NCC-Maternal Newborn Study

NCC-Maternal Newborn Study A woman with a BMI of 18 gains 25 lbs during her pregnancy. This pregnancy is at increased risk for a. cesarean delivery b. Delivery of low birthweight delivery c. preeclampsia b. delivery of a low birthweight infant During pregnancy, which of the following cardiovascular parameters increases by 60% a. blood volume b. plasma volume c. red cell mass b. plasma volume When pregnancy, a woman with epilepsy has a higher risk of seizures a. during labor through 24 hours postpartum b. from 72 hours to 1 week pp c. in the third trimester a. during labor thru 24 hrs. pp The risk of developing diabetes in women with a history of gestational diabetes is a. increased only if there are also multiple diabetes risk factors b. increased with onset within 10-15 years in about 50% of those women c. the same as women who do not have gest. diabetes b. increased with onset within 10-15 years in about 50% of those women A woman recieves magnesium sulfate during labor for gestational hypertension. What effect can this have on newborn? a. elevated cortisol levels lycemia e weakness c. muscle weakness A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation. She is now in active labor at 40 weeks gestation. The nurse would expect that which of the following would be appropriate in order to ensure the health of the newborn. a. admister zoster immunoglobulin to newborn at delivery b. admister zoster immunoglobulin to patient before delivery c. the mother's antibodies will be protective so no action is needed c. the mother's antibodies will be protective so no action is needed In order to decrease the risk of fetal death to that of a non-smoker, a woman must quit smoking a. before the pregnancy occurs b. by the end of the first trimester c. by the end of the 2nd trimester b. by the end of the first trimester A patient in preterm labor at 30 weeks received indocin, the newborn should be observed for? a. duodenal atresia b. Hirschsprung disease c. necrotizing entercolitis (NEC) c. necrotizing enercolitis (NEC) What are the characteristics of dizygotic pregnancy? a. 1 placenta and 1 amniotic sac b. 1 placenta and 2 amniotic sacs c. 2 placentas and 2 amniotic sacs c. 2 placentas and amniotic sacs A woman is diagnosed with oligohydramnios during her pregnancy. the fetus/newborn should be evaluated for a. diabetes insipidus b. klippel-feil syndrome c. polycystic kidney disease c A fetus at 36 weeks receives a BBP score of 6. the expectated management is a. immediate delivery b. repeat in 24 hrs c. schedule the next test in one week b In evaluating the patient census for staff assignments, the pp nurse is told that a pateint in the high risk unit may be delivered and transferred to pp after delivery. A L/S ratio was performed with result of 2:0 the nurse would expect the following to occur? a. A PG (phosphatidyglycerol) test needs to be performed b. the lungs are mature, and delivery will occur c. the lungs are still immature, and the L/S will be repeated in 1 week b Which of the following is a limitation of an alpha-fetaprotein (AFP) test? a. closed neural tube defects are not detected b. it will not detect down syndrome c. its best sensitivity is at 20 weeks a A postpartum woman's prenatal history shows a quad screen with a maternal serum (MSAFP) lower than normal and higher than HCG and Inhibin A. The nurse can expect the diagnosis of the newborn? a. neural tube defect b. Trisomy 21 c. Underestimated gestational age b An umbilical gas ( artery) reveals the following ph: 7.27, PC02: 50mm Hg; HC03: 23 meq/Ll base excessl -3.6. this represents a. normal value b. metabolic acidosis c. respiratory acidosis a Umbical blood gas values are used to? a. determine etiology of any immediate complication b. direct neonatal resuscitation efforts c. establish the metabolic status of the fetus c Ultrasound for antepartum testing uses high frequency sound waves to produce an image that varies based on the a. amount of fetus moves b. density of the structure under the transducer c. strength of the reflected energy b In evaluating a cord blood gas, if the pH is low, what other blood gas parameter is used to determine if the acidosis is respiratory or metabolic? a. PC02 b. HCO3 c. Po2 a Breech presentation increases risk for a. cord prolapse b. fetal clavicle fracture c. shoulder dystocia a A newly delivered postpartum patient received received terb and corticosteroids during labor. A potential drug interaction that the pp nurse should watch for in the woman is a. hyperglycemia b. ketoacidosis c. pulmonary edema a A postpartum patient has a spinal headache. The nurse knows that this can occur as a consequence of epidural due to a. injured nerve pathways b. puncture of the dura c. too rapid adminstration b Shoulder dystocia places the pp woman at increased risk for a. endometritis b. hemorrhage c. urinary retention b A newborn is at a higher risk for jaundice when delivered by a. cesarean section ps c. vacuum c