1
OB Inpatient Certification Practice
Questions with Correct Verified
Solutions 2024/2025
1. After delivery, progesterone levels fall causing what acid/base
change? - ANS ✔Increase pco2
2. With what disorder would AFP be elevated? - ANS ✔Esophageal
atresia, neural tube defects
3. Women with a history of GDM have increased risk of diabetes at
what rate? - ANS ✔Onset within 20 years in 35-60%
4. Glucose screen is done when? - ANS ✔24-28 weeks
5. If a mother has Insulin dependent diabetes during pregnancy, what
electrolyte imbalance is the neonate at risk for? - ANS ✔Magnesium
deficiency
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 2
6. In which trimester is new onset of GHTN most common? - ANS
✔3rd trimester
7. In a pregnancy complicated by hypertension, what is a sign of
deteriorating status? - ANS ✔Increased serum creatinine
8. What difference can be expected between manual and electronic
diastolic BP? - ANS ✔Manual are 5-7 mm HG higher
9. On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs
are absent. What is your immediate nursing intervention? - ANS
✔Stop mag and notify provider
10. With no apparent HSV lesions what is the recommendation? -
ANS ✔Oral acyclovir 4 weeks prior to delivery
11. +IgG antibodies in PP period? - ANS ✔The recurrence is
unlikely; no further action is required. (IgG chronic, IgM is active)
12. The most common rheumatic valvular lesion in pregnancy is?
- ANS ✔Mitral stenosis
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 3
13. Cardiac defect with most complications in labor? - ANS
✔Mitral stenosis
14. Methamphetamines are expected to last? - ANS ✔7-24 hrs
15. What is recommended L/S ratio? - ANS ✔2:1 - lungs are
probably mature
16. 3:1 - indicative of maturity
17. What causes a sinusoidal FHR tracing? - ANS ✔Fetal anemia
18. What is the parenteral analgesic with most rapid peak effect?
- ANS ✔Fentanyl
19. What neonatal complication is increased with cesarean
delivery? - ANS ✔Respiratory morbidity
20. A woman who has a c/s is more likely to be re-hospitalized
with what pp complication? - ANS ✔Wound infection
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 4
21. During the postpartum period, low levels of placental
lactogen, estrogen, cortisol, growth hormone and insulins result
in? - ANS ✔Lower glucose levels
22. Due to the catabolic process of involution postpartum, which
lab value is expected to be elevated postpartum? - ANS ✔BUN
23. Avg weight loss with delivery? - ANS ✔12 lbs
24. Where would you expect to palpate fundus 24h pp? - ANS
✔1cm below umbilicus
25. What is the term for lochia appearing 3-10 days pp and pink
or brown in color - ANS ✔Lochia serosa
26. The process of involution that allows for healing of the
placental site preventing scarring is? - ANS ✔Exfoliation
27. True or false 2500cc urine 2 days pp is a normal physiologic
response to delivery - ANS ✔True
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
OB Inpatient Certification Practice
Questions with Correct Verified
Solutions 2024/2025
1. After delivery, progesterone levels fall causing what acid/base
change? - ANS ✔Increase pco2
2. With what disorder would AFP be elevated? - ANS ✔Esophageal
atresia, neural tube defects
3. Women with a history of GDM have increased risk of diabetes at
what rate? - ANS ✔Onset within 20 years in 35-60%
4. Glucose screen is done when? - ANS ✔24-28 weeks
5. If a mother has Insulin dependent diabetes during pregnancy, what
electrolyte imbalance is the neonate at risk for? - ANS ✔Magnesium
deficiency
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 2
6. In which trimester is new onset of GHTN most common? - ANS
✔3rd trimester
7. In a pregnancy complicated by hypertension, what is a sign of
deteriorating status? - ANS ✔Increased serum creatinine
8. What difference can be expected between manual and electronic
diastolic BP? - ANS ✔Manual are 5-7 mm HG higher
9. On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs
are absent. What is your immediate nursing intervention? - ANS
✔Stop mag and notify provider
10. With no apparent HSV lesions what is the recommendation? -
ANS ✔Oral acyclovir 4 weeks prior to delivery
11. +IgG antibodies in PP period? - ANS ✔The recurrence is
unlikely; no further action is required. (IgG chronic, IgM is active)
12. The most common rheumatic valvular lesion in pregnancy is?
- ANS ✔Mitral stenosis
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 3
13. Cardiac defect with most complications in labor? - ANS
✔Mitral stenosis
14. Methamphetamines are expected to last? - ANS ✔7-24 hrs
15. What is recommended L/S ratio? - ANS ✔2:1 - lungs are
probably mature
16. 3:1 - indicative of maturity
17. What causes a sinusoidal FHR tracing? - ANS ✔Fetal anemia
18. What is the parenteral analgesic with most rapid peak effect?
- ANS ✔Fentanyl
19. What neonatal complication is increased with cesarean
delivery? - ANS ✔Respiratory morbidity
20. A woman who has a c/s is more likely to be re-hospitalized
with what pp complication? - ANS ✔Wound infection
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
, 4
21. During the postpartum period, low levels of placental
lactogen, estrogen, cortisol, growth hormone and insulins result
in? - ANS ✔Lower glucose levels
22. Due to the catabolic process of involution postpartum, which
lab value is expected to be elevated postpartum? - ANS ✔BUN
23. Avg weight loss with delivery? - ANS ✔12 lbs
24. Where would you expect to palpate fundus 24h pp? - ANS
✔1cm below umbilicus
25. What is the term for lochia appearing 3-10 days pp and pink
or brown in color - ANS ✔Lochia serosa
26. The process of involution that allows for healing of the
placental site preventing scarring is? - ANS ✔Exfoliation
27. True or false 2500cc urine 2 days pp is a normal physiologic
response to delivery - ANS ✔True
OB Inpatient Certification Practice Questions with Correct Verified Solutions
2024/2025
