AWHONN Perinatal Nursing Item Bank 346 Questions (multiple choice) with Verified Answers
Inpatient obstetric care results in approximately what
... [Show More] percentage of malpractice claims in obstetrics and gynecology?
a. 25%
b. 50%
c. 70% - CORRECT ANSWER b. 50%
Guidance for ethical nursing care is provided by the:
a. American Nurses Association Code of Ethics for Nurses
b. American Academy of Pediatrics (AAP) & American College of Obstetricians and Gynecologists (ACOG) Guidelines for Perinatal Care
c. American Medical Association Code of Medical Ethics - CORRECT ANSWER a. American Nurses Association Code of Ethics for Nurses
Disruptive clinician behavior:
a. is often directly linked to clinical practice issues
b. rarely involves clinical practice issues
c. should be handled separately from clinical practice issues - CORRECT ANSWER a. is often directly linked to clinical practice issues
The best approach for addressing disruptive clinician behavior is
a. immediate intervention
b. monitoring trends
c. peer review - CORRECT ANSWER a. immediate intervention
Successful defense of malpractice claims is enhanced by following:
a. community standards
b. national professional standards
c. trends in practice - CORRECT ANSWER b. national professional standards
When a sentinel event occurs, according to The joint Commission (TJC),
a. a root-cause analysis should be conducted
b. it must be reported to TJC within 60 days
c. those involved should be placed on administrative leave pending an investigation - CORRECT ANSWER a. a root-cause analysis should be conducted
Based on TJC criteria, which of the following clinical situations is a sentinel event?
a. any unexplained adverse occurrence
b. birth of a baby with previously undiagnosed congenital abnormalities
c. unanticipated death of a full turn infant - CORRECT ANSWER c. unanticipated death of a full turn infant
The purpose of the root-cause analysis process is to
a. determine fault of the healthcare provider or hospital
b. examine institutional liability
c. review potentially contributing systems - CORRECT ANSWER c. review potentially contributing systems
Professional nursing liability is most commonly increased by the absence of
a. adequate medical record documentation
b. annual competency validation
c. current unit policies and procedures - CORRECT ANSWER a. adequate medical record documentation
An incident-management program will
a. include near misses with potential for adverse outcomes
b. identify and discipline those at fault
c. increase institutional and nursing liablity - CORRECT ANSWER a. include near misses with potential for adverse outcomes
Nurse/physician difference of opinion about patient management should be
a. considered unprofessional behavior
b. discussed with the patient's family
c. focused on the issue in question - CORRECT ANSWER b. discussed with the patient's family
Despite repeated requests to a physician to come to the bedside to evaluate a deteriorating maternal condition, the physician has failed to respond. the nurse appropriately
a. consults with another physician in the unit
b. institutes the chain of command/chain of consultation
c. provides the intervention indicated - CORRECT ANSWER a. consults with another physician in the unit
Outcome measures of patient safety include
a. how care is delivered
b. policies and procedures
c. rates of maternal morbidity and mortality - CORRECT ANSWER c. rates of maternal morbidity and mortality
Structure measures of patient safety include
a. the number of elective inductions of labor prior to 39 competed weeks gestation
b. the rates of third and fourth degree laceration
c. unit protocols - CORRECT ANSWER c. unit protocols
a. how tachysystole is identified and treated
b. number of nurses who are certified in fetal monitoring
c. rate of cesarean birth for indeterminate fetal status - CORRECT ANSWER a. how tachysystole is identified and treated
Process measures of patient safety include
Qualitative measures of patient safety include
a. focus groups
