OB Inpatient Certification Test Exam With
Questions And Answers
The [_____] is considered the pathogenic focus for all manifestations of pre-e Correct Answers:
Placenta
(Regarding Pre-e): Increased sensitivity to Angiotensin II leads to [-------] and [------] Correct Answers:
Vascular damage & arteriolar vasoconstriction and systemic vasospasm
A [---------] measurement is recommended for all pregnant women with HTN Correct Answers: 24-hr
urinary protein measurement
Thrombocytopenia is present when platelets are low: [-------], and severe: [------] Correct Answers:
Low platelets: less than 100,000/mm3, severe platelets: less than 50,000/mm3
In severe pre-e, urine output decreases to less than [---]ml in 24hrs Correct Answers: 400ml
(Regarding pre-e): Arteriolar vasospasms damage the [-----] layer of small blood vessels, causing
lesions --> [-----] accumulate at lesions sites and fibrin network forms--> RBCs are forced through the
network under high pressure, resulting in [------] Correct Answers: Arteriolar vasospasms damage the
endothelial layer..... platelets accumulate at lesions..... resulting in hemolysis
With regards to HELLP, Hemolysis can be identified by looking for (4): Correct Answers: 1) falling
hematocrit
2) hyperbilirubinemia (>1.2mg/dl)
3) Increased LDH
4) Jaundice including sclerae
With regards to HELLP, Elevated Liver Enzymes can be identified by looking for (5): Correct
Answers: 1) Increased LDH
2) Increased AST/ALT
3) Feeling Malaise
4) Viral-like symptoms
5) RUQ pain
With regards to HELLP, Low Platelets can be identified by looking for (2): Correct Answers: 1) falling
platelet count (low: <100,000, severe: <50,000)
2) Abnormal coagulation and fibrinolytic values
You do not need to diagnose [-------] in order to diagnose HELLP Correct Answers: Preeclampsia
The definitive treatment of for preeclampsia is .... Correct Answers: delivery
The primary goals of management of pre-e are: (4) Correct Answers: 1) Prevent convulsions through
use of Mag Sulfate
2) Ensure adequate kidney functions
3) Monitor fetal status continuously for signs of uteroplacental insufficiency
4) To stabilize the women so vaginal/cesarean birth can be accomplished
, A women with preeclampsia might experience a reduced plasma volume, and a [--------] diet can
worsen the situation Correct Answers: a salt-restricted diet
In nursing management of a women with preeclampsia, BPs should be ..... Correct Answers: taