OB Inpatient Certification – Questions With
Proven Solutions
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
Uterotonic med contraindicated for elevated BP? Correct Answer
- Methergine
Following delivery, insulin requirements I'd diabetic woman....
Correct Answer - Decrease rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to?
Correct Answer - Estrogen
A newly delivered postpartum woman received terbutaline and
corticosteroids during labor is at risk for what potential drug
interaction? Correct Answer - Hyperglycemia
Antidote for heparin? Correct Answer - Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal
hypertension? Correct Answer - Hydralazine, labatelol
Severe BP values Correct Answer - Over 160 sbp or over 110
dbp
Another name for hydralazine? Correct Answer - Apresoline
Another name for labatelol? Correct Answer - Trandate,
normodyne
Proven Solutions
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
Uterotonic med contraindicated for elevated BP? Correct Answer
- Methergine
Following delivery, insulin requirements I'd diabetic woman....
Correct Answer - Decrease rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to?
Correct Answer - Estrogen
A newly delivered postpartum woman received terbutaline and
corticosteroids during labor is at risk for what potential drug
interaction? Correct Answer - Hyperglycemia
Antidote for heparin? Correct Answer - Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal
hypertension? Correct Answer - Hydralazine, labatelol
Severe BP values Correct Answer - Over 160 sbp or over 110
dbp
Another name for hydralazine? Correct Answer - Apresoline
Another name for labatelol? Correct Answer - Trandate,
normodyne
