Question 1

An obese 28-year-old female is 30 weeks pregnant with a single fetus, has no prior pregnancies, and has a family history of twin pregnancies. The factor that makes her high risk is&#10;A) No prior pregnancies&#10;B) Family history of twin pregnancies&#10;C) Obesity&#10;D) Maternal age

Accepted Answer

Factors that contribute to high-risk pregnancies include maternal age 35 or older, prior health conditions, health conditions related to pregnancy, pregnancy with multiples, family history of conditions, elevated blood pressure, history of fetal complications, and lifestyle factors, including obesity.

Question 2

Teenage pregnancies are commonly associated with&#10;A) Preterm labor&#10;B) Gestational trophoblastic disease&#10;C) Hypotension&#10;D) Cervical incompetence

Accepted Answer

Teenage pregnancies are commonly associated with the development of anemia, pregnancy-related hypertension, and preterm labor and birth. Teens may also require cesarean section or experience failure to progress during labor.

Question 3

The fourth stage of labor occurs&#10;A) When contractions are 5 minutes apart&#10;B) When contractions are 1 minute apart&#10;C) Directly after delivery until 1 to 2 hours later&#10;D) 3 to 4 hours after delivery

Accepted Answer

The fourth stage of labor occurs directly after delivery until 1 to 2 hours post-delivery.

Question 4

When a fertilized egg implants outside the uterus, it is considered&#10;A) Perinatal loss&#10;B) Ectopic pregnancy&#10;C) Cervical incompetence&#10;D) Placenta previa

Accepted Answer

An ectopic pregnancy occurs when a fertilized egg implants outside the uterus. These pregnancies are nonviable and require treatment.

Question 5

Abnormal development of the placenta in which fluid-filled clusters are produced instead of normal placental tissue occurs is called&#10;A) Placenta previa&#10;B) Placenta abruptio&#10;C) Polycystic ovary disease&#10;D) Gestational trophoblastic disease

Accepted Answer

Gestational trophoblastic disease is the abnormal development of the placenta in which fluid-filled clusters are produced instead of normal placental tissue. The abnormal tissue growth leads to the loss of pregnancy.

Question 6

Which is a pre-existing condition that can cause a newborn to be small for gestational age (SGA)?&#10;A) Diabetes&#10;B) Obesity&#10;C) Hypertension&#10;D) All of the above

Accepted Answer

Hypertension, if uncontrolled, can cause damage to maternal kidneys and increase a newborn's risk of being small for gestational age (SGA). Obesity and diabetes increase a newborn's risk for being large for gestational age (LGA).

Question 7

Uncontrolled thyroid disease in a pregnant mother can cause all of the following problems in her newborn except&#10;A) Large for gestational age (LGA)&#10;B) Cerebral development problems&#10;C) Cardiac complications&#10;D) Low birth weight

Accepted Answer

If uncontrolled during pregnancy, thyroid disease can cause cerebral development problems, cardiac complications or failure, and low birth weight in a newborn.

Question 8

Fetal effects of maternal alcohol consumption include&#10;A) Abnormal facial features, behavioral problems, and cardiac complications&#10;B) Abnormal facial features, behavioral problems, and liver damage&#10;C) Developmental complications, renal complications, and paralysis&#10;D) Developmental complications, visual deficits, and paralysis

Accepted Answer

Fetal effects of maternal alcohol consumption include intellectual and developmental complications, behavioral problems, abnormal facial features, and cardiac, renal, orthopedic, attention span, communication, vision, and hearing complications. Alcohol also increases the risk for miscarriage and stillbirth.

Question 9

A condition that occurs secondary to a woman's insulin resistance and obesity is&#10;A) Endometriosis&#10;B) Polycystic ovarian syndrome&#10;C) Pelvic inflammatory disease&#10;D) Ectopic pregnancy

Accepted Answer

Polycystic ovarian syndrome (PCOS) occurs secondary to a woman's insulin resistance and obesity. Women with PCOS have decreased progesterone, which causes infertility and an increased risk of developing endometrial cancer.

Question 10

A condition that commonly occurs in the first and third trimesters of pregnancy due to increased glomerular filtration rate is&#10;A) Dysuria&#10;B) Anuria&#10;C) Nocturia&#10;D) Proteinuria

Accepted Answer

Nocturia is common in the first and third trimesters of pregnancy because the glomerular filtration rate increases by as much as 50%.

Question 11

HIV can spread from a mother to her fetus through&#10;A) Pregnancy&#10;B) Delivery&#10;C) Breastfeeding&#10;D) All of the above

Accepted Answer

The answer of HIV can spread from a mother to...

Question 12

When educating a pregnant patient about when to contact their provider for follow-up, which sign or symptom should be included?&#10;A) Nocturia&#10;B) Decrease in fetal movement&#10;C) Mild nausea and vomiting&#10;D) Swelling in the ankles

Accepted Answer

The answer of When educating a pregnant patient about when...

Question 13

Bright red bleeding from the vagina during the second half of pregnancy with cramping that intensifies during contractions is indicative of which condition?&#10;A) Ectopic pregnancy&#10;B) Eclampsia&#10;C) Placenta previa&#10;D) Cervical incompetence

Accepted Answer

The answer of Bright red bleeding from the vagina during...

Question 14

Conjunctivitis and joint pain are among the symptoms of which condition:&#10;A) Zika virus&#10;B) HIV/AIDS&#10;C) COVID-19&#10;D) Thyroid disease

Accepted Answer

The answer of Conjunctivitis and joint pain are among the...

Question 15

When referring to Case Study 2: Vaginal Bleeding, the classification of placental abruption if the uterus is irritable and tetanic, but not painful, and the blood pressure is maintained would be&#10;A) Grade 1&#10;B) Grade 2&#10;C) Grade 3&#10;D) Grade 4

Accepted Answer

The answer of When referring to Case Study 2: Vaginal...

Deck 8: High-Risk Conditions in Pregnancy