WHNP BOARD STUDY GUIDE
QUESTIONS COMPLETE WITH CORRECT
ANSWERS
\.GBS culture good for _____ weeks - ANSWERS-5
\.T/F If admitted for PTL and no recent GBS culture, treat with abx - ANSWERS-
True: Swab and then treat prophylactically during labor unless pt is discharged
\.GBS treated with - ANSWERS-Pcn or ampicillin. C&S if allergic.
\.Lochia Day 1-3 PP - ANSWERS-Rubra: bright red. If present after 3 days, may be
indicative of retained placenta or subinvolution
\.Lochia Day 3-10 pp - ANSWERS-Serosa: Pink/brown (tinged, healing, dried blood)
\.Lochia Day 10-28 pp - ANSWERS-Alba: Yellow-white. Going back to normal.
\.Immediately postpartum, the uterine fundus is palpable at or near - ANSWERS-
the level of the maternal umbilicus
\.In the postpartum period, the uterus returns to the pelvis within _______ -
ANSWERS-2 weeks
,\.In the postpartum period, the fundus decreases ________ per 24 hrs -
ANSWERS-1/2 inch
\.Often, women experience an increase in the amount of bleeding at 7-14 days pp
due to ________ - ANSWERS-the sloughing of the eschar on the placental site
\.Delayed postpartum hemorrhages often occur when? - ANSWERS-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 - ANSWERS-27
\.Average blood loss vaginal delivery - ANSWERS-500mL
\.Average blood loss C-Section - ANSWERS-1000mL
\.1st degree perineal laceration - ANSWERS-superficial injury to the skin and
subcutaneous perineal tissue or vaginal epithelium only
\.2nd degree perineal laceration - ANSWERS-extend into the musculature of the
perineal body, including the deep and superficial transverse perineal muscles
\.3rd degree perineal laceration - ANSWERS-extend beyond the muscles and
involve the anal sphincter
, \.4th degree perineal laceration - ANSWERS-an injury involving the entire anal
sphincter complex as well as the anal epithelium
\.Mastitis usually due to milk ________ and _________ nipples - ANSWERS-milk
stasis and cracked nipples
\.Most common organism causing mastitis - ANSWERS-staph aureus
\.1st line mastitis tx - ANSWERS-Dicloxacillin 500mg BID x10 days
\.In pregnancy, blood volume increases by - ANSWERS-1.5 L (30-50%)
\.____________ murmur considered normal in pregnancy - ANSWERS-SYSTOLIC
\.Pre-eclampsia diagnostic criteria (mild) - ANSWERS-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 - ANSWERS-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 - ANSWERS-170/110
QUESTIONS COMPLETE WITH CORRECT
ANSWERS
\.GBS culture good for _____ weeks - ANSWERS-5
\.T/F If admitted for PTL and no recent GBS culture, treat with abx - ANSWERS-
True: Swab and then treat prophylactically during labor unless pt is discharged
\.GBS treated with - ANSWERS-Pcn or ampicillin. C&S if allergic.
\.Lochia Day 1-3 PP - ANSWERS-Rubra: bright red. If present after 3 days, may be
indicative of retained placenta or subinvolution
\.Lochia Day 3-10 pp - ANSWERS-Serosa: Pink/brown (tinged, healing, dried blood)
\.Lochia Day 10-28 pp - ANSWERS-Alba: Yellow-white. Going back to normal.
\.Immediately postpartum, the uterine fundus is palpable at or near - ANSWERS-
the level of the maternal umbilicus
\.In the postpartum period, the uterus returns to the pelvis within _______ -
ANSWERS-2 weeks
,\.In the postpartum period, the fundus decreases ________ per 24 hrs -
ANSWERS-1/2 inch
\.Often, women experience an increase in the amount of bleeding at 7-14 days pp
due to ________ - ANSWERS-the sloughing of the eschar on the placental site
\.Delayed postpartum hemorrhages often occur when? - ANSWERS-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 - ANSWERS-27
\.Average blood loss vaginal delivery - ANSWERS-500mL
\.Average blood loss C-Section - ANSWERS-1000mL
\.1st degree perineal laceration - ANSWERS-superficial injury to the skin and
subcutaneous perineal tissue or vaginal epithelium only
\.2nd degree perineal laceration - ANSWERS-extend into the musculature of the
perineal body, including the deep and superficial transverse perineal muscles
\.3rd degree perineal laceration - ANSWERS-extend beyond the muscles and
involve the anal sphincter
, \.4th degree perineal laceration - ANSWERS-an injury involving the entire anal
sphincter complex as well as the anal epithelium
\.Mastitis usually due to milk ________ and _________ nipples - ANSWERS-milk
stasis and cracked nipples
\.Most common organism causing mastitis - ANSWERS-staph aureus
\.1st line mastitis tx - ANSWERS-Dicloxacillin 500mg BID x10 days
\.In pregnancy, blood volume increases by - ANSWERS-1.5 L (30-50%)
\.____________ murmur considered normal in pregnancy - ANSWERS-SYSTOLIC
\.Pre-eclampsia diagnostic criteria (mild) - ANSWERS-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 - ANSWERS-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 - ANSWERS-170/110
