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Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is
28 weeks gestation and is complaining of a lower back ache and cramping.
The physician has asked for assistance in obtaining a sample to assess for
fetal fibronectin (fFN). Which statement about fFN is most accurate? -
🧠ANSWER ✔✔fFN is a strong predictor or marker for identification of
preterm labor associated with infection.
Risk factors for placenta previa include - 🧠ANSWER ✔✔previous uterine
surgery, smoking, and hypertension.
One of the most common and well documented risk factors for preterm
labor is - 🧠ANSWER ✔✔previous history of preterm birth.
,All of the following complications may predispose a pregnant woman to
disseminated intravascular coagulopathy (DIC) except - 🧠ANSWER
✔✔preterm labor.
A cerclage placed in women with documented shortened cervical length by
ultrasound examination is called a(n) - 🧠ANSWER ✔✔therapeutic cerclage.
The most common postpartum complication for mothers with higher-order
multiples is - 🧠ANSWER ✔✔postpartum hemorrhage.
Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely
caused by - 🧠ANSWER ✔✔placenta previa.
Couvelaire uterus is associated with which condition? - 🧠ANSWER
✔✔Placental abruption
A woman with higher-order multiples is at risk for all of the following except
- 🧠ANSWER ✔✔pyelonephritis.
Which feature is recommended when monitoring twin gestations to
differentiate between fetal heart rates and maternal heart rate? -
🧠ANSWER ✔✔Maternal pulse oximetry
,RhD-negative women may be sensitized with fetal blood during any
bleeding episode in the antepartum period. If a Kleihauer-Betke test
determines greater than 15 ml of fetal blood in the maternal circulation, it is
important to recognize that - 🧠ANSWER ✔✔a 300-mg Rh immunoglobulin
dose may not be sufficient to prevent sensitization.
During which phase of the pathophysiologic process of disseminated
intravascular coagulopathy (DIC) do platelets adhere to the surface of the
exposed collagen, bind to platelet receptors, and attach to the damaged
tissue creating a platelet plug? - 🧠ANSWER ✔✔Primary hemostasis
Which of the following is not a contraindication for magnesium sulfate
administration? - 🧠ANSWER ✔✔Hyperkalemia
Current recommendations for antenatal glucocorticoid administration for
acceleration of fetal lung maturation is appropriate - 🧠ANSWER ✔✔for
women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days.
Amniotic band syndrome is associated with what complication in
pregnancy? - 🧠ANSWER ✔✔Preterm premature rupture of membranes
An ova that is fertilized by one sperm and then divides into two zygotes
results in - 🧠ANSWER ✔✔monozygotic gestation.
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, Classic signs of placenta previa are - 🧠ANSWER ✔✔painless, bright red
bleeding.
Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks
pregnant and is complaining of continuous abdominal pain. She is having
high frequency, low amplitude contractions and the fetal heart pattern
shows minimal variability. You suspect that Mrs. Jordan may have a -
🧠ANSWER ✔✔placental abruption.
Intensive nursing and medical management in women with pregestational
diabetes should begin in the
immediate postpartum period.
preconception period.
second trimester of pregnancy.
third trimester of pregnancy. - 🧠ANSWER ✔✔preconception period.
Which of the following types of cardiac lesions are characterized by
dysfunction of the cardiac muscle, resulting in decreased cardiac output?
Aortic stenosis