Maternal Newborn Certification Exam Questions And Answers

increased alpha fetoprotein puts the newborn at risk for what two defects? - ANS Neural tube and abdominal wall defect. Without acetylcholinesterase what defects are likely? - ANS esphageal atresia gastrocheschisis When is Quad testing done? - ANS between 15 - 20 weeks What does Quad screening test? - ANS alpha fetoprotein estriol beta HCG Inhibin A What does Triple Screening test? - ANS alpha fetoprotein estriol beta HCG A positive quad screening means increased chance of? - ANS Downs Syndrome What does a Delta OD screen for? - ANS ABORH sensitivity Amniotic Fluid less than 500 ml of or AFI 5 is considered? - ANS Oligohydramnios (decreased fluid) Amniotic Fluid more than 2000 ml or AFI 25 cm is considered? - ANS Polyhydramnios (increased fluid) What is good indicator of lung maturity in a non diabetic mother? - ANS Lecithin/Sphinomyelin or L/S Ratio What is a good L/S ratio in a 35 week old fetus? - ANS 2:1 What is an appropriates L/S ration in a 32 - 34 week fetus? - ANS 1:1 What is good indicator of lung maturity in a 36 week old fetus of a ruptured diabetic mother - ANS phosphatidylglycerol or PG Lamellar Body Count is not recommended in the presence of what? - ANS meconium What defects form around 3 weeks gestation - ANS Anencephaly Cyclopia Ectromelia (absence of limb) Ectopia Cordia (heart outside thoracic cavity) Birth defects like Myelomeningocele , Esophageal atresia,, tracheoesophageal fistulas, and extravasation of the bladder occurs at what week gestation? - ANS 4 weeks gestation Cleft Lip facial clefts syndactyly limb reduction abdominal wall defects and transposition of the great vessels , occur at what week gestation.? - ANS 5 What defects occur at week 7 ? - ANS Ear deformities,amputations, omphacele When does engorgement of the breast occur? - ANS 2 to 4 days PP What are way to combat engorgement? - ANS improves with hand expression before warm compress to breast 10 mins before feed Mother will complain of what when its a plugged duct? - ANS palpable lump Advice for mom with plugged duct? - ANS Feed involved breast first warm compress or showers before feed a breastfeeding mother complaining of flu like symptoms and increased stress is most likely to diagnosed with ? - ANS Mastitis How much does the uterus weigh - ANS 2 pounds 4oz one hour postpartum the uterus is where? - ANS at the umbilicus 12 hours postpartum the uterus is where? - ANS 1 cm above the umbilicus Nonlactating women menstrual cycle returns when? - ANS 6 to 8 weeks Lactating women menstrual cycle will return when? - ANS 12 weeks to 8 months Vagina Rugae return at? - ANS 3 weeks