NRS OB Exam 1 Study Guide
Questions with Actual Detailed
Answers 2026 Updated.
GTPAL system. - Answer G, stands for gravida, which is the number of pregnancies.
T, is the number of full term deliveries.
P, is the number of preterm deliveries.
A, is the number of abortions.
L, is the number of living children.
Which vaccine came out in 2006 that helps to prevent cancer for women and men? - Answer
HPV vaccine; This is important; you always want to educate parents on this.
Vaccines protect against, HPV type 16 and 18, which cause the greatest risk of cervical cancer.
C-sections. - Answer There has been a rapid climb in the number of c sections.
We want to avoid c-sections if we can.
Women who have already had a c-section, will commonly continue to have them.
How is healthcare in Illinois regulated? - Answer It is regulated by two bodies:
1) Illinois Dept of Public Health, IDPH.
2) The Joint Commission, TJC.
Illinois Dept of Public Health, IDPH. - Answer Inspects hospitals to ensure policies are intact
and are being followed.
The Joint Commission, TJC. - Answer Private, non-profit accrediting body for healthcare
organizations.
Hospitals VOLUNTARILY participate with TJC, because accreditation is required to bill Medicare
and Medicaid.
National Quality Forum - Serious Reportable Events. - Answer 1) Maternal death or serious
injury, associated with birth or labor in a low-risk case.
2) Death or serious injury of a neonate, associated with labor or birth in a low-risk case.
3) Artificial insemination with the wrong donor sperm or wrong egg.
,What is the number one contributing factor, in root cause analysis of preventable infant death
and injury during delivery? - Answer Communication Issues.
What are the leading causes of maternal death? - Answer Hemorrhage.
Hypertensive disorder.
Pulmonary embolism.
Amniotic fluid embolism.
Infection.
Pre-existing chronic conditions.
African americans, older women, and women that don't have prenatal care, are populations at
in increased risk of maternal death.
Five Perinatal Core Measures from the Joint Commission. - Answer 1) Number of elective
deliveries.
2) Percent of C-sections.
3) Anti-natal steroids, which are medications given to pregnant women expecting preterm
delivery.
4) Healthcare associated lung infections for newborns, aka sepsis.
5) Support for breastfeeding education.
Magnesium Sulfate. - Answer Most commonly used drug for treating preterm labor.
Quite effective in slowing contractions, though effect and duration varies from woman to
woman.
Potential side effects of Magnesium Sulfate . - Answer Flushing, feeling uncomfortably warm,
headache, dry mouth, nausea, and blurred vision.
Hospital guideline for Magnesium Sulfate . - Answer One-to-one care for patient.
Why is it important to use the chain of command? - Answer If not followed, it is considered a
failure to rescue. As a nurse, you have to follow this or else you are liable; never be nervous in
these situations, you have to push yourself aside for the best outcome for your client.
What are the Standards of Care for women and newborns? - Answer Assessment: collection
of health data.
Diagnosis: analysis of data to determine diagnosis.
Outcome Identification: expected outcomes.
, Planning: develop a plan.
Implementation: performance of interventions.
Evaluation: evaluate the effectiveness.
Disparities of neonatal outcomes in African Americans. - Answer Reflected in their poor
access to health care, socioeconomic disadvantage, a higher level of stressors, etc.
Who is the family for the woman? - Answer It is whoever the patient says it is.
Everybody is different.
We want to work with our patients to identify them in ways they want to be identified.
Remember that when a woman has a baby, it affects the entire family.
Ethnocentrism. - Answer Belief in the superiority of one's nation or ethnic group.
Cultural Relativism. - Answer View that no culture is superior to any other culture when
comparing systems of morality, law, politics, etc.
What are the three levels of prevention? - Answer Primary level: education, vaccine,
exersize.
Secondary level: glucose testing.
Tertiary level: focusing on rehab.
Prenatal Timeline: 1st Trimester. - Answer Day 1 to 12 weeks.
What occurs in the first trimester? - Answer Ovum is fertilized, creating a zygote.
Pregnancy tests can detect hCG.
Estrogen & progesterone levels increase (needed for early pregnancy).
Cervix begins to soften (goodells sign) and changes from pink to lavender color (chadwicks sign).
Fetal heart is developed by week 8.
Sex can be differentiated by week 9.
Urinary frequency and urgency begin, nipples and areolas are more pigmented.
What is the size of the uterus by the end of the 1st trimester, week 12? - Answer By week 12,
the uterus is the size of a grapefruit and should be palpable above the symphysis pubis.
