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Exam (elaborations)

CNM ACNM Exam Questions And Accurate Answers

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CNM ACNM Exam Questions And Accurate Answers...

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  • October 13, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CNM ACNM
  • CNM ACNM
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Stetson
CNM ACNM Exam Questions And Accurate Answers


Adolescent-ANSWER this group is most likely to



initiate PNC late; have poor compliance with PNC schedule

risks: LBW, PTL/PTB, HTN dx of pregnancy, IUGR, infant mortality



AMA-ANSWER this group is most likely to:



experience infertility, 1st tri SAB, ectopic pregnancy, genetic abnormalities

HTN dx of preg, PTB, GDM, dysfunctional labor --> C/S, placenta previa and abruption



LBW - ANSWER African American race is associated with (LGA/LBW) babies?



PTB - ANSWER Low SES is associated with poor OB outcome including ___________?



multipara - ANSWER Are Nulliparas or Multiparas associated w/ increased risks of
abruptio placenta, previa, multifetal pregnancy, and PPH?



Transverse lie - ANSWER Fetal presentation associated with grand multiparous women
(parity > 5)



quad screen - ANSWER 15-22 weeks

- hCG

- AFP

- estriol

,- inhibin A



screens for trisomy 18/21, NTD



penta screen - ANSWER 15-22 wks

- AFP

- beta hCG

- unconjugated estriol

- inhibin A

- invasive trophoblast antigen (hHCG)



trisomy 13/18/21/NT



1st trimester screening - ANSWER - 10 and 13 weeks

- PAPP-A and B-hCG and NT



- determine risk of trisomy 13/18/21



station - ANSWER relationship of leading edge of fetal presenting part to ischial spines
(in cm)



lactated ringer - ANSWER Fluid of choice for burns, dehydration



d5lr - ANSWER Same as LR plus provides about 180 calories per 1000cc's



0.9% NaCl - ANSWER normal saline

,anesthesia - ANSWER epidural, spinal, intrathecal

- complete neurologic block; can interfere with muscular action

- may increase need for OB intervention

- systemic effects: ***hypotension***, fever

- inadvertent dural puncture can cause a spinal HA



local blocks - ANSWER paracervical, pudendal, local infiltration



provides pain blockade at site of pain for brief periods of time



intermittent auscultation - ANSWER - allows for more mobility

- requires 1:1 staffing in labour

- associated with lower intervention rates



60; 30; 15 - ANSWER intermittent auscultation should be done every _____ seconds after
a contraction every _______ minutes in 1st stage of labor if low risk, and every ______ if
high risk



15; 5 - ANSWER intermittent auscultation should be done every ____ minutes in 2nd
stage if low risk; and every _____ min if high risk



continuous EFM - ANSWER - indicated for AP or IP risk factors



category I - ANSWER - tracing predictive of a well-oxygenated fetus

- normal acid-base balance

- normal baseline, moderate FHR variability, absent late/variable decels, early
decels/accels present or absent



15; 5- ANSWER continuous fetal monitoring should be done every _____ min for low-risk

, in 1st stage and every ______ min if high risk



Category II- ANSWER indeterminate of fetal acid-base status; requires continued
monitoring and evaluation

- baseline bradycardic or tachycardic

- minimal variability or absent variability with no recurrent decels or marked variability

- no accels despite fetal stimulation

- recurrent variables w/ min/mod baseline variability

-prolonged decels between 2-10 minutes

-recurrent lates w/ mod baseline variability

-variable decels w/ overshoots/shoulders



category III - ANSWER - associated w/ abnormal fetal acid-base status; prompt
corrective action required



-absent variability in conjunction with any of the following:

-bradycardia

-recurrent variables

-recurrent lates

-sinusoidal pattern



10+ minutes - ANSWER how long does fetal bradycardia/tachycardia need to persist to
be diagnosed



fetal scalp stimulation - ANSWER - cannot be reliably performed during decel or
bradycardia; wait for FHR recovery



>7.2 - ANSWER stimulating the head during a vaginal exam with a FHR accel > 15 for >15
seconds is indicated of fetal pH of _________

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