TEST 1 MATERIALS NURS 5432 EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
placenta previa - ANSWERS-implantation of the placenta
over the cervical opening or in the lower region of the
uterus
Cervical os can be marginal, partial or completely covered
usually caused by sex in 2nd and 3rd trimester
Risks: previous c-section or uterine sx, multiparity,
malpresentation (breech/transverse lie), Hx of placenta
previa
Bleeding is painless, occur after sex, no uterine tenderness
tests: US, External Fetal Monitor (EFM) to exclude fetal
distress, if bleeding continuous/severe obtain CBC
,NO bimanual exam, hospitalization required, NST/Bio-
physical profile on baby, NOTHING in vagina (vaginal rest is
needed), if fetus matures, deliver it
abruptio placentae - ANSWERS-premature separation of the
placenta from the uterine wall
can be complete or partial; usually in 2nd or 3rd trimester
Complete abruption is an OB emergency, if not treated
ASAP, fetal death is likely
uncontrolled hemorrhage (bad for mom) will result in
Disseminated intravascular coagulation (DIC)
risks: trauma, chronic hypertension/preeclampsia,
eclampsia, cocaine, alcohol, cigarette, uterine tumor or
structural abnormality
s/s: severe abd pain, bright red bleeding, if abruption is
concealed minimal bleedin, uterus is rigid, shock, fetal
distress.absend FHT
Test: US, EFM ,CBC, coagulation profile, rh for transfusion.
immediate delivery once mom is stable
, Premature Labor - ANSWERS-ocontractions after 20wks and
before 37 weeks which results in the dilation and or
effacement of the cervical os
S/S: uterine cramping, ower back pain, uterin contraction
with a frequency of 10-12 minutes (5hr), vaginal spotting,
cervical effacement/shortening and or dilation
Management: fetal fibronectin (FFV) is a protein that keep
amniotic sac glued to lining of uterus. Amniotic sac is the
cushion.
Biophysical profile to determine gestational age of fetus
Tocolytic therapy if cervical change occurs; MgS (5-7 days for
it can cause hypocalcemia skeletal abnormality in fetus),
endomethasone, nifidipine. Terbutaline can cause death and
sever adverse effect in prologed use.
If less than 34wk successfully tocolysed, give Beclometasone
steroid injections twice weekly to enhance fetal lung
maturity until 34 weeks
Bed rest
weekly cervical checks
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
placenta previa - ANSWERS-implantation of the placenta
over the cervical opening or in the lower region of the
uterus
Cervical os can be marginal, partial or completely covered
usually caused by sex in 2nd and 3rd trimester
Risks: previous c-section or uterine sx, multiparity,
malpresentation (breech/transverse lie), Hx of placenta
previa
Bleeding is painless, occur after sex, no uterine tenderness
tests: US, External Fetal Monitor (EFM) to exclude fetal
distress, if bleeding continuous/severe obtain CBC
,NO bimanual exam, hospitalization required, NST/Bio-
physical profile on baby, NOTHING in vagina (vaginal rest is
needed), if fetus matures, deliver it
abruptio placentae - ANSWERS-premature separation of the
placenta from the uterine wall
can be complete or partial; usually in 2nd or 3rd trimester
Complete abruption is an OB emergency, if not treated
ASAP, fetal death is likely
uncontrolled hemorrhage (bad for mom) will result in
Disseminated intravascular coagulation (DIC)
risks: trauma, chronic hypertension/preeclampsia,
eclampsia, cocaine, alcohol, cigarette, uterine tumor or
structural abnormality
s/s: severe abd pain, bright red bleeding, if abruption is
concealed minimal bleedin, uterus is rigid, shock, fetal
distress.absend FHT
Test: US, EFM ,CBC, coagulation profile, rh for transfusion.
immediate delivery once mom is stable
, Premature Labor - ANSWERS-ocontractions after 20wks and
before 37 weeks which results in the dilation and or
effacement of the cervical os
S/S: uterine cramping, ower back pain, uterin contraction
with a frequency of 10-12 minutes (5hr), vaginal spotting,
cervical effacement/shortening and or dilation
Management: fetal fibronectin (FFV) is a protein that keep
amniotic sac glued to lining of uterus. Amniotic sac is the
cushion.
Biophysical profile to determine gestational age of fetus
Tocolytic therapy if cervical change occurs; MgS (5-7 days for
it can cause hypocalcemia skeletal abnormality in fetus),
endomethasone, nifidipine. Terbutaline can cause death and
sever adverse effect in prologed use.
If less than 34wk successfully tocolysed, give Beclometasone
steroid injections twice weekly to enhance fetal lung
maturity until 34 weeks
Bed rest
weekly cervical checks
