OB inpatient certification practice questions || A+ Graded Already

After delivery, progesterone levels fall causing what acid/base change? correct answers Increase pco2 With what disorder would AFP be elevated? correct answers Esophageal atresia, neural tube defects Women with a history of GDM have increased risk of diabetes at what rate? correct answers Onset within 20 years in 35-60% Glucose screen is done when? correct answers 24-28 weeks If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is the neonate at risk for? correct answers Magnesium deficiency In which trimester is new onset of GHTN most common? correct answers 3rd trimester In a pregnancy complicated by hypertension, what is a sign of deteriorating status? correct answers Increased serum creatinine What difference can be expected between manual and electronic diastolic BP? correct answers 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 answers Stop mag and notify provider With no apparent HSV lesions what is the recommendation? correct answers Oral acyclovir 4 weeks prior to delivery +IgG antibodies in PP period? correct answers The recurrence is unlikely, no further action is required. (IgG chronic, IgM is active) The most common rheumatic valvular lesion in pregnancy is? correct answers Mitral stenosis Cardiac defect with most complications in labor? correct answers Mitral stenosis Methamphetamines are expected to last? correct answers 7-24 hrs What is recommended L/S ratio? correct answers 2:1 - lungs are probably mature 3:1 - indicative of maturity What causes a sinusoidal FHR tracing? correct answers Fetal anemia