373
PCEP
Perinatal Continuing Education Program
Pretest Answer Key
Book II: Maternal and Fetal Care
Unit 1: Hypertensive Disorders of Pregnancy
1. A. Post-term pregnancy
2. True
3. False
4. True
5. True
6. True
7. False
8. False
9. D. Diabetes mellitus
10. A. Give an intravenous bolus of magne-
sium sulfate.
11. D. Poor respiratory effort
12. C. Hydramnios
13. B. Decreased placental perfusion
14. Yes No
X Decreased fetal movement
X Absence of weight gain
X Persistent headache
X Right upper abdominal
pain
X Blurred vision
X Uterine contractions
15. Yes No
X Assess fetal growth by
serial ultrasound
examinations.
X Check hepatic transami-
nases monthly, starting at
28 weeks’ gestation.
X Check creatinine clearance
and total urine protein
monthly, starting at
28 weeks’ gestation.
X Use narcotic analgesia pref-
erentially for pain during
labor.
X Consult with maternal-fetal
medicine specialist if pre-
eclampsia develops.
X Plan for cesarean delivery.
16. Yes No
X Provide invasive cardiac
output monitoring for 1 to
2 days.
X Continue magnesium sul-
fate infusion for 12 to
24 hours.
X Arrange for home blood
pressure monitoring for
1 to 2 weeks.
X Continue hospitalization
and bed rest for 1 to
2 weeks.
Unit 2: Obstetric Hemorrhage
1. True
2. True
3. True
4. True
5. True
6. False
7. False
8. False
9. B. May be associated with disseminated
intravascular coagulation
10. D. Fetal health may be compromised by
decreased placental perfusion.
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