OB Inpatient Certification Test
Questions and Answers Updated
2026
TheB[_____]BisBconsideredBtheBpathogenicBfocusBforBallBmanifestationsBofBpre-eB-BPlacenta
(RegardingBPre-e):BIncreasedBsensitivityBtoBAngiotensinBIIBleadsBtoB[-------]BandB[------]B-
BVascularBdamageB&BarteriolarBvasoconstrictionBandBsystemicBvasospasm
AB[---------]BmeasurementBisBrecommendedBforBallBpregnantBwomenBwithBHTNB-B24-
hrBurinaryBproteinBmeasurement
ThrombocytopeniaBisBpresentBwhenBplateletsBareBlow:B[-------],BandBsevere:B[------]B-
BLowBplatelets:BlessBthanB100,000/mm3,BsevereBplatelets:BlessBthanB50,000/mm3
InBsevereBpre-e,BurineBoutputBdecreasesBtoBlessBthanB[---]mlBinB24hrsB-B400ml
(RegardingBpre-e):BArteriolarBvasospasmsBdamageBtheB[-----
]BlayerBofBsmallBbloodBvessels,BcausingBlesionsB-->B[-----
]BaccumulateBatBlesionsBsitesBandBfibrinBnetworkBforms--
>BRBCsBareBforcedBthroughBtheBnetworkBunderBhighBpressure,BresultingBinB[------]B-
BArteriolarBvasospasmsBdamageBtheBendothelialBlayer.....BplateletsBaccumulateBatBlesions.....Bre
sultingBinBhemolysis
WithBregardsBtoBHELLP,BHemolysisBcanBbeBidentifiedBbyBlookingBforB(4):B-
B1)BfallingBhematocritB
2)BhyperbilirubinemiaB(>1.2mg/dl)
3)BIncreasedBLDH
4)BJaundiceBincludingBsclerae
WithBregardsBtoBHELLP,BElevatedBLiverBEnzymesBcanBbeBidentifiedBbyBlookingBforB(5):B-
B1)BIncreasedBLDH
2)BIncreasedBAST/ALT
3)BFeelingBMalaise
4)BViral-likeBsymptomsB
, 5)BRUQBpain
WithBregardsBtoBHELLP,BLowBPlateletsBcanBbeBidentifiedBbyBlookingBforB(2):B-
B1)BfallingBplateletBcountB(low:B<100,000,Bsevere:B<50,000)
2)BAbnormalBcoagulationBandBfibrinolyticBvalues
YouBdoBnotBneedBtoBdiagnoseB[-------]BinBorderBtoBdiagnoseBHELLPB-BPreeclampsia
TheBdefinitiveBtreatmentBofBforBpreeclampsiaBisB....B-Bdelivery
TheBprimaryBgoalsBofBmanagementBofBpre-eBare:B(4)B-
B1)BPreventBconvulsionsBthroughBuseBofBMagBSulfate
2)BEnsureBadequateBkidneyBfunctions
3)BMonitorBfetalBstatusBcontinuouslyBforBsignsBofButeroplacentalBinsufficiency
4)BToBstabilizeBtheBwomenBsoBvaginal/cesareanBbirthBcanBbeBaccomplished
ABwomenBwithBpreeclampsiaBmightBexperienceBaBreducedBplasmaBvolume,BandBaB[--------
]BdietBcanBworsenBtheBsituationB-BaBsalt-restrictedBdiet
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BBPsBshouldBbeB.....B-
BtakenBinBtheBsameBpositionBonBtheBleftBarm,BhorizontalBwithBtheBheart
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BoliguriaBisB[-------]BandBisBanB[-----
]BsignB-BoliguriaBisBoutputBlessBthanB30ml/hrBforB2hrs....BandBisBanBominousBsign
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BlimitBfluidBadministrationBtoBnoBmo
reBthanB[-----]BorB[--]ml/kr/hrB-BnoBmoreBthanB150ml/hr,BorB1ml/kg/hr
MagnesiumBsulfateBisBgivenBforB[-------]Btherapy,BitBisBnoteBgivenBtoBtreatB[------]B-
BMagnesiumBsulfateBisBgivenBforBanticonvulsantBtherapy,BnotBtoBtreatBhypertension
TheBtherapeuticBrangeBofBmagnesiumBsulfateBisBbetweenB[-------]B-BbetweenB4BtoB7BmEq/L
