Remar Virtual Trainer Exam Questions
With Verified Answers
Hegar's sign - answer✔softening of the uterus
Goodell's sign - answer✔softening of the cervix
Chadwick sign - answer✔bluish discoloration of the vagina and cervix
Positive signs of pregnancy - answer✔-doctor notes fetal heart sounds
-doctor/tech visualizes fetus through ultrasound
-provider feels movement outside of stomach
up to 28 weeks - answer✔Mother is seen monthly
16 weeks gestation - answer✔Lanugo is formed (tiny baby hairs)
28-36 weeks - answer✔2 times a month visits/ Q2 weeks
28 weeks - answer✔Alveoli and surfactant develops
36-42 weeks - answer✔Weekly doctor visits
36 weeks gestation - answer✔Rapid fat production occurs
lightening - answer✔The movement of the fetus down into the pelvis late in pregnancy.
Gravidity - answer✔number of pregnancies
Parity - answer✔Number of term pregnancies
amniocentesis - answer✔Fetal lung maturity and overall well being
when to give an amniocentesis - answer✔16-20 weeks gestation
Amniocentesis teaching points - answer✔-written consent
-empty bladder before test
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-ultrasound to locate uterus
-vital signs and FHR Q15
Amniocentesis watch for - answer✔-PROM
Decreased fetal movement
-Infections
Rh immune globulin - answer✔This is given to a negative mother when the baby is positive
RH when to give - answer✔28 weeks gestation and 72 hours after
indirect combs test - answer✔This shows if the mother has antibodies for the RH factor.
Negative means no antibodies
Nonstress test - answer✔-Baby has irregular HR
-Decreased oxygenation
-Monitor fetal well being
Administering NST - answer✔-28 weeks gestation
-Good if it is negative
-Non reactive: baby isn't moving as it should
NST teach mother - answer✔-To eat or drink before test to help monitor baby's movement
Morning sickness - answer✔-Due to hypoglycemia
-Eat dry carbohydrates
-Sit up after meals
Back Pain (Pregnancy) - answer✔-Maintain good posture
-Use pelvic rocking
Leg Cramps (Pregnancy) - answer✔-Prevent dorsiflexed foot
Pregnancy Diet - answer✔High protein diet with prenatal vitamins
Anemia (Pregnancy) - answer✔Normal finding. More RBC when pregnant.
Kegals - answer✔exercises to do that will strengthen the pelvic muscles to help treat
incontinence
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Danger signs of pregnancy - answer✔-Sudden abdominal pain
-Abrupt flow of vaginal fluids
-Vaginal Bleeding
-Puffiness in hands and feer
Terbutaline - answer✔-Premature labor, Watch for tachycardia
Magnesium Sulfate - answer✔Watch for decrease in RR, Urine output decrease and decrease in
deep tendon reflexes
Ritodrine - answer✔-Tachycardia, hyperkalemia
Nephatapine - answer✔-Hypotension, Hypoxemia
preeclampsia - answer✔hypertensive state in pregnancy
Preeclampsia s/s - answer✔-Hypertension
-Proteinuria (never should be)
-Edema
preeclampsia risk factors - answer✔-Under 18/over 35
-Obesity
-African American
-Multiple babies in pregnancy
HELLP syndrome - answer✔hemolysis, elevated liver enzymes, low platelets
Preeclampsia Care - answer✔-Bed rest
-Left side turn
-Monitor for seizures
Medication to move labor - answer✔Oxytocin
when to stop oxytocin - answer✔When contractions are less than 2-3 minutes apart, last 60
seconds
Pre-Labor - answer✔Nesting, excited before labor
Latent stage - answer✔Cervix is 0-4 cm