Exam (elaborations)
NCC RNC- NIC QUESTIONS AND ANSWERS
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Exam of 12 pages for the course RNC- NIC at RNC- NIC (NCC RNC- NIC)
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NCC RNC- NICMaternal serum alpha-fetoprotein (MSAFP) - answer indicates an open neural tube
defect
When is MSAFP tested? - answer16-18 weeks gestation
chorionic villus sampling - answer a test made in early pregnancy to detect congenital
abnormalities in the fetus.
When is CVS performed? - answer1st trimester
Amniocentesis - answer assesses fetal lung maturity
When is amniocentesis performed? - answer2nd trimester
Biophysical profile - answer APGAR score for the fetus
preeclampsia - answer hypotension with or without proteinuria
eclampsia - answer seizures
most common intrauterine infection – answer CMV
how is CMV treated – answer ganciclovir
S/sx of toxoplasmosis in the mom - answer flu-like symptoms
how is syphilis transmitted - answer through secretions
how is herpes transmitted - answer ascending infection
how is herpes treated? - answer acyclovir
HELLP Syndrome - answer High blood pressure/hemolysis, elevated liver enzymes, low
platelets
When is the hep B vaccine given? - answer at birth, at 1 month, then at 6 months
how is HIV spread - answer through EBM
chlamydia - answer most common bacterial STI
, chlamydia prophylaxis - answererythromycin
oligohydramnios - answer<1 L at 36 weeks
potter sequence - answerno kidneys, no urine, hypoplastic lungs
polyhydramnios - answer>2 L at 36 weeks
Causes of polyhydramnios - answerGI obstructions, neurological deficits, impaired fetal
swallowing
L/S ratio - answermeasures lung maturation
L/S ratio results - answer>2 normal, <2 immature
VEAL CHOP - answerVariable - Cord compression
Early - Head Compression
Acceleration - Okay
Late - Placental insufficiency
Sustained fetal tachycardia- think? - answerinfection
tocolytics - answermagnesium sulfate, indomethacin, terbutaline
what does magnesium sulfate cause? - answerrespiratory depression, neuromuscular
depression; anticipate intubation
what does indomethacin cause? - answerPremature PDA closure, PPHN, decreased
UOP
what does terbutaline cause? - answerhypoglycemia due to hyperinsulinemia
if you see bruising, think? - answerhyperbilirubinemia
red reflex? - answerlight reflecting off the funds of the eye
APGAR score components - answerHR, respiratory effort, tone, reflex irritability, color
acrocyanosis is normal for how long? - answerfirst 48hrs of life
jaundice in the first 24hrs of life? - answeralways abnormal; think ABO incompatibility
cutis aplasia - answerscalp defects associated with trisomy 13
caput succedaneum - answerCrosses the suture lines; watch for hyperbili
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