OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
After delivery, progesterone levels fall causing what acid/base
change? -
correct answer ✅Increase pco2
With what disorder would AFP be elevated? -
correct answer ✅Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at
what rate? -
correct answer ✅Onset within 20 years in 35-60%
Glucose screen is done when? -
correct answer ✅24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what
electrolyte imbalance is the neonate at risk for? -
correct answer ✅Magnesium deficiency
In which trimester is new onset of GHTN most common? -
correct answer ✅3rd trimester
,OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
In a pregnancy complicated by hypertension, what is a sign of
deteriorating status? -
correct answer ✅Increased serum creatinine
What difference can be expected between manual and electronic
diastolic BP? -
correct answer ✅Manual are 5-7 mm HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs
are absent. What is your immediate nursing intervention? -
correct answer ✅Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? -
correct answer ✅Oral acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period? -
correct answer ✅The recurrence is unlikely, no further
action is required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? -
correct answer ✅Mitral stenosis
,OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
Cardiac defect with most complications in labor? -
correct answer ✅Mitral stenosis
Methamphetamines are expected to last? -
correct answer ✅7-24 hrs
What is recommended L/S ratio? -
correct answer ✅2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? -
correct answer ✅Fetal anemia
What is the parenteral analgesic with most rapid peak effect? -
correct answer ✅Fentanyl
What neonatal complication is increased with cesarean delivery? -
correct answer ✅Respiratory morbidity
, OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
A woman who has a c/s is more likely to be re-hospitalized with
what pp complication? -
correct answer ✅Wound infection
During the postpartum period, low levels of placental lactogen,
estrogen, cortisol, growth hormone and insulinase result in? -
correct answer ✅Lower glucose levels
Due to the catabolic process of involution postpartum, which lab
value is expected to be elevated postpartum? -
correct answer ✅BUN
Avg weight loss with delivery? -
correct answer ✅12 lbs
Where would you expect to palpate fundus 24h pp? -
correct answer ✅1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or
brown in colora -
correct answer ✅Lochia serosa
Actual Questions and Answers
2026(Verified Answers)
After delivery, progesterone levels fall causing what acid/base
change? -
correct answer ✅Increase pco2
With what disorder would AFP be elevated? -
correct answer ✅Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at
what rate? -
correct answer ✅Onset within 20 years in 35-60%
Glucose screen is done when? -
correct answer ✅24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what
electrolyte imbalance is the neonate at risk for? -
correct answer ✅Magnesium deficiency
In which trimester is new onset of GHTN most common? -
correct answer ✅3rd trimester
,OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
In a pregnancy complicated by hypertension, what is a sign of
deteriorating status? -
correct answer ✅Increased serum creatinine
What difference can be expected between manual and electronic
diastolic BP? -
correct answer ✅Manual are 5-7 mm HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs
are absent. What is your immediate nursing intervention? -
correct answer ✅Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? -
correct answer ✅Oral acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period? -
correct answer ✅The recurrence is unlikely, no further
action is required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? -
correct answer ✅Mitral stenosis
,OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
Cardiac defect with most complications in labor? -
correct answer ✅Mitral stenosis
Methamphetamines are expected to last? -
correct answer ✅7-24 hrs
What is recommended L/S ratio? -
correct answer ✅2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? -
correct answer ✅Fetal anemia
What is the parenteral analgesic with most rapid peak effect? -
correct answer ✅Fentanyl
What neonatal complication is increased with cesarean delivery? -
correct answer ✅Respiratory morbidity
, OB Inpatient Certification Practice Exam
Actual Questions and Answers
2026(Verified Answers)
A woman who has a c/s is more likely to be re-hospitalized with
what pp complication? -
correct answer ✅Wound infection
During the postpartum period, low levels of placental lactogen,
estrogen, cortisol, growth hormone and insulinase result in? -
correct answer ✅Lower glucose levels
Due to the catabolic process of involution postpartum, which lab
value is expected to be elevated postpartum? -
correct answer ✅BUN
Avg weight loss with delivery? -
correct answer ✅12 lbs
Where would you expect to palpate fundus 24h pp? -
correct answer ✅1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or
brown in colora -
correct answer ✅Lochia serosa
