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Rnc-Nic & Neo Ccrn Flash Questions And Answers With Verified Solutions Rated A+
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Rnc-Nic & Neo Ccrn Flash QuestionsAnd Answers With Verified Solutions
Rated A+
What are manifestations of anemia in pregnancy? - ANSWER✔✔1. Feelings of
fatigue and weakness 2. Tachycardia 3. Pallor 4. Shortness of breath
What is the #1 cause of maternal morbidity and mortality in the US -
ANSWER✔✔Hypertension in pregnancy
What are components of gestational hypertension? - ANSWER✔✔1. Diagnosed
after 20 wks gestation 2. BP>=140/90 x2 q4-6hrs within a 1 wk period 3. No
proteinuria
What is the pathophysiology of preeclampsia? - ANSWER✔✔Persistent state of
vasoconstriction with endothelial cell damage
What is HELLP syndrome? - ANSWER✔✔hemolysis, elevated liver enzymes,
low platelet count
What is polyhydramnios? - ANSWER✔✔AFI > 20-24cm of amniotic fluid
What is a complication of polyhydramnios? - ANSWER✔✔Prolapsed cord
What is oligohydramnios? - ANSWER✔✔AFI <4-5 cm amniotic fluid
,What is a complication of oligohydramnios? - ANSWER✔✔Respiratory distress
syndrome due to decreased surfactant production
What does the biophysical profile evaluate? - ANSWER✔✔1. Fetal breathing
movements 2. Gross body movement 3. Fetal tone 4. Amniotic fluid volume 5.
Non-stress test
What are indications for a non stress test? - ANSWER✔✔1. IUGR
2. Diabetes
3. Hypertension
4. Post-term
5. Multiples
6. Oligohydramnios
What are indications for amniocentesis? - ANSWER✔✔1. Genetic testing
2. Fetal lung testing
3. Diagnosis of fetal infection
4. Treatment of polyhydramnios
5. Paternal testing
What does a Quad screen test for? - ANSWER✔✔1. Alpha-fetoprotein
2. Human chorionic gonadotropin (hCG)
3. Estriol
4. Inhibit A
,When is GBS screening performed? - ANSWER✔✔Between 36 and 38 wks of
pregnancy
When should cord gases be obtained? - ANSWER✔✔1. Fetal compromise
2. Low 5-minute Apgar score
3. Severe IUGR
4. Abnormal EFM within 1 hour of birth
5. High risk maternal
6. Intrapartum temp > 100.4F
7. Multiples or preterm <34 wks
8. Mod/thick meconium
9. VE/forceps, dystocia
10. Vaginal birth w/malpresentation
In a cord gas, what does the umbilical artery reflect? - ANSWER✔✔Fetal
condition
In a cord gas, what does the umbilical vein reflect? - ANSWER✔✔Placental
function
What is the best predictability of fetal oxygenation? - ANSWER✔✔Variability
What can lead to fetal tachycardia? - ANSWER✔✔1. Maternal infection
2. Maternal medications
3. In utero hypoxia
4. Fetal anemia
, 5. Chromosomal anomalies
What can lead to fetal bradycardia? - ANSWER✔✔1. Fetal distress
2. Fetal head compression
3. Umbilical cord compression
4. Hypoxia
What is the leading cause of morbidity and mortality in childbirth? -
ANSWER✔✔Maternal hemorrhage
What is the definition of maternal hemorrhage? - ANSWER✔✔Blood loss >1000
ml at birth or blood loss accompanied with hypovolemia within 24 hours of birth
What are causes of maternal hemorrhage? - ANSWER✔✔1. Uterine atony (most
common)
2. Genital tract lacerations
3. Retained placenta
4. Coagulation disorders
5. Infection
What is placental abruption? - ANSWER✔✔Partial or complete separation of the
placenta from the uterine wall before delivery
What are symptoms of placental abruption? - ANSWER✔✔1. Previous abruption
2. Chronic Hypertension 3. Smoking 4. Cocaine 5. Premature rupture of the
membranes
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