After delivery, progesterone levels fall causing what acid/base change? - ANSWER
Increase pco2
With what disorder would AFP be elevated? - ANSWER Esophageal atresia, neural tube
defects
Women with a history of GDM have increased risk of diabetes at what rate? - ANSWER
Onset within 20 years in 35-60%
Glucose screen is done when? - ANSWER 24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is
the neonate at risk for? - ANSWER Magnesium deficiency
In which trimester is new onset of GHTN most common? - ANSWER 3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? -
ANSWER Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? - ANSWER
Manual are 5-7 mm HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs are absent. What is your
immediate nursing intervention? - ANSWER Stop mag and notify provider
1
,With no apparent HSV lesions what is the recommendation? - ANSWER Oral acyclovir 4
weeks prior to delivery
+IgG antibodies in PP period? - ANSWER The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? - ANSWER Mitral stenosis
Cardiac defect with most complications in labor? - ANSWER Mitral stenosis
Methamphetamines are expected to last? - ANSWER 7-24 hrs
What is recommended L/S ratio? - ANSWER 2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? - ANSWER Fetal anemia
What is the parenteral analgesic with most rapid peak effect? - ANSWER Fentanyl
What neonatal complication is increased with cesarean delivery? - ANSWER Respiratory
morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? -
ANSWER Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol, growth
hormone and insulinase result in? - ANSWER Lower glucose levels
2
,Due to the catabolic process of involution postpartum, which lab value is expected to be
elevated postpartum? - ANSWER BUN
Avg weight loss with delivery? - ANSWER 12 lbs
Where would you expect to palpate fundus 24h pp? - ANSWER 1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora -
ANSWER Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring is? -
ANSWER Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery -
ANSWER True
If pp woman's fundus is deviated from midline first RN intervention is? - ANSWER Empty
bladder
Why is UTI common in 1st few weeks pp? - ANSWER Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis, returning to
prepregnancy volume? - ANSWER Day 5
What intervention can increase physiological jaundice? - ANSWER Delayed cord clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? - ANSWER Expected range
What is the antidote for Coumadin? - ANSWER Vitamin k
3
, What is antidote to MAg? - ANSWER Calcium glucinate
What med for malignant hyperthermia? - ANSWER Dantrolene sodium
Uterotonic med contraindicated for elevated BP? - ANSWER Methergine
Following delivery, insulin requirements I'd diabetic woman.... - ANSWER Decrease
rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? - ANSWER Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during labor
is at risk for what potential drug interaction? - ANSWER Hyperglycemia
Antidote for heparin? - ANSWER Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? -
ANSWER Hydralazine, labatelol
Severe BP values - ANSWER Over 160 sbp or over 110 dbp
Another name for hydralazine? - ANSWER Apresoline
Another name for labatelol? - ANSWER Trandate, normodyne
At 12 hrs pp a breastfeeding mom is 180/114, what does the RN anticipate the provider will
order? - ANSWER Labatelol
4
Increase pco2
With what disorder would AFP be elevated? - ANSWER Esophageal atresia, neural tube
defects
Women with a history of GDM have increased risk of diabetes at what rate? - ANSWER
Onset within 20 years in 35-60%
Glucose screen is done when? - ANSWER 24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is
the neonate at risk for? - ANSWER Magnesium deficiency
In which trimester is new onset of GHTN most common? - ANSWER 3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? -
ANSWER Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? - ANSWER
Manual are 5-7 mm HG higher
On admission to L&D , a woman has 2+ reflexes. After IV mag, DTRs are absent. What is your
immediate nursing intervention? - ANSWER Stop mag and notify provider
1
,With no apparent HSV lesions what is the recommendation? - ANSWER Oral acyclovir 4
weeks prior to delivery
+IgG antibodies in PP period? - ANSWER The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? - ANSWER Mitral stenosis
Cardiac defect with most complications in labor? - ANSWER Mitral stenosis
Methamphetamines are expected to last? - ANSWER 7-24 hrs
What is recommended L/S ratio? - ANSWER 2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? - ANSWER Fetal anemia
What is the parenteral analgesic with most rapid peak effect? - ANSWER Fentanyl
What neonatal complication is increased with cesarean delivery? - ANSWER Respiratory
morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? -
ANSWER Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol, growth
hormone and insulinase result in? - ANSWER Lower glucose levels
2
,Due to the catabolic process of involution postpartum, which lab value is expected to be
elevated postpartum? - ANSWER BUN
Avg weight loss with delivery? - ANSWER 12 lbs
Where would you expect to palpate fundus 24h pp? - ANSWER 1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora -
ANSWER Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring is? -
ANSWER Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery -
ANSWER True
If pp woman's fundus is deviated from midline first RN intervention is? - ANSWER Empty
bladder
Why is UTI common in 1st few weeks pp? - ANSWER Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis, returning to
prepregnancy volume? - ANSWER Day 5
What intervention can increase physiological jaundice? - ANSWER Delayed cord clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? - ANSWER Expected range
What is the antidote for Coumadin? - ANSWER Vitamin k
3
, What is antidote to MAg? - ANSWER Calcium glucinate
What med for malignant hyperthermia? - ANSWER Dantrolene sodium
Uterotonic med contraindicated for elevated BP? - ANSWER Methergine
Following delivery, insulin requirements I'd diabetic woman.... - ANSWER Decrease
rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? - ANSWER Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during labor
is at risk for what potential drug interaction? - ANSWER Hyperglycemia
Antidote for heparin? - ANSWER Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? -
ANSWER Hydralazine, labatelol
Severe BP values - ANSWER Over 160 sbp or over 110 dbp
Another name for hydralazine? - ANSWER Apresoline
Another name for labatelol? - ANSWER Trandate, normodyne
At 12 hrs pp a breastfeeding mom is 180/114, what does the RN anticipate the provider will
order? - ANSWER Labatelol
4
