Inpatient OB Certification – Questions With
Comprehensive Solutions
Following cesarean delivery for abrupt placenta, a clot observation
test is initiated. Placing a small amount of blood in a test tube for 20
minutes yields a soft clot that dissolves easily. This is consistent
with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III Correct Answer -
Hypofibriongenemia
A finding that would indicate a pregnant diabetic patient is at
increased risk for giving birth to an infant with a congenital defect
is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
c. glucose levels above 140 mg/dL in the third trimester Correct
Answer - b. an elevated hemoglobin A1C levels during the first
trimeter
(A1C) — Hemoglobin A1C levels are monitored during pregnancy
because they correlate with a woman's blood glucose concentration
over the prior 8 to 12 weeks and are predictive of the risk for
congenital malformations and neonatal birth weight [9]. Lower
values have been associated with better outcomes. (<6)
Because of potential fetal risks for pregnant woman with chronic
hypertension, an antepartum fetal assessment that is recommended
is
a. amniocentesis
,b. serial ultrasound
c. urinary estriols Correct Answer - b. serial ultrasound
Compared to alphafetoprotein testing, triple screen testing
improves the ability to detect.
a. metabolic disorders
b. open neural tube defects
c. trisomies Correct Answer - c. trisomies
When comparing the non stress over the contraction stress test, the
clinician should understand that the non-stress test
a. has a low false negative rate
b. is more sensitive to fetal oxygen reserve
c. Requires more repeat testing. Correct Answer - a. has a low
false negative rate
A negative contraction stress test is characterized by
a. accelerations with onset of contractions
b. maintenance of beat to beat variability
c. no decelerations in response to contractions Correct Answer -
c. no decelerations in response to contractions
Failure to elicit a relative pattern with a non stress test after one
hour of monitoring warrants
a. initiation of a biophysical profile
b. repeat testing after administration of orange juice
c. retesting in 24 hours. Correct Answer - a. initiation of a
biophysical profile
,A diagnosis of severe preeclampsia is consistent with a 24 hour
urine showing protein excreting of?
a. 1 g/L
b. 3g/L
c. 5g/L Correct Answer - c. 5g/L
An indication of impending magnesium sulfate toxicity in the patient
being treated for preeclampsia is the absence of?
a. deep tendon reflexes
b. fetal movement
c. urine output Correct Answer - a. deep tendon reflexes
The therapeutic range of serum magnesium during magnesium
sulfate therapy to prevent eclampsia seizures is
a. 1 to 4 mg/dL
b. 5 to 8 mg/dL
c. 9 to 12 mg/dL Correct Answer - b. 5 to 8 mg/dL
The first priority in the care of a patient during an eclamptic seizure
is to?
a. administer an anticonvulsant agent
b. ensure a patent airway
c. establish IV access Correct Answer - b. ensure a patent
airway
Diagnosis of preeclampsia requires the presence of hypertension
and?
a. edema
b. headaches
, c. proteinuria Correct Answer - c. proteinuria
Severe preeclampsia can be diagnosis in the presence of?
a. excretion of 4500 g protein in a 24 hour urine
b. serial diastolic bp of at least 110 mm Hg
c. serum blood urea nitrogen of 10mg/dL with a serum creatinine of
1mg/dL Correct Answer - b. serial diastolic bp of at least
110mm Hg
______________ disorders are the most common medical complication
of pregnancy. Correct Answer - hypertensive
A diastolic blood pressure of _________ mm Hg on two occasions at
least 6 hours apart is necessary for the diagnosis of severe
preeclampsia. Correct Answer - 110 mm Hg
The blood pressure should be recorded with the pregnant woman in
the ______________ position. Correct Answer - Semi-Fowler's
___________ is the drug of choice to prevent seizure activity in the
patient with preeclampsia. Correct Answer - Magnesium
Sulfate
Material morbidity from hypertension in pregnancy results from?
1.
2.
3.
