NFDN 2004 Midterm Review Maternity questions
with verified answers
active phase of labor Ans✓✓✓ -4 - 7 cm of dilation
-Contractions last 40 - 70 seconds
-3 - 5 minutes apart
-Moderate to strong intensity
-Ideal time for medications as the early phase has passed and is far
enough away from delivery not to cause complications for baby after
delivery
-Women's response:
Seriously labor oriented
Concentration is needed with contractions
Is more demanding
amniocentesis Ans✓✓✓ needle puncture of the amniotic sac to
withdraw amniotic fluid for analysis
done at 14-16 weeks
chromosomal testing
,artificial rupture of membranes (AROM) Ans✓✓✓ -also called
amniotomy
-artificial rupture of amniotic sac
-performed by the physician or midwife using a plastic AmniHook or a
surgical clamp
At what point in pregnancy does the highest incidence of blood clots
occur? Ans✓✓✓ At delivery, as high plasma fibrinogen levels and other
coagulation factors are present; dehydration and trauma can also add
to the risk of DVT.
at what point is the contraction the most intense when looking at a
graph? Ans✓✓✓ at the peak
Birth rate definition Ans✓✓✓ # of live births/1000 population **
Braxton Hicks contractions Ans✓✓✓ - irregular and painless
contractions that occur intermittently throughout pregnancy.
-These contractions facilitate uterine blood flow through the
intervillous spaces of the placenta and promote oxygen delivery to the
fetus.
,BREECH PRESENTATION Ans✓✓✓ birth position in which the buttocks,
feet, or knees emerge first
Can HIV be transmitted to fetus in HIV+ mother? Ans✓✓✓ yes, during
pregnancy, birth, and breast feeding
cardinal movements of labor Ans✓✓✓ Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion
CEPHALIC PRESENTATION Ans✓✓✓ most common, head first
Cephalopelvic Disproportion in adolescence Ans✓✓✓ The head of the
fetus is unable to pass through the pelvis. This can be due to lack of
engagement at beginning of labor, poor fetal descent, because pelvis is
not fully grown
clinical manifestations of placenta abruptio Ans✓✓✓ •sharp, stabbing
pain high in the uterine fundus as the initial separation occurs. However
be cautious as this may be a "silent abruption" if this is not present!*
• heavy bleeding
, •"port wine" stained amniotic fluid
•Hypertonic - uterus becomes tense and feels board like to touch
•Abnormal FHR patterns
This is an emergency, need IV for fluids, monitor FHR and maternal v/s
q5-15min; oxygen by mask, place in a lateral position-no vaginal exams;
frequent cause of perinatal death
Complications for baby in advanced maternal age Ans✓✓✓ •Down
Syndrome /chromosomal issues
•Higher risk of death
•Higher risk of morbidity due to mother's chronic illness
CVS (chorionic villus sampling) Ans✓✓✓ -done at 10-13 weeks
-involves the removal of a small tissue specimen from the fetal portion
of the placenta.
-used to determine chromosomal abnormalities
dangerous fetal signs of labor Ans✓✓✓ FHR-high or low
Meconium staining
with verified answers
active phase of labor Ans✓✓✓ -4 - 7 cm of dilation
-Contractions last 40 - 70 seconds
-3 - 5 minutes apart
-Moderate to strong intensity
-Ideal time for medications as the early phase has passed and is far
enough away from delivery not to cause complications for baby after
delivery
-Women's response:
Seriously labor oriented
Concentration is needed with contractions
Is more demanding
amniocentesis Ans✓✓✓ needle puncture of the amniotic sac to
withdraw amniotic fluid for analysis
done at 14-16 weeks
chromosomal testing
,artificial rupture of membranes (AROM) Ans✓✓✓ -also called
amniotomy
-artificial rupture of amniotic sac
-performed by the physician or midwife using a plastic AmniHook or a
surgical clamp
At what point in pregnancy does the highest incidence of blood clots
occur? Ans✓✓✓ At delivery, as high plasma fibrinogen levels and other
coagulation factors are present; dehydration and trauma can also add
to the risk of DVT.
at what point is the contraction the most intense when looking at a
graph? Ans✓✓✓ at the peak
Birth rate definition Ans✓✓✓ # of live births/1000 population **
Braxton Hicks contractions Ans✓✓✓ - irregular and painless
contractions that occur intermittently throughout pregnancy.
-These contractions facilitate uterine blood flow through the
intervillous spaces of the placenta and promote oxygen delivery to the
fetus.
,BREECH PRESENTATION Ans✓✓✓ birth position in which the buttocks,
feet, or knees emerge first
Can HIV be transmitted to fetus in HIV+ mother? Ans✓✓✓ yes, during
pregnancy, birth, and breast feeding
cardinal movements of labor Ans✓✓✓ Descent
Flexion
Internal rotation
Extension
External rotation
Expulsion
CEPHALIC PRESENTATION Ans✓✓✓ most common, head first
Cephalopelvic Disproportion in adolescence Ans✓✓✓ The head of the
fetus is unable to pass through the pelvis. This can be due to lack of
engagement at beginning of labor, poor fetal descent, because pelvis is
not fully grown
clinical manifestations of placenta abruptio Ans✓✓✓ •sharp, stabbing
pain high in the uterine fundus as the initial separation occurs. However
be cautious as this may be a "silent abruption" if this is not present!*
• heavy bleeding
, •"port wine" stained amniotic fluid
•Hypertonic - uterus becomes tense and feels board like to touch
•Abnormal FHR patterns
This is an emergency, need IV for fluids, monitor FHR and maternal v/s
q5-15min; oxygen by mask, place in a lateral position-no vaginal exams;
frequent cause of perinatal death
Complications for baby in advanced maternal age Ans✓✓✓ •Down
Syndrome /chromosomal issues
•Higher risk of death
•Higher risk of morbidity due to mother's chronic illness
CVS (chorionic villus sampling) Ans✓✓✓ -done at 10-13 weeks
-involves the removal of a small tissue specimen from the fetal portion
of the placenta.
-used to determine chromosomal abnormalities
dangerous fetal signs of labor Ans✓✓✓ FHR-high or low
Meconium staining