Questions and Answers Updated
2026
TheB[_____]BisBconsideredBtheBpathogenicBfocusBforBallBmanifestationsBofBpre-eB-BPlacenta
(RegardingBPre-e):BIncreasedBsensitivityBtoBAngiotensinBIIBleadsBtoB[-------]BandB[------]B-
BVascularBdamageB&BarteriolarBvasoconstrictionBandBsystemicBvasospasm
AB[---------]BmeasurementBisBrecommendedBforBallBpregnantBwomenBwithBHTNB-B24-
hrBurinaryBproteinBmeasurement
ThrombocytopeniaBisBpresentBwhenBplateletsBareBlow:B[-------],BandBsevere:B[------]B-
BLowBplatelets:BlessBthanB100,000/mm3,BsevereBplatelets:BlessBthanB50,000/mm3
InBsevereBpre-e,BurineBoutputBdecreasesBtoBlessBthanB[---]mlBinB24hrsB-B400ml
(RegardingBpre-e):BArteriolarBvasospasmsBdamageBtheB[-----
]BlayerBofBsmallBbloodBvessels,BcausingBlesionsB-->B[-----
]BaccumulateBatBlesionsBsitesBandBfibrinBnetworkBforms--
>BRBCsBareBforcedBthroughBtheBnetworkBunderBhighBpressure,BresultingBinB[------]B-
BArteriolarBvasospasmsBdamageBtheBendothelialBlayer.....BplateletsBaccumulateBatBlesions.....Bre
sultingBinBhemolysis
WithBregardsBtoBHELLP,BHemolysisBcanBbeBidentifiedBbyBlookingBforB(4):B-
B1)BfallingBhematocritB
2)BhyperbilirubinemiaB(>1.2mg/dl)
3)BIncreasedBLDH
4)BJaundiceBincludingBsclerae
WithBregardsBtoBHELLP,BElevatedBLiverBEnzymesBcanBbeBidentifiedBbyBlookingBforB(5):B-
B1)BIncreasedBLDH
2)BIncreasedBAST/ALT
3)BFeelingBMalaise
4)BViral-likeBsymptomsB
, 5)BRUQBpain
WithBregardsBtoBHELLP,BLowBPlateletsBcanBbeBidentifiedBbyBlookingBforB(2):B-
B1)BfallingBplateletBcountB(low:B<100,000,Bsevere:B<50,000)
2)BAbnormalBcoagulationBandBfibrinolyticBvalues
YouBdoBnotBneedBtoBdiagnoseB[-------]BinBorderBtoBdiagnoseBHELLPB-BPreeclampsia
TheBdefinitiveBtreatmentBofBforBpreeclampsiaBisB....B-Bdelivery
TheBprimaryBgoalsBofBmanagementBofBpre-eBare:B(4)B-
B1)BPreventBconvulsionsBthroughBuseBofBMagBSulfate
2)BEnsureBadequateBkidneyBfunctions
3)BMonitorBfetalBstatusBcontinuouslyBforBsignsBofButeroplacentalBinsufficiency
4)BToBstabilizeBtheBwomenBsoBvaginal/cesareanBbirthBcanBbeBaccomplished
ABwomenBwithBpreeclampsiaBmightBexperienceBaBreducedBplasmaBvolume,BandBaB[--------
]BdietBcanBworsenBtheBsituationB-BaBsalt-restrictedBdiet
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BBPsBshouldBbeB.....B-
BtakenBinBtheBsameBpositionBonBtheBleftBarm,BhorizontalBwithBtheBheart
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BoliguriaBisB[-------]BandBisBanB[-----
]BsignB-BoliguriaBisBoutputBlessBthanB30ml/hrBforB2hrs....BandBisBanBominousBsign
InBnursingBmanagementBofBaBwomenBwithBpreeclampsia,BlimitBfluidBadministrationBtoBnoBmo
reBthanB[-----]BorB[--]ml/kr/hrB-BnoBmoreBthanB150ml/hr,BorB1ml/kg/hr
MagnesiumBsulfateBisBgivenBforB[-------]Btherapy,BitBisBnoteBgivenBtoBtreatB[------]B-
BMagnesiumBsulfateBisBgivenBforBanticonvulsantBtherapy,BnotBtoBtreatBhypertension
TheBtherapeuticBrangeBofBmagnesiumBsulfateBisBbetweenB[-------]B-BbetweenB4BtoB7BmEq/L
