Ms. Linghu arrived at the obstetric care unit for a labor evaluation. She is 28 weeks gestation and is complaining of a lower back ache and cramping. The physician has asked for assistance in obtaining a sample to assess for fetal fibronectin (fFN). Which statement about fFN is most accurate? - ANSWERfFN is a strong predictor or marker for identification of preterm labor associated with infection. Risk factors for placenta previa include - ANSWERprevious uterine surgery, smoking, and hypertension. One of the most common and well documented risk factors for preterm labor is - ANSWERprevious history of preterm birth. All of the following complications may predispose a pregnant woman to disseminated intravascular coagulopathy (DIC) except - ANSWERpreterm labor. A cerclage placed in women with documented shortened cervical length by ultrasound examination is called a(n) - ANSWERtherapeutic cerclage. The most common postpartum complication for mothers with higher-order multiples is - ANSWERpostpartum hemorrhage. Painless, bright red vaginal bleeding at 28 weeks of gestation is most likely caused by - ANSWERplacenta previa. Couvelaire uterus is associated with which condition? - ANSWERPlacental abruption A woman with higher-order multiples is at risk for all of the following except - ANSWERpyelonephritis. Which feature is recommended when monitoring twin gestations to differentiate between fetal heart rates and maternal heart rate? - ANSWERMaternal pulse oximetry RhD-negative women may be sensitized with fetal blood during any bleeding episode in the antepartum period. If a Kleihauer-Betke test determines greater than 15 ml of fetal blood in the maternal circulation, it is important to recognize that - ANSWERa 300-mg Rh immunoglobulin dose may not be sufficient to prevent sensitization. During which phase of the pathophysiologic process of disseminated intravascular coagulopathy (DIC) do platelets adhere to the surface of the exposed collagen, bind to platelet receptors, and attach to the damaged tissue creating a platelet plug? - ANSWERPrimary hemostasis Which of the following is not a contraindication for magnesium sulfate administration? - ANSWERHyperkalemia Current recommendations for antenatal glucocorticoid administration for acceleration of fetal lung maturation is appropriate - ANSWERfor women at 23-36 6/7 weeks gestation at risk for preterm birth within 7 days. Amniotic band syndrome is associated with what complication in pregnancy? - ANSWERPreterm premature rupture of membranes An ova that is fertilized by one sperm and then divides into two zygotes results in - ANSWERmonozygotic gestation. Classic signs of placenta previa are - ANSWERpainless, bright red bleeding. Mrs. Jordan has arrived to the unit for a labor evaluation. She is 39 weeks pregnant and is complaining of continuous abdominal pain. She is having high frequency, low amplitude contractions and the fetal heart pattern shows minimal variability. You suspect that Mrs. Jordan may have a - ANSWERplacental abruption. Intensive nursing and medical management in women with pregestational diabetes should begin in the immediate postpartum period. preconception period. second trimester of pregnancy. third trimester of pregnancy. - ANSWERpreconception period. Which of the following types of cardiac lesions are characterized by dysfunction of the cardiac muscle, resulting in decreased cardiac output? Aortic stenosis Cardiomyopathy Mitral insufficiency Pulmonic lesions - ANSWERCardiomyopathy