LATEST VERSIONS QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES
Mother delivers baby with the following findings: hypotonia, protruding tongue,
separated sagittal sutures, depressed nasal bridge, transverse palmar crease; what
condition do you suspect this baby has? - Answers -✔✔ Down syndrome
What are signs of fetal alcohol syndrome? - Answers -✔✔ small for gestational age,
wide eyes, thin upper lip, microcephaly; developmental/learning disabilities usually don't
present until school age
Nifedipine
- class
- use
- side effects (maternal and fetal)
- contraindications - Answers -✔✔ - calcium channel blocker
- relaxes smooth muscles including uterus; used to tx HTN (oral route only)
- maternal side effects: HA, flushing, tachycardia, hypotension
- fetal side effects: minimal/none
- contraindications: uterine infection, cardiac disease (tachycardia, palpitations),
concurrent use with magnesium sulfate
Methylergonovine
- class/use
- side effects
- contraindications
- nursing implications - Answers -✔✔ - uterotonic med to manage PPH
- side effects: hypo/hypertension, N/V, HA
- contraindications: HTN, preeclampsia, cardiovascular disease
- check BP before giving, do not admin, if BP > 140/90
Carboprost
- class
- use
- side effects
- contraindications - Answers -✔✔ - synthetic prostaglandin
- used to contract uterus in management of PPH
- side effects: HA, N/V/D, fever, chills, tachycardia, HTN
- contraindications: asthma
, Hydralazine
- class
- use
- maternal side effects
- fetal side effects
- nursing implications - Answers -✔✔ - arteriolar vasodilator
- decreases BP; used to tx HTN in preeclampsia
- maternal side effects: HA, flushing, palpitations, tachycardia, hypotension, decreased
uteroplacental blood flow
- fetal side effects: tachycardia, late decels and bradycardia if maternal DBP < 90
- wait at least 20 min b/t doses, assess BP frequently
Aminoglycosides
- examples (3)
- adverse effects (2) - Answers -✔✔ - gentamycin, streptomycin, clindamycin
- ototoxicity (tinnitus, fullness in ears, dizziness, hearing loss) and nephrotoxicity
(urinary output < 30ml/hr)
What type of woman is at risk for uterine rupture? - Answers -✔✔ Woman who has had
multiple c sections
What is a woman on antibiotics at risk for developing? - Answers -✔✔ fungal infection
(yeast infection)
Treatment for mastitis (7) - Answers -✔✔ - antibiotics
- bed rest
- complete emptying by breastfeeding, pumping, or hand expression
- cabbage leaves
- heat
- NSAIDs
- adequate fluid intake
Hyperemesis gravidarum puts a woman at risk for developing what? Typical side
effects? Initial treatment? - Answers -✔✔ metabolic alkalosis (pH > 7.45)
- weight loss, dehydration, electrolyte imbalance
- initial tx: IV therapy
How do you treat GBS? - Answers -✔✔ antibiotics
Major complication of otitis media - Answers -✔✔ hearing loss
What are the 3 types of hearing loss? - Answers -✔✔ - conductive
- sensorineural
- mixed conductive