Nurse Midwife Exam Prep

When the amniotic fluid of a pregnant woman appears green, it indicates the presence of meconium. Meconium is the first stool passed by a newborn baby and is usually dark green in color. It is composed of materials ingested by the baby while in the womb, such as amniotic fluid, mucus, skin cells, and other substances. The presence of meconium in the amniotic fluid can be a sign of fetal distress, indicating that the baby may have passed stool before birth. This can be a cause for concern and may require medical intervention during delivery to ensure the baby's well-being.

Macrosomia refers to a condition where a newborn has an excessive birth weight (typically over 4,000 grams or 8 pounds, 13 ounces). It is usually associated with maternal diabetes, not hypertension.

In contrast, uncontrolled hypertension in pregnancy can lead to several complications, such as:

Increased fetal loss (due to placental abruption or intrauterine growth restriction),

Pre-eclampsia (a serious condition characterized by high blood pressure and organ damage),

Preterm delivery (as a result of the need to deliver the baby early due to maternal or fetal distress).

Thus, macrosomia is not typically associated with uncontrolled hypertension in pregnancy.

Preeclampsia is a pregnancy complication characterized by high blood pressure and damage to organs, usually the liver and kidneys. It commonly presents with symptoms such as hypertension, general edema, and headache. Seizures, on the other hand, are not a typical clinical feature of preeclampsia. Seizures in pregnancy are usually associated with a more severe condition called eclampsia, which is a progression of preeclampsia. Therefore, seizure is the correct answer as it is not typically seen in preeclampsia itself.

NIC stands for Nursing Interventions Classification, which is a standardized list that contains 554 research-based nursing interventions. This classification system is used by nurses to identify and document specific interventions that are necessary for patient care. It helps to promote consistency and clarity in nursing practice, as well as facilitate communication among healthcare professionals. Therefore, NIC is the correct answer as it directly relates to the standardized list of nursing interventions mentioned in the question.

Thrombocytosis is not among the signs of severe preeclampsia. Severe preeclampsia is a serious pregnancy complication characterized by high blood pressure and damage to organs such as the liver and kidneys. Common signs include elevated liver enzymes due to hemolysis, epigastric pain, and pulmonary edema. Thrombocytosis, which refers to an abnormally high platelet count, is not typically associated with severe preeclampsia.

During pregnancy, hormonal changes can affect the eyes and vision, leading to visual disturbances. These disturbances may include blurred vision, sensitivity to light, or seeing spots or floaters. These symptoms can be caused by various factors such as hormonal fluctuations, changes in blood pressure, or changes in fluid balance. It is important for pregnant women to report any visual disturbances to their healthcare provider to ensure proper evaluation and management.

During pregnancy, it is common for women to experience vivid and intense dreams. This can be attributed to hormonal changes and increased levels of progesterone, which can affect sleep patterns and lead to more frequent dreaming. Additionally, pregnancy can bring about a range of emotions and anxieties, which may manifest in dreams. Therefore, the presence of dreams is a common occurrence during pregnancy.

During pregnancy, a pregnant woman will typically feel the first movement of the infant, known as quickening, between 12-13 weeks. This is because at this stage, the baby's muscles and nervous system are developing, allowing them to make small movements that the mother can perceive. It is an exciting milestone for the mother as it signifies the baby's growth and development.

Good Samaritan laws do not require individuals to always help the sick, provide welfare services, or attend situations in emergencies. However, these laws do provide legal protection to medical professionals who voluntarily offer their services for free during emergency situations. Therefore, the correct answer is "free medical provider for all".

Clinodactyly is a condition characterized by the abnormal curvature of one or more fingers. It is typically seen in the fifth finger, which may be bent towards the adjacent finger. This abnormal curvature can lead to increased mobility or flexibility in the affected finger(s). Therefore, the correct answer is "More mobile fingers." The other options, such as hypertrophied clitoris and pectus excavatum presence, are unrelated to clinodactyly.