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NARM (CPM EXAM) II QUESTIONS WITH COMPLETE SOLUTIONS
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NARM (CPM EXAM) II QUESTIONS WITH COMPLETE SOLUTIONS
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NARM (CPM EXAM) II QUESTIONS WITH COMPLETESOLUTIONS
"peak day" Correct Answers the last day during which the
cervical mucus is clear, slippery, and stretchy
(isoimmunization) Hemolysis Correct Answers Hemolysis is
caused by maternal IgG antibodies creating fetal anemia termed
erythroblasis fetalis---the baby responds to the anemia by
making more RBC which can cause fetal anemia termed
hydrops fetalis.
2 shunts for fetal circulation Correct Answers foramen ovale,
ductus arteriosus, and ductus venosus (Figure 37-1). Because the
lungs are a closed, fluid-filled organ, they need minimal blood
flow and the fetal circulation has high pulmonary vascular
resistance. Oxygenated blood bypasses the lungs by flowing
through the opening between the right and left atria called the
foramen ovale and then into the descending aorta. In the second
shunt, blood in the right ventricle does not flow into the high-
pressure pulmonary vasculature, but rather flows through the
ductus arteriosus into the descending aorta. Placental
prostaglandin, prostacyclin, and low oxygen tension keep the
ductus arteriosus open. 12 The third fetal shunt, the ductus
venosus, connects the umbilical vein to the inferior vena cava,
which allows a portion of fetal blood to bypass the circulation
through the liver.
A fetus weighing about 300 grams and measuring 18 cm in
length that can actively suck and swallow amniotic fluid is
,approximately how many weeks gestation? Correct Answers
20 weeks
A nosocomial infection Correct Answers A nosocomial
infection is contracted because of an infection or toxin that
exists in a certain location, such as a hospital
A woman goes to the midwife for her initial checkup. She
reports feeling ill the day of the appointment. During the routine
vaginal exam as part of the initial physical, the midwife notes
that she feels tenderness on the right side especially with
movement of the cervix, and there is a small mass in the right
adnexal area. She does not have a fever, has some nausea but no
vomiting, and her last menstrual period was approximately five
weeks ago. Which of the following would the midwife suspect?
Correct Answers Ectopic pregnancy
A woman invites the midwife to her home for an initial prenatal
exam. During history taking, which areas are the most important
for the midwife to obtain? Correct Answers drug use, family
planning methods, any surgeries, and weights of previous babies
A woman invites the midwife to her home for an initial prenatal
exam. During history taking, which areas are the most important
for the midwife to obtain? Correct Answers drug use, family
planning methods, any surgeries, and weights of previous babies
A woman who is 24 hours postpartum complains of fever and
chills and reports pain and a feeling of pressure in her groin. The
midwife would suspect: Correct Answers she may have a
hematoma in her vagina and possibly an infection
, ABO incompatability Correct Answers Can cause Hemolytic
disease of the newborn and then erythroblasts fetalis (fetal
anemia) and then hydrops fetalis
Adrenal Disease Correct Answers ▫ In active adrenal
problems, replacement hormonal therapy is continued
throughout gestation •
Addison's Disease
o During prey, untreated women are at risk for death this risk is
increased in labour, since extra natural steroid production is not
possible
AFP/MSAFP Correct Answers 15-20 weeks (hcg((produced
by embryo P implantation)) unconjugated estorgen, and afp)
AFP/MSAFP and Triple/Multiple Screen
15-20wks Correct Answers • (hCG, AFP and unconjugated
estrogens) all from maternal serum screen for:
- Trisomies 16, 18(Edwards syndrome), 21(Down's)
- Neural tube defects
- chromosome abnormalities/ fetal aneuploidy (abnormal # of
chromosomes) and more - this test done @ 15-20wks
- No risk of test itself, however because of false-positives it can
lead to more invasive tests (US, AC, &CVS)
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