Final Exam

Question 1

RH factor

Answer 1

mom RH (-) fetus RH  (+) 
would need rohgam at 28 weeks and at birth

Question 2

Hep B

Answer 2

given at birth

Question 3

ater 37 weeks screen for

Answer 3

group B, chlamydia, and gonnorhea

Question 4

G/P

Answer 4

pregos/births

Question 5

what to worry about- trimester 1

Answer 5

bleeding
signs of vomiting
low abdominal pain- abortion
signs of infection

Question 6

what to worry about- trimester 2

Answer 6

regular contractions
leaking vaginal fluid- pre term labor
calf pain
decreased fetal movement

Question 7

what to worry about- trimester 3

Answer 7

any in 1/2 
sudden weight gain 
periorbital edema 
severe upper gastric pain 
decreased fetal  movement 
headaches with visual disturbances

Question 8

amniocentesis

Answer 8

DNA
chromosomal analysis
inborn errors of metabolism
AFP- checks if the baby has spina bifida and enecephalapothy
R/F maternal and fetal blood mix - rohgam before procedure

Question 9

BMI

Answer 9

underweight 28-40 lbs
Normal weight 25-30 lbs
overweight 15-25

Question 10

Teratogenic meds

Answer 10

anticonvulsants, warfarin , lisprostol

Question 11

Genetic testing

Answer 11

Chronic Villus- fingerlike from placenta for down syndrome

MSAFP- neural tube defects (anencephaly and spina bifida); and. Down syndrome

Question 12

Contraindicated immunizations

Answer 12

MMR
FLU (nasal)
Varicella 
BCG- prevents tuberculosis 
Typhoid 
Certain meningococcal

Question 13

Chronic Hypertension

Answer 13

before 20 weeks

Question 14

gestational HTN

Answer 14

after 20 weeks

12 weeks resolved

Question 15

HIV TX

Answer 15

pregnant women can’t breastfeed
fetus treated 4-6 weeks with ART
mother treated before/ during pregnancy `

Question 16

Naegals rule

Answer 16

Jan- Mar add 7 days 9 month
April- december- subtract 3 months, add 7 days, and 1 year
or can just add 7 days 9 months

Question 17

aspirin rule

ibuprofen rule

Answer 17

can’t give under the age of 16 - causes rye syndrome

can’t give under age of 6 months

Question 18

hyperemesis gravidarum

Answer 18

occurs 8-12 weeks 
stops at 20 weeks 
pre term labor can occur 
check CBC, TSH, urine specific gravity 
management- NPO 24-36 hours, anti emetics

Question 19

hypertension

Answer 19

chronic before 20 weeks

gestational after 20 weeks

Question 20

mag sulfate

Answer 20

pre ecamplsia/ pre term labor

monitor for hypotension, decreased cns, RR, DTRs

Question 21

newborn weight and height

Answer 21

triples by a year

doubles by a year

Question 22

infant development

Answer 22

5 months no head lag
8 months pincer grasp
12 months pokes and feeds self

Question 23

infant speech development

Answer 23

6-7 months babbles
12 months single words
toddler 2 word sentences and echolalia

Question 24

teratology of fallot- heart

Answer 24

pulmonary stenosis 
VSD
Overriding aorta 
right ventricular hypertrophy 
right to left shunt 
cyanotic heart 
polycythemia, clubbing, chronic hypoxia, murmur, hyper cyanotic spells

Question 25

VSD - heart

Answer 25

tachypnea 
peripheral edema 
poor growth 
HF
RR infections- pneumonia

Question 26

PDA- heart

Answer 26

bounding pulse
harsh machine like continuous murmur
RR infections
widened pulse pressure

Question 27

coarctation of aorta

Answer 27

increased BP in upper extremities
leg pain
epistaxis
notching of ribs

Question 28

digoxin

Answer 28

no food or fluid 
RF for hypertoxiciity 
potassium low hold 
if vomiting hold 
APICAL PULSE 1 MIN!!!!!
<100 bpm hold

Question 29

rheumatic fever jones criteria

Answer 29

chorea (jerky movements), cariditis, polyarthritis, rash, nodules, +ASO, CRP

will have penicillin for life