NCM_109 topic 1

Question 1

what is high risk pregnancy?

Answer 1

a woman who was concurrent disorder, pregnancy related complication, or external factors that jeopardizes the health of woman, fetus, or both

Question 2

TRUE OF FALSE: Women who are in good health before entering pregnancy could not get any complications.

Answer 2

FALSE: pregnant women in good health can develop complications of pregnancy and become at high risk.

Question 3

TRUE OF FALSE: Women that enter pregnancy with chronic illness can become at high risk if superimposed.

Answer 3

TRUE

Question 4

Where do maternal death occur?

a. low-income countries
b. middle income countries
c. high income countries
d. low and lower middle-income countries

Answer 4

D

Question 5

Who face a higher risk of complications and death as result to pregnancy?

a. elderly
b. women in 20s
c. young adolescents (ages 10-14)
d. all of the above

Answer 5

C

Question 6

TRUE OR FALSE: skilled care before, during, and after childbirth can save the lives of women and newborns

Answer 6

TRUE

Question 7

TRUE OR FALSE: complications that develop during pregnancy are not preventable or treatable

Answer 7

FALSE: it is the most preventable and treatable

Question 8

TRUE OR FALSE: complications that exist before pregnancy could get worse during pregnancy if not managed as part of women’s care

Answer 8

TRUE

Question 9

What are the common major complications that account for nearly 75% of all maternal deaths?

Answer 9

1. infection
2. severe bleeding
3. complications during delivery
4. unsafe abortion
5. pre-eclampsia and eclampsia

Question 10

TRUE OR FALSE: the reason why women do not get care they need is become they are placed in remote areas where there are low numbers of skilled health workers

Answer 10

TRUE

Question 11

Factors that prevent women from receiving care during pregnancy and childbirth

Answer 11

1. poverty
2. distance of facilities
3. lack of information
4. inadequate and poor-quality services
5. cultural beliefs and practices

Question 12

TRUE OR FALSE: In relation to SDG and Maternal Mortality, countries have united behind new target to accelerate the decline of maternal mortality by 2040 with the ambition of target using SDG 3

Answer 12

FALSE: 2030

Question 13

What is not a response by WHO towards maternal mortality?

a. Ending Preventable Maternal Mortality Strategy

b. addressing causes of MM, reproductive and maternal morbidities and related disabilities

c. strengthening health system to collect high quality data

d. ensuring accountability to improve quality of care and equity

e. addressing inequalities in access to and quality of reproductive, maternal, and newborn health care services

f. ensure universal health coverage for comprehensive maternal, and newborn care services

g. None of the above

Answer 13

G

Question 14

TRUE OR FALSE: nurse must focus on nursing care and on the economic impact on the woman and her family.

Answer 14

FALSE: nurse must focus on nursing care and psychosocial of woman and her family

Question 15

TRUE OR FALSE: Insurance companies can concentrate on the economic issues related to the high risk status of pregnancy

Answer 15

TRUE

Question 16

What is the ultimate goal of giving reproductive, maternal and newborn care when working as collaborative team?

Answer 16

ensure the best possible outcome for women, her fetus, and family

Question 17

When does the risk assessment begin?

Answer 17

antepartal

Question 18

What are the four current categories of risk in pregnancy?

Answer 18

1. biophysical (physiological)
2. psychosocial
3. socio-demographic
4. environmental

Question 19

TRUE OR FALSE: cases with a significantly higher risk should be referred to the referral centers

Answer 19

TRUE

Question 20

TRUE OR FALSE: cases from rural areas may be kept at maternity waiting homes close to the referral centers

Answer 20

TRUE

Question 21

TRUE OR FALSE: cases having a previous unsuccessful pregnancy are not that significant to be seen and investigated

Answer 21

FALSE: they should be seen and investigated before another conception occurs

Question 22

TRUE OR FALSE: complete investigations for hypertension, diabetes, kidney disease, or thyroid disorders should be undertaken, and proper treatment instituted in the nonpregnant state

Answer 22

TRUE

Question 23

TRUE OR FALSE: It is considered to not treat patients with STD before embarking on another pregnancy

Answer 23

FALSE: they should be treated before another conception

Question 24

TRUE OR FALSE: cervical tears should be repaired in the nonpregnant state

Answer 24

TRUE

Question 25

TRUE OR FALSE: Serology (test to check antibodies) for toxoplasma lgG, lgM and antiphospholipid antibodies should be done and corrected appropriately when negative

Answer 25

FALSE: when only found positive

Question 26

TRUE OR FALSE: folic acid 4mg/day therapy should be started after childbirth and is continued until patient is in nonpregnant state

Answer 26

FALSE: start in pregnant state and continued throughout the pregnancy

Question 27

TRUE OR FALSE: early in pregnancy after the initial clinical examination, routine and special laboratory investigations should not be undertaken

Answer 27

FALSE: it should be undertaken

Question 28

TRUE OR FALSE: Patient with hx of previous first trimester abortion should be advised rest and refrain from sexual intercourse

Answer 28

TRUE

Question 29

When patient has history of first trimester abortion, what advices must be said?

Answer 29

1. take rest
2. refrain from sexual intercourse
3. avoid vaginal examination

Question 30

What should be done for patients suspected with cervical incompetence?

Answer 30

they should have sonographic evaluation early in second trimester so that the cervical encirlage.

Question 31

TRUE OR FALSE: patient having premature labor, unexplained stillbirth, intrauterine growth restriction, and other abnormalities are benefited by prolonged rest in hospital with close supervision

Answer 31

TRUE

Question 32

Type of delivery for high risk cases

Answer 32

caesarean section

Question 33

when does we need to induce labor?

Answer 33

if gestation reaches to 37 to 38 weeks

Question 34

TRUE OF FALSE: cases who go into labor spontaneously or after induction, need close monitoring during labor for the assessment of progress of labor or for any evidence of the fetal hypoxia

Answer 34

TRUE