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Exam (elaborations)

NARM EXAM 2024/2025 WITH 100% CORRECT ANSWERS

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  • Course
  • NARM v
  • Institution
  • NARM V

Maternal diabetes Maternal Obesity Hx of Shoulder Dystocia Fetal Macrosomnia Post term gestation correct answersRisk factors for Shoulder Dystocia Signs and symptoms of Thrombophlebitis correct answersLeg Pain Localized Heat Tenderness Palpation of a knot or cord Inflammation at ...

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  • October 9, 2024
  • 90
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NARM v
  • NARM v
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QUILLSKY
NARM

Maternal diabetes

Maternal Obesity

Hx of Shoulder Dystocia

Fetal Macrosomnia

Post term gestation correct answersRisk factors for Shoulder Dystocia



Signs and symptoms of Thrombophlebitis correct answersLeg Pain

Localized Heat

Tenderness

Palpation of a knot or cord

Inflammation at the site



Woodscrew maneuver correct answersWith a hand firmly against either the posterior or anterior
shoulder, push the shoulder clockwise or counterclockwise in an attempt to rotate it in a 180 degree arc.
Continue to rotate the shoulders back and forth in whichever direction they will move until impaction is
dislodged.



hPL correct answersThe primary role of this hormone is to regulate glucose availability for the fetus



Anterior Fontanelle, Bregma correct answersIt is diamond shaped and closed by 18 mos of age.
Pulsations of cerebral vessels can be felt through it.



Partial molar pregnancy correct answersIn this type of molar pregnancy, there may be normal placental
tissue along with abnormally forming placental tissue. There may also be formation of a fetus, but the
fetus is not able to survive, and is usually miscarried early in pregnancy. A fetus develops, but it will be
abnormal and will not survive.

,Fallopian Tube correct answersThis passage propels the ovum towards the uterus, receives the sperm as
they travel upwards and provides a site for fertilization. It supplies the fertilized ovum with nutrition
during its continued journey to the uterus.



Placenta Previa correct answersPainless, bleeding from the vagina. This condition should be considered
when the presenting part of the fetus is above the pelvis and/or the lie is unstable. The color of the
blood is bright red and pain is not a feature.



Trisomy 13/ Patau Syndrome correct answersAn extra copy of the 13th chromosome leads to multiple
abnormalities. These children have a short life. Affected infants are small and microcephalic. Midline
facial abnormalities such as a cleft lip and palate are common and limb abnormalities are frequently
seen. Brain, cardiac and renal abnormalities may coexist with this trisomy.



Osianders Sign correct answersStronger and harder vaginal pulsations caused by the greatly increased
blood supply and the enlarged uterine artery. A probable sign of pregnancy.



hCG (human chorionic gonadotropin) correct answersThis hormone can be detected in the maternal
serum and urine 7-8 days after ovulation or around the time of implantation and can give a positive
indication of pregnancy by 3 weeks after conception.



Chadwick's sign correct answersBluish-purple coloration of the vaginal mucosa and cervix resulting from
increased blood flow.



Lochia rubra correct answersReddish or red-brown vaginal discharge that occurs immediately after
childbirth; composed mostly of blood. Lasts about 1-3 days



Lochia Serosa correct answersPinkish/brown uterine discharge , Lasts day 4-10 postpartum



Lochia Alba correct answersWhitish/yellowish discharge - lasts 10-14 days, may last 3-6 weeks and
remain normal.



Define Rh Factor correct answersA protein that can be found on the surface of RBC's. If your blood cells
have this protein, you are Rh positive. If your blood cells do not have this protein, you are Rh negative.

,Mild Bradycardia correct answersFHT's 100-109 bpm



oligohydramnios correct answersThis condition can result from fetal genitourinary abnormalities such as
malformed or absent kidneys, premature rupture of membranes, uteroplacental perfusion abnormality
and post term pregnancy.



Management of engorgement correct answersBaby needs to have a proper latch and nurse well to
prevent this postpartum complication. Cabbage leaves can be used and in severe cases, a breast pump
can be gently used to reduce tension in the breast.



Fibronolysis correct answersEnsures that blood vessels are reopened in order to maintain the patency of
the circulation.



Risk factors associated with an ectopic pregnancy correct answersPrevious Hx of of an ectopic pregnancy

Failed sterilization

previous tubal surgery

PID



Extension correct answersBirth of the Head; Cardinal movement



Latent phase correct answersThe period of time from the beginning of regular contractions to the point
when dilation begins to progress rapidly.



Hypoxic Ischemic Encephalopathy correct answersThe brain injury cause by oxygen deprivation to the
brain. The newborns body can compensate for brief periods of depleted oxygen, but if the asphyxia lasts
too long, brain tissue is destroyed. Such impairments can cause epilepsy, developmental delay, motor
impairments, neurodevelopmental delay and cognitive impairments.



Treatment for Vaginal Candidiasis? correct answersAntifungal Medication



Second stage of labor correct answersBegins with complete cervical dilation and ends with the birth of
the baby.

, Foremilk correct answersAt the beginning of a feeding, the baby receives a high volume of relatively low
fat milk called the?



Flexion correct answersOne of the cardinal movements of labor. Occurs when the fetal head meets
resistance; this resistance increases with descent and is first met from the cervix, then from the sidewalls
of the pelvis and finally from the pelvic floor.



Preterm Prelabor Rupture of Membranes (PPROM) correct answersOccurs before 37 weeks gestation,
where rupture of the fetal membranes occurs without the onset of spontaneous uterine activity
resulting in cervical dilation.



Platypelloid Pelvis correct answersKidney-shaped brim. Antero-posterior diameter is reduced and the
transverse diameter is increased. The sacrum is flat and cavity shallow. The ischial spines are blunt and
the sciatic notch and subpubic angles are both wide. Asynclitism is common in order for the biparietal
diameter to pass the narrowest anteroposterior diameter of the brim.



Dysmenorrhea correct answersSevere uterine cramps



partial salpingectomy correct answersRemoval of part of the fallopian tube



First maneuver of Leopolds correct answersWhat is in the fundus?



Second maneuver of Leopolds correct answersIdentify small parts and the fetal back. Place both hands
on the side of the uterus



Third Maneuver of Leopolds correct answersIdentify the presenting part



Fourth Maneuver of Leopolds correct answersCheck to see if the presenting part is engaged and the
location of the cephalic prominence.



Gestational Diabetes Mellitus (GDM) correct answersAs maternal blood sugars rise in the second
trimester, glucose crosses the placenta and enters the fetus. The fetus does not have diabetes, but must

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