b. number of sentinel events per year
c. policies and procedures consistent with national standards and guidelines - CORRECT ANSWER a. focus groups
According to ACOG (2009) misoprostol is not recommended for women who are:
a. nulliparous
b. hypertensive
c. attempting VBAC - CORRECT ANSWER c. attempting VBAC
Second-state pushing should be initiated when _____________
or when more than 2 hours have passed since complete dilation for ____________ women or more than 1 hour has passed since complete dilation for ___________women
a. the woman feels the urge to push; nulliparous; multiparous
b. the women feels the urge to void; multiparous; nulliparous
c. the woman has an epidural; nulliparous, multiparous - CORRECT ANSWER a. the woman feels the urge to push; nulliparous; multiparous
Triage for a pregnant women who present for care should be based on guidelines from
a. AWHONN
b. EMTALA
C. ACOG - CORRECT ANSWER b. EMTALA
A 25-year-old Vietnamese woman admitted to the birthing unit requests that her husband stay in the waiting area until after she gives birth. The appropriate response is based on the nurse's knowledge that:
a. all husbands should be present during labor and birth
b. the husband may fear his response to his wife giving birth
c. the woman's request should be honored - CORRECT ANSWER c. the woman's request should be honored
Wang Din Wah, a Laotian mother who is 24 hours postpartum, rejects the nurse's instruction to bring the newborn back by the 7th day of life for PKU test. Wang's reasons for this refusal are most likely based on
a. her lack of recognition of appropriate healthcare for the baby
b. the baby's early care being provided largely by the maternal grandmother
c. the 1st month after birth being considered a time for confinement and rest - CORRECT ANSWER c. the 1st month after birth being considered a time for confinement and rest
Berta Wolf Creek is 4 hours postpartum and requests permission to take her placenta home with her. Appropriate instruction by the nurse would include:
a. keeping the placenta in a leak-proof container
b. requiring disposal of the placenta by internment (burial)
c. keeping the placenta frozen until burial - CORRECT ANSWER a. keeping the placenta in a leak-proof container
Maria Ochoa, a 23-year-old Filipino American, is 18 weeks pregnant. After receiving a prescription for prenatal vitamins, she tells the nurse that her mother has warned her to take only herbal medication during pregnancy. the nurse appropriately:
a. advises Maria that the pills are only vitamins and not considered medication
b. assess the significance of Maria's mother's advice
c. reminds her that the vitamins were ordered by the nurse-midwife - CORRECT ANSWER b. assess the significance of Maria's mother's advice
The percentage of the U.S. population who are African American or black is nearly:
a. 6%
b. 13%
c. 20% - CORRECT ANSWER b. 13%
An African American/black woman who believes she should not swallow her saliva and carries a spit cup with her during pregnancy is most likely from:
a. Barbados
b. Haiti
c. West Indies - CORRECT ANSWER b. Haiti
A major cultural group of childbearing women at increased risk for alcoholism, heart disease, cirrhosis of the liver, and diabetes mellitus is the population of woman who are:
a. African American/black
b. American Indian/Alaskan native
c. Asian American/Pacific Islander - CORRECT ANSWER b. American Indian/Alaskan native
According to the hot/cold theory, pregnancy is thought to be which kind of a condition?
a. cold
b. hot
c. lukewarm - CORRECT ANSWER b. hot
Ethnocentrism is the belief that:
a. cultural values are major determiners of one's behavior
b. every cultural group has a core center of common beliefs
c. values and practices of one's own culture are superior - CORRECT ANSWER c. values and practices of one's own culture are superior
A woman whose discharge plan includes her mother-in-law caring for her and her newborn during the postpartum period by tradition is most likely from which of the following cultures?
