Exam (elaborations)
RNC – NIC QUESTIONS WITH CORRECT ANSWERS
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RNC – NIC QUESTIONS
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RNC – NIC QUESTIONSpre-e - answerinc BP & proteinuria
-HA / visual disturbance, thrombocytopenia, dec liver/kidney function, pulm edema
-no cure outside of delivering
-severe: mag sulfate prophylactically
eclampsia - answerpre e + szrs
-inc BP l/t dec O2 & nutrients; IUGR
-inc abruption risk
HELLP - answerfrom pre-e
Hemolysis
ELevated liver enzymes
LP; low platelets
-common in older moms/ multi
-flu like symptoms
deliver IMMEDIATELY
-risk for DIC, hem, abrupto risk
marfan syndrome - answerruptured aorta possible, 50% chance fetus gets
IDM - answerglucose crosses, insulin does not
-inc insulin + inc glucose = rapid fetal growth
-when out continue to make insuling + looses moms glucose = low sugars
sickle cell anemia l/t risk of - answerplacenta sickling; premature, IUGR
iron needed for development of - answerRBC
folic acid deficiency in mom presents as _____ and could cause _____ - answer-
assymptomatic, GI, BIG RED TONGUE, pale, weak, forgetful
-Neural tube defects
red butterfly facial rash in moms with - answerSLE (Lupus)
-increased risk of pre-e, FGR, PTL, stillborn
-can be passed to baby
CHEAP TORCHES - answerchicken pox
hep b/c/e
enterovirus (RNA/ polio)
Aids
, parovirus
toxoplaspmosis
other (GBS, candida, listeria, TB)
rubella/ measles
CMV
HSV
every other STI
Syphillis
toxoplasmosis - answerraw meat/ cat feces, unwashed fruit, soil
-hydroceph, brain calcifications
tx: ABS
syphllis - answerinfectious nasal secretions (snuffles), hand/feet rash
-50% stillbirths
varicella - answergive immune globulin ASAP after birth
HIV transmitted through - answerpreg/birth/BF
-6 weeks of AZT tx for NB
-thrush, poor weight gain/ LBW/SGA, neuro probs, FTT
rubella can cause - answerPDAs
more dangerous in 1st tri
need 4 hours of ABS before delivery for - answerGBS (otherwise baby will get Amp and
Gent)
AFI norms - answer5-24
oligo: <5, urinary tract anomalies, muscle deform (club)
poly: >24, anomalies of CNS/GI, can be r/t GDM
amniotic fluid embolism - answeramniotic fluid leaks into mom during to birth, l/t
anaphylactoid
-dec BP, pulm edema, dyspnea, szr, cardiac arrest
-initial phase: heart collapse; no blood flow to infant
-second: if survives 1st, lung injury
emergency delivery, CPR on mom
PROM - answerno labor after 1 hr of rupture
pprom - answer<37 weeks
prolong prom - answer>18-24hrs
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