Maternal Newborn Certification. Questions and answers. 100% Accurate.

Maternal Newborn Certification. Questions and answers. 100% Accurate. An adolescent is at risk for cephalopelvic disproportion (CPD) secondary to A. Inadequate musculoskeletal development. B. Late onset of prenatal ...

Maternal Newborn Certification. Questions and answers. 100% Accurate. An adolescent is at risk for cephalopelvic disproportion (CPD) secondary to A. Inadequate musculoskeletal development. B. Late onset of prenatal care C. Poor nutrition - ✔✔-A. Inadequate musculoskeletal development. A presumptive sign of pregnancy is: A. Amenorrhea B. Fetal movement C. Uterine enlargement - ✔✔-A. Amenorrhea Using basal body temperature method to determine ovulation includes: A. Measuring temperature after going to the bathroom. B. Measuring temperature immediately after awakening. C. Measuring temperature in the morning and temperature he evening. - ✔✔-B. Measuring temerature immediately after awakening. The basal body temperature provides evidence: A. Determining approaching ovulation. B. Predicting the day of ovulation. C. Supporting ovulation about a day after occurrence. - ✔✔-C. Supporting ovulation about a day after occurrence. Fetal heart tones can first be heard with a Doppler between: A. 10-12 weeks B. 16-19 weeks C. 20-24 weeks - ✔✔-A. 10-12 weeks Common emotional reactions, to pregnancy, during the first trimester include: A. Ambivalence and fear. B. Anxiety and passivity. C. Awkwardness and unattractiveness. - ✔✔-A. Ambivalence and fear. Which physiologic changes, occurring during pregnancy, predispose a woman to UTIs? A. Constriction of the upper third of the ureters. B. Compression of the ureters by the enlarging uterus. C. Decreased urinary frequency. - ✔✔-B. Compression of the ureters by the enlarging uterus. Decreased gastric motility, during pregnancy, results from increased levels of: A. Estrogen B. Progesterone C. Relaxin - ✔✔-B. Progesterone Concentrations of Mag Sulfate depend on A. CNS sensitivity. B. Serum levels. C. Urine output. - ✔✔-C. Urine output. Mag sulfate is being administered to a woman in the immediate PP period. Which of the following assessment findings should be reported to the physician? A. Reflexes 2+ B. Respiratory rate of 14 C. Urine output of 40mL in the last hour - ✔✔-B. Respiratory rate of 14 The diagnosis of preeclampsia requires: A. Elevated blood pressure and proteinuria B. Elevated pressure and edema C. Elevated blood pressure and visual disturbances - ✔✔-A. Elevated blood pressure and proteinuria The pathological components of preeclampsia include: A. Decreased hydrostatic pressure, endothelial damage, and poor profusion B. Defective implantation, endothelial damage, and capillary permeability C. Defective implantation, increased osmotic pressure, and endothelial damage - ✔✔-B. Defective implantation, endothelial damage, and capillary permeability A predisposing factor for preeclampsia is: A. Nulliparity B. Obesity C. Previous history of preeclampsia - ✔✔-A. Nulliparity Which of the following class of medications are contraindicated, during pregnancy, for the client with HTN? A. ACE inhibitors B. Adrenergic blocking agents C. Ca+ channel blockers - ✔✔-A. ACE inhibitors Levels of circulating Mag Sulfate are best assessed by: A. Reflexes B. O2 sats C. Urine output - ✔✔-C. Urine output Screening for s/sx of GDM includes identifying: A. Fetal macrosomia B. Hypoglycemia C. Oligohydramnios - ✔✔-A. Fetal macrosomia During the first trimester a prenatal client is concerned about episodes of hypoglycemia occurring at night. This occurs in early pregnancy as a result of: A. Decreased insulin production B. Increased insulin resistance C. Increased insulin sensitivity - ✔✔-C. Increased insulin sensitivity Human placental lactagon primarily: A. Enhances insulin production B. Inhibits insulin production C. Prolongs available insulin - ✔✔-B. Inhibits insulin production During pregnancy, the most significant need for insulin occurs during the: A. First trimester B. Second trimester C. Third trimester - ✔✔-B. Second trimester The risks for pregnant women, with cardiac disease, are greatest between gestation weeks: A. 8-12 B. 16-24 C. 28-32 - ✔✔-C. 28-32 HTN during pregnancy can affect cardiac output due to increasing: A. Afterload B. Preload C. Stroke volume - ✔✔-A. Afterload A PP client has a hx of mitral valve prolapse. The initial clinical findings supportive of left sided heart failure includes: A. Cyanosis B. Hepatomeagly C. Tachypnea - ✔✔-C. Tachypnea Physiological anemia of pregnancy occurs as a result of: A. Erythocytosis B. Hemodilution C. Hypovolemia - ✔✔-B. Hemodilution A pregnant client with sickle cell anemia is at an increased risk of having a sickle cell crisis. Aggressive management to maximize maternal/fetal circulation includes: A. IV fluids B. Oxygenation C. Pain meds - ✔✔-A. IV fluids A neonate is born to a mother who acquired rubella during pregnancy. A priority assessment should include: A. Auscultating for presence of s murmur B. Evaluating for jaundice C. Visualizing skin lesions - ✔✔-A. Auscultating for presence of s murmur A newborn received eye prophylaxis at delivery. Two hours later both eyes have mild erythema with green-yellow exudate. The first assessment in this situation is to: A. Notify the physician B. Obtain a culture C. Review the prenatal record - ✔✔-C. Review the prenatal record The PP discharge instructions given to an HbsAg negative mother, whose Newborn received the Hep B vaccine at birth, should include follow up vaccines, for the newborn, at: A. 1 month and 5 months B. 2 months and 4 months C. 3 months and 6 months - ✔✔-B. 2 months and 4 months A pregnant woman is diagnosed with Varicella at 32 weeks gestation. She delivered at 40 weeks gestation. When considering newborn care: A. Administer Varicella vaccine to the newborn B. Administer Varicella zoster immune globulin to the mother C. The mother's antibodies will provide the newborn protection - ✔✔-C. The mother's antibodies will provide the newborn protection Early secretion of maternal toxoplasmosis is best down by: A. Amniotic fluid sample B. Serum sample C. Urine culture - ✔✔-A. Amniotic fluid sample The first line antimicrobial for intrapartum treatment for of Group B strep is: A. Penicillin B. Climdamycin C. Vancomycin - ✔✔-A. Penicillin The diagnostic tool used in determining the HIV status of the newborn is a: A. Enzyme linked immunosorbant assay (ELISA) B. Polymerase Chain Reaction (PCR) C. Western Blot - ✔✔-B. Polymerase Chain Reaction (PCR) Heparin is the anticoagulant of choice during pregnancy because: A. It has low placenta permeabilit