a. Korean
b. Laotian
c. Tongan - CORRECT ANSWER a. Korean
Goals each nurse can set to increase cultural competence while caring for culturally diverse childbearing women and their families are described as:
a. culturally driven
b. externally based
c. self-generated - CORRECT ANSWER c. self-generated
By 28-34 weeks' gestation in a normal pregnancy, blood volume has increased by:
a. 10-20%
b. 30-50%
c. 60-80% - CORRECT ANSWER b. 30-50%
During pregnancy, the position for optimum maternal cardiac output is:
a. lateral
b. semi-Fowler's
c. supine - CORRECT ANSWER a. lateral
An IV fluid bolus is given before epidural anesthesia to prevent:
a. hypotension
b. renal hypoperfusion
c. sympathetic blockade - CORRECT ANSWER a. hypotension
Normally during pregnancy, maternal sitting and standing diastolic BP readings:
a. decrease, then increase
b. increase progressively
c. remain unchanged - CORRECT ANSWER a. decrease, then increase
The volume of the maternal autotransfusion immediately after birth is approximately
a. 600 mL
b. 800 mL
c. 1,000 mL - CORRECT ANSWER c. 1,000 mL
What happens to maternal PaO2 and PaCO2 levels during pregnancy?
a. both decrease
b. both increase
c. PaO2 increases and PaCO2 decreases - CORRECT ANSWER c. PaO2 increases and PaCO2 decreases
The slight increase in pH that occurs during pregnancy is due to:
a. a decrease in hemoglobin and hematocrit
b. a decrease in renal excretion of bicarbonate
c. an increase in ventilatory rate - CORRECT ANSWER c. an increase in ventilatory rate
During pregnancy, serum urea and creatine levels
a. decrease
b. increase
c. remain constant - CORRECT ANSWER a. decrease
Heartburn is common during pregnancy due primarily to:
a. decreased gastric motility
b. increased secretion of hydrochloric acid
c. relaxation of the lower esophageal sphincter - CORRECT ANSWER c. relaxation of the lower esophageal sphincter
A physical finding that may occur during pregnancy in response to normal cardiovascular changes is:
a. decreased heart rate
b. dependent edema
c. elevated blood pressure - CORRECT ANSWER b. dependent edema
The average blood loss during vaginal birth is less than:
a. 300 mL
b. 500 mL
c. 700 mL - CORRECT ANSWER b. 500 mL
The average blood loss during a cesarean birth is less than:
a. 600 mL
b. 800 mL
c. 1,000 mL - CORRECT ANSWER c. 1,000 mL
During pregnancy, cardiac output increases approximately:
a. 10-25%
b. 30-50%
c. 60-75% - CORRECT ANSWER b. 30-50%
Cardiac output is greatest during which period of the birth process?
a. first stage, active phase
b. immediately after birth
c. second stage - CORRECT ANSWER b. immediately after birth
A cardiovascular parameter which normally decreases during pregnancy is?
a. heart rate
b. stroke volume
c. systemic vascular resistance - CORRECT ANSWER c. systemic vascular resistance
An expected WBC count during labor and the early postpartum is:
a. 8,000-10,000
b. 13,000-15,000
c. 20,000-22,000 - CORRECT ANSWER c. 20,000-22,000
Which of the following coagulation factors does not increase during pregnancy?
a. fibrin
b. platelets
c. fibrinogen - CORRECT ANSWER b. platelets
Which of the following increases during pregnancy?
a. colloid oncotic pressure
b. glomerular filtration rate
c. serum osmolality - CORRECT ANSWER b. glomerular filtration rate
By term, blood flow to the uterus is approximately:
a. 200 mL/min
b. 500 mL/min
c. 800 mL/min - CORRECT ANSWER b. 500 mL/min
During pregnancy, the pigmented line in the skin that traverses the abdomen longitudinally from the sternum to the symphysis is called the:
a. linea nigra
b. spider nevus
c. striae gravidarum - CORRECT ANSWER a. linea nigra
Which of the following is a change occurring in the respiratory system during pregnancy?
