NCC-Maternal Newborn Study QA

NCC-Maternal Newborn Study Q&A

2022 UPDATED

A woman with a BMI of 18 gains 25 lbs. during her pregnancy. This pregnancy is at increased risk for

• cesarean delivery
• Delivery of low birthweight delivery
• preeclampsia - correct answerB. delivery of a low birthweight infant

During pregnancy, which of the following cardiovascular parameters increases by 60%

• blood volume
• plasma volume
• red cell mass - correct answerB. plasma volume

When pregnancy, a woman with epilepsy has a higher risk of seizures

• during labor through 24 hours postpartum
• from 72 hours to 1-week pp
• in the third trimester - correct answerA. during labor thru 24 hrs. pp

The risk of developing diabetes in women with a history of gestational diabetes is

• increased only if there are also multiple diabetes risk factors
• increased with onset within 10-15 years in about 50% of those women
• the same as women who do not have gest. diabetes - correct answerB. increased with onset within

10-15 years in about 50% of those women A woman receives magnesium sulfate during labor for gestational hypertension. What effect can this have on newborn?

• elevated cortisol levels

hypoglycemia muscle weakness - correct answerC. muscle weakness 1 / 3

A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation. She is now in active labor at 40 weeks gestation. The nurse would expect that which of the following would be appropriate in order to ensure the health of the newborn.

• ad mister zoster immunoglobulin to newborn at delivery
• admister zoster immunoglobulin to patient before delivery
• the mother's antibodies will be protective so no action is needed - correct answerc. the mother's

antibodies will be protective so no action is needed In order to decrease the risk of fetal death to that of a non-smoker, a woman must quit smoking

• before the pregnancy occurs
• by the end of the first trimester
• by the end of the 2nd trimester - correct answerb. by the end of the first trimester

A patient in preterm labor at 30 weeks received indocin, the newborn should be observed for?

• duodenal atresia
• Hirschsprung disease
• necrotizing entercolitis (NEC) - correct answerc. necrotizing enercolitis (NEC)

What are the characteristics of dizygotic pregnancy?

• 1 placenta and 1 amniotic sac
• 1 placenta and 2 amniotic sacs
• 2 placentas and 2 amniotic sacs - correct answerc. 2 placentas and amniotic sacs

A woman is diagnosed with oligohydramnios during her pregnancy. the fetus/newborn should be evaluated for

• diabetes insipidus
• klippel-feil syndrome
• polycystic kidney disease - correct answerc

A fetus at 36 weeks receives a BBP score of 6. the expectated management is 2 / 3

• immediate delivery
• repeat in 24 hrs
• schedule the next test in one week - correct answerb

In evaluating the patient census for staff assignments, the pp nurse is told that a pateint in the high risk unit may be delivered and transferred to pp after delivery. A L/S ratio was performed with result of 2:0 the nurse would expect the following to occur?

• A PG (phosphatidyglycerol) test needs to be performed
• the lungs are mature, and delivery will occur
• the lungs are still immature, and the L/S will be repeated in 1 week - correct answerb

Which of the following is a limitation of an alpha-fetaprotein (AFP) test?

• closed neural tube defects are not detected
• it will not detect down syndrome
• its best sensitivity is at 20 weeks - correct answera

A postpartum woman's prenatal history shows a quad screen with a maternal serum (MSAFP) lower than normal and higher than HCG and Inhibin A. The nurse can expect the diagnosis of the newborn?

• neural tube defect
• Trisomy 21
• Underestimated gestational age - correct answerb

An umbilical gas ( artery) reveals the following ph: 7.27, PC02: 50mm Hg; HC03: 23 meq/Ll base excessl -

3.6. this represents

• normal value
• metabolic acidosis
• respiratory acidosis - correct answera

Umbical blood gas values are used to?

• determine etiology of any immediate complication
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