inpatient obstetric nursing practice exam
Exam Questions, Hints & Solution
a pt is admitted to the labor unit with possible preterm labor. nitrazine paper is use to detect
amniotic fluid. the result is positive with a reading of - 7.1
clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea can be seen when the
blood loss reaches - 1500 ml
an appropriante action in response to a non-reactive NST is to - consider acoustic stimulation
while the exact mechanism of action is not fully known, mag sulfate inhibits smooth muscle
contractions by direct effect on myometrial - calcium activity
which of the following decelerations must drop at least 15 bpm from baseline (early, late,
prolonged) - prolonged
according to the NICHD guidelines recurrent decelerations are defined as decelerations that
occur with - greater or equal to 50% UCs in any 20 minute window
the risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an -
isotonic solution
a fetal heart tracing shows a baseline FHR of 145, moderate variability, early decelerations and
no accelerations and no decelerations. This is a NICHD category - I (110-160) moderate
variability, no variables, no late decals or prolonged decals
pain experience in the first stage of labor results primarily from - pressure on adjacent
structures and nerves
, what are characteristics of a dizygotic pregnancy? - 2 placentas, 2 chorions and 2 amniotic sacs
validity as applied to a research instrument demonstrates - degree to which the instrument
measures what is was intended to measure
A pregnant women developed varicella-zoster at 32 weeks gestation. she is now in active labor
at 40 weeks gestation. the nurse would expect which of the following to be appropriate? - take
no action since the mother's antibodies will be protective
US for antepartum testing uses high frequency sound waves to produce an image that varies
based on the - density of the structure under the transducer
a pregnancy woman that has a history of herpes simplex virus (HSV). she hasn't had an outbreak
for 5 years. the recommendation for this pregnancy is to - start antiviral at 36 weeks
The goal of neuraxial analgesia is to provide pain relief - with as little motor block as possible
the STI that is transmitted trans-placentally is - syphilis
UTI is a concern in the first couple of weeks PP bc of - dilated ureters and renal pelves
The mechanism of action of sterile water injections for labor pain is thought to be due to - gate
control theory
A normal breathing pattern for two hour old neonate may include - episodic breathing
A woman at 37 weeks gestation called and reports contractions that occur every 15-25 minutes
with cramping in the lower abdomen all afternoon. walking helps give her some relief, but the
ctxs return. The nurse/NP knows that these symptoms represent - false labor
Exam Questions, Hints & Solution
a pt is admitted to the labor unit with possible preterm labor. nitrazine paper is use to detect
amniotic fluid. the result is positive with a reading of - 7.1
clinical signs of hemorrhage such as BP 90/70; pulse 118, and tachypnea can be seen when the
blood loss reaches - 1500 ml
an appropriante action in response to a non-reactive NST is to - consider acoustic stimulation
while the exact mechanism of action is not fully known, mag sulfate inhibits smooth muscle
contractions by direct effect on myometrial - calcium activity
which of the following decelerations must drop at least 15 bpm from baseline (early, late,
prolonged) - prolonged
according to the NICHD guidelines recurrent decelerations are defined as decelerations that
occur with - greater or equal to 50% UCs in any 20 minute window
the risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an -
isotonic solution
a fetal heart tracing shows a baseline FHR of 145, moderate variability, early decelerations and
no accelerations and no decelerations. This is a NICHD category - I (110-160) moderate
variability, no variables, no late decals or prolonged decals
pain experience in the first stage of labor results primarily from - pressure on adjacent
structures and nerves
, what are characteristics of a dizygotic pregnancy? - 2 placentas, 2 chorions and 2 amniotic sacs
validity as applied to a research instrument demonstrates - degree to which the instrument
measures what is was intended to measure
A pregnant women developed varicella-zoster at 32 weeks gestation. she is now in active labor
at 40 weeks gestation. the nurse would expect which of the following to be appropriate? - take
no action since the mother's antibodies will be protective
US for antepartum testing uses high frequency sound waves to produce an image that varies
based on the - density of the structure under the transducer
a pregnancy woman that has a history of herpes simplex virus (HSV). she hasn't had an outbreak
for 5 years. the recommendation for this pregnancy is to - start antiviral at 36 weeks
The goal of neuraxial analgesia is to provide pain relief - with as little motor block as possible
the STI that is transmitted trans-placentally is - syphilis
UTI is a concern in the first couple of weeks PP bc of - dilated ureters and renal pelves
The mechanism of action of sterile water injections for labor pain is thought to be due to - gate
control theory
A normal breathing pattern for two hour old neonate may include - episodic breathing
A woman at 37 weeks gestation called and reports contractions that occur every 15-25 minutes
with cramping in the lower abdomen all afternoon. walking helps give her some relief, but the
ctxs return. The nurse/NP knows that these symptoms represent - false labor
