OB Inpatient Certification Test ACTUAL
Questions and CORRECT Answers
By day 2 after delivery, the uterus should normally descend at the rate of
___________________. - CORRECT ANSWER✔✔- 1cm per day
Braxton-Hicks contractions may begin by week _______________. - CORRECT
ANSWER✔✔- 16
Low levels of alpha-fetoprotein detected in the maternal serum screen may indicate
___________________. - CORRECT ANSWER✔✔- trisomy 21 (Down Syndrome)
When using vibroacoustic stimulation, the stimulator should be placed over area of the
_______________________. - CORRECT ANSWER✔✔- fetal head
The first sign of fetal hypoxia and decreasing pH is often ________________. - CORRECT
ANSWER✔✔- appearance of late decelerations
The components of the CARE principle include Communicating, Advocacy, Respecting, and
__________________. - CORRECT ANSWER✔✔- Enabling (Empowering)
In the maternal serum screen, if the AFP, human chorionic gonadotropin (hCG), and
unconjugated estriol (uE3) are all decreased, this is an indication of ___________________. -
CORRECT ANSWER✔✔- trisomy 18 (Edwards syndrome)
During a uterine contraction, the usual response of the maternal cardiovascular system is to
______________ blood pressure and _______________ pulse. - CORRECT ANSWER✔✔-
increase blood pressure, DECREASE pulse
Fetal foot deformities associated with amniocentesis are more likely to occur with
amniocentesis completed earlier than ___________ weeks. - CORRECT ANSWER✔✔- 14
A lecithin to sphingomyelin (L/S) ratio that CONFIRMS fetal lung maturity is
_______________________. - CORRECT ANSWER✔✔- 3:1
,Because of changes that occur in the urinary system during pregnancy, in the postpartal
period, the patient is at risk of ________________________________. - CORRECT
ANSWER✔✔- over-distension of the bladder
In order to prevent damage to the fetus, a pregnant woman with primary of secondary syphilis
should receive treatment before ______________ weeks gestation. - CORRECT
ANSWER✔✔- before 16 weeks gestation
During a uterine contraction, the contractive force lies in the ___________________
________/_________ of the uterus. - CORRECT ANSWER✔✔- upper 2/3 of the uterus
The ischial tubersosity diameter considered adequate for the diameter of the fetal head during
delivery is ______________cm. - CORRECT ANSWER✔✔- 11cm for the ISCHIAL
tuberosity.
Name the 3 types of placenta previa: - CORRECT ANSWER✔✔- marginal (>3cm from the
os),
partial (within 3cm of the os),
complete (covers the os)
The classification of placenta previa that is most likely to resolve during pregnancy is
__________________. - CORRECT ANSWER✔✔- marginal
During resuscitation of the distressed, hypoxic, bradycardic neonate, the compression:
ventilation ratio should be _____:______. - CORRECT ANSWER✔✔- 3:1
All HIV-exposed neonates whose mothers took antiretroviral drugs during pregnancy should
receive HIV prophylaxis after delivery with _________________ within
____-to____ hours. Usually for __________ weeks. - CORRECT ANSWER✔✔- zidovudine
within 6-12 hours.
6 weeks
,If the HIV mother was NOT treated with ART drugs during pregnancy then the neonate
should receive ______________ and _____________. - CORRECT ANSWER✔✔-
zidovudine AND nevirapine
Before compressing the uterus to expel clots after delivery, it is essential to ensure that the
uterus is _______________. Why? _____________________ - CORRECT ANSWER✔✔-
contracted; to avoid inversion
3 types of lochia and time frames for them? - CORRECT ANSWER✔✔- Rubra - days 1-3
Serosa - days 4-10
Alba - day 10 to 4-5th week
Lochia usually lasts 4-5wks
as few as 3
as long as 6
Abnormal pp local discharge includes persistent lochia __________, return to lochia
_____________, __________ ___________, and ___________ drainage. - CORRECT
ANSWER✔✔- persistent lochia serosa
return to lochia rubra
foul odor
extended drainage
Patients pregnanct w twins or triplets are expected to gain ________________lbs -
CORRECT ANSWER✔✔- 35-45lbs
singletons 25-35lbs
How much weight to gain in last 2 trimesters? ______lb/ week - CORRECT ANSWER✔✔-
0.9lb/ week
How much weight to gain in last 2 trimesters if overweight? - CORRECT ANSWER✔✔-
0.66lb/ week
, How much weight to gain in last 2 trimesters if underweight? - CORRECT ANSWER✔✔-
1.1lb/ week
The measure of the diagonal conjugate should be more than _________cm.
Diagonal Conjugate = distance between the anterior surface of the sacral prominence and the
ANTERIOR surface of the inferior margin of the symphysis pubis. - CORRECT
ANSWER✔✔- 12.5 diagonal conjugate
The measure of the TRUE conjugate averages _____-_____cm.
The TRUE conjugate is the distance between the anterior surface of the sacral prominence
and the POSTERIOR surface of the inferior margin of the symphysis pubis. - CORRECT
ANSWER✔✔- 10.5-11cm
The A 1c threshold for gestational diabetes is at least _______%. - CORRECT
ANSWER✔✔- 6.5%
The most common irregular fetal heart rhythm is ______________ __________________
______________. - CORRECT ANSWER✔✔- premature atrial contraction
PAC's often resolve without interventions.
> risk of tachyarrhymthmia and may be associated with cardia abnormalities so get ECHO.
Moms should avoid caffeine & stimulants.
And watch for > fetal activity and > abd diameter for hydramnios.
