OB Inpatient Certification Practice Questions and Verified
Answers
After delivery, progesterone levels fall causing
what acid/base change? - ANSWER -
Increase pco2 With no apparent HSV lesions what is the
recommendation? - ANSWER -Oral
acyclovir 4 weeks prior to delivery
With what disorder would AFP be elevated? -
ANSWER -Esophageal atresia, neural tube
defects +IgG antibodies in PP period? - ANSWER -
The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
Women with a history of GDM have increased
risk of diabetes at what rate? - ANSWER -
Onset within 20 years in 35-60% The most common rheumatic valvular lesion in
pregnancy is? - ANSWER -Mitral stenosis
Glucose screen is done when? -
ANSWER -24-28 weeks Cardiac defect with most complications in labor?
- ANSWER -Mitral stenosis
If a mother has Insulin dependent diabetes
during pregnancy, what electrolyte imbalance is Methamphetamines are expected to last? -
the neonate at risk for? - ANSWER - ANSWER -7-24 hrs
Magnesium deficiency
What is recommended L/S ratio? -
In which trimester is new onset of GHTN most ANSWER -2:1 - lungs are probably mature
common? - ANSWER -3rd trimester 3:1 - indicative of maturity
In a pregnancy complicated by hypertension, What causes a sinusoidal FHR tracing? -
what is a sign of deteriorating status? - ANSWER -Fetal anemia
ANSWER -Increased serum creatinine
What is the parenteral analgesic with most rapid
What difference can be expected between peak effect? - ANSWER -Fentanyl
manual and electronic diastolic BP? -
ANSWER -Manual are 5-7 mm HG higher
What neonatal complication is increased with
cesarean delivery? - ANSWER -Respiratory
On admission to L&D , a woman has 2+ reflexes. morbidity
After IV mag, DTRs are absent. What is your
immediate nursing intervention? -
ANSWER -Stop mag and notify provider A woman who has a c/s is more likely to be re-
,OB Inpatient Certification Practice Questions and Verified
Answers
hospitalized with what pp complication? - Why is UTI common in 1st few weeks pp? -
ANSWER -Wound infection ANSWER -Dilated ureters and renal pelvis
During the postpartum period, low levels of By which pp day has circulating blood volume
placental lactogen, estrogen, cortisol, growth diminished secondary to diuresis, returning to
hormone and insulinase result in? - prepregnancy volume? - ANSWER -Day 5
ANSWER -Lower glucose levels
What intervention can increase physiological
Due to the catabolic process of involution jaundice? - ANSWER -Delayed cord
postpartum, which lab value is expected to be clamping
elevated postpartum? - ANSWER -BUN
A woman is 12 days pp and has WBC of 25,000.
Avg weight loss with delivery? - ANSWER - This indicates? - ANSWER -Expected
12 lbs range
Where would you expect to palpate fundus 24h What is the antidote for Coumadin? -
pp? - ANSWER -1cm below umbilicus ANSWER -Vitamin k
What is the term for lochia appearing 3-10 days What is antidote to MAg? - ANSWER -
pp and pink or brown in colora - ANSWER - Calcium glucinate
Lochia serosa
What med for malignant hyperthermia? -
The process of involution that allows for healing ANSWER -Dantrolene sodium
of the placental site preventing scarring is? -
ANSWER -Exfoliation
Uterotonic med contraindicated for elevated BP?
- ANSWER -Methergine
True or false 2500cc urine 2 days pp is a normal
physiologic response to delivery -
ANSWER -True Following delivery, insulin requirements I'd
diabetic woman.... - ANSWER -Decrease
rapidly
If pp woman's fundus is deviated from midline
first RN intervention is? - ANSWER -Empty
bladder Rhinitis and nasal stuffiness increase in
pregnancy are due to? - ANSWER -
Estrogen
, OB Inpatient Certification Practice Questions and Verified
Answers
A newly delivered postpartum woman received Pp woman has order for rubella vaccine and Rh
terbutaline and corticosteroids during labor is at immune globulin. The nurse knows they should
risk for what potential drug interaction? - be given? - ANSWER -At the same time
ANSWER -Hyperglycemia
Unsensitized Rh- mom whose baby is Rh+
Antidote for heparin? - ANSWER - should? - ANSWER -Receive 300 mcg of
Protamine sulfate rhogham within 72hrs of delivery
Two IV anti hypertensives that may be used to A pp woman has large hemorrhoid. She may be
treat severe maternal hypertension? - instructed to? - ANSWER -Gently attempt to
ANSWER -Hydralazine, labatelol push back into rectum
Severe BP values - ANSWER -Over 160 After birth pains usually last? - ANSWER -
sbp or over 110 dbp 2-3 days
Another name for hydralazine? - A woman readmitted for wound infection shows
ANSWER -Apresoline signs of sleep disturbance, irritability, agitation
and confusion. The nurse suspects? -
ANSWER -Post partum psychosis
Another name for labatelol? - ANSWER -
Trandate, normodyne
What is the chance of pregnancy when using the
lactational amenorrhea method (LAM) at 12
At 12 hrs pp a breastfeeding mom is 180/114, months? - ANSWER -Can approach 7%
what does the RN anticipate the provider will
order? - ANSWER -Labatelol
Woman wants to use breastfeeding as a
contraceptive. The best response is? -
A common side effect of pitocin is? - ANSWER -What have you heard or read
ANSWER -Anti diuretic effect/water about this method?
intoxication
When teaching a pt about the use of the sponge,
CDC requirement for a TDAP for a pt who had the pt should be advised to leave in place for how
tetanus shot two years ago? - ANSWER - many hours following intercourse? -
Administer prior to d/c. All pts should have ANSWER -6 hours
booster in pregnancy
Answers
After delivery, progesterone levels fall causing
what acid/base change? - ANSWER -
Increase pco2 With no apparent HSV lesions what is the
recommendation? - ANSWER -Oral
acyclovir 4 weeks prior to delivery
With what disorder would AFP be elevated? -
ANSWER -Esophageal atresia, neural tube
defects +IgG antibodies in PP period? - ANSWER -
The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
Women with a history of GDM have increased
risk of diabetes at what rate? - ANSWER -
Onset within 20 years in 35-60% The most common rheumatic valvular lesion in
pregnancy is? - ANSWER -Mitral stenosis
Glucose screen is done when? -
ANSWER -24-28 weeks Cardiac defect with most complications in labor?
- ANSWER -Mitral stenosis
If a mother has Insulin dependent diabetes
during pregnancy, what electrolyte imbalance is Methamphetamines are expected to last? -
the neonate at risk for? - ANSWER - ANSWER -7-24 hrs
Magnesium deficiency
What is recommended L/S ratio? -
In which trimester is new onset of GHTN most ANSWER -2:1 - lungs are probably mature
common? - ANSWER -3rd trimester 3:1 - indicative of maturity
In a pregnancy complicated by hypertension, What causes a sinusoidal FHR tracing? -
what is a sign of deteriorating status? - ANSWER -Fetal anemia
ANSWER -Increased serum creatinine
What is the parenteral analgesic with most rapid
What difference can be expected between peak effect? - ANSWER -Fentanyl
manual and electronic diastolic BP? -
ANSWER -Manual are 5-7 mm HG higher
What neonatal complication is increased with
cesarean delivery? - ANSWER -Respiratory
On admission to L&D , a woman has 2+ reflexes. morbidity
After IV mag, DTRs are absent. What is your
immediate nursing intervention? -
ANSWER -Stop mag and notify provider A woman who has a c/s is more likely to be re-
,OB Inpatient Certification Practice Questions and Verified
Answers
hospitalized with what pp complication? - Why is UTI common in 1st few weeks pp? -
ANSWER -Wound infection ANSWER -Dilated ureters and renal pelvis
During the postpartum period, low levels of By which pp day has circulating blood volume
placental lactogen, estrogen, cortisol, growth diminished secondary to diuresis, returning to
hormone and insulinase result in? - prepregnancy volume? - ANSWER -Day 5
ANSWER -Lower glucose levels
What intervention can increase physiological
Due to the catabolic process of involution jaundice? - ANSWER -Delayed cord
postpartum, which lab value is expected to be clamping
elevated postpartum? - ANSWER -BUN
A woman is 12 days pp and has WBC of 25,000.
Avg weight loss with delivery? - ANSWER - This indicates? - ANSWER -Expected
12 lbs range
Where would you expect to palpate fundus 24h What is the antidote for Coumadin? -
pp? - ANSWER -1cm below umbilicus ANSWER -Vitamin k
What is the term for lochia appearing 3-10 days What is antidote to MAg? - ANSWER -
pp and pink or brown in colora - ANSWER - Calcium glucinate
Lochia serosa
What med for malignant hyperthermia? -
The process of involution that allows for healing ANSWER -Dantrolene sodium
of the placental site preventing scarring is? -
ANSWER -Exfoliation
Uterotonic med contraindicated for elevated BP?
- ANSWER -Methergine
True or false 2500cc urine 2 days pp is a normal
physiologic response to delivery -
ANSWER -True Following delivery, insulin requirements I'd
diabetic woman.... - ANSWER -Decrease
rapidly
If pp woman's fundus is deviated from midline
first RN intervention is? - ANSWER -Empty
bladder Rhinitis and nasal stuffiness increase in
pregnancy are due to? - ANSWER -
Estrogen
, OB Inpatient Certification Practice Questions and Verified
Answers
A newly delivered postpartum woman received Pp woman has order for rubella vaccine and Rh
terbutaline and corticosteroids during labor is at immune globulin. The nurse knows they should
risk for what potential drug interaction? - be given? - ANSWER -At the same time
ANSWER -Hyperglycemia
Unsensitized Rh- mom whose baby is Rh+
Antidote for heparin? - ANSWER - should? - ANSWER -Receive 300 mcg of
Protamine sulfate rhogham within 72hrs of delivery
Two IV anti hypertensives that may be used to A pp woman has large hemorrhoid. She may be
treat severe maternal hypertension? - instructed to? - ANSWER -Gently attempt to
ANSWER -Hydralazine, labatelol push back into rectum
Severe BP values - ANSWER -Over 160 After birth pains usually last? - ANSWER -
sbp or over 110 dbp 2-3 days
Another name for hydralazine? - A woman readmitted for wound infection shows
ANSWER -Apresoline signs of sleep disturbance, irritability, agitation
and confusion. The nurse suspects? -
ANSWER -Post partum psychosis
Another name for labatelol? - ANSWER -
Trandate, normodyne
What is the chance of pregnancy when using the
lactational amenorrhea method (LAM) at 12
At 12 hrs pp a breastfeeding mom is 180/114, months? - ANSWER -Can approach 7%
what does the RN anticipate the provider will
order? - ANSWER -Labatelol
Woman wants to use breastfeeding as a
contraceptive. The best response is? -
A common side effect of pitocin is? - ANSWER -What have you heard or read
ANSWER -Anti diuretic effect/water about this method?
intoxication
When teaching a pt about the use of the sponge,
CDC requirement for a TDAP for a pt who had the pt should be advised to leave in place for how
tetanus shot two years ago? - ANSWER - many hours following intercourse? -
Administer prior to d/c. All pts should have ANSWER -6 hours
booster in pregnancy
