OB Inpatient Certification 2022 Test Questions AND ANSWERS CORRECTLY ANSWERED
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OB Inpatient Certification
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OB Inpatient Certification
OB Inpatient Certification 2022 Test Questions
After delivery, progesterone levels fall causing what acid/base change? Ans: Increase pco2
With what disorder would AFP be elevated? Ans: Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes a...
After delivery, progesterone levels fall causing what acid/base change? Ans: Increase pco2
With what disorder would AFP be elevated? Ans: Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at what rate? Ans: Onset within 20 years
in 35-60%
Glucose screen is done when? Ans: 24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is the neonate
at risk for? Ans: Magnesium deficiency
In which trimester is new onset of GHTN most common? Ans: 3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? Ans: Increased
serum creatinine
What difference can be expected between manual and electronic diastolic BP? Ans: Manual are 5-7 mm
HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs are absent. What is your immediate
nursing intervention? Ans: Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? Ans: Oral acyclovir 4 weeks prior to
delivery
+IgG antibodies in PP period? Ans: The recurrence is unlikely, no further action is required. (IgG chronic,
IgM is active)
The most common rheumatic valvular lesion in pregnancy is? Ans: Mitral stenosis
Cardiac defect with most complications in labor? Ans: Mitral stenosis
Methamphetamines are expected to last? Ans: 7-24 hrs
What is recommended L/S ratio? Ans: 2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? Ans: Fetal anemia
What is the parenteral analgesic with most rapid peak effect? Ans: Fentanyl
What neonatal complication is increased with cesarean delivery? Ans: Respiratory morbidity
,A woman who has a c/s is more likely to be re-hospitalized with what pp complication? Ans: Wound
infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol, growth hormone and
insulinase result in? Ans: Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected to be elevated
postpartum? Ans: BUN
Avg weight loss with delivery? Ans: 12 lbs
Where would you expect to palpate fundus 24h pp? Ans: 1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora Ans: Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring is? Ans:
Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery Ans: True
If pp woman's fundus is deviated from midline first RN intervention is? Ans: Empty bladder
Why is UTI common in 1st few weeks pp? Ans: Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis, returning to
prepregnancy volume? Ans: Day 5
What intervention can increase physiological jaundice? Ans: Delayed cord clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? Ans: Expected range
What is the antidote for Coumadin? Ans: Vitamin k
What is antidote to MAg? Ans: Calcium glucinate
What med for malignant hyperthermia? Ans: Dantrolene sodium
Uterotonic med contraindicated for elevated BP? Ans: Methergine
Following delivery, insulin requirements I'd diabetic woman.... Ans: Decrease rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? Ans: Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during labor is at risk for
what potential drug interaction? Ans: Hyperglycemia
Antidote for heparin? Ans: Protamine sulfate
, Two IV anti hypertensives that may be used to treat severe maternal hypertension? Ans: Hydralazine,
labatelol
Severe BP values Ans: Over 160 sbp or over 110 dbp
Another name for hydralazine? Ans: Apresoline
Another name for labatelol? Ans: Trandate, normodyne
At 12 hrs pp a breastfeeding mom is 180/114, what does the RN anticipate the provider will order? Ans:
Labatelol
A common side effect of pitocin is? Ans: Anti diuretic effect/water intoxication
CDC requirement for a TDAP for a pt who had tetanus shot two years ago? Ans: Administer prior to d/c.
All pts should have booster in pregnancy
Pp woman has order for rubella vaccine and Rh immune globulin. The nurse knows they should be
given? Ans: At the same time
Unsensitized Rh- mom whose baby is Rh+ should? Ans: Receive 300 mcg of rhogham within 72hrs of
delivery
A pp woman has large hemorrhoid. She may be instructed to? Ans: Gently attempt to push back into
rectum
After birth pains usually last? Ans: 2-3 days
A woman readmitted for wound infection shows signs of sleep disturbance, irritability, agitation and
confusion. The nurse suspects? Ans: Post partum psychosis
What is the chance of pregnancy when using the lactational amenorrhea method (LAM) at 12 months?
Ans: Can approach 7%
Woman wants to use breastfeeding as a contraceptive. The best response is? Ans: What have you heard
or read about this method?
When teaching a pt about the use of the sponge, the pt should be advised to leave in place for how
many hours following intercourse? Ans: 6 hours
The hormone responsible for stimulation of the alveolar cells to produce milk? Ans: Prolactin
The lactation initiation stage is dependent on? Ans: A cascade of hormones
Compared to term breast milk, preterm breast milk is composed of? Ans: Higher protein content
In comparison to mature breast milk, the relative content of transitional breast milk has? Ans: Increased
protein content
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