a. oxygen consumption increases
b. respiratory rate decreases
c. tidal volume decreases - CORRECT ANSWER a. oxygen consumption increases
A normal finding during pregnancy is
a. glycosuria
b. hematuria
c. proteinuria - CORRECT ANSWER a. glycosuria
The respiratory system parameter that decreases during pregnancy is the:
a. functional residual capacity
b. minute ventilation
c. vital capacity - CORRECT ANSWER a. functional residual capacity
A metabolic change characteristic of late pregnancy is decreased:
a. blood free fatty acid levels
b. insulin sensitivity
c. serum glucose levels after meals - CORRECT ANSWER b. insulin sensitivity
The greater increase in plasma volume than in red blood cell volume results in
a. hemoconcentration
b. hemodilution
c. hemostasis - CORRECT ANSWER b. hemodilution
Metabolic changes are characterized by ________ during the first half of pregnancy and __________ during the second half:
a. anabolism; catabolism
b. metabolism; anabolism
c. metabolism; catabolism - CORRECT ANSWER a. anabolism; catabolism
Maternal weight gain during the first half of the pregnancy is primarily due to changes in the weight of the:
a. father
b. infant
c. mother - CORRECT ANSWER c. mother
Both maternal metabolic rate and thyroid hormone levels _______ during pregnancy.
a. decrease
b. stay the same
c. increase - CORRECT ANSWER c. increase
An appropriate recommendation for weight gain for an underweight pregnant woman would be:
a. 20 lb
b. 25 lb
c. 30 lb - CORRECT ANSWER c. 30 lb
The monitoring of fetal activity by kick counts is initiated at ________ weeks' gestation
a. 22
b. 26
c. 28 - CORRECT ANSWER c. 28
Tay-Sachs disease is a recessive disorder common in famliies of ___________ ancestry
a. African American
b. Asian American
c. Jewish - CORRECT ANSWER c. Jewish
Folic acid requirements are increased to ___________ times normal during pregnancy
a. 20-25
b. 10-15
c. 5-10 - CORRECT ANSWER c. 5-10
A healthy fetus usually has ________ perceivable movements in 1 hour:
a. 5
b. 15
c. 10 - CORRECT ANSWER c. 10
A diagnosis of severe preeclampsia is consistent with a 24-hour urine showing protein excretion of:
a. 1 g/L
b. 3 g/L
c. 5 g/L - CORRECT ANSWER c. 5 g/L
An indication of impending magnesium sulfate toxicity in the patient being treated for preeclampsia is the absence of:
a. deep tendon reflexes
b. fetal movement
c. urine output - CORRECT ANSWER a. deep tendon reflexes
The therapeutic range of serum magnesium during magnesium sulfate therapy to prevent eclamptic seizures is:
a. 1-4 mg/dL
b. 5-8 mg/dL
c. 9-12 mg/dL - CORRECT ANSWER b. 5-8 mg/dL
The first priority in the care of a patient during an eclamptic seizure is to:
a. administer an anticonvulsant agent
b. ensure a patent airway
c. establish IV access - CORRECT ANSWER b. ensure a patent airway
Diagnosis of preeclampsia requires the presence of hypertension and
a. edema
b. headaches
c. proteinuria - CORRECT ANSWER c. proteinuria
Severe preeclampsia can be diagnosed in the presence of:
a. excretion of 4,500 g protein in a 24-hour urine collection
b. serial diastolic BP of at least 110 mm Hg
c. serum blood urea nitrogen of 10 mg/dL with a serum creatine of 1 mg/dL - CORRECT ANSWER b. serial diastolic BP of at least 110 mm Hg
Invasion of the trophoblastic cells into the uterine myometrium is termed placenta _____________
a. accreta
b. increta
c. percreta - CORRECT ANSWER b. increta
The incidence of placenta previa is increasing likely due to:
a. better diagnostic tools such as transvaginal ultrasound
b. increased rate of cesarean birth
c. more women delaying childbirth until they are older - CORRECT ANSWER b. increased rate of cesarean birth
Painless, bright red vaginal bleeding at 28 weeks' gestation is most likely due to:
a. abruption placentae
b. placenta previa
c. uterine rupture - CORRECT ANSWER b. placenta previa
A clinical finding associated with a dehiscence of a uterine scar during a trial of labor after cesarean birth (TOLAC) is:
a. cessation of uterine contractions
b. fetal heart rate with variable decelerations
c. sudden decrease of intrauterine pressure - CORRECT ANSWER b. fetal heart rate with variable decelerations
The initial drug of choice for excessive bleeding in the immediate postpartum period is:
a. Methergine IM
b. oxytocin IV infusion
prostaglandin 15-MF suppository - CORRECT ANSWER b. oxytocin IV infusion
Which group has the highest maternal mortality rate?
