OB inpatient certification practice questions with 100% Correct Answers
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Course
Ambulatory Care Nurse Certification
Institution
Ambulatory Care Nurse Certification
OB inpatient certification practice questions
with 100% Correct Answers
After delivery, progesterone levels fall causing what acid/base change? - ️️ Increase
pco2
With what disorder would AFP be elevated? - ️️ Esophageal atresia, neural tube
defects
Women with a history of GDM have in...
OB inpatient certification practice questions
with 100% Correct Answers
After delivery, progesterone levels fall causing what acid/base change? - ✔️✔️Increase
pco2
With what disorder would AFP be elevated? - ✔️✔️Esophageal atresia, neural tube
defects
Women with a history of GDM have increased risk of diabetes at what rate? - ✔️✔️Onset
within 20 years in 35-60%
Glucose screen is done when? - ✔️✔️24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte
imbalance is the neonate at risk for? - ✔️✔️Magnesium deficiency
In which trimester is new onset of GHTN most common? - ✔️✔️3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? -
✔️✔️Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? -
✔️✔️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? - ✔️✔️Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? - ✔️✔️Oral acyclovir 4
weeks prior to delivery
+IgG antibodies in PP period? - ✔️✔️The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? - ✔️✔️Mitral stenosis
Cardiac defect with most complications in labor? - ✔️✔️Mitral stenosis
Methamphetamines are expected to last? - ✔️✔️7-24 hrs
What is recommended L/S ratio? - ✔️✔️2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? - ✔️✔️Fetal anemia
What is the parenteral analgesic with most rapid peak effect? - ✔️✔️Fentanyl
What neonatal complication is increased with cesarean delivery? - ✔️✔️Respiratory
morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? -
✔️✔️Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol,
growth hormone and insulinase result in? - ✔️✔️Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected to be
elevated postpartum? - ✔️✔️BUN
Avg weight loss with delivery? - ✔️✔️12 lbs
Where would you expect to palpate fundus 24h pp? - ✔️✔️1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora -
✔️✔️Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring
is? - ✔️✔️Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery -
✔️✔️True
If pp woman's fundus is deviated from midline first RN intervention is? - ✔️✔️Empty
bladder
Why is UTI common in 1st few weeks pp? - ✔️✔️Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis,
returning to prepregnancy volume? - ✔️✔️Day 5
What intervention can increase physiological jaundice? - ✔️✔️Delayed cord clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? - ✔️✔️Expected range
What is the antidote for Coumadin? - ✔️✔️Vitamin k
What is antidote to MAg? - ✔️✔️Calcium glucinate
What med for malignant hyperthermia? - ✔️✔️Dantrolene sodium
Uterotonic med contraindicated for elevated BP? - ✔️✔️Methergine
Following delivery, insulin requirements I'd diabetic woman.... - ✔️✔️Decrease rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? - ✔️✔️Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during
labor is at risk for what potential drug interaction? - ✔️✔️Hyperglycemia
Antidote for heparin? - ✔️✔️Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? -
✔️✔️Hydralazine, labatelol
Severe BP values - ✔️✔️Over 160 sbp or over 110 dbp
Another name for hydralazine? - ✔️✔️Apresoline
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