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WHNP III Final Exam Questions and
Answers 100% Solved | Latest Update
A patients OB intake labs come back. Her UC shows GBS >100,000. -
✔✔Treat with PCN even if asymptomatic, treat in labor too
Absolute contraindications for methotrexate therapy? - ✔✔IUP,
immunodeficiency, moderate to severe anemia, leukopenia,
thrombocytopenia, sensitivity to methotrexate, active pulmonary disease,
peptic ulcer disease, hepatic dysfunction, breastfeeding, ruptured ectopic,
hemodynamically unstable, inability to participate in follow-up
According to ACOG, when should ECV be attempted? - ✔✔37.0
Adverse effects of methotrexate? - ✔✔Nausea, vomiting, stomatitis, vaginal
spotting, abdominal pain 2-3 days after administration
Are POPs safe postpartum? What about depo? - ✔✔Yup! Yup!
Are primary elective CS recommended? - ✔✔Long story short--no.
Consider risk for previa/acreta/ruptured uterus/hysterectomy
Aside from hCG, what other two hormones should be considered
#influencers of hyperemesis? - ✔✔Estrogen and progesterone.
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Baby blues vs PPD- how do we differentiate? - ✔✔Is it interfering with
ability to function, causing risk of harm to mom or baby?
Breastfeeding is contraindicated with what two psychotropic meds? What
are they associated with for baby? - ✔✔Carbamazepine and valproic acid-
hepatotoxicity
Can women taking lithium breastfeed? - ✔✔Yes, but use with caution (due
to high secretion levels), must monitor lithium levels and thyroid
Can you ask a partner the questions from the EPDS to help evaluate
patient? - ✔✔Yup- remember they are typically seeing this patient day to
day and know them well :)
Can you place an IUD during a C/S? If so would you need an ultrasound to
confirm placement? - ✔✔YES (yay science!). No ultrasound needed- no
increased risk of pregnancy with low lying placement (cool!!).
Clinical presentation of PPH? - ✔✔tachypnea, tachycardia, delayed cap
refill, narrow pulse pressure, dizzy, light headedness
Define "limited" ultrasound. - ✔✔performed when specific question requires
investigation, i.e. need to determine cardiac activity
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Define "specialized" ultrasound. - ✔✔performed when an anomaly is
suspected based on history, biochemical markers, clinical evaluation, or
suspicion from standard or limited scan
Define "standard" ultrasound. - ✔✔Anatomy or growth scan.
Define complete breech. - ✔✔hips and knees are flexed
Define footling breech. - ✔✔1 or both feet presenting- HIGH RISK FOR
CORD!
Define frank breech. - ✔✔feet are flexed next to head
Define incomplete breech. - ✔✔one or both hips are not completely flexed
Define kneeling breech. - ✔✔1 or both knees presenting.
Define longitudinal fetal lie. - ✔✔north-touth spine position, may be vertex
or breech
Define miscarriage. - ✔✔Involuntary termination of pregnancy before 20
weeks of gestation (LMP) or below fetal weight of 350 g
Define oblique fetal lie. - ✔✔45 degree angle to mother's long axis, usually
changes to longitudinal or transverse during active labor
Define post term. - ✔✔42.0 weeks
Define teratogens. - ✔✔Influences that cause damage/birth defects to fetus
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Define transverse fetal lie. - ✔✔Fetal position is perpendicular to long axis
of mother
Definition of early pregnancy loss? - ✔✔Nonviable, IUP with either an
empty gestational sac or gestational sac containing an embryo or fetus
without fetal heart activity within the first 12.6 weeks of gestation
Discuss doppler ultrasound. - ✔✔Ultrasound of umbilical artery,
noninvasive technique to assess resistance to blood flow in placenta, can
be used with other tests in high risk pregnancies that are associated with
IUGR, looks at systolic/diastolic ratio, as peripheral resistance increase,
diastolic flow decreases,
Discuss expectant management of EPL. - ✔✔Allow up to eight weeks,
expect moderate to heavy bleeding and cramping, confirmation may be
ultrasound or patient reported, if ultrasound is not accessible consider UPT
or serial beta hCG
Discuss major points for follow up and counseling after SAB - ✔✔Serum
beta hCG usually negative in 2-3 weeks, may follow up with serum or urine
hCG, reassure patient it's not her fault, screen for depression
Discuss medical management of EPL. - ✔✔Large dose misoprostol 800
mcg (preferred routes are vaginal or sublingual vs. oral), 200 mg PO
