Answers Graded A+
After delivery, progesterone levels fall causing
what acid/base change? - ANSWER - With no apparent HSV lesions what is the
Increase pco2 recommendation? - ANSWER -Oral
acyclovir 4 weeks prior to delivery
With what disorder would AFP be elevated? -
ANSWER -Esophageal atresia, neural tube +IgG antibodies in PP period? - ANSWER -
defects The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
Women with a history of GDM have increased
risk of diabetes at what rate? - ANSWER - The most common rheumatic valvular lesion in
Onset within 20 years in 35-60% pregnancy is? - ANSWER -Mitral stenosis
Glucose screen is done when? - Cardiac defect with most complications in labor?
ANSWER -24-28 weeks - ANSWER -Mitral stenosis
If a mother has Insulin dependent diabetes Methamphetamines are expected to last? -
during pregnancy, what electrolyte imbalance is ANSWER -7-24 hrs
the neonate at risk for? - ANSWER -
Magnesium deficiency
What is recommended L/S ratio? -
ANSWER -2:1 - lungs are probably mature
In which trimester is new onset of GHTN most 3:1 - indicative of maturity
common? - ANSWER -3rd trimester
What causes a sinusoidal FHR tracing? -
In a pregnancy complicated by hypertension, ANSWER -Fetal anemia
what is a sign of deteriorating status? -
ANSWER -Increased serum creatinine
What is the parenteral analgesic with most rapid
peak effect? - ANSWER -Fentanyl
What difference can be expected between
manual and electronic diastolic BP? -
ANSWER -Manual are 5-7 mm HG higher What neonatal complication is increased with
cesarean delivery? - ANSWER -Respiratory
morbidity
On admission to L&D , a woman has 2+ reflexes.
After IV mag, DTRs are absent. What is your
immediate nursing intervention? - A woman who has a c/s is more likely to be re-
ANSWER -Stop mag and notify provider hospitalized with what pp complication? -
ANSWER -Wound infection
,OB Inpatient Certification Practice Questions With 100% Verified
Answers Graded A+
By which pp day has circulating blood volume
During the postpartum period, low levels of diminished secondary to diuresis, returning to
placental lactogen, estrogen, cortisol, growth prepregnancy volume? - ANSWER -Day 5
hormone and insulinase result in? -
ANSWER -Lower glucose levels
What intervention can increase physiological
jaundice? - ANSWER -Delayed cord
Due to the catabolic process of involution clamping
postpartum, which lab value is expected to be
elevated postpartum? - ANSWER -BUN
A woman is 12 days pp and has WBC of 25,000.
This indicates? - ANSWER -Expected
Avg weight loss with delivery? - ANSWER - range
12 lbs
What is the antidote for Coumadin? -
Where would you expect to palpate fundus 24h ANSWER -Vitamin k
pp? - ANSWER -1cm below umbilicus
What is antidote to MAg? - ANSWER -
What is the term for lochia appearing 3-10 days Calcium glucinate
pp and pink or brown in colora - ANSWER -
Lochia serosa
What med for malignant hyperthermia? -
ANSWER -Dantrolene sodium
The process of involution that allows for healing
of the placental site preventing scarring is? -
ANSWER -Exfoliation Uterotonic med contraindicated for elevated BP?
- ANSWER -Methergine
True or false 2500cc urine 2 days pp is a normal
physiologic response to delivery - Following delivery, insulin requirements I'd
ANSWER -True diabetic woman.... - ANSWER -Decrease
rapidly
If pp woman's fundus is deviated from midline
first RN intervention is? - ANSWER -Empty Rhinitis and nasal stuffiness increase in
bladder pregnancy are due to? - ANSWER -
Estrogen
Why is UTI common in 1st few weeks pp? -
ANSWER -Dilated ureters and renal pelvis A newly delivered postpartum woman received
terbutaline and corticosteroids during labor is at
, OB Inpatient Certification Practice Questions With 100% Verified
Answers Graded A+
risk for what potential drug interaction? -
ANSWER -Hyperglycemia
Unsensitized Rh- mom whose baby is Rh+
should? - ANSWER -Receive 300 mcg of
Antidote for heparin? - ANSWER - rhogham within 72hrs of delivery
Protamine sulfate
A pp woman has large hemorrhoid. She may be
Two IV anti hypertensives that may be used to instructed to? - ANSWER -Gently attempt to
treat severe maternal hypertension? - push back into rectum
ANSWER -Hydralazine, labatelol
After birth pains usually last? - ANSWER -
Severe BP values - ANSWER -Over 160 2-3 days
sbp or over 110 dbp
A woman readmitted for wound infection shows
Another name for hydralazine? - signs of sleep disturbance, irritability, agitation
ANSWER -Apresoline and confusion. The nurse suspects? -
ANSWER -Post partum psychosis
Another name for labatelol? - ANSWER -
Trandate, normodyne What is the chance of pregnancy when using the
lactational amenorrhea method (LAM) at 12
months? - ANSWER -Can approach 7%
At 12 hrs pp a breastfeeding mom is 180/114,
what does the RN anticipate the provider will
order? - ANSWER -Labatelol Woman wants to use breastfeeding as a
contraceptive. The best response is? -
ANSWER -What have you heard or read
A common side effect of pitocin is? - about this method?
ANSWER -Anti diuretic effect/water
intoxication
When teaching a pt about the use of the sponge,
the pt should be advised to leave in place for how
CDC requirement for a TDAP for a pt who had many hours following intercourse? -
tetanus shot two years ago? - ANSWER - ANSWER -6 hours
Administer prior to d/c. All pts should have
booster in pregnancy
The hormone responsible for stimulation of the
alveolar cells to produce milk? - ANSWER -
Pp woman has order for rubella vaccine and Rh Prolactin
immune globulin. The nurse knows they should
be given? - ANSWER -At the same time