RNC-NIC NEWEST FINAL EXAM QUESTIONS LATEST FINAL EXAM UPDATED FOR 2025 GRADED A+ 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS TOP SCORE, EXAMS OF NURSING Maternal serum alpha-fetoprotein (MSAFP)- high levels test at 16-18 wks, high levels indicate an open neural tube defect low levels of MSAFP Down syndrome chorionic villus sampling can test fetal chromosome anomalies early, recommend in 35 y.o. and older amniocentesis done in 2nd trimester, can be done later in pregnancy to assess fetal lung maturity biophysical profile like apgar scoring for fetus, looks at fetal breathing movements, fetal movements, fetal tone, and amniotic fluid volume, score 8-10= reassuring, 6= equivocal- deliver if term, retest in 24hrs if preterm, less than or equal to 4= nonreassuirng, further eval, consider delivery preeclampsia hypertension with or without proteinuria ecampisa has seizures Cytomegalovirus (CMV) and treatment most common intrauterine infection, treat with gancyclovir toxoplasmosis symptoms in mom, flu like, increased risk of transmission later in gestation syphilis and treatment transmitted via secretions,tx with penicillin Gherpes and treatment transmitted via ascending infection, tx with acyclovir HELLP syndrome stands for high blood pressure/hemolysis, elevated liver enzymes, low platelets hep B vaccine 3 shots within 6 months, one at birth, then 1 month