4 Correct Answer - Abruption placentae
DIC
hepatic failure
acute renal failure
Comprehensive Solutions
Following cesarean delivery for abrupt placenta, a clot observation
test is initiated. Placing a small amount of blood in a test tube for 20
minutes yields a soft clot that dissolves easily. This is consistent
with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III Correct Answer -
Hypofibriongenemia
A finding that would indicate a pregnant diabetic patient is at
increased risk for giving birth to an infant with a congenital defect
is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
c. glucose levels above 140 mg/dL in the third trimester Correct
Answer - b. an elevated hemoglobin A1C levels during the first
trimeter
(A1C) — Hemoglobin A1C levels are monitored during pregnancy
because they correlate with a woman's blood glucose concentration
over the prior 8 to 12 weeks and are predictive of the risk for
congenital malformations and neonatal birth weight [9]. Lower
values have been associated with better outcomes. (<6)
Because of potential fetal risks for pregnant woman with chronic
hypertension, an antepartum fetal assessment that is recommended
is
a. amniocentesis
,b. serial ultrasound
c. urinary estriols Correct Answer - b. serial ultrasound
Compared to alphafetoprotein testing, triple screen testing
improves the ability to detect.
a. metabolic disorders
b. open neural tube defects
c. trisomies Correct Answer - c. trisomies
When comparing the non stress over the contraction stress test, the
clinician should understand that the non-stress test
a. has a low false negative rate
b. is more sensitive to fetal oxygen reserve
c. Requires more repeat testing. Correct Answer - a. has a low
false negative rate
A negative contraction stress test is characterized by
a. accelerations with onset of contractions
b. maintenance of beat to beat variability
c. no decelerations in response to contractions Correct Answer -
c. no decelerations in response to contractions
Failure to elicit a relative pattern with a non stress test after one
hour of monitoring warrants
a. initiation of a biophysical profile
b. repeat testing after administration of orange juice
c. retesting in 24 hours. Correct Answer - a. initiation of a
biophysical profile
,A diagnosis of severe preeclampsia is consistent with a 24 hour
urine showing protein excreting of?
a. 1 g/L
b. 3g/L
c. 5g/L Correct Answer - c. 5g/L
An indication of impending magnesium sulfate toxicity in the patient
being treated for preeclampsia is the absence of?
a. deep tendon reflexes
b. fetal movement
c. urine output Correct Answer - a. deep tendon reflexes
The therapeutic range of serum magnesium during magnesium
sulfate therapy to prevent eclampsia seizures is
a. 1 to 4 mg/dL
b. 5 to 8 mg/dL
c. 9 to 12 mg/dL Correct Answer - b. 5 to 8 mg/dL
The first priority in the care of a patient during an eclamptic seizure
is to?
a. administer an anticonvulsant agent
b. ensure a patent airway
c. establish IV access Correct Answer - b. ensure a patent
airway
Diagnosis of preeclampsia requires the presence of hypertension
and?
a. edema
b. headaches
, c. proteinuria Correct Answer - c. proteinuria
Severe preeclampsia can be diagnosis in the presence of?
a. excretion of 4500 g protein in a 24 hour urine
b. serial diastolic bp of at least 110 mm Hg
c. serum blood urea nitrogen of 10mg/dL with a serum creatinine of
1mg/dL Correct Answer - b. serial diastolic bp of at least
110mm Hg
______________ disorders are the most common medical complication
of pregnancy. Correct Answer - hypertensive
A diastolic blood pressure of _________ mm Hg on two occasions at
least 6 hours apart is necessary for the diagnosis of severe
preeclampsia. Correct Answer - 110 mm Hg
The blood pressure should be recorded with the pregnant woman in
the ______________ position. Correct Answer - Semi-Fowler's
___________ is the drug of choice to prevent seizure activity in the
patient with preeclampsia. Correct Answer - Magnesium
Sulfate
Material morbidity from hypertension in pregnancy results from?
1.
2.
3.
4 Correct Answer - Abruption placentae
DIC
hepatic failure
acute renal failure
