CNM: Varney's Practice Tests Flashcards Preview

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Flashcards in CNM: Varney's Practice Tests Deck (24):
1

When is a woman most likely to suffer mastitis?

BF more than a week pp.

2

Car accident, blood loss. Labs: Hgb 9, elevated reticulocyte count, mean corpuscular volume of 86. What kind of anemia?

Normocytic anemia
Treat with iron supplements

3

If engagement in LOT, how many degrees of rotation for OA delivery?

90

4

Wandering baseline assoc with?

impending fetal demise

5

Painful "itchy" bumps on vagina. You note half dozen visicles on labia minora and majora. Pt has fever and general malaise x 5 days. Soem inguinal lympadenopathy

HSV

6

when is MTCT of HIV most likely to happen?

labor and delivery

7

30 wk GA. abnormal fasting glucose, abnormal 1 hr glucose challenge? Appropriate action?

Dx as GDM and consult with physician

8

Normal uterine contraction pattern in the uterus.

contraction of longer and stronger duration in tehfundus to minimal or nonexistent toward the cervix

9

ABNORMAL finding in newborn at approximately 90 minutes after birth.

Absence of bowel sounds

10

cutoff for marked bradycardia

below 100 bpm

11

BPP 6/10 at 40 wk GA. Recommendation?

immediate delivery for fetal indications

12

When is maternal cardiac output highest?

immediately postpartum

13

What test could you do to confirm a dx of polyhydramnios?

amniocentesis

14

In women with which hair color is chloasma most noticeable?

brunettes

15

35 wk GA presents with vag bleeding. C/o colicky uterine pain. PE: mild, discoordinate contractions. uterus indentable during contractionsa nd uterus is neither board-like nor rigid between contractions, but she does have pain with palpation. FHR 120 w repeated late decels. DX?

Placental abruption

16

What are potential complications of maternal HPV during pregnancy?

Increase in number and size of warts
Excessive bleeding during delivery if tearing or cutteing extends to affected region
Intrapartum laryngeal infection of neonate

17

What management is NOT appropriate when there is painless vaginal bleeding in the first trimester with a womaon with previous tubal surgery?

watchful waiting

18

Where is the fundus normally palpated in the immediate pp period after delivery of placenta?

~2/3 between symphysis pubis and umbilicus

19

the sex of the fetus is clearly distinguishable by direct examination at what GA by LMP?

14th week

20

27 wk GA, rubella nonimmune, exposed. What do ou do?

Obtain blood specimen to test for IgG and IgM antibody titers and consult with a physican

21

When in pregnancy should sulfa drugs NOT be used?

near term

22

according to friedman, what is the average length of second stage for multiparas?

15 minutes

23

Waht are effects of cold stress on newborns?

Metabolic acidosis
Pulmonary vasoconstriction
Hypoglycemia

24

Postive pressure ventilation of the newborn should conitnue until what condition is met?

spontaneous respirations