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WHNP board study Exam with complete solutions 2024_2025.
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WHNP board study Exam with complete solutions 2024_2025.
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WHNP board study Exam with completesolutions 2024/2025
GBS culture good for _____ weeks - ANSWER-5
T/F If admitted for PTL and no recent GBS culture, treat with abx - ANSWER-True:
Swab and then treat prophylactically during labor unless pt is discharged
GBS treated with - ANSWER-Pcn or ampicillin. C&S if allergic.
Lochia Day 1-3 PP - ANSWER-Rubra: bright red. If present after 3 days, may be
indicative of retained placenta or subinvolution
Lochia Day 3-10 pp - ANSWER-Serosa: Pink/brown (tinged, healing, dried blood)
Lochia Day 10-28 pp - ANSWER-Alba: Yellow-white. Going back to normal.
Immediately postpartum, the uterine fundus is palpable at or near - ANSWER-the
level of the maternal umbilicus
In the postpartum period, the uterus returns to the pelvis within _______ -
ANSWER-2 weeks
In the postpartum period, the fundus decreases ________ per 24 hrs - ANSWER-
1/2 inch
,Often, women experience an increase in the amount of bleeding at 7-14 days pp
due to ________ - ANSWER-the sloughing of the eschar on the placental site
Delayed postpartum hemorrhages often occur when? - ANSWER-At 7-14 days PP,
when the sloughing of the eschar on the placental site occurs
The mother who does not breastfeed may ovulate as early as _______ days after
delivery - ANSWER-27
Average blood loss vaginal delivery - ANSWER-500mL
Average blood loss C-Section - ANSWER-1000mL
1st degree perineal laceration - ANSWER-superficial injury to the skin and
subcutaneous perineal tissue or vaginal epithelium only
2nd degree perineal laceration - ANSWER-extend into the musculature of the
perineal body, including the deep and superficial transverse perineal muscles
3rd degree perineal laceration - ANSWER-extend beyond the muscles and involve
the anal sphincter
4th degree perineal laceration - ANSWER-an injury involving the entire anal
sphincter complex as well as the anal epithelium
Mastitis usually due to milk ________ and _________ nipples - ANSWER-milk
stasis and cracked nipples
Most common organism causing mastitis - ANSWER-staph aureus
1st line mastitis tx - ANSWER-Dicloxacillin 500mg BID x10 days
In pregnancy, blood volume increases by - ANSWER-1.5 L (30-50%)
, ____________ murmur considered normal in pregnancy - ANSWER-SYSTOLIC
Pre-eclampsia diagnostic criteria (mild) - ANSWER-After 20wk GA; Bp of 140/90
x2 (two separate readings), at least 6 hrs apart, plus at least one of the following:
proteinuria, low platelet count, abnormal LFTs, abnormal kidney function, neuro
symptoms
Severe pre-eclampsia diagnostic criteria - ANSWER-After 20 wk GA; Bp >160/110,
at least 2 readings at least 6 hrs apart, plus one of the following: platelet
<100,000, LFTs 2x normal, Cr > 1.1,
Treat BP greater than ____/____ with iv meds - ANSWER-170/110
Treat severe PreE with these IV meds (5): - ANSWER-Labetalol, hydralazine,
procardia, sodium nitroprusside, nifedipine
PreEclampsia/htn antepartum monitoring - ANSWER-Growth scans Q4 at 28 wks,
NST/BPP weekly at 32 weeks
Hegars sign - ANSWER-Softening and compressibility of lower uterine segment
Goodell's sign - ANSWER-Softening of the cervix
Chadwick sign - ANSWER-Increased vascularity of the vagina leads to a violet
color characteristic of the vagina
Methotrexate - ANSWER-Anti-progesterone. Blocks progesterone
Molar pregnancy - ANSWER-Neoplasms that derive from abnormal trophoblastic
proliferation
Prevention of recurring molar pregnancy - ANSWER-Prevention of pregnancy for
at least 6 months (preferably a year) after evacuation and resolution of previous
molar
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