CCPR - OB Exam 1 Questions With Complete Solutions
1. A gravida 2, para 1 in active labor just reported spontaneous
rupture of membranes. Ten minutes later, she suddenly
complains of severe shortness of breath and lightheadedness.
The nurse should suspect
a. anaphylactoid syndrome
b. extreme anxiety
c. hyperventilation Correct Answers anaphylactoid syndrome
10. The most appropriate instruction to give parents about what
breastfeeding frequency to expect during the first few weeks
after birth is
a. cluster feedings with 8 to 12 feedings in 24 hours
b. regularly spaced feedings every 2 to 3 hours
c. six to eight feedings in 24 hours with a longer stretch of sleep
during the night Correct Answers a. cluster feedings with 8 to
12 feedings in 24 hours
100. The baseline of the term fetus in the above tracing (marked
variability) is
a. 120
b. 120-150
c. indeterminate Correct Answers c. indeterminate
101. The time during labor and birth that is of greatest risk for
woman with a cardiac condition is
a. active phase of labor
b. second stage of labor
c. immediately after birth Correct Answers c. immediately
after birth
,102. The medication that is contraindicated in women with a
cardiac condition is
a. hydralazine
b. oxytocin
c. terbutaline Correct Answers c. terbutaline
103. The recommendation regarding the administration of
Narcan (naloxone) to the newborn with respiratory depression
secondary to maternal administration of narcotics is to
a. administer at 15 minutes after birth
b. administer as soon as possible
c. avoid administration Correct Answers c. avoid
administration
104. Oligohydramnios is diagnosed when a biophysical profile
shows an amniotic fluid index (AFI) of
a. 4 cm
b. 6 cm
c. 8 cm Correct Answers a. 4 cm
105. The type of neonatal jaundice caused by inadequate breast
milk intake is
a. breastfeeding jaundice
b. breastmilk jaundice
c. physiological jaundice Correct Answers a. breastfeeding
jaundice
106. The metabolic state of pregnancy is described as a chronic
a. respiratory acidosis
b. respiratory alkalosis
,c. mixed acidosis Correct Answers b. respiratory alkalosis
UpToDate: ...respiratory tract changes during pregnancy result
in a compensated respiratory alkalosis, with a higher PO2 and a
lower PCO2 than in the nonpregnant state. The lower PCO2 is
thought to provide a diffusion gradient that may facilitate the
fetus' ability to eliminate waste from aerobic metabolism.
non-pregnant range: PaCO2: 38 to 42 mm Hg pH: 7.38 to 7.42.
SaO2: 94% to 100%; HCO3: 22 to 28 mEq/L
pregnant range: PaCO2: lower limit normal 30, pH: 7.4-7.47;
PaO2 increases, HCO3: lower limit normal: 20
- values consistent with hyperventilation; apparent
hyperventilation; but nL in pregnancy.
107. In the multigravida with an epidural no maternal or fetal
contraindications, pushing efforts may be delayed up to
a. 30 minutes
b. 1 hour
c. 2 hours Correct Answers b. 1 hour
108. Use of stirrups during delivery can cause straining of pelvic
ligaments due to
a. immobilization
b. poor positioning
c. pushing Correct Answers b. poor positioning
, 109. After a massive hemorrhage of 2000cc blood loss a woman
presents to the clinic on day 5 postpartum verbalizing her milk
has not come in. You should suspect
a. Exhaustion and fatigue
b. Endometritis
c. Sheehan's syndrome Correct Answers c. Sheehan's
syndrome
11. A woman at 28 weeks gestation reports to the labor and
delivery with painless vaginal bleeding that started this morning.
The nurse's first step in caring for this woman is to determine
a. cervical dilation
b. placental location
c. rupture of membranes Correct Answers b. placental location
110. Which one of the following infections does not cross the
placenta?
a. Neisseria gonorrhea
b. HIV
c. Syphilis Correct Answers a. Neisseria gonorrhea
111. In twin-to-twin transfusion, the recipient twin is
a. cyanotic
b. pale
c. plethoric Correct Answers c. plethoric
112. A 36 hour old breastfeeding infant has nursed 8 times in the
last 24 hours on one breast each feeding. The infant
demonstrated rhythmic sucking with audible swallowing during
feedings. The infant has had 2 wet diapers and 2 moderate-sized
1. A gravida 2, para 1 in active labor just reported spontaneous
rupture of membranes. Ten minutes later, she suddenly
complains of severe shortness of breath and lightheadedness.
