OB inpatient certification practice questions with
correct answers
After delivery, progesterone levels fall causing what acid/base change?
Correct Answer-Increase pco2
With what disorder would AFP be elevated? Correct Answer-
Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at what
rate? Correct Answer-Onset within 20 years in 35-60%
Glucose screen is done when? Correct Answer-24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what
electrolyte imbalance is the neonate at risk for? Correct Answer-
Magnesium deficiency
In which trimester is new onset of GHTN most common? Correct
Answer-3rd trimester
In a pregnancy complicated by hypertension, what is a sign of
deteriorating status? Correct Answer-Increased serum creatinine
What difference can be expected between manual and electronic
diastolic BP? Correct Answer-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? Correct
Answer-Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? Correct
Answer-Oral acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period? Correct Answer-The recurrence is
unlikely, no further action is required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? Correct
Answer-Mitral stenosis
Cardiac defect with most complications in labor? Correct Answer-Mitral
stenosis
Methamphetamines are expected to last? Correct Answer-7-24 hrs
What is recommended L/S ratio? Correct Answer-2:1 - lungs are
probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? Correct Answer-Fetal anemia
,What is the parenteral analgesic with most rapid peak effect? Correct
Answer-Fentanyl
What neonatal complication is increased with cesarean delivery? Correct
Answer-Respiratory morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp
complication? Correct Answer-Wound infection
During the postpartum period, low levels of placental lactogen, estrogen,
cortisol, growth hormone and insulinase result in? Correct Answer-
Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is
expected to be elevated postpartum? Correct Answer-BUN
Avg weight loss with delivery? Correct Answer-12 lbs
Where would you expect to palpate fundus 24h pp? Correct Answer-
1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in
colora Correct Answer-Lochia serosa
The process of involution that allows for healing of the placental site
preventing scarring is? Correct Answer-Exfoliation
, True or false 2500cc urine 2 days pp is a normal physiologic response to
delivery Correct Answer-True
If pp woman's fundus is deviated from midline first RN intervention is?
Correct Answer-Empty bladder
Why is UTI common in 1st few weeks pp? Correct Answer-Dilated
ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to
diuresis, returning to prepregnancy volume? Correct Answer-Day 5
What intervention can increase physiological jaundice? Correct Answer-
Delayed cord clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? Correct
Answer-Expected range
What is the antidote for Coumadin? Correct Answer-Vitamin k
What is antidote to MAg? Correct Answer-Calcium glucinate
What med for malignant hyperthermia? Correct Answer-Dantrolene
sodium
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