick)
ii ii ii ii ii ii ii ii ii ii
Proteinuria - Patient may be considered preeclamptic in absence of ____________ if she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
has headache, visual disturbances, RUQ pain, or other abnormal labs
ii ii ii ii ii ii ii ii ii ii
3 - CHTN in pregnancy is HTN present before 20th week gestation or perists after ___
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
months postpartum
ii ii
Vertical - Most infants infected with AIDS/HIV acquire infection from their mothers
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
(___________ transmission)
ii ii
30 - The perinatal transmission rate of HIV/AIDS is ___% in untreated mothers and is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
usually acquired during delivery, but optimal treatment reduces perinatal transmission rate
ii ii ii ii ii ii ii ii ii ii ii
to as low as 1-2%
ii ii ii ii ii
Pneumonia - Neonates infected with AIDS/HIV are usually asymptomatic but are at risk
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
for prematurity, low birth weight, SGA, FTT, hepatomegaly, interstitial lymphocytic
ii ii ii ii ii ii ii ii ii ii
____________. recurrent infections, and CNS abnormalities
ii ii ii ii ii ii
6-12 - For neonates born to HIV+ moms, Antiviral medications should be started within
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
_____ hours of birth and continued for first 6 weeks of life
ii ii ii ii ii ii ii ii ii ii ii ii
Chlamydia - While woman is usually asymptomatic, _________ can affect pregnancy by
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
increaseing risk of PTL, PROM, and chorioamnionitis.
ii ii ii ii ii ii ii
Erythromycin - _________ is opthalmic ointment that should be administered as
ii ii ii ii ii ii ii ii ii ii ii ii ii
prophylaxis against chlamydia and gonorrhea to prevent opthalmic neonatorum
ii ii ii ii ii ii ii ii ii
HPV - May exacerbate with pregnancy causing proliferation of lesions, but usual
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
treatments are contraindicated. Lesions may be excised, cauterized, or treated with
ii ii ii ii ii ii ii ii ii ii ii
cryotherapy
ii
HPV - This virus can be transmitted to infant during delivery resulting in recurrent
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
epithelial tumors in neonate's mucous membranes and larynx (recurrent repiratory
ii ii ii ii ii ii ii ii ii ii
papillomatosis)
ii
HPV - Neonates exposed to _____ may exhibit weak cry, dysphagia, cough, or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
inspiratory stridor
ii ii ii
, Prevent with immunization of preadolescent children! ii ii ii ii ii
Endocervicitis - Gonorrhea may cause ___________ which weakens fetal membranes
ii ii ii ii ii ii ii ii ii ii ii ii
and increases risk of PTL and PROM
ii ii ii ii ii ii ii
Placenta - Syphillis can be transmitted through the ______ resulting in SAB, stillbirth,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
PTL, and congenital syphyilis
ii ii ii ii
50-80 - Transmission rates to fetus are ________% if mother has untreated primary or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
secondary syphilis
ii ii
First - Fetus is affected by Syphilis after the ____ trimester, so organs develop nomrally
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
but all body systems may be affected
ii ii ii ii ii ii ii
Syphilis - Neonates exposed to _______ may be asymptomatic at birth but exhibit
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
multiple symptoms such as mucous patches, skin lesions, gumma, and neurological
ii ii ii ii ii ii ii ii ii ii ii
impairment (meningitis, hydrocephalus, and seizures) within first 3 months (early onset) or
ii ii ii ii ii ii ii ii ii ii ii ii
after 2 years (late onset)
ii ii ii ii ii
Syphilis - Benzathine Penicillin G is drug of choice for treatment of mothers and infants
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
exposed to _______
ii ii ii
Herpes - Risk of transmission of ____is greatest if mother is experiencing a primary
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
infection with lesions present. C-section delivery required
ii ii ii ii ii ii ii
Herpes - Neonate exposed to _______ may exhibit clusters of vesicles, fever, poor
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
feeding, seizures, encephalitis, and jaundice
ii ii ii ii ii
48 - Maternal influenza should be treated with Olseltamivir within ____ hours of onset and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
continued for 5 days to reduce risk of PTL, stillbirth, and defects of heart, brain, or spine
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
6 - If a mother gets flu shot during pregnancy, neonate has reduced risk for first ____
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
months
ii
4.5 - BV is characterized by white-gray to yellow fishy smelling discharge and discharge
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
with a pH over ___.
ii ii ii ii ii
Metronidazole - Treatment for BV is normally ______ or clindamycin. Treatment is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
necessary to prevent SAB, PROM chorio, and low birth weight
ii ii ii ii ii ii ii ii ii ii
Vasa Previa - Condition in which umbilical arteries and veins are are in an abnormal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
position at the opening of the uterus, can result in vessel rupture during ROM and rapid
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
fetal demise from hemorrhage
ii ii ii ii
Antiphospholipid - _________ Antibody Syndrome results when changes occur in
ii ii ii ii ii ii ii ii ii ii ii ii
platelet and endothelial cell membranes causing maternal antibodies to form, increasing
ii ii ii ii ii ii ii ii ii ii ii