The nurse should suspect
a. anaphylactoid syndrome
b. extreme anxiety
c. hyperventilation Correct Answers anaphylactoid syndrome
10. The most appropriate instruction to give parents about what
breastfeeding frequency to expect during the first few weeks
after birth is
a. cluster feedings with 8 to 12 feedings in 24 hours
b. regularly spaced feedings every 2 to 3 hours
c. six to eight feedings in 24 hours with a longer stretch of sleep
during the night Correct Answers a. cluster feedings with 8 to
12 feedings in 24 hours
100. The baseline of the term fetus in the above tracing (marked
variability) is
a. 120
b. 120-150
c. indeterminate Correct Answers c. indeterminate
101. The time during labor and birth that is of greatest risk for
woman with a cardiac condition is
a. active phase of labor
b. second stage of labor
c. immediately after birth Correct Answers c. immediately
after birth
,102. The medication that is contraindicated in women with a
cardiac condition is
a. hydralazine
b. oxytocin
c. terbutaline Correct Answers c. terbutaline
103. The recommendation regarding the administration of
Narcan (naloxone) to the newborn with respiratory depression
secondary to maternal administration of narcotics is to
a. administer at 15 minutes after birth
b. administer as soon as possible
c. avoid administration Correct Answers c. avoid
administration
104. Oligohydramnios is diagnosed when a biophysical profile
shows an amniotic fluid index (AFI) of
a. 4 cm
b. 6 cm
c. 8 cm Correct Answers a. 4 cm
105. The type of neonatal jaundice caused by inadequate breast
milk intake is
a. breastfeeding jaundice
b. breastmilk jaundice
c. physiological jaundice Correct Answers a. breastfeeding
jaundice
106. The metabolic state of pregnancy is described as a chronic
a. respiratory acidosis
b. respiratory alkalosis
,c. mixed acidosis Correct Answers b. respiratory alkalosis
UpToDate: ...respiratory tract changes during pregnancy result
in a compensated respiratory alkalosis, with a higher PO2 and a
lower PCO2 than in the nonpregnant state. The lower PCO2 is
thought to provide a diffusion gradient that may facilitate the
fetus' ability to eliminate waste from aerobic metabolism.
non-pregnant range: PaCO2: 38 to 42 mm Hg pH: 7.38 to 7.42.
SaO2: 94% to 100%; HCO3: 22 to 28 mEq/L
pregnant range: PaCO2: lower limit normal 30, pH: 7.4-7.47;
PaO2 increases, HCO3: lower limit normal: 20
- values consistent with hyperventilation; apparent
hyperventilation; but nL in pregnancy.
107. In the multigravida with an epidural no maternal or fetal
contraindications, pushing efforts may be delayed up to
a. 30 minutes
b. 1 hour
c. 2 hours Correct Answers b. 1 hour
108. Use of stirrups during delivery can cause straining of pelvic
ligaments due to
a. immobilization
b. poor positioning
c. pushing Correct Answers b. poor positioning
, 109. After a massive hemorrhage of 2000cc blood loss a woman
presents to the clinic on day 5 postpartum verbalizing her milk
has not come in. You should suspect
a. Exhaustion and fatigue
b. Endometritis
c. Sheehan's syndrome Correct Answers c. Sheehan's
syndrome
11. A woman at 28 weeks gestation reports to the labor and
delivery with painless vaginal bleeding that started this morning.
The nurse's first step in caring for this woman is to determine
a. cervical dilation
b. placental location
c. rupture of membranes Correct Answers b. placental location
110. Which one of the following infections does not cross the
placenta?
a. Neisseria gonorrhea
b. HIV
c. Syphilis Correct Answers a. Neisseria gonorrhea
111. In twin-to-twin transfusion, the recipient twin is
a. cyanotic
b. pale
c. plethoric Correct Answers c. plethoric
112. A 36 hour old breastfeeding infant has nursed 8 times in the
last 24 hours on one breast each feeding. The infant
demonstrated rhythmic sucking with audible swallowing during
feedings. The infant has had 2 wet diapers and 2 moderate-sized