Questions with Actual Detailed
Answers 2026 Updated.
GTPAL system. - Answer G, stands for gravida, which is the number of pregnancies.
T, is the number of full term deliveries.
P, is the number of preterm deliveries.
A, is the number of abortions.
L, is the number of living children.
Which vaccine came out in 2006 that helps to prevent cancer for women and men? - Answer
HPV vaccine; This is important; you always want to educate parents on this.
Vaccines protect against, HPV type 16 and 18, which cause the greatest risk of cervical cancer.
C-sections. - Answer There has been a rapid climb in the number of c sections.
We want to avoid c-sections if we can.
Women who have already had a c-section, will commonly continue to have them.
How is healthcare in Illinois regulated? - Answer It is regulated by two bodies:
1) Illinois Dept of Public Health, IDPH.
2) The Joint Commission, TJC.
Illinois Dept of Public Health, IDPH. - Answer Inspects hospitals to ensure policies are intact
and are being followed.
The Joint Commission, TJC. - Answer Private, non-profit accrediting body for healthcare
organizations.
Hospitals VOLUNTARILY participate with TJC, because accreditation is required to bill Medicare
and Medicaid.
National Quality Forum - Serious Reportable Events. - Answer 1) Maternal death or serious
injury, associated with birth or labor in a low-risk case.
2) Death or serious injury of a neonate, associated with labor or birth in a low-risk case.
3) Artificial insemination with the wrong donor sperm or wrong egg.
,What is the number one contributing factor, in root cause analysis of preventable infant death
and injury during delivery? - Answer Communication Issues.
What are the leading causes of maternal death? - Answer Hemorrhage.
Hypertensive disorder.
Pulmonary embolism.
Amniotic fluid embolism.
Infection.
Pre-existing chronic conditions.
African americans, older women, and women that don't have prenatal care, are populations at
in increased risk of maternal death.
Five Perinatal Core Measures from the Joint Commission. - Answer 1) Number of elective
deliveries.
2) Percent of C-sections.
3) Anti-natal steroids, which are medications given to pregnant women expecting preterm
delivery.
4) Healthcare associated lung infections for newborns, aka sepsis.
5) Support for breastfeeding education.
Magnesium Sulfate. - Answer Most commonly used drug for treating preterm labor.
Quite effective in slowing contractions, though effect and duration varies from woman to
woman.
Potential side effects of Magnesium Sulfate . - Answer Flushing, feeling uncomfortably warm,
headache, dry mouth, nausea, and blurred vision.
Hospital guideline for Magnesium Sulfate . - Answer One-to-one care for patient.
Why is it important to use the chain of command? - Answer If not followed, it is considered a
failure to rescue. As a nurse, you have to follow this or else you are liable; never be nervous in
these situations, you have to push yourself aside for the best outcome for your client.
What are the Standards of Care for women and newborns? - Answer Assessment: collection
of health data.
Diagnosis: analysis of data to determine diagnosis.
Outcome Identification: expected outcomes.
, Planning: develop a plan.
Implementation: performance of interventions.
Evaluation: evaluate the effectiveness.
Disparities of neonatal outcomes in African Americans. - Answer Reflected in their poor
access to health care, socioeconomic disadvantage, a higher level of stressors, etc.
Who is the family for the woman? - Answer It is whoever the patient says it is.
Everybody is different.
We want to work with our patients to identify them in ways they want to be identified.
Remember that when a woman has a baby, it affects the entire family.
Ethnocentrism. - Answer Belief in the superiority of one's nation or ethnic group.
Cultural Relativism. - Answer View that no culture is superior to any other culture when
comparing systems of morality, law, politics, etc.
What are the three levels of prevention? - Answer Primary level: education, vaccine,
exersize.
Secondary level: glucose testing.
Tertiary level: focusing on rehab.
Prenatal Timeline: 1st Trimester. - Answer Day 1 to 12 weeks.
What occurs in the first trimester? - Answer Ovum is fertilized, creating a zygote.
Pregnancy tests can detect hCG.
Estrogen & progesterone levels increase (needed for early pregnancy).
Cervix begins to soften (goodells sign) and changes from pink to lavender color (chadwicks sign).
Fetal heart is developed by week 8.
Sex can be differentiated by week 9.
Urinary frequency and urgency begin, nipples and areolas are more pigmented.
What is the size of the uterus by the end of the 1st trimester, week 12? - Answer By week 12,
the uterus is the size of a grapefruit and should be palpable above the symphysis pubis.
