Certified Nurse Midwife Flashcards

Which of the following is not a side effect of pregnancy-related uncontrolled hypertension?

Answer: Pre-eclampsia

Pre-eclampsia is a serious pregnancy complication characterized by new-onset high blood pressure and signs of damage to another organ system, most often the liver and kidneys. It is a *condition* that arises from uncontrolled hypertension in pregnancy, not a side effect of it. Macrosomia, preterm delivery, and increased fetal loss are indeed potential complications or consequences of uncontrolled hypertension during pregnancy.

When a pregnant woman's amniotic fluid is green, it indicates

Answer: Meconium

When a pregnant woman's amniotic fluid is green, it typically indicates the presence of meconium, which is the baby's first stool. The passage of meconium into the amniotic fluid before birth can be a sign of fetal distress. This condition requires close monitoring as it can lead to meconium aspiration syndrome if the baby inhales the fluid.

Which of the following symptoms does not indicate severe preeclampsia?

Answer: Thrombocytosis

Severe preeclampsia is characterized by various symptoms and lab abnormalities, including elevated liver enzymes, pulmonary edema, and epigastric pain. Thrombocytopenia (low platelet count) is a common finding, indicating platelet consumption. Thrombocytosis, which is an *increase* in platelets, is not a typical symptom of severe preeclampsia; rather, a decrease in platelets is expected.

Except for one, each of these is a clinical sign of preeclampsia.

Answer: Seizure

Preeclampsia is characterized by hypertension and proteinuria or other organ dysfunction. While headache and general edema are common clinical signs, a seizure is the defining symptom of eclampsia, which is a *progression* of preeclampsia. Therefore, a seizure indicates the more severe condition of eclampsia, not just preeclampsia itself.

The standardized list includes 554 studies on nursing interventions.

Answer: NIC

NIC stands for Nursing Interventions Classification. It is a comprehensive, standardized classification of nursing treatments and actions performed by nurses. The NIC system includes a vast list of interventions, providing a common language for nurses to describe the care they provide, which aids in documentation, research, and education across healthcare settings.

A clinodactyly patient will have one of the following:

Answer: bent or curved finger

Clinodactyly is a medical term referring to the curvature or bending of a digit (finger or toe) in the plane of the palm. It is most commonly observed in the little finger, where it bends towards the ring finger. This condition is often congenital and can sometimes be associated with certain genetic syndromes.

Which of these statements on Good Samaritan laws is accurate?

Answer: Free medical provider for all

Good Samaritan laws are enacted to protect individuals who voluntarily provide reasonable assistance to those in an emergency, shielding them from legal liability. While these laws do not directly establish free medical care for all, they encourage people, including healthcare professionals, to offer aid without fear of being sued, thereby facilitating the provision of immediate, often unpaid, assistance in critical situations. This protection aims to ensure that help is rendered without financial barriers for the rescuer, making emergency aid accessible.