Jersey College LPN-RN OB Review Questions With
Complete Solutions
____ is responsible for initiating menstruation and ovulation
Correct Answer LH
- 2-4 days post partum depression
- resolves within 10 days
- no thoughts of harming baby Correct Answer postpartum
blues
- depression that begins 2 weeks-12 months post partum & lasts
about 3-14 months
- may have thoughts of harming baby Correct Answer
postpartum depression
- younger women are MC to get affected
- placental location close to or over the internal cervical os
Correct Answer placenta previa
- retained POC becomes infected causing infection of uterus &
organ
- incomplete or complete abortion that is infected
- cervical os closed Correct Answer septic abortion
1st, 2nd, 3rd, and 4th degree laceration Correct Answer 1st:
skin
2nd: skin & muscle
3rd: skin, muscle, & external anal sphincter
4th: skin, muscle, external anal sphincter, & rectum*
,2 cervical ripening drugs administered vaginally Correct
Answer misoprostol (prostaglandin)
prostaglandin E2
7 cardinal movements Correct Answer
A 22 year-old G1P0 female presents at 12 weeks gestation with
24 hours of vaginal bleeding. She complains of continued
cramping and bleeding requiring pad change every two hours.
Vital signs are normal. Vaginal examination shows bleeding
with a dilated cervix. Which of the following is the most likely
diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion Correct Answer (u) A. Threatened
abortion (AB) implies the cervix remains closed with only slight
bleeding.
(c) B. Abortion is inevitable when cervical effacement,
dilatation and rupture of membranes is noted.
(u) C. Incomplete AB implies the products of conception have
partially passed causing continued bleeding, more common after
10 weeks.
(u) D. Complete AB is identified by passage of the entire
conceptus.
A 24 year-old G2 P1 at 32 weeks of gestation presents to labor
and delivery with contractions. Her previous pregnancy resulted
in an uncomplicated term delivery at 37 weeks. Which of the
,following will be most helpful in predicting the likelihood of
preterm delivery in this patient?
A. Fetal fibronectin
B. Screening for candidiasis
C. Weekly digital cervical examinations
D. Ultrasound of lower uterine segment Correct Answer (c) A.
An increase in the concentration of fetal fibronectin in
cervicovaginal secretions is found with preterm labor. A preterm
rise in the concentration may be associated with an increase
likelihood of birth between 22 and 34 weeks of gestation and
birth within 7-14 days of the test.
A 25 year-old female, G2 P1001, presents to your office at 11-
weeks gestation with vaginal bleeding, mild lower abdominal
cramping, and bilateral lower pelvic discomfort. On
examination, blood is noted at the dilated cervical os. No tissue
is protruding from the cervical os. The uterus by palpation is 8-9
weeks gestation. No other abnormalities are found. Which of the
following is the most likely diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion Correct Answer (u) A. Threatened
abortion is characterized by bleeding in the first trimester
without loss of fluid or tissue.
(c) B. Inevitable abortion is the gross rupture of membranes in
the presence of cervical dilation.
(u) C. Incomplete abortion is when the cervical os is open and
allows passage of blood. The products of conception may
remain in utero or may partially extrude through the open os.
, (u) D. Complete abortion refers to a documented pregnancy that
spontaneously passes all of the products of conception.
A 25 year-old G3 P2 patient presents for a routine obstetric
appointment at 28 weeks gestation. Her EDC is based on her
LMP. The fundal height is measured at 34 cm for this singleton
pregnancy. Her weight gain has been normal thus far during this
pregnancy. Which of the following laboratory or diagnostic
studies is recommended to further evaluate this patient?
A. Ultrasonography
B. Nonstress test
C. Quadruple screen
D. Glucose tolerance test Correct Answer (c) A. Fetal growth
can be assessed by fundal height measurement and correlates by
centimeters to weeks of gestation in a singleton pregnancy.
Deviation in fundal height measurement should be evaluated by
ultrasound.
A 26 year-old gravida 0 sexually active female presents to the
emergency room complaining of colicky pain in her lower
abdomen for the past 12 hours. She passed out earlier in the day
while trying to have a bowel movement. Her last menstrual
period was 6 weeks ago. She has noted vaginal spotting over the
last 24 hours. Vital signs show Temp 37 degrees C, BP
96/60mmHg, P 110, R 16, Oxygen Sat. 98%. Abdominal exam
is positive for distension and tenderness. Bowel sounds are
decreased. Pelvic exam shows cervical motion and adnexal
tenderness. Which of the following is the most likely diagnosis?
