Inpatient OB certification study points Answers 100% correct

Inpatient OB certification study points What is autotransfusion? Correct Answer: Increased cardiac output due to 300-500 ml blood back into circulation with each contraction What causes heartburn during pregnancy? Correct Answer: Relaxation of the lower esophageal sphincter What is a normal wbc after labor? Correct Answer: 20-22 When is the glucose screen done? Correct Answer: 26-28 weeks Onset of GHTN is most commonly seen in which trimester? Correct Answer: 3rd On admission to L& D a pt inquires if her history of Herpes Simplex Virus will prevent a vaginal delivery. The nurse knows that even without any apparent lesions, the recommendation is to? Correct Answer: Take oral acyclovir for weeks prior to delivery Most rapid peak affects parenteral analgesic? Correct Answer: fentanyl Guidance for ethical nursing care is provided by the Correct Answer: ANA code of ethics for nurses Disruptive clinician behavior is often linked to Correct Answer: clinical practice issues professional nursing liability is most commonly increased by the absence of Correct Answer: adequate record documentation Culturally American Indians are at high risk for Correct Answer: increased alcoholism, heart disease, cirrhosis of the liver, DM Korean culture Correct Answer: Mother in law cares for the mother and newborn post-partum What are some strategies to increase cultural competence? Correct Answer: -enhance communication skills -determine the family decision makers -non-verbal communication -culturally appropriate teaching The areas of clinical practice that are most commonly involved in perinatal pt harm are Correct Answer: -fetal assessment -labor induction -Second stage labor management Essential criteria for safe care include: Correct Answer: effective leadership, shared philosophy, professional behavior, excellence in key clinical practices An African American/black woman who believes she should not swallow her saliva and carries a spit cup with her during pregnancy is most likely from Correct Answer: Haiti During labor maternal cardiac output Correct Answer: increases progressively During labor/delivery when is cardiac output greatest Correct Answer: immediately after birth By term, blood flow to the uterus is approximately Correct Answer: 500 ml/min The hormone released from the anterior pituitary that is responsible for initiating lactation is Correct Answer: prolactin