RNC-NIC Review Maternal Risk Factors
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Anemia - CORRECT ANSWER - need for additional iron
What can anemia cause and s/s - CORRECT ANSWER - preterm labor/delivery or LBW
tired, weak, pale, SOB
Sickle Cell Anemia - CORRECT ANSWER - will need O2
need pain management during preg
Gestational HTN
-when is it diagnosed
-requirements for diagnosis - CORRECT ANSWER - after 20wks
140/90. x2 every 4-6hrs within 1 week
NO proteinurea
#1 Cause of maternal morbidity/mortality - CORRECT ANSWER - HTN in pregnancy
Pre-eclampsia - CORRECT ANSWER - persistent state of vasoconstriction with
endothelial cell damage
2-7%. primigravidas
,Pre-E diagnosis - CORRECT ANSWER - HTN and proteinuria >20wks
Pre-E Triad - CORRECT ANSWER - HTN, proteinurea, edema
edema is not always present though
Pre E can be diagnosed without protienurea if... - CORRECT ANSWER - low plts, high
LFT's, CRT >1.1 or doubling, pulmonary edema, cerebral or vision changes
Eclampsia - CORRECT ANSWER - HTN with seizure activity
-after 20wks
-more common in 3rd trimester
-can occur post delivery
Chronic HTN - CORRECT ANSWER - before 20wks
usually diagnosed before preg
Chronic HTN with superimposed preeclampsia - CORRECT ANSWER - emergence of s/s
of Pre E in previously HTN pt
HELLP syndrome - CORRECT ANSWER - H: hemolysis (of RBC's)
EL: elevated liver enzymes
LP: low plt count
typically occurs in 3rd trimester
S/S of HELLP - CORRECT ANSWER - headaches
, N/V
fatigue
upper R abd pain
Diagnosis of HELLP - CORRECT ANSWER - BP
urine tests
peripheral blood smear
liver enzymes
HELLP tx - CORRECT ANSWER - treat the symptoms
will not subside until infant is delivered
will deliver at 34wks
Cytomegalovirus (CMV) - CORRECT ANSWER - viral genome double stranded DNA of
herpes fam
most common cognitional viral infection
most severe when primary infection is in 1st tri
CMV is found in - CORRECT ANSWER - saliva
urine
blood
breast milk
semen/cervical fluid
Toxoplasmosis - CORRECT ANSWER - caused by intracellular protozoan parasite
toxoplasma gondii
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Anemia - CORRECT ANSWER - need for additional iron
What can anemia cause and s/s - CORRECT ANSWER - preterm labor/delivery or LBW
tired, weak, pale, SOB
Sickle Cell Anemia - CORRECT ANSWER - will need O2
need pain management during preg
Gestational HTN
-when is it diagnosed
-requirements for diagnosis - CORRECT ANSWER - after 20wks
140/90. x2 every 4-6hrs within 1 week
NO proteinurea
#1 Cause of maternal morbidity/mortality - CORRECT ANSWER - HTN in pregnancy
Pre-eclampsia - CORRECT ANSWER - persistent state of vasoconstriction with
endothelial cell damage
2-7%. primigravidas
,Pre-E diagnosis - CORRECT ANSWER - HTN and proteinuria >20wks
Pre-E Triad - CORRECT ANSWER - HTN, proteinurea, edema
edema is not always present though
Pre E can be diagnosed without protienurea if... - CORRECT ANSWER - low plts, high
LFT's, CRT >1.1 or doubling, pulmonary edema, cerebral or vision changes
Eclampsia - CORRECT ANSWER - HTN with seizure activity
-after 20wks
-more common in 3rd trimester
-can occur post delivery
Chronic HTN - CORRECT ANSWER - before 20wks
usually diagnosed before preg
Chronic HTN with superimposed preeclampsia - CORRECT ANSWER - emergence of s/s
of Pre E in previously HTN pt
HELLP syndrome - CORRECT ANSWER - H: hemolysis (of RBC's)
EL: elevated liver enzymes
LP: low plt count
typically occurs in 3rd trimester
S/S of HELLP - CORRECT ANSWER - headaches
, N/V
fatigue
upper R abd pain
Diagnosis of HELLP - CORRECT ANSWER - BP
urine tests
peripheral blood smear
liver enzymes
HELLP tx - CORRECT ANSWER - treat the symptoms
will not subside until infant is delivered
will deliver at 34wks
Cytomegalovirus (CMV) - CORRECT ANSWER - viral genome double stranded DNA of
herpes fam
most common cognitional viral infection
most severe when primary infection is in 1st tri
CMV is found in - CORRECT ANSWER - saliva
urine
blood
breast milk
semen/cervical fluid
Toxoplasmosis - CORRECT ANSWER - caused by intracellular protozoan parasite
toxoplasma gondii
