OB Inpatient Certification Practice Questions
After delivery, progesterone levels fall causing what acid/base change? Correct Answer:
Increase pco2
With what disorder would AFP be elevated? Correct Answer: Esophageal atresia, neural tube
defects
Women with a history of GDM have increased risk of diabetes at what rate? Correct Answer:
Onset within 20 years in 35-60%
Glucose screen is done when? Correct Answer: 24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is the
neonate at risk for? Correct Answer: Magnesium deficiency
In which trimester is new onset of GHTN most common? Correct Answer: 3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? Correct
Answer: Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? Correct 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? Correct Answer: Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? Correct Answer: Oral acyclovir 4
weeks prior to delivery
+IgG antibodies in PP period? Correct Answer: The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? Correct Answer: Mitral stenosis
Cardiac defect with most complications in labor? Correct Answer: Mitral stenosis
Methamphetamines are expected to last? Correct Answer: 7-24 hrs
What is recommended L/S ratio? Correct Answer: 2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? Correct Answer: Fetal anemia
,What is the parenteral analgesic with most rapid peak effect? Correct Answer: Fentanyl
What neonatal complication is increased with cesarean delivery? Correct Answer: Respiratory
morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? Correct
Answer: Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol, growth
hormone and insulinase result in? Correct Answer: Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected to be elevated
postpartum? Correct Answer: BUN
Avg weight loss with delivery? Correct Answer: 12 lbs
Where would you expect to palpate fundus 24h pp? Correct Answer: 1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora Correct Answer:
Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring is?
Correct Answer: Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery Correct
Answer: True
If pp woman's fundus is deviated from midline first RN intervention is? Correct Answer: Empty
bladder
Why is UTI common in 1st few weeks pp? Correct Answer: Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis, returning to
prepregnancy volume? Correct Answer: Day 5
What intervention can increase physiological jaundice? Correct Answer: Delayed cord
clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? Correct Answer: Expected
range
What is the antidote for Coumadin? Correct Answer: Vitamin k
What is antidote to MAg? Correct Answer: Calcium glucinate
What med for malignant hyperthermia? Correct Answer: Dantrolene sodium
, Uterotonic med contraindicated for elevated BP? Correct Answer: Methergine
Following delivery, insulin requirements I'd diabetic woman.... Correct Answer: Decrease
rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? Correct Answer: Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during labor is at
risk for what potential drug interaction? Correct Answer: Hyperglycemia
Antidote for heparin? Correct Answer: Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? Correct
Answer: Hydralazine, labatelol
Severe BP values Correct Answer: Over 160 sbp or over 110 dbp
Another name for hydralazine? Correct Answer: Apresoline
Another name for labatelol? Correct Answer: Trandate, normodyne
At 12 hrs pp a breastfeeding mom is 180/114, what does the RN anticipate the provider will
order? Correct Answer: Labatelol
A common side effect of pitocin is? Correct Answer: Anti diuretic effect/water intoxication
CDC requirement for a TDAP for a pt who had tetanus shot two years ago? Correct Answer:
Administer prior to d/c. All pts should have booster in pregnancy
Pp woman has order for rubella vaccine and Rh immune globulin. The nurse knows they should
be given? Correct Answer: At the same time
Unsensitized Rh- mom whose baby is Rh+ should? Correct Answer: Receive 300 mcg of
rhogham within 72hrs of delivery
A pp woman has large hemorrhoid. She may be instructed to? Correct Answer: Gently attempt
to push back into rectum
After birth pains usually last? Correct Answer: 2-3 days
A woman readmitted for wound infection shows signs of sleep disturbance, irritability, agitation
and confusion. The nurse suspects? Correct Answer: Post partum psychosis
What is the chance of pregnancy when using the lactational amenorrhea method (LAM) at 12
months? Correct Answer: Can approach 7%
After delivery, progesterone levels fall causing what acid/base change? Correct Answer:
Increase pco2
With what disorder would AFP be elevated? Correct Answer: Esophageal atresia, neural tube
defects
