Inpatient Obstetric Nursing Practice Exam All
Are Correct Answers
A pt is admitted to the labor unit with possible preterm labor. Nitra zine paper is use to detect amniotic
fluid. The result is positive with a reading of correct answers: 7.1
Clinical signs of hemorrhage such as bp 90/70; pulse 118, and tachypnea can be seen when the
blood loss reaches correct answers: 1500 ml
An appropriate action in response to a non-reactive nst is to correct answers: consider acoustic
stimulation
While the exact mechanism of action is not fully known, mag sulfate inhibits smooth muscle
contractions by direct effect on myometrial correct answers: calcium activity
Which of the following decelerations must drop at least 15 bpm from baseline (early, late, prolonged)
correct answers: prolonged
According to the nichd guidelines recurrent decelerations are defined as decelerations that occur with
correct answers: greater or equal to 50% ucs in any 20 minute window
The risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an correct
answers: isotonic solution
A fetal heart tracing shows a baseline fhr of 145, moderate variability, early decelerations and no
accelerations and no decelerations. This is a nichd category correct answers: i (110-160) moderate
variability, no variables, no late decals or prolonged decals
Pain experience in the first stage of labor results primarily from correct answers: pressure on adjacent
structures and nerves
What are characteristics of a dizygotic pregnancy? Correct answers: 2 placentas, 2 chorions and 2
amniotic sacs
Validity as applied to a research instrument demonstrates correct answers: degree to which the
instrument measures what is was intended to measure
A pregnant women developed varicella-zoster at 32 weeks gestation. She is now in active labor at 40
weeks gestation. The nurse would expect which of the following to be appropriate? Correct answers:
take no action since the mother's antibodies will be protective
Us for antepartum testing uses high frequency sound waves to produce an image that varies based
on the correct answers: density of the structure under the transducer
A pregnancy woman that has a history of herpes simplex virus (hsv). She hasn't had an outbreak for
5 years. The recommendation for this pregnancy is to correct answers: start antiviral at 36 weeks
, The goal of neuraxial analgesia is to provide pain relief correct answers: with as little motor block as
possible
The sti that is transmitted trans-placentally is correct answers: syphilis
Uti is a concern in the first couple of weeks pp bc of correct answers: dilated ureters and renal pelves
The mechanism of action of sterile water injections for labor pain is thought to be due to correct
answers: gate control theory
A normal breathing pattern for two hour old neonate may include correct answers: episodic breathing
A woman at 37 weeks gestation called and reports contractions that occur every 15-25 minutes with
cramping in the lower abdomen all afternoon. Walking helps give her some relief, but the ctxs return.
The nurse/np knows that these symptoms represent correct answers: false labor
Treating the preterm labor patient with bed rest increases correct answers: glucose intolerance
The fetal attitude in the mother's pelvis describes the relation of the correct answers: fetal parts to
each other
The american academy of pediatrics recommends 400 iu vitamin d supplement for all breastfed
infants at what age? Correct answers: first few days
In a normal pregnancy, there is usually a physiologic drop in bp to its lowest point in the correct
answers: second trimester
A clinical sign for placental abruption is correct answers: pain with ctxs not congruent with ctx
intensity
Spinal has can occur as a consequences of epidural anesthesia due to correct answers: unintended
dural puncture
A placental condition where the fetal vessels course through the amniotic membranes and are
present at the cervical os is correct answers: vasa previa
A category i tracing is a strong indication of correct answers: normal acid base balance
A fhr tracing with absent variability, no accelerations and no decelerations is a nichd category correct
answers: ii
Rh immune globulin in an unsensitized rh-negative woman who is undergoing amniocentesis for
genetic testing should be given rhogam when? Correct answers: after the procedure
The tocolytic that places a woman at risk to develop diabetic ketoacidosis is correct answers:
terbutaline
At the end of the 3rd stage of labor, the funds is located correct answers: 2cms below the level of the
