Family Nurse Practitioner 1 OBGYN Exam Questions with Complete Solutions, Graded to Pass

comprehensive health history, baseline labs, education - What are the things important to address at the initial prenatal visit? environmental factors, malnutrition, DM, chromosomal defects, maternal hyperthermia, clomid induction, and maternal obesity - What are the risks for neural tube defects? 10-12 weeks - When is genetic screening through chorionic villi sampling performed? 15-18 weeks - When is genetic screening through amniocentesis performed? q 4 weeks until 28 weeks, q 2 weeks until 36 weeks, q 1 week until delivery - How often should routine prenatal visits occur? iron deficient anemia - What type of anemia accounts for 75-95% of pregnancy related anemias? decreased serum iron and increased iron binding capacity (increased demand due to increased maternal blood volume) - What does iron deficiency anemia result from in pregnancy? they are microcytic and hypochromic - What occurs with the RBCs in iron deficiency anemia in pregnancy? 11, 10.5 - A Hgb of ____________ is considered anemic in the 1st and 3rd trimesters of pregnancy and a Hgb of ______________ is considered anemic in the 2nd trimester of pregnancy. multiple gestation, low iron diet, GI surgery, bleeding, non-hispanic black females, teenage girls - What are the risks for iron deficiency anemia in pregnancy? fatigue, intolerance to prenatal vitamins, Pica, tachycardia, pale - What are the s/s of iron deficiency anemia in pregnancy? education and iron supplements - What is the plan of treatment for iron deficiency anemia in pregnancy? insulin antagonism by placental hormones - What is the cause of gestational diabetes? 25 yo, ethnicity, obesity, family hx, HTN, hx of gestational DM - What are the risk factors for gestational diabetes? polydipsia, polyuria, fatigue, blurred vision, large fetus, candida - What are the s/s of gestational diabetes? 10% - What is the fetal mortality rate in women who come to the hospital in DKA? education, dietary management, pharm therapy, refer to nutritionist - What is the treatment plan for gestational diabetes? preeclampsia - abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache lasts or develops up to 6 weeks postpartum - When can preeclampsia develop during pregnancy? nulliparity, chronic HTN, 18 or 35, race, DM, CKD, family hx, multiple gestation, hydatidiform mole, obesity - What are the risk factors for preeclampsia? HA, RUQ pain, GERD, N/V, edema, visual disturbance, photophobia - What are the s/s of preeclampsia? molar pregnancy - S/S of preeclampsia in the 1st trimester needs US evaluation for the presence of ________________.