Women with a history of GDM have increased risk of diabetes at what rate? Correct Answer:
Onset within 20 years in 35-60%
Glucose screen is done when? Correct Answer: 24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte imbalance is the
neonate at risk for? Correct Answer: Magnesium deficiency
In which trimester is new onset of GHTN most common? Correct Answer: 3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating status? Correct
Answer: Increased serum creatinine
What difference can be expected between manual and electronic diastolic BP? Correct 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? Correct Answer: Stop mag and notify provider
With no apparent HSV lesions what is the recommendation? Correct Answer: Oral acyclovir 4
weeks prior to delivery
+IgG antibodies in PP period? Correct Answer: The recurrence is unlikely, no further action is
required. (IgG chronic, IgM is active)
The most common rheumatic valvular lesion in pregnancy is? Correct Answer: Mitral stenosis
Cardiac defect with most complications in labor? Correct Answer: Mitral stenosis
Methamphetamines are expected to last? Correct Answer: 7-24 hrs
What is recommended L/S ratio? Correct Answer: 2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing? Correct Answer: Fetal anemia
,What is the parenteral analgesic with most rapid peak effect? Correct Answer: Fentanyl
What neonatal complication is increased with cesarean delivery? Correct Answer: Respiratory
morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp complication? Correct
Answer: Wound infection
During the postpartum period, low levels of placental lactogen, estrogen, cortisol, growth
hormone and insulinase result in? Correct Answer: Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected to be elevated
postpartum? Correct Answer: BUN
Avg weight loss with delivery? Correct Answer: 12 lbs
Where would you expect to palpate fundus 24h pp? Correct Answer: 1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora Correct Answer:
Lochia serosa
The process of involution that allows for healing of the placental site preventing scarring is?
Correct Answer: Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery Correct
Answer: True
If pp woman's fundus is deviated from midline first RN intervention is? Correct Answer: Empty
bladder
Why is UTI common in 1st few weeks pp? Correct Answer: Dilated ureters and renal pelvis
By which pp day has circulating blood volume diminished secondary to diuresis, returning to
prepregnancy volume? Correct Answer: Day 5
What intervention can increase physiological jaundice? Correct Answer: Delayed cord
clamping
A woman is 12 days pp and has WBC of 25,000. This indicates? Correct Answer: Expected
range
What is the antidote for Coumadin? Correct Answer: Vitamin k
What is antidote to MAg? Correct Answer: Calcium glucinate
What med for malignant hyperthermia? Correct Answer: Dantrolene sodium
, Uterotonic med contraindicated for elevated BP? Correct Answer: Methergine
Following delivery, insulin requirements I'd diabetic woman.... Correct Answer: Decrease
rapidly
Rhinitis and nasal stuffiness increase in pregnancy are due to? Correct Answer: Estrogen
A newly delivered postpartum woman received terbutaline and corticosteroids during labor is at
risk for what potential drug interaction? Correct Answer: Hyperglycemia
Antidote for heparin? Correct Answer: Protamine sulfate
Two IV anti hypertensives that may be used to treat severe maternal hypertension? Correct
Answer: Hydralazine, labatelol
Severe BP values Correct Answer: Over 160 sbp or over 110 dbp
Another name for hydralazine? Correct Answer: Apresoline
Another name for labatelol? Correct Answer: Trandate, normodyne
At 12 hrs pp a breastfeeding mom is 180/114, what does the RN anticipate the provider will
order? Correct Answer: Labatelol
A common side effect of pitocin is? Correct Answer: Anti diuretic effect/water intoxication
CDC requirement for a TDAP for a pt who had tetanus shot two years ago? Correct Answer:
Administer prior to d/c. All pts should have booster in pregnancy
Pp woman has order for rubella vaccine and Rh immune globulin. The nurse knows they should
be given? Correct Answer: At the same time
Unsensitized Rh- mom whose baby is Rh+ should? Correct Answer: Receive 300 mcg of
rhogham within 72hrs of delivery
A pp woman has large hemorrhoid. She may be instructed to? Correct Answer: Gently attempt
to push back into rectum
After birth pains usually last? Correct Answer: 2-3 days
A woman readmitted for wound infection shows signs of sleep disturbance, irritability, agitation
and confusion. The nurse suspects? Correct Answer: Post partum psychosis
What is the chance of pregnancy when using the lactational amenorrhea method (LAM) at 12
months? Correct Answer: Can approach 7%
