Inpatient OB certification study points
with actual questions and answers
What is autotransfusion? - ANS Increased cardiac output due to 300-500 ml blood back into
circulation with each contraction
What causes heartburn during pregnancy? - ANS Relaxation of the lower esophageal
sphincter
what is a normal wbc after labor? - ANS 20-22
when is the glucose screen done? - ANS 26-28 weeks
Onset of GHTN is most commonly seen in which trimester? - ANS 3rd
On admission to L& D a pt inquires if her history of Herpes Simplex VIrus will prevent a vaginal
delivery. THe nurse knows that even without any apparent lesions, the recommendation is to? -
ANS Take oral acyclovir for weeks prior to delivery
Most rapid peak effect parenteral analgesic? - ANS fentanyl
Guidance for ethical nursing care is provided by the - ANS ANA code of ethics for nurses
Disruptive clinician behavior is often linked to - ANS clinical practice issues
professional nursing liability is most commonly increased by the absence of - ANS
adequate record documentation
culturally American Indians are at high risk for - ANS increased alcoholism, heart disease,
cirrhosis of the liver, DM
Korean culture - ANS Mother in law cares for the mother and newborn post partum
What are some strategies to increase cultural competence? - ANS -enhance
communication skills
-determine the family decision makers
-non-verbal commuication
-culturally appropriate teaching
, The areas of clinical practice that are most commonly involved in perinatal pt harm are - ANS
-fetal assessment
-labor induction
-second stage labor management
essential criteria for safe care include: - ANS effective leadership, shared philosophy,
professional behavior, excellence in key clinical practices
An African American/black woman who believes she should not swallow her saliva and carries a
spit cup with her during pregnancy is most likely from - ANS Haiti
during labor maternal cardiac output - ANS increases progressively
during labor/delivery when is cardiac output greatest - ANS immediately after birth
By term, blood flow to the uterus is approximately - ANS 500 ml/min
The hormone released from the anterior pituitary that is responsible for initiating lactation is -
ANS prolactin
The hormones responsible for maintaining progesterone and estrogen production by the ovaries
until the placenta is established is - ANS HCG
what hormone produces relaxation of smooth muscle and vasodilaton? - ANS progesterone
The pregnant woman is at increased risk for venous thrombosis formation due to - ANS
coagulation changes and venous stasis
Potent vasodilators that affect smooth muscle contractility and play an important role in labor
onset - ANS prostaglandins
After the initial screening for gc/chlamydia when should this test be repeated - ANS at 36
weeks
5 parts of a BPP - ANS -AFI
-NST
-fetal tone
-fetal breathing
-fetal reflex movement
maternal morbidity from hypertension in pregancy results from - ANS -abruptio placentae
-DIC
-hepatic failure
-acute renal failure
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