A. Ectopic pregnancy
B. Appendicitis
C. Crohn's disease
Complete Solutions
____ is responsible for initiating menstruation and ovulation
Correct Answer LH
- 2-4 days post partum depression
- resolves within 10 days
- no thoughts of harming baby Correct Answer postpartum
blues
- depression that begins 2 weeks-12 months post partum & lasts
about 3-14 months
- may have thoughts of harming baby Correct Answer
postpartum depression
- younger women are MC to get affected
- placental location close to or over the internal cervical os
Correct Answer placenta previa
- retained POC becomes infected causing infection of uterus &
organ
- incomplete or complete abortion that is infected
- cervical os closed Correct Answer septic abortion
1st, 2nd, 3rd, and 4th degree laceration Correct Answer 1st:
skin
2nd: skin & muscle
3rd: skin, muscle, & external anal sphincter
4th: skin, muscle, external anal sphincter, & rectum*
,2 cervical ripening drugs administered vaginally Correct
Answer misoprostol (prostaglandin)
prostaglandin E2
7 cardinal movements Correct Answer
A 22 year-old G1P0 female presents at 12 weeks gestation with
24 hours of vaginal bleeding. She complains of continued
cramping and bleeding requiring pad change every two hours.
Vital signs are normal. Vaginal examination shows bleeding
with a dilated cervix. Which of the following is the most likely
diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion Correct Answer (u) A. Threatened
abortion (AB) implies the cervix remains closed with only slight
bleeding.
(c) B. Abortion is inevitable when cervical effacement,
dilatation and rupture of membranes is noted.
(u) C. Incomplete AB implies the products of conception have
partially passed causing continued bleeding, more common after
10 weeks.
(u) D. Complete AB is identified by passage of the entire
conceptus.
A 24 year-old G2 P1 at 32 weeks of gestation presents to labor
and delivery with contractions. Her previous pregnancy resulted
in an uncomplicated term delivery at 37 weeks. Which of the
,following will be most helpful in predicting the likelihood of
preterm delivery in this patient?
A. Fetal fibronectin
B. Screening for candidiasis
C. Weekly digital cervical examinations
D. Ultrasound of lower uterine segment Correct Answer (c) A.
An increase in the concentration of fetal fibronectin in
cervicovaginal secretions is found with preterm labor. A preterm
rise in the concentration may be associated with an increase
likelihood of birth between 22 and 34 weeks of gestation and
birth within 7-14 days of the test.
A 25 year-old female, G2 P1001, presents to your office at 11-
weeks gestation with vaginal bleeding, mild lower abdominal
cramping, and bilateral lower pelvic discomfort. On
examination, blood is noted at the dilated cervical os. No tissue
is protruding from the cervical os. The uterus by palpation is 8-9
weeks gestation. No other abnormalities are found. Which of the
following is the most likely diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion Correct Answer (u) A. Threatened
abortion is characterized by bleeding in the first trimester
without loss of fluid or tissue.
(c) B. Inevitable abortion is the gross rupture of membranes in
the presence of cervical dilation.
(u) C. Incomplete abortion is when the cervical os is open and
allows passage of blood. The products of conception may
remain in utero or may partially extrude through the open os.
, (u) D. Complete abortion refers to a documented pregnancy that
spontaneously passes all of the products of conception.
A 25 year-old G3 P2 patient presents for a routine obstetric
appointment at 28 weeks gestation. Her EDC is based on her
LMP. The fundal height is measured at 34 cm for this singleton
pregnancy. Her weight gain has been normal thus far during this
pregnancy. Which of the following laboratory or diagnostic
studies is recommended to further evaluate this patient?
A. Ultrasonography
B. Nonstress test
C. Quadruple screen
D. Glucose tolerance test Correct Answer (c) A. Fetal growth
can be assessed by fundal height measurement and correlates by
centimeters to weeks of gestation in a singleton pregnancy.
Deviation in fundal height measurement should be evaluated by
ultrasound.
A 26 year-old gravida 0 sexually active female presents to the
emergency room complaining of colicky pain in her lower
abdomen for the past 12 hours. She passed out earlier in the day
while trying to have a bowel movement. Her last menstrual
period was 6 weeks ago. She has noted vaginal spotting over the
last 24 hours. Vital signs show Temp 37 degrees C, BP
96/60mmHg, P 110, R 16, Oxygen Sat. 98%. Abdominal exam
is positive for distension and tenderness. Bowel sounds are
decreased. Pelvic exam shows cervical motion and adnexal
tenderness. Which of the following is the most likely diagnosis?
A. Ectopic pregnancy
B. Appendicitis
C. Crohn's disease
