Final Exam

Question 1

What is it called when someone needs more of a substance to achieve the same effect as before?

Answer 1

Tolerance

Question 2

What are two major things that happen to babies of mothers who abuse substances during their pregnancies?

Answer 2

The babies are often born preterm and have a low birthweight.

Question 3

What are some possible characteristics of babies born to mothers who abuse alcohol during their pregnancy?

Answer 3

Small Eyes
Thin Upper Lip
Small Heads (Microcephaly)

Question 4

What medication is used for opioid overdose?

Answer 4

Narcan
(Naloxone)

Question 5

What is the main defense mechanism of people who struggle with alcoholism?

Answer 5

Denial

Question 6

A medication used to help deter the use of alcohol that causes terrible side effects if alcohol is consumed while taking it.

Answer 6

Antabuse
(Disulfiram)

Question 7

If your patient suddenly starts bleeding from all of their orifices as well as their IV site and develops bruises easily, what disease process would you expect to be responsible for the bleeding?

Answer 7

Disseminated Intravascular Coagulation (DIC)

Question 8

What labs would you expect to be ordered for someone who is suspected to be experiencing DIC?

Answer 8

Clotting factor labs - Platelets, PT, PTT, H&H

Question 9

What are some causes of DIC?

Answer 9

Sepsis
Placental Abruption
Severe Pre-E
Trauma

Question 10

Newborn reflex where the baby turns to the side of the cheek being rubbed

Answer 10

Rooting Reflex

Question 11

What is a Linea Nigra and is it a normal finding?

Answer 11

A dark line down the center of the abdomen during pregnancy that is a normal finding.

Question 12

A patient at 20 weeks gestation calls complaining of pink vaginal discharge. What would you do?

Answer 12

Tell the patient to come in immediately and call the doctor to come in to see them.

Question 13

What would you tell a patient who calls to complain of scant bleeding after having a pelvic exam?

Answer 13

This is to be expected. The cervix is very vascular and an exam might cause slight bleeding. Come in right away if the bleeding does not stop, becomes bright red, or the amount of bleeding increases.

Question 14

Where would you expect the fundus to be 2 days postpartum? How would you expect it to feel? Where should it be?

Answer 14

2 FBs below the umbilicus, firm and palpable, midline.

Question 15

What would you do if a mother has a temperature of 100.4 immediately following delivery of the infant?

Answer 15

Continue to monitor the mother’s vital signs. A slightly elevated temperature is normal at this stage of recovery.

Question 16

In a patient suspected of having a prolapsed umbilical cord, what would you expect to see on the fetal monitoring strip?

Answer 16

Late decelerations in the fetal heart rate and late recovery following the contraction.

Question 17

If a patient’s membranes have just ruptured, what is the first thing you should do?

Answer 17

Check the fetal heart tones.