INPATIENT OBSTETRIC NURSING- RNC
OB CERTIFICATION
Questions & Revised Correct Detailed
Answers
1) By day 2 after delivery, the uterus should normally descend at the rate of
___________________. - ANSWER
1cm per day
2) Braxton-Hicks contractions may begin by week _______________. ...
INPATIENT OBSTETRIC NURSING- RNC
OB CERTIFICATION
Questions & Revised Correct Detailed
Answers
1) By day 2 after delivery, the uterus should normally descend at the rate of
___________________. - ANSWER 1cm per day
2) Braxton-Hicks contractions may begin by week _______________. -
ANSWER 16
3) Low levels of alpha-fetoprotein detected in the maternal serum screen may
indicate ___________________. - ANSWER trisomy 21 (Down
Syndrome)
4) When using vibroacoustic stimulation, the stimulator should be placed over
area of the _______________________. - ANSWER fetal head
5) The first sign of fetal hypoxia and decreasing pH is often
________________. - ANSWER appearance of late decelerations
6) The components of the CARE principle include Communicating, Advocacy,
Respecting, and __________________. - ANSWER Enabling
(Empowering)
, 7) In the maternal serum screen, if the AFP, human chorionic gonadotropin
(hCG), and unconjugated estriol (uE3) are all decreased, this is an indication
of ___________________. - ANSWER trisomy 18 (Edwards syndrome)
8) During a uterine contraction, the usual response of the maternal
cardiovascular system is to ______________ blood pressure and
_______________ pulse. - ANSWER increase blood pressure,
DECREASE pulse
9) Fetal foot deformities associated with amniocentesis are more likely to occur
with amniocentesis completed earlier than ___________ weeks. - ANSWER
14
10) A lecithin to sphingomyelin (L/S) ratio that CONFIRMS fetal lung maturity is
_______________________. - ANSWER 3:1
11) Because of changes that occur in the urinary system during pregnancy, in the
postpartal period, the patient is at risk of ________________________________.
- ANSWER over-distension of the bladder
12) In order to prevent damage to the fetus, a pregnant woman with primary of
secondary syphilis should receive treatment before ______________ weeks
gestation. - ANSWER before 16 weeks gestation
13) During a uterine contraction, the contractive force lies in the
___________________ ________/_________ of the uterus. - ANSWER upper
2/3 of the uterus
, 14) The ischial tubersosity diameter considered adequate for the diameter of the
fetal head during delivery is ______________cm. - ANSWER 11cm for the
ISCHIAL tuberosity.
15) Name the 3 types of placenta previa: - ANSWER marginal (>3cm from the
os),
partial (within 3cm of the os),
complete (covers the os)
The classification of placenta previa that is most likely to resolve during
pregnancy is __________________. - ANSWER marginal
During resuscitation of the distressed, hypoxic, bradycardic neonate, the
compression: ventilation ratio should be _____:______. - ANSWER 3:1
All HIV-exposed neonates whose mothers took antiretroviral drugs during
pregnancy should receive HIV prophylaxis after delivery with _________________
within
____-to____ hours. Usually for __________ weeks. - ANSWER zidovudine
within 6-12 hours.
6 weeks
If the HIV mother was NOT treated with ART drugs during pregnancy then the
neonate should receive ______________ and _____________. - ANSWER
zidovudine AND nevirapine
, Before compressing the uterus to expel clots after delivery, it is essential to
ensure that the uterus is _______________. Why? _____________________ -
ANSWER contracted; to avoid inversion
3 types of lochia and time frames for them? - ANSWER Rubra - days 1-3
Serosa - days 4-10
Alba - day 10 to 4-5th week
Lochia usually lasts 4-5wks
as few as 3
as long as 6
Abnormal pp local discharge includes persistent lochia __________, return to
lochia _____________, __________ ___________, and ___________ drainage. -
ANSWER persistent lochia serosa
return to lochia rubra
foul odor
extended drainage
Patients pregnanct w twins or triplets are expected to gain ________________lbs
- ANSWER 35-45lbs
singletons 25-35lbs
How much weight to gain in last 2 trimesters? ______lb/ week - ANSWER
0.9lb/ week
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