Inpatient Obstetrical Certification Tests Bundle Set

Leading cause of perinatal admissions to the ICU CORRECT ANSWER Hemorrhagic disorders Percentage of deaths related to pregnancy related hemorrhages CORRECT ANSWER 17-25% Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy are due to CORRECT ANSWER Placental abrupt...

After delivery, progesterone levels fall causing what acid/base change? CORRECT ANSWER Increase pco2 With what disorder would AFP be elevated? CORRECT ANSWER Esophageal atresia, neural tube defects Women with a history of GDM have increased risk of diabetes at what rate? CORRECT ANSWER Onset w...

Pain during the first stage of labor is caused by a. cervical and lower uterine segment stretching and traction on ovaries, fallopian tubes, and uterine ligaments. b. pressure on the urethra, bladder, and rectum by the descending fetal presenting part c. uterine muscle hypoxia, lactic acid accumu...

Signs of Placental Separation during third stage of labor? CORRECT ANSWER Third stage of labor is delivery of placenta, after the placenta separates from the uterine wall the uterus changes from discoid to globular. If patient SROMs and heart rates drop below normal limits (ex. 60 bpm) What is RN...

Compared to non-pregnant values the maternal arterial carbon dioxide Pco2during pregnancy is CORRECT ANSWER Decreased A postpartum patient has a spinal headache. The nurse knows that this can occur as a consequence of epidural anesthesia due to CORRECT ANSWER Leakage of Fluid at the puncture site...

The [_____] is considered the pathogenic focus for all manifestations of pre-e CORRECT ANSWER Placenta (Regarding Pre-e): Increased sensitivity to Angiotensin II leads to [-------] and [------] CORRECT ANSWER Vascular damage & arteriolar vasoconstriction and systemic vasospasm A [---------] me...

Surgical infection CORRECT ANSWER An infection occurring within 30 days of medical procedure (CDC) Incidence of abdominal incision infections following cesarean birth CORRECT ANSWER 3-15% (average 5%) With antibiotic prophylaxis, the incidence of abdominal incision infections following c/s COR...

What is autotransfusion? CORRECT ANSWER Increased cardiac output due to 300-500 ml blood back into circulation with each contraction What causes heartburn during pregnancy? CORRECT ANSWER Relaxation of the lower esophageal sphincter what is a normal wbc after labor? CORRECT ANSWER 20-22 whe...

A client had a nonreactive NST and was sent for a BPP. Which of the following BPP findings would confirm poor oxygenation to the fetus? Two pockets of amniotic fluid Well-flexed extremities Decreased muscle tone Presence of fetal breathing movement CORRECT ANSWER Decreased muscle tone RATIO...

Pregnancy is how long? CORRECT ANSWER 9 months or 10 lunar months (40 weeks) What is the first trimester weeks? Second trimester? Third trimester? CORRECT ANSWER 1st - 1 to 13th week 2nd - 13th week and 6 day (14th week to 26th week) 3rd - 26th week and 6th day (27th week) to 40 weeks Tota...

A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? CORRECT ANSWER Gravida 3 Para 1212 Cholestasis is a condition that occurs in pregnancy and is caused by elevated... CORRECT ANSWER...