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Exam (elaborations)

Inpatient OB Certification: Questions With In-Depth Solutions

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Inpatient OB Certification: Questions With In-Depth Solutions

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Inpatient OB Certification: Questions With In-
Depth Solutions
What is autotransfusion? Correct Answer - Increased cardiac
output due to 300-500 ml blood back into circulation with each
contraction

What causes heartburn during pregnancy? Correct Answer -
Relaxation of the lower esophageal sphincter

what is a normal wbc after labor? Correct Answer - 20-22

when is the glucose screen done? Correct Answer - 26-28
weeks

Onset of GHTN is most commonly seen in which trimester?
Correct Answer - 3rd

On admission to L& D a pt inquires if her history of Herpes Simplex
VIrus will prevent a vaginal delivery. THe nurse knows that even
without any apparent lesions, the recommendation is to? Correct
Answer - Take oral acyclovir for weeks prior to delivery

Most rapid peak effect parenteral analgesic? Correct Answer -
fentanyl

Guidance for ethical nursing care is provided by the Correct
Answer - ANA code of ethics for nurses

Disruptive clinician behavior is often linked to Correct Answer -
clinical practice issues

, professional nursing liability is most commonly increased by the
absence of Correct Answer - adequate record documentation

culturally American Indians are at high risk for Correct Answer -
increased alcoholism, heart disease, cirrhosis of the liver, DM

Korean culture Correct Answer - Mother in law cares for the
mother and newborn post partum

What are some strategies to increase cultural competence?
Correct Answer - -enhance communication skills
-determine the family decision makers
-non-verbal commuication
-culturally appropriate teaching

The areas of clinical practice that are most commonly involved in
perinatal pt harm are Correct Answer - -fetal assessment
-labor induction
-second stage labor management

essential criteria for safe care include: Correct Answer -
effective leadership, shared philosophy, professional behavior,
excellence in key clinical practices

An African American/black woman who believes she should not
swallow her saliva and carries a spit cup with her during pregnancy
is most likely from Correct Answer - Haiti

during labor maternal cardiac output Correct Answer -
increases progressively

during labor/delivery when is cardiac output greatest Correct
Answer - immediately after birth

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