NARM EXAM STUDY GUIDE
Diaphoresis - Answer -Perspiring profusely
Diaphoretic - Answer -Something that has the power to increase perspiration
Ortolani sign - Answer -Relocates hip after Barlow maneuver
Alkalosis - Answer -Condition reducing hydrogen ion concentration in the blood
Acidosis - Answer -Increased hydrogen in the blood
Menses returns postpartum - Answer -8-12 weeks
Kernig sign - Answer -Diagnosis meningitis
Homan sign - Answer -Diagnosis deep thrombophlebitis. Leg extended and foot
dorsiflexed will cause pain in calf
Heparin - Answer -Prevents thrombus formation
Warfarin - Answer -Anticoagulant, teratogen, asses prothrombin time (measures how
long it takes for blood to clot)
Crossed extension reflex - Answer -One foot is held and flicked while opposite leg try's
to push away
Amniotic fluid embolism s/sx - Answer -Chest pain, pink frothy sputum, duaphoresis
Amniocentesis risks - Answer -1% miscarriage or amnionitis
When to perform amnionitis - Answer -15-18 weeks
When is chorionic villus sampling done? - Answer -After 10 weeks
Risks of cvs testing - Answer -Oligo, ROM, synchronic hematoma, limb reduction if
done before 8-9 weeks, miscarriage
Nuchal translucency screening (NT) - Answer -Ultra sound screen for trisomies 21, 18,
& 13, Turner syndrome, cardiac defects, other anomalies
What are the biochemical markers to screen for downs? - Answer -hCG- 10-22wks
levels high
PAPP-A- 10-14wks (lower)
UE3- 14-22wks (lower)
, AFP- 15-20wks (lower)
Inhibin A- 15-20 wks high
All maternal serum. Sometimes intergrated (NT test)
Parvovirus B19 - Answer -Rash on the body. Passed via respiratory secretions and
blood. 20-30% placenta transfer. Fetal infection= aplastic anemia, non immune hydrops,
death
PKU- phenylketonuria - Answer -A genetic metabolism disorder. It is caused by failure
to make enzymes that break down amnio acid phenylalanine and can lead to brain
damage.
Vit D - Answer -Bone mineralization, calcium homeostasis. Fish oil
Copper - Answer -Legumes, grains, nuts and seeds, organ meat. Enzyme constituent,
energy production and release
Magnesium - Answer -Vegetables, milk, cereal, bread. Enzyme activities- present in
cells, body fluids and bone
Calcium foods - Answer -Dairy, fortified flour, cereals, green vegetable
Calcium for... - Answer -Bone and teeth, blood clotting, muscle contraction and nerve
impulse conduction
Effects of in utero exposure to DES - Answer -Poor pregnancy outcomes, structural
anomalies of the uterus, clear cell adencarcinomas, infertility, constricting bands in
endometrial cavity, anomalies of the vagina,anomalies of the cervix
Hypospadias - Answer -A birth defect where the opening of the urethra is on the
underside of the penis
This hormone, produced, ensures proper fetal development and stimulates the milk
glands in the breast in anticipation of breast feeding. - Answer -Human placental
lactogen (HPL)
This hormone stops the uterus from making spontaneous movements and from
contracting. - Answer -Progesterone
How do contractions start? - Answer -Levels of progesterone drop off.
This hormone found in maternal plasma and urine increase dramatically in the 1st
trimester. May cause nausea and vomiting. - Answer -Human chorionic gonadotropin
(HCG)
Diaphoresis - Answer -Perspiring profusely
Diaphoretic - Answer -Something that has the power to increase perspiration
Ortolani sign - Answer -Relocates hip after Barlow maneuver
Alkalosis - Answer -Condition reducing hydrogen ion concentration in the blood
Acidosis - Answer -Increased hydrogen in the blood
Menses returns postpartum - Answer -8-12 weeks
Kernig sign - Answer -Diagnosis meningitis
Homan sign - Answer -Diagnosis deep thrombophlebitis. Leg extended and foot
dorsiflexed will cause pain in calf
Heparin - Answer -Prevents thrombus formation
Warfarin - Answer -Anticoagulant, teratogen, asses prothrombin time (measures how
long it takes for blood to clot)
Crossed extension reflex - Answer -One foot is held and flicked while opposite leg try's
to push away
Amniotic fluid embolism s/sx - Answer -Chest pain, pink frothy sputum, duaphoresis
Amniocentesis risks - Answer -1% miscarriage or amnionitis
When to perform amnionitis - Answer -15-18 weeks
When is chorionic villus sampling done? - Answer -After 10 weeks
Risks of cvs testing - Answer -Oligo, ROM, synchronic hematoma, limb reduction if
done before 8-9 weeks, miscarriage
Nuchal translucency screening (NT) - Answer -Ultra sound screen for trisomies 21, 18,
& 13, Turner syndrome, cardiac defects, other anomalies
What are the biochemical markers to screen for downs? - Answer -hCG- 10-22wks
levels high
PAPP-A- 10-14wks (lower)
UE3- 14-22wks (lower)
, AFP- 15-20wks (lower)
Inhibin A- 15-20 wks high
All maternal serum. Sometimes intergrated (NT test)
Parvovirus B19 - Answer -Rash on the body. Passed via respiratory secretions and
blood. 20-30% placenta transfer. Fetal infection= aplastic anemia, non immune hydrops,
death
PKU- phenylketonuria - Answer -A genetic metabolism disorder. It is caused by failure
to make enzymes that break down amnio acid phenylalanine and can lead to brain
damage.
Vit D - Answer -Bone mineralization, calcium homeostasis. Fish oil
Copper - Answer -Legumes, grains, nuts and seeds, organ meat. Enzyme constituent,
energy production and release
Magnesium - Answer -Vegetables, milk, cereal, bread. Enzyme activities- present in
cells, body fluids and bone
Calcium foods - Answer -Dairy, fortified flour, cereals, green vegetable
Calcium for... - Answer -Bone and teeth, blood clotting, muscle contraction and nerve
impulse conduction
Effects of in utero exposure to DES - Answer -Poor pregnancy outcomes, structural
anomalies of the uterus, clear cell adencarcinomas, infertility, constricting bands in
endometrial cavity, anomalies of the vagina,anomalies of the cervix
Hypospadias - Answer -A birth defect where the opening of the urethra is on the
underside of the penis
This hormone, produced, ensures proper fetal development and stimulates the milk
glands in the breast in anticipation of breast feeding. - Answer -Human placental
lactogen (HPL)
This hormone stops the uterus from making spontaneous movements and from
contracting. - Answer -Progesterone
How do contractions start? - Answer -Levels of progesterone drop off.
This hormone found in maternal plasma and urine increase dramatically in the 1st
trimester. May cause nausea and vomiting. - Answer -Human chorionic gonadotropin
(HCG)
