OB Inpatient Certification Test Questions and Answers Rated A
The [_____] is considered the pathogenic focus
for all manifestations of pre-e - ANSWER - With regards to HELLP, Elevated Liver Enzymes
Placenta can be identified by looking for (5): -
ANSWER -1) Increased LDH
2) Increased AST/ALT
(Regarding Pre-e): Increased sensitivity to 3) Feeling Malaise
Angiotensin II leads to [-------] and [------] - 4) Viral-like symptoms
ANSWER -Vascular damage & arteriolar 5) RUQ pain
vasoconstriction and systemic vasospasm
With regards to HELLP, Low Platelets can be
A [---------] measurement is recommended for all identified by looking for (2): - ANSWER -1)
pregnant women with HTN - ANSWER -24- falling platelet count (low: <100,000, severe:
hr urinary protein measurement <50,000)
2) Abnormal coagulation and fibrinolytic values
Thrombocytopenia is present when platelets are
low: [-------], and severe: [------] - You do not need to diagnose [-------] in order to
ANSWER -Low platelets: less than diagnose HELLP - ANSWER -Preeclampsia
100,000/mm3, severe platelets: less than
50,000/mm3
The definitive treatment of for preeclampsia is ....
- ANSWER -delivery
In severe pre-e, urine output decreases to less
than [---]ml in 24hrs - ANSWER -400ml
The primary goals of management of pre-e are:
(4) - ANSWER -1) Prevent convulsions
(Regarding pre-e): Arteriolar vasospasms through use of Mag Sulfate
damage the [-----] layer of small blood vessels, 2) Ensure adequate kidney functions
causing lesions --> [-----] accumulate at lesions 3) Monitor fetal status continuously for signs of
sites and fibrin network forms--> RBCs are uteroplacental insufficiency
forced through the network under high pressure, 4) To stabilize the women so vaginal/cesarean
resulting in [------] - ANSWER -Arteriolar birth can be accomplished
vasospasms damage the endothelial layer.....
platelets accumulate at lesions..... resulting in
hemolysis A women with preeclampsia might experience a
reduced plasma volume, and a [--------] diet can
worsen the situation - ANSWER -a salt-
With regards to HELLP, Hemolysis can be restricted diet
identified by looking for (4): - ANSWER -1)
falling hematocrit
2) hyperbilirubinemia (>1.2mg/dl) In nursing management of a women with
3) Increased LDH preeclampsia, BPs should be ..... -
4) Jaundice including sclerae ANSWER -taken in the same position on
the left arm, horizontal with the heart
1/9
, OB Inpatient Certification Test Questions and Answers Rated A
In nursing management of a women with HTN during the last 20weeks of pregnancy or in
preeclampsia, oliguria is [-------] and is an [-----] the first 24hrs postpartum without other signs of
sign - ANSWER -oliguria is output less than preeclampsia - ANSWER -Transient
30ml/hr for 2hrs.... and is an ominous sign Hypertension
In nursing management of a women with A term sometimes used to designate expectant
preeclampsia, limit fluid administration to no women who have elevated BP after 20 weeks but
more than [-----] or [--]ml/kr/hr - ANSWER - without accompanying proteinuria -
no more than 150ml/hr, or 1ml/kg/hr ANSWER -Gestational Hypertension
Magnesium sulfate is given for [-------] therapy, it A subset of preeclampsia - ANSWER -
is note given to treat [------] - ANSWER - HELLP syndrome
Magnesium sulfate is given for anticonvulsant
therapy, not to treat hypertension
Sometimes seen in normotensive women within
the first hours after delivery but with a
The therapeutic range of magnesium sulfate is subsequent return to baseline BP levels within 24
between [-------] - ANSWER -between 4 to hrs. - ANSWER -Transient Hypertension
7 mEq/L
The development of a BP higher than 140/90
The antidote to Magnesium toxicity is [-----] - mmHG or higher after the 20th week of
ANSWER -Calcium gluconate pregnancy and accompanied by proteunuria -
ANSWER -Preeclampsia
Current recommendations for antihypertensive
therapy include these 3 medications: - Occurs before the 20th week of gestation in the
ANSWER -1) Hydralazine (Apresoline- presence of pathologic changes in the placenta -
arteriolar dilator) ANSWER -Preeclampsia
2) Labetalol (Adrenergic blocker)
3) Nifedipine (Calcium entry blocker)
A disorder that can begin with implantation, but
has no overt signs or symptoms for weeks or
The preeclamptic women maintained on even months - ANSWER -Preeclampsia
therapeutic levels of Mag Sulfate is at risk for [----
---] after delivery, this is of great concern
because she is already experiencing reduced [--- Exists in a severe form when BP reaches
-] and [-----] - ANSWER -At risk for 160/110 mmHg or higher - ANSWER -
postpartum hemorrhage after delivery... she is Preeclampsia
already experiencing reduced blood volume and
hemoconcentration
2/9
The [_____] is considered the pathogenic focus
for all manifestations of pre-e - ANSWER - With regards to HELLP, Elevated Liver Enzymes
Placenta can be identified by looking for (5): -
ANSWER -1) Increased LDH
2) Increased AST/ALT
(Regarding Pre-e): Increased sensitivity to 3) Feeling Malaise
Angiotensin II leads to [-------] and [------] - 4) Viral-like symptoms
ANSWER -Vascular damage & arteriolar 5) RUQ pain
vasoconstriction and systemic vasospasm
With regards to HELLP, Low Platelets can be
A [---------] measurement is recommended for all identified by looking for (2): - ANSWER -1)
pregnant women with HTN - ANSWER -24- falling platelet count (low: <100,000, severe:
hr urinary protein measurement <50,000)
2) Abnormal coagulation and fibrinolytic values
Thrombocytopenia is present when platelets are
low: [-------], and severe: [------] - You do not need to diagnose [-------] in order to
ANSWER -Low platelets: less than diagnose HELLP - ANSWER -Preeclampsia
100,000/mm3, severe platelets: less than
50,000/mm3
The definitive treatment of for preeclampsia is ....