umbilicus
Are Correct Answers
A pt is admitted to the labor unit with possible preterm labor. Nitra zine paper is use to detect amniotic
fluid. The result is positive with a reading of correct answers: 7.1
Clinical signs of hemorrhage such as bp 90/70; pulse 118, and tachypnea can be seen when the
blood loss reaches correct answers: 1500 ml
An appropriate action in response to a non-reactive nst is to correct answers: consider acoustic
stimulation
While the exact mechanism of action is not fully known, mag sulfate inhibits smooth muscle
contractions by direct effect on myometrial correct answers: calcium activity
Which of the following decelerations must drop at least 15 bpm from baseline (early, late, prolonged)
correct answers: prolonged
According to the nichd guidelines recurrent decelerations are defined as decelerations that occur with
correct answers: greater or equal to 50% ucs in any 20 minute window
The risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an correct
answers: isotonic solution
A fetal heart tracing shows a baseline fhr of 145, moderate variability, early decelerations and no
accelerations and no decelerations. This is a nichd category correct answers: i (110-160) moderate
variability, no variables, no late decals or prolonged decals
Pain experience in the first stage of labor results primarily from correct answers: pressure on adjacent
structures and nerves
What are characteristics of a dizygotic pregnancy? Correct answers: 2 placentas, 2 chorions and 2
amniotic sacs
Validity as applied to a research instrument demonstrates correct answers: degree to which the
instrument measures what is was intended to measure
A pregnant women developed varicella-zoster at 32 weeks gestation. She is now in active labor at 40
weeks gestation. The nurse would expect which of the following to be appropriate? Correct answers:
take no action since the mother's antibodies will be protective
Us for antepartum testing uses high frequency sound waves to produce an image that varies based
on the correct answers: density of the structure under the transducer
A pregnancy woman that has a history of herpes simplex virus (hsv). She hasn't had an outbreak for
5 years. The recommendation for this pregnancy is to correct answers: start antiviral at 36 weeks
, The goal of neuraxial analgesia is to provide pain relief correct answers: with as little motor block as
possible
The sti that is transmitted trans-placentally is correct answers: syphilis
Uti is a concern in the first couple of weeks pp bc of correct answers: dilated ureters and renal pelves
The mechanism of action of sterile water injections for labor pain is thought to be due to correct
answers: gate control theory
A normal breathing pattern for two hour old neonate may include correct answers: episodic breathing
A woman at 37 weeks gestation called and reports contractions that occur every 15-25 minutes with
cramping in the lower abdomen all afternoon. Walking helps give her some relief, but the ctxs return.
The nurse/np knows that these symptoms represent correct answers: false labor
Treating the preterm labor patient with bed rest increases correct answers: glucose intolerance
The fetal attitude in the mother's pelvis describes the relation of the correct answers: fetal parts to
each other
The american academy of pediatrics recommends 400 iu vitamin d supplement for all breastfed
infants at what age? Correct answers: first few days
In a normal pregnancy, there is usually a physiologic drop in bp to its lowest point in the correct
answers: second trimester
A clinical sign for placental abruption is correct answers: pain with ctxs not congruent with ctx
intensity
Spinal has can occur as a consequences of epidural anesthesia due to correct answers: unintended
dural puncture
A placental condition where the fetal vessels course through the amniotic membranes and are
present at the cervical os is correct answers: vasa previa
A category i tracing is a strong indication of correct answers: normal acid base balance
A fhr tracing with absent variability, no accelerations and no decelerations is a nichd category correct
answers: ii
Rh immune globulin in an unsensitized rh-negative woman who is undergoing amniocentesis for
genetic testing should be given rhogam when? Correct answers: after the procedure
The tocolytic that places a woman at risk to develop diabetic ketoacidosis is correct answers:
terbutaline
At the end of the 3rd stage of labor, the funds is located correct answers: 2cms below the level of the
umbilicus
