NM706 PRACTICE SCRIPT 2026 QUESTIONS
AND ANSWERS GRADED A+
◉ What fetal assessment tests would you add for a women with
asthma in pregnancy. Answer: around 32 weeks BBP/NST or
doppler studies, fetal growth US every 3-4 weeks
◉ Should a women take her asthma medication during labor.
Answer: -Should be on medications when she goes into labor,
continue Pulmicort and use albuterol PRN as needed
◉ Women with asthma should avoid medications that could trigger
bronchospasm like:. Answer: Inderal, indicens, labetalol, DO NOT
USE hemovate,(beta blockers-non-selective).
◉ >5 mg oral prednisone or the equivalent for more than 2- 3
weeks:. Answer: -OB care
-Adrenal hydrocortisone atrophy, HPO axis cant do its normal thing
it is suppressed, can trigger adrenal insufficiency b/c demand for
cortisol is increased
-ACOG says to give IV systemic corticosteroids to prevent adrenal
crisis.
,◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma.
-Subjective Information. Answer: -What do you use for your asthma,
how long have you had asthma, has it recently gotten worse, any
asthma hospitalizations, asthma in previous pregnancy, air quality at
home, asthma triggers, asthma medications she is on, living situation
and environment, currently having SOB/Wheezing, can you do
normal daily activities, do you smoke, does she live alone (live with
smoker/pets she reacts to/pollen is worse in spring and fall); ROS:
wheezing, SOB and chest tightness during the day about 2-3 a week,
occurs at night, responds to rescue inhaler Childhood origin, asthma
worse since last pregnancy
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Physical Exam. Answer: -Cardiovascular, respiratory system,
pulmonary function, HEENT, 02 saturation >85%-skin color, leaning
forward, expiratory wheezing (FEV1: forced expiratory volume at 1
second), PEFR: peak expiratory flow >80% of personal best) skin
color assessment, VS. Expiration is harder to get out for women with
asthma
,◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
Assessment:. Answer: 28 y.o G3P2002, Mild Persistent Asthma;
symptomatic off inhaled corticosteroids, Smoker.
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Grace is worried about the possible effects of her asthma
medication on her growing baby. Answer: -Never tell anyone its
100% safe because we do not know for sure! People are different.
Taking meds is safer than not
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Grace returns to the office 1 week after re-starting DPI (Pulmicort)-
what HX and ROS will you gather. Answer: -Review FEV log, how is
the albuterol inhaler (how often using), inhaled corticosteroids
(DPI), air quality at home-using air conditioning, put dust proof
cover on bed and mattress, 2 indoor/outdoor cats keep out of
bedroom, respiratory system
, ◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Incidence. Answer: -During the postpartum period
women have a 21.5-fold to 84-fold increased risk for venous
thrombosis and embolism compared to non-pregnant women.
-Nearly half of all pregnancy related thromboses occur during the
postpartum (hyper coagulability first 6 weeks after delivery)
◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Etiology/Cause. Answer: The most likely site of a DVT
during pregnancy: is more common in the left proximal (upper)
extremity presumably due to compression of the left iliac vein from
the gravid uterus and the crossing of the right iliac artery (we see a
lot of the symptoms in the lower part of the leg but 70% of the time
the DVT is located in common iliac vein).
◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Risk Factors. Answer: Postpartum is the highest risk of
getting a DVT, BMI > 30 or higher, the greatest risk associated with
DVT is pulmonary embolism, smoking, age >35, HX of thrombosis,
inherited thrombophilias, sickle cell, heart disease, diabetes,
immobility, venous stasis, varicose veins (superficial thrombosis),
multiple pregnancy, preeclampsia, operative vaginal birth, c-section,
infection, preterm birth, still birth, During pregnancy
AND ANSWERS GRADED A+
◉ What fetal assessment tests would you add for a women with
asthma in pregnancy. Answer: around 32 weeks BBP/NST or
doppler studies, fetal growth US every 3-4 weeks
◉ Should a women take her asthma medication during labor.
Answer: -Should be on medications when she goes into labor,
continue Pulmicort and use albuterol PRN as needed
◉ Women with asthma should avoid medications that could trigger
bronchospasm like:. Answer: Inderal, indicens, labetalol, DO NOT
USE hemovate,(beta blockers-non-selective).
◉ >5 mg oral prednisone or the equivalent for more than 2- 3
weeks:. Answer: -OB care
-Adrenal hydrocortisone atrophy, HPO axis cant do its normal thing
it is suppressed, can trigger adrenal insufficiency b/c demand for
cortisol is increased
-ACOG says to give IV systemic corticosteroids to prevent adrenal
crisis.
,◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma.
-Subjective Information. Answer: -What do you use for your asthma,
how long have you had asthma, has it recently gotten worse, any
asthma hospitalizations, asthma in previous pregnancy, air quality at
home, asthma triggers, asthma medications she is on, living situation
and environment, currently having SOB/Wheezing, can you do
normal daily activities, do you smoke, does she live alone (live with
smoker/pets she reacts to/pollen is worse in spring and fall); ROS:
wheezing, SOB and chest tightness during the day about 2-3 a week,
occurs at night, responds to rescue inhaler Childhood origin, asthma
worse since last pregnancy
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Physical Exam. Answer: -Cardiovascular, respiratory system,
pulmonary function, HEENT, 02 saturation >85%-skin color, leaning
forward, expiratory wheezing (FEV1: forced expiratory volume at 1
second), PEFR: peak expiratory flow >80% of personal best) skin
color assessment, VS. Expiration is harder to get out for women with
asthma
,◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
Assessment:. Answer: 28 y.o G3P2002, Mild Persistent Asthma;
symptomatic off inhaled corticosteroids, Smoker.
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Grace is worried about the possible effects of her asthma
medication on her growing baby. Answer: -Never tell anyone its
100% safe because we do not know for sure! People are different.
Taking meds is safer than not
◉ Grace is 28 y.o G3P2002 who is 10 weeks pregnant. She has had
two uncomplicated term deliveries of AGA infants (7 lbs, 7 lbs. 4 oz).
Her medical HX is positive for asthma
-Grace returns to the office 1 week after re-starting DPI (Pulmicort)-
what HX and ROS will you gather. Answer: -Review FEV log, how is
the albuterol inhaler (how often using), inhaled corticosteroids
(DPI), air quality at home-using air conditioning, put dust proof
cover on bed and mattress, 2 indoor/outdoor cats keep out of
bedroom, respiratory system
, ◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Incidence. Answer: -During the postpartum period
women have a 21.5-fold to 84-fold increased risk for venous
thrombosis and embolism compared to non-pregnant women.
-Nearly half of all pregnancy related thromboses occur during the
postpartum (hyper coagulability first 6 weeks after delivery)
◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Etiology/Cause. Answer: The most likely site of a DVT
during pregnancy: is more common in the left proximal (upper)
extremity presumably due to compression of the left iliac vein from
the gravid uterus and the crossing of the right iliac artery (we see a
lot of the symptoms in the lower part of the leg but 70% of the time
the DVT is located in common iliac vein).
◉ Describe the following of deep vein thrombosis (DVT) related to
pregnancy: Risk Factors. Answer: Postpartum is the highest risk of
getting a DVT, BMI > 30 or higher, the greatest risk associated with
DVT is pulmonary embolism, smoking, age >35, HX of thrombosis,
inherited thrombophilias, sickle cell, heart disease, diabetes,
immobility, venous stasis, varicose veins (superficial thrombosis),
multiple pregnancy, preeclampsia, operative vaginal birth, c-section,
infection, preterm birth, still birth, During pregnancy