- ANSWER -delivery
In severe pre-e, urine output decreases to less
than [---]ml in 24hrs - ANSWER -400ml
The primary goals of management of pre-e are:
(4) - ANSWER -1) Prevent convulsions
(Regarding pre-e): Arteriolar vasospasms through use of Mag Sulfate
damage the [-----] layer of small blood vessels, 2) Ensure adequate kidney functions
causing lesions --> [-----] accumulate at lesions 3) Monitor fetal status continuously for signs of
sites and fibrin network forms--> RBCs are uteroplacental insufficiency
forced through the network under high pressure, 4) To stabilize the women so vaginal/cesarean
resulting in [------] - ANSWER -Arteriolar birth can be accomplished
vasospasms damage the endothelial layer.....
platelets accumulate at lesions..... resulting in
hemolysis A women with preeclampsia might experience a
reduced plasma volume, and a [--------] diet can
worsen the situation - ANSWER -a salt-
With regards to HELLP, Hemolysis can be restricted diet
identified by looking for (4): - ANSWER -1)
falling hematocrit
2) hyperbilirubinemia (>1.2mg/dl) In nursing management of a women with
3) Increased LDH preeclampsia, BPs should be ..... -
4) Jaundice including sclerae ANSWER -taken in the same position on
the left arm, horizontal with the heart
1/9
, OB Inpatient Certification Test Questions and Answers Rated A
In nursing management of a women with HTN during the last 20weeks of pregnancy or in
preeclampsia, oliguria is [-------] and is an [-----] the first 24hrs postpartum without other signs of
sign - ANSWER -oliguria is output less than preeclampsia - ANSWER -Transient
30ml/hr for 2hrs.... and is an ominous sign Hypertension
In nursing management of a women with A term sometimes used to designate expectant
preeclampsia, limit fluid administration to no women who have elevated BP after 20 weeks but
more than [-----] or [--]ml/kr/hr - ANSWER - without accompanying proteinuria -
no more than 150ml/hr, or 1ml/kg/hr ANSWER -Gestational Hypertension
Magnesium sulfate is given for [-------] therapy, it A subset of preeclampsia - ANSWER -
is note given to treat [------] - ANSWER - HELLP syndrome
Magnesium sulfate is given for anticonvulsant
therapy, not to treat hypertension
Sometimes seen in normotensive women within
the first hours after delivery but with a
The therapeutic range of magnesium sulfate is subsequent return to baseline BP levels within 24
between [-------] - ANSWER -between 4 to hrs. - ANSWER -Transient Hypertension
7 mEq/L
The development of a BP higher than 140/90
The antidote to Magnesium toxicity is [-----] - mmHG or higher after the 20th week of
ANSWER -Calcium gluconate pregnancy and accompanied by proteunuria -
ANSWER -Preeclampsia
Current recommendations for antihypertensive
therapy include these 3 medications: - Occurs before the 20th week of gestation in the
ANSWER -1) Hydralazine (Apresoline- presence of pathologic changes in the placenta -
arteriolar dilator) ANSWER -Preeclampsia
2) Labetalol (Adrenergic blocker)
3) Nifedipine (Calcium entry blocker)
A disorder that can begin with implantation, but
has no overt signs or symptoms for weeks or
The preeclamptic women maintained on even months - ANSWER -Preeclampsia
therapeutic levels of Mag Sulfate is at risk for [----
---] after delivery, this is of great concern
because she is already experiencing reduced [--- Exists in a severe form when BP reaches
-] and [-----] - ANSWER -At risk for 160/110 mmHg or higher - ANSWER -
postpartum hemorrhage after delivery... she is Preeclampsia
already experiencing reduced blood volume and
hemoconcentration
2/9
