Inpatient OB Certification – Questions With Right
Solutions
Pregnant insulin dependent diabetic women are prone to
hypoglycemia during the first trimester because pancreatic beta
cells are stimulated to produce more insulin by the rising levels of:
a. estrogen and progesterone
b. human chorionic gonadotropin
c. human placental lactogen Correct Answer - estrogen and
progesterone
A class of antihypertensive drugs that should be avoided in
pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers Correct Answer - ACE inhibitors
Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life Correct Answer - Overt diabetes in
later life
A sign of symptom that indicates a progression of preeclampsia to
eclampsia and warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
c. persistent proteinuria Correct Answer - epigastric pain
,A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia Correct Answer -
nulliparity
A women is receiving magnesium sulfate. A sign that the magnesium
sulfate is reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech Correct Answer - Slurring of the speech
A positive ankle clonus that occurs with preeclampsia is usually a
result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema Correct Answer - cerebral edema
A potentially life saving measure for a fetus that is exposed to
chicken pox just prior to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG) Correct Answer - Varicella
immune globulin (VZIG)
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 - an elevated hemoglobin A1C levels during the first
trimeter
When a pregnant woman experiences a cardiac arrest, the nurse
should:
a. first focus on assessing fetal status
b. if the mother dies, discontinue resuscitative efforts
c. treat the patient as the same as a non-pregnant patient Correct
Answer - Treat the patient as the same as a non-pregnant patient
At term, a woman is labor is found to have severe condylomata
which has obstructed the vaginal canal. The appropriate disposition
is.
a. cesarean delivery
b. cryotherapy removal
c. immediate removal with podophyllin Correct Answer -
cesarean delivery
A hematologic change in pregnancy that predisposes to venous
thrombosis is
, a. depressed fibrinolytic activity
b. increased white blood cell count
c. reduced erythrocyte production Correct Answer - decreased
fibrinolytic activity
A women is admitted to labor and delivery at 32 weeks gestation
with vaginal bleeding. Her hematocrit is falling and she is
tachycardic. A Kleihauer-Betketest is ordered. This is done to:
a. detect fetal red blood cells in the maternal circulation
b. detect hemolysis of fetal red blood ells
c. rule out Rh isoimmunization Correct Answer - detect fetal
red blood cells in the maternal circulation
A pregnant woman at 33 weeks gestation experiences an eclamptic
seizure. The medication of choice for this patient is immediate,
intravenous administration of:
a. diazepam (Valium)
b. magnesium sulfate
c. phenytoin (Dilantin) Correct Answer - magnesium sulfate
A pregnant woman has a hemoglobin level of 9 g/dL and is stable,
afebrile, and can ambulate without adverse symptoms. The
indicated treatment is
a. oral iron preparation
b. parenteral iron therapy
c. whole blood transfusions Correct Answer - oral iron
preparation
A women at 34 weeks gestation is admitted to the antepartum unit
for influenza type symptoms and lymphadenopathy. A culture
Solutions
Pregnant insulin dependent diabetic women are prone to
hypoglycemia during the first trimester because pancreatic beta
cells are stimulated to produce more insulin by the rising levels of:
a. estrogen and progesterone
b. human chorionic gonadotropin
c. human placental lactogen Correct Answer - estrogen and
progesterone
A class of antihypertensive drugs that should be avoided in
pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers Correct Answer - ACE inhibitors
Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life Correct Answer - Overt diabetes in
later life
A sign of symptom that indicates a progression of preeclampsia to
eclampsia and warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
c. persistent proteinuria Correct Answer - epigastric pain
,A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia Correct Answer -
nulliparity
A women is receiving magnesium sulfate. A sign that the magnesium
sulfate is reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech Correct Answer - Slurring of the speech
A positive ankle clonus that occurs with preeclampsia is usually a
result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema Correct Answer - cerebral edema
A potentially life saving measure for a fetus that is exposed to
chicken pox just prior to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG) Correct Answer - Varicella
immune globulin (VZIG)
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 - an elevated hemoglobin A1C levels during the first
trimeter
When a pregnant woman experiences a cardiac arrest, the nurse
should:
a. first focus on assessing fetal status
b. if the mother dies, discontinue resuscitative efforts
c. treat the patient as the same as a non-pregnant patient Correct
Answer - Treat the patient as the same as a non-pregnant patient
At term, a woman is labor is found to have severe condylomata
which has obstructed the vaginal canal. The appropriate disposition
is.
a. cesarean delivery
b. cryotherapy removal
c. immediate removal with podophyllin Correct Answer -
cesarean delivery
A hematologic change in pregnancy that predisposes to venous
thrombosis is
, a. depressed fibrinolytic activity
b. increased white blood cell count
c. reduced erythrocyte production Correct Answer - decreased
fibrinolytic activity
A women is admitted to labor and delivery at 32 weeks gestation
with vaginal bleeding. Her hematocrit is falling and she is
tachycardic. A Kleihauer-Betketest is ordered. This is done to:
a. detect fetal red blood cells in the maternal circulation
b. detect hemolysis of fetal red blood ells
c. rule out Rh isoimmunization Correct Answer - detect fetal
red blood cells in the maternal circulation
A pregnant woman at 33 weeks gestation experiences an eclamptic
seizure. The medication of choice for this patient is immediate,
intravenous administration of:
a. diazepam (Valium)
b. magnesium sulfate
c. phenytoin (Dilantin) Correct Answer - magnesium sulfate
A pregnant woman has a hemoglobin level of 9 g/dL and is stable,
afebrile, and can ambulate without adverse symptoms. The
indicated treatment is
a. oral iron preparation
b. parenteral iron therapy
c. whole blood transfusions Correct Answer - oral iron
preparation
A women at 34 weeks gestation is admitted to the antepartum unit
for influenza type symptoms and lymphadenopathy. A culture