The preexisting cardiovascular condition that places a patient at most risk in pregnancy is
_______________ _____________. - CORRECT ANSWER✔✔- mitral stenosis
restricts blood flow
may result in pulmonary congestion &/or edema
Questions and CORRECT Answers
By day 2 after delivery, the uterus should normally descend at the rate of
___________________. - CORRECT ANSWER✔✔- 1cm per day
Braxton-Hicks contractions may begin by week _______________. - CORRECT
ANSWER✔✔- 16
Low levels of alpha-fetoprotein detected in the maternal serum screen may indicate
___________________. - CORRECT ANSWER✔✔- trisomy 21 (Down Syndrome)
When using vibroacoustic stimulation, the stimulator should be placed over area of the
_______________________. - CORRECT ANSWER✔✔- fetal head
The first sign of fetal hypoxia and decreasing pH is often ________________. - CORRECT
ANSWER✔✔- appearance of late decelerations
The components of the CARE principle include Communicating, Advocacy, Respecting, and
__________________. - CORRECT ANSWER✔✔- Enabling (Empowering)
In the maternal serum screen, if the AFP, human chorionic gonadotropin (hCG), and
unconjugated estriol (uE3) are all decreased, this is an indication of ___________________. -
CORRECT ANSWER✔✔- trisomy 18 (Edwards syndrome)
During a uterine contraction, the usual response of the maternal cardiovascular system is to
______________ blood pressure and _______________ pulse. - CORRECT ANSWER✔✔-
increase blood pressure, DECREASE pulse
Fetal foot deformities associated with amniocentesis are more likely to occur with
amniocentesis completed earlier than ___________ weeks. - CORRECT ANSWER✔✔- 14
A lecithin to sphingomyelin (L/S) ratio that CONFIRMS fetal lung maturity is
_______________________. - CORRECT ANSWER✔✔- 3:1
,Because of changes that occur in the urinary system during pregnancy, in the postpartal
period, the patient is at risk of ________________________________. - CORRECT
ANSWER✔✔- over-distension of the bladder
In order to prevent damage to the fetus, a pregnant woman with primary of secondary syphilis
should receive treatment before ______________ weeks gestation. - CORRECT
ANSWER✔✔- before 16 weeks gestation
During a uterine contraction, the contractive force lies in the ___________________
________/_________ of the uterus. - CORRECT ANSWER✔✔- upper 2/3 of the uterus
The ischial tubersosity diameter considered adequate for the diameter of the fetal head during
delivery is ______________cm. - CORRECT ANSWER✔✔- 11cm for the ISCHIAL
tuberosity.
Name the 3 types of placenta previa: - CORRECT ANSWER✔✔- marginal (>3cm from the
os),
partial (within 3cm of the os),
complete (covers the os)
The classification of placenta previa that is most likely to resolve during pregnancy is
__________________. - CORRECT ANSWER✔✔- marginal
During resuscitation of the distressed, hypoxic, bradycardic neonate, the compression:
ventilation ratio should be _____:______. - CORRECT ANSWER✔✔- 3:1
All HIV-exposed neonates whose mothers took antiretroviral drugs during pregnancy should
receive HIV prophylaxis after delivery with _________________ within
____-to____ hours. Usually for __________ weeks. - CORRECT ANSWER✔✔- zidovudine
within 6-12 hours.
6 weeks
,If the HIV mother was NOT treated with ART drugs during pregnancy then the neonate
should receive ______________ and _____________. - CORRECT ANSWER✔✔-
zidovudine AND nevirapine
Before compressing the uterus to expel clots after delivery, it is essential to ensure that the
uterus is _______________. Why? _____________________ - CORRECT ANSWER✔✔-
contracted; to avoid inversion
3 types of lochia and time frames for them? - CORRECT ANSWER✔✔- Rubra - days 1-3
Serosa - days 4-10
Alba - day 10 to 4-5th week
Lochia usually lasts 4-5wks
as few as 3
as long as 6
Abnormal pp local discharge includes persistent lochia __________, return to lochia
_____________, __________ ___________, and ___________ drainage. - CORRECT
ANSWER✔✔- persistent lochia serosa
return to lochia rubra
foul odor
extended drainage
Patients pregnanct w twins or triplets are expected to gain ________________lbs -
CORRECT ANSWER✔✔- 35-45lbs
singletons 25-35lbs
How much weight to gain in last 2 trimesters? ______lb/ week - CORRECT ANSWER✔✔-
0.9lb/ week
How much weight to gain in last 2 trimesters if overweight? - CORRECT ANSWER✔✔-
0.66lb/ week
, How much weight to gain in last 2 trimesters if underweight? - CORRECT ANSWER✔✔-
1.1lb/ week
The measure of the diagonal conjugate should be more than _________cm.
Diagonal Conjugate = distance between the anterior surface of the sacral prominence and the
ANTERIOR surface of the inferior margin of the symphysis pubis. - CORRECT
ANSWER✔✔- 12.5 diagonal conjugate
The measure of the TRUE conjugate averages _____-_____cm.
The TRUE conjugate is the distance between the anterior surface of the sacral prominence
and the POSTERIOR surface of the inferior margin of the symphysis pubis. - CORRECT
ANSWER✔✔- 10.5-11cm
The A 1c threshold for gestational diabetes is at least _______%. - CORRECT
ANSWER✔✔- 6.5%
The most common irregular fetal heart rhythm is ______________ __________________
______________. - CORRECT ANSWER✔✔- premature atrial contraction
PAC's often resolve without interventions.
> risk of tachyarrhymthmia and may be associated with cardia abnormalities so get ECHO.
Moms should avoid caffeine & stimulants.
And watch for > fetal activity and > abd diameter for hydramnios.
The preexisting cardiovascular condition that places a patient at most risk in pregnancy is
_______________ _____________. - CORRECT ANSWER✔✔- mitral stenosis
restricts blood flow
may result in pulmonary congestion &/or edema