a. African American women
b. Hispanic women
c. Native American women - CORRECT ANSWER a. African American women
The risk of uterine inversion is increased with:
a. prior uterine scar
b. suprapubic pressure
c. traction applied to the cord - CORRECT ANSWER c. traction applied to the cord
Cervical lacerations after birth should be suspected if:
a. estimated blood loss exceeds 500 mL
b. the mother reports severe cramping pain
c. the uterus is well contracted but frank bleeding continues - CORRECT ANSWER c. the uterus is well contracted but frank bleeding continues
Vasa previa is a result of a ____________ of the cord:
a. velamentous insertion
b. stricture
c. central insertion - CORRECT ANSWER a. velamentous insertion
______________________ is a late sign of hypovolemia in the woman experience bleeding during pregnancy:
a. shortness of breath
b. elevated pulse
c. hypotension - CORRECT ANSWER c. hypotension
Which of the following is not a common symptom of preterm labor?
a. headache
b. menstrual-like cramps
c. pelvic pressure - CORRECT ANSWER a. headache
Once of the three most common risk factors predictive of preterm birth is:
a. low pregnancy weight
b. smoking during pregnancy
c. history of preterm birth - CORRECT ANSWER c. history of preterm birth
When considering nursing care of the woman in preterm labor, which of the following is true?
a. maternal transport to a high-4risk center has improved outcome over neonatal transport to a special care nursery
b. the effect of antenatal glucocortoid treatment is immediate
c. tocolycsis has great effective ness in delaying preterm birth by 7 days - CORRECT ANSWER a. maternal transport to a high-4risk center has improved outcome over neonatal transport to a special care nursery
A drug that is used for tocolysis but is not classified as a beta-mimetic is:
a. Procardia
b. ritodrine
c. terbutaline - CORRECT ANSWER a. Procardia
To accurately be considered preterm, an infant must be:
a. born at gestational age <37
b. <10th percentile in weight
c. small for gestational age - CORRECT ANSWER a. born at gestational age <37
Teaching pregnant women about the symptoms of preterm labor:
a. has been shown to prevent preterm birth
b. should be ongoing throughout pregnancy
c. should only be done on a one-to-one basis - CORRECT ANSWER b. should be ongoing throughout pregnancy
When administering IV fluids for a woman with preterm contractions, it is important to consider that:
a. IV hydration has not been shown to be an effective preventative measure for preterm birth
b. preterm labor contractions usually diminish within 1 hour of initiation of IV hydration
c. the first liter of IV fluid should be administered within the first hour of the admission - CORRECT ANSWER a. IV hydration has not been shown to be an effective preventative measure for preterm birth
Antenatal glucocorticoid administration for acceleration of fetal lung maturation is appropriate:
a. for all women who could give birth preterm before 37 weeks gestation
b. for women at 24-34 weeks gestation at risk for preterm birth within 7 days
once a week from the time of significant preterm symptoms until birth or 34 weeks' gestation, whichever comes first. - CORRECT ANSWER b. for women at 24-34 weeks gestation at risk for preterm birth within 7 days
Research has shown bed rest:
a. allows the pregnant woman to gain appropriate amounts of weight
b. causes bone demineralization
c. inhibits preterm labor contractions - CORRECT ANSWER b. causes bone demineralization
Smoking during pregnancy:
a. has been shown to decrease if cessation programs are offered
b. is best eradicated using the 2As program
