Inpatient OB Certification #2 – Questions With
Valid Solutions
The preexisting cardiovascular condition that places a patient most
at risk during pregnancy is Correct Answer - mitral stenosis
Acute fatty liver of pregnancy is Correct Answer - a
maladaptive maternal response occurring in the early stages of
pregnancy
Ctxs that last 100 seconds with 25 seconds complete relaxation bw
coxs' indicate Correct Answer - a hypertonic uterine
contraction
The most common irregular fetal heart rhythm is Correct Answer
- premature atrial contractions ( increase risk for tachyarrhtmia)
When assessing the fetal heart rate with a fetoscope, once the
heartbeat is auscultated, the next step is to Correct Answer -
palpate the maternal radial pulse
Consistent, Late decelerations are a sign of Correct Answer -
uteroplacental insufficiency
When misprostol (cytotec) is used for cervical ripening prior to
induction with oxytocin, the oxytocin should be administered
Correct Answer - at least 4 hours after last dose of cytotec
During induction of labor with oxytocin, if hypertonic ctxs develop,
the initial response is to Correct Answer - reduce or
discontinue oxytocin
, The subarachnoid (spinal) block is most commonly used for
Correct Answer - cesearan delivery
Ultrasound findings suggest that external cephalic version may be
successful include Correct Answer - lateral fetal spine position
A relative contraindication to a vacuum asssit delivery is Correct
Answer - a previous attempt with forceps
The use of the Sellick manuever during the induction of general
anesthesia for c/s is to Correct Answer - reduce risk of
aspiration
If a c/s is carried out on a patient with an epidural in place, the
patient should be told to expect Correct Answer - sensations of
pressure and pulling
Using the gravida/para/abortus (GPA) classification system a pt
classified as G5P3 has had Correct Answer - 5 pregnancies and
3 deliveries at more than 20 weeks gestation
When instructing a pp patient about using a squeeze both to clean
the perineum after delivery , the pt should be advised to Correct
Answer - avoid separating the labia
Attachment of the mother to the neonate begins Correct Answer -
during pregnancy
In a nenonate, pathological jaundice is usually evident Correct
Answer - within the first 24hrs after birth
The greatest risk of herpes simplex virus HSV transmission to a
newborn who is delivered vaginally occurs with Correct Answer -
an active primary HSV outbreak at the tim of delivery
Valid Solutions
The preexisting cardiovascular condition that places a patient most
at risk during pregnancy is Correct Answer - mitral stenosis
Acute fatty liver of pregnancy is Correct Answer - a
maladaptive maternal response occurring in the early stages of
pregnancy
Ctxs that last 100 seconds with 25 seconds complete relaxation bw
coxs' indicate Correct Answer - a hypertonic uterine
contraction
The most common irregular fetal heart rhythm is Correct Answer
- premature atrial contractions ( increase risk for tachyarrhtmia)
When assessing the fetal heart rate with a fetoscope, once the
heartbeat is auscultated, the next step is to Correct Answer -
palpate the maternal radial pulse
Consistent, Late decelerations are a sign of Correct Answer -
uteroplacental insufficiency
When misprostol (cytotec) is used for cervical ripening prior to
induction with oxytocin, the oxytocin should be administered
Correct Answer - at least 4 hours after last dose of cytotec
During induction of labor with oxytocin, if hypertonic ctxs develop,
the initial response is to Correct Answer - reduce or
discontinue oxytocin
, The subarachnoid (spinal) block is most commonly used for
Correct Answer - cesearan delivery
Ultrasound findings suggest that external cephalic version may be
successful include Correct Answer - lateral fetal spine position
A relative contraindication to a vacuum asssit delivery is Correct
Answer - a previous attempt with forceps
The use of the Sellick manuever during the induction of general
anesthesia for c/s is to Correct Answer - reduce risk of
aspiration
If a c/s is carried out on a patient with an epidural in place, the
patient should be told to expect Correct Answer - sensations of
pressure and pulling
Using the gravida/para/abortus (GPA) classification system a pt
classified as G5P3 has had Correct Answer - 5 pregnancies and
3 deliveries at more than 20 weeks gestation
When instructing a pp patient about using a squeeze both to clean
the perineum after delivery , the pt should be advised to Correct
Answer - avoid separating the labia
Attachment of the mother to the neonate begins Correct Answer -
during pregnancy
In a nenonate, pathological jaundice is usually evident Correct
Answer - within the first 24hrs after birth
The greatest risk of herpes simplex virus HSV transmission to a
newborn who is delivered vaginally occurs with Correct Answer -
an active primary HSV outbreak at the tim of delivery
