Inpatient Obstetric Nurse Exam With Verified Question
and Answer
A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - Correct
Answer -Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - Correct
Answer -Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? - Correct
Answer -Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after
admission for severe gastric discomfort with nausea and vomiting. She is anxious and dizzy.
Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely diagnosis is
anxiety and... - Correct Answer -Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is an
increased risk for... - Correct Answer -Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent
with respiratory rate of 10. Which actions should be taken? - Correct Answer -Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... - Correct
Answer -As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - Correct Answer -
Attitude.
The most accurate dating of a pregnancy by ultrasound is... - Correct Answer -First
trimester evaluation of the crown-rump length.
A biophysical score of 6 is considered... - Correct Answer -Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - Correct Answer -Biophysical
profile.
Cordocentesis is more commonly used to detect fetal... - Correct Answer -Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - Correct Answer -
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - Correct Answer -1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic fetal
monitor 10 minutes after stadol administration to a patient with a previously normal tracing.
1
, The appropriate response to this fetal heart rate pattern would be to... - Correct Answer -
Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - Correct
Answer -Variability.
Which tachyarrhythmia can result in fetal hydrops? - Correct Answer -Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit.
FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation. A
complete flat tracing suggests the fetus has... - Correct Answer -A complete heart block,
which can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal
of... - Correct Answer -Relieving cord compression.
Baroreceptors respond mainly to changes in... - Correct Answer -Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - Correct
Answer -increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - Correct Answer -Prolonged.
Normal uterine activity... - Correct Answer -Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
Correct Answer -Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
minutes of greater than... - Correct Answer -5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the
upper part of uterus, this is consistent with... - Correct Answer -Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal
heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this
finding is that after a contraction, there is a... - Correct Answer -decrease in the fetal heart
rate after contraction.
A reliable method for confirming the presence of an irregular fetal heart rhythm is a... -
Correct Answer -Fetoscope, because you can HEAR heart sounds vs US soundwaves.
The first Leopold's maneuver assists in identifying fetal... - Correct Answer -Position.
An advantage of vibroacoustic testing is that it... - Correct Answer -can be used effectively
at any gestational age.
When differentiating false labor from true labor, a finding that would suggest a woman is in
true labor is if after 1-2 hours of walking... - Correct Answer -back pain is radiating to the
abdomen.
2
and Answer
A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - Correct
Answer -Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - Correct
Answer -Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? - Correct
Answer -Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room after
admission for severe gastric discomfort with nausea and vomiting. She is anxious and dizzy.
Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely diagnosis is
anxiety and... - Correct Answer -Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is an
increased risk for... - Correct Answer -Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent
with respiratory rate of 10. Which actions should be taken? - Correct Answer -Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... - Correct
Answer -As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - Correct Answer -
Attitude.
The most accurate dating of a pregnancy by ultrasound is... - Correct Answer -First
trimester evaluation of the crown-rump length.
A biophysical score of 6 is considered... - Correct Answer -Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - Correct Answer -Biophysical
profile.
Cordocentesis is more commonly used to detect fetal... - Correct Answer -Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - Correct Answer -
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - Correct Answer -1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic fetal
monitor 10 minutes after stadol administration to a patient with a previously normal tracing.
1
, The appropriate response to this fetal heart rate pattern would be to... - Correct Answer -
Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - Correct
Answer -Variability.
Which tachyarrhythmia can result in fetal hydrops? - Correct Answer -Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit.
FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation. A
complete flat tracing suggests the fetus has... - Correct Answer -A complete heart block,
which can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal
of... - Correct Answer -Relieving cord compression.
Baroreceptors respond mainly to changes in... - Correct Answer -Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - Correct
Answer -increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - Correct Answer -Prolonged.
Normal uterine activity... - Correct Answer -Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
Correct Answer -Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
minutes of greater than... - Correct Answer -5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the
upper part of uterus, this is consistent with... - Correct Answer -Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal
heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this
finding is that after a contraction, there is a... - Correct Answer -decrease in the fetal heart
rate after contraction.
A reliable method for confirming the presence of an irregular fetal heart rhythm is a... -
Correct Answer -Fetoscope, because you can HEAR heart sounds vs US soundwaves.
The first Leopold's maneuver assists in identifying fetal... - Correct Answer -Position.
An advantage of vibroacoustic testing is that it... - Correct Answer -can be used effectively
at any gestational age.
When differentiating false labor from true labor, a finding that would suggest a woman is in
true labor is if after 1-2 hours of walking... - Correct Answer -back pain is radiating to the
abdomen.
2