c. is not a factor in risk of preterm birth - CORRECT ANSWER a. has been shown to decrease if cessation programs are offered
An indication to initiate insulin in a pregnant woman with gestational diabetes is:
a. FBS <85mg/dL on two or more occasions
b. FBS = normal but 2-hour postprandial = >100 mg/dL
c. FBS = >95 and 2-hour postprandial = >120 - CORRECT ANSWER c. FBS = >95 and 2-hour postprandial = >120
Hypoglycemia is defined as a plasma blood glucose of:
a. less than 60 mg/dL
b. greater than 80 mg/dL
c. exactly 90 gm/dL - CORRECT ANSWER a. less than 60 mg/dL
To assist in controlling blood glucose, the recommendation for pregnant women with gestational diabetes is to exercise
a. daily for less than 20 minutes
b. every other day for 45 minutes
c. at least three times a week for 20 minutes - CORRECT ANSWER c. at least three times a week for 20 minutes
Women with a history of gestational diabetes with a normal postpartum follow-up test should be tested for overt diabetes:
a. every 3 years
b. before a subsequent pregnancy
c. a and b - CORRECT ANSWER c. a and b
Intensive management of diabetes in women with pregestational diabetes should begin:
a. prior to conception
b. postpartum
c. only if planning to breast feed - CORRECT ANSWER a. prior to conception
In women with diabetes, medical nutrition therapy:
a. is not necessary
b. has no effect on glycemic control
c. is a vital component of care - CORRECT ANSWER c. is a vital component of care
Diagnostic testing for gestational diabetes is accomplished using a:
a. 2-hour 75 g oral glucose tolerance test
b. 3-hour 100 g oral glucose tolerance test
c. either a or b - CORRECT ANSWER c. either a or b
Insulin dosage during periods of nausea and vomiting in pregnant women should be:
a. administered with no adjustment
b. based on a sliding scale
c. withheld until nausea is resolved - CORRECT ANSWER a. administered with no adjustment
Weekly nonstress testing should be initiated in women with vascular disease beginning at the gestational age of:
a. 28 weeks
b. 30 weeks
c. 32 weeks - CORRECT ANSWER a. 28 weeks
Congenital cardiac disease occurs in what approximate percentage of live births?
a. 0.8%
b. 1.5%
c. 2.0% - CORRECT ANSWER a. 0.8%
Maternal outcomes in pregnancies of women with Marfan syndrome are related to:
a. cardiac dysrhythmias
b. degree of aortic root dilation
c. hypervolemia of pregnancy - CORRECT ANSWER b. degree of aortic root dilation
Symptoms indicative of heart disease in pregnancy include:
a. jugular venous distention, tachycardia, pedal edema, grade II/VI systolic murmbur
b. palpitations, exertional dyspenia, irregular syncope, third heart sound
c. severe dyspnea, diastolic murmurs, syncope with exertion, chest pain with exertion - CORRECT ANSWER c. severe dyspnea, diastolic murmurs, syncope with exertion, chest pain with exertion
The peak incidence of peripartum cardiomyopathy is during:
a. the third trimester of pregnancy
b. labor & birth
c. the second month postpartum - CORRECT ANSWER c. the second month postpartum
A pregnant woman with New York Heart Association (NYHA) class II cardiac disease is symptomatic with:
a. bed rest
b. mild exertion
c. heavy exertion - CORRECT ANSWER c. heavy exertion
The drug of choice to treat epidural analgesia related hypotension for a pregnant woman with a cardiac disorder would be:
a. dopamine
b. ephedrine
c. phenylephrine - CORRECT ANSWER c. phenylephrine
The time during labor and birth when cardiac output increase the most is during:
a. second stage with fetal descent
b. birth
c. the immediate postpartum period - CORRECT ANSWER b. birth
An initial sign of inadequate cerebral perfusion is:
a. low pulse oximeter readings
b. restlessness
c. unequal pupil dilation - CORRECT ANSWER b. restlessness
During pregnancy, predictated values of peak respiratory flow rates are:
a. decreased
b. increased
c. unchanged - CORRECT ANSWER c. unchanged
The mainstay of aasthma pharmacologic therapy is:
a. beta-2agonists
b. corticosteroids
c. immunotherapy - CORRECT ANSWER b. corticosteroids
Moderate to severe asthma is apparent when respiratory rate is greater than
a. 20 breaths per minute
b. 30 breaths per minute
c. 40 breaths per minute - CORRECT ANSWER b. 30 breaths per minute
During an exacerbation of asthma, there is:
a. decreased functional residual capacity
b. increased expiratory flow
c. increased peripheral vascular resistance - CORRECT ANSWER c. increased peripheral vascular resistance
A breath sound rarely ausculated in asthmatics is:
a. rales
b. rhonchi
c. wheezes - CORRECT ANSWER a. rales
The most commonly seen pneumonia of pregnancy is:
a. aspiration
b. bacterial
c. viral - CORRECT ANSWER b. bacterial
A complication seen in up to 26% of women with varicella pneumonia in the first 20 weeks of gestation is:
a. intrauterine infection
b. pneumonthorax
c. small-for-gestational age fetus - CORRECT ANSWER a. intrauterine infection
When aspiration pneumonia occurs during pregnancy, it is most commonly a result of:
a. bronchitis
b. general anesthesia
c. smoking - CORRECT ANSWER b. general anesthesia
Initial arterial blood gases in the pregnant woman with pneumonia usually reflect significant:
a. acidosis
b. hypercapnia
c. hypoxia - CORRECT ANSWER c. hypoxia
Hypoxia should be suspected when a pregnant woman is noted to have:
a. hypotension
b. increased urine output
c. restlessness - CORRECT ANSWER c. restlessnes
Multiple birth rates have increased most dramatically in which maternal age group?
a. 25-30 years
b. 30-35 years
c. 45-54 years - CORRECT ANSWER c. 45-54 years
The likelihood of monozygotic twinning is affected by:
a. older maternal age
b. use of assisted reproductive technologies
c. black maternal race - CORRECT ANSWER b. use of assisted reproductive technologies
The lambda sign, a triangle-shaped ultrasound marker seen at the junction of the chorions and amnions indicates:
a. monozygotic gestation
b. dizygotic gestation
c. trizygotic gestation - CORRECT ANSWER b. dizygotic gestation
An itching rash prominent in stretch marks in a woman pregnant with triplets is most likely:
a. pruritic folliculitis of pregnancy
b. herpes gestationis
c. pruritic urticarial papules and plaques of pregnancy syndrome - CORRECT ANSWER c. pruritic urticarial papules and plaques of pregnancy syndrome
The practice that has been shown to be ineffective in decreasing the risk of preterm labor and birth in multiples is:
a. 17-alpha-hydroxyprogesterone caproate
b. transvaginal ultrasound cervical assessment
c. use of cervical pessary - CORRECT ANSWER a. 17-alpha-hydroxyprogesterone caproate
The greatest complication of tocolytic therapy for women with multiple gestations is:
a. pulmonary edema
b. maternal tachycardia
c. hyperreflexia - CORRECT ANSWER a. pulmonary edema
The risk for fetal death in twin gestations is highest at:
a. 24 weeks
b. 35 weeks
c. 40 weeks - CORRECT ANSWER c. 40 weeks
The most appropriate treatment for severe twin to twin transfusion syndrome is:
a. expectant management
b. amniotic membrane septostomy
c. fetoscopic laser therapy - CORRECT ANSWER c. fetoscopic laser therapy
The prenatal diagnostic screening test most accurate in multiple gestations is:
a. second trimester maternal serum testing
b. nuchal translucency
c. maternal age risk calculation - CORRECT ANSWER b. nuchal translucency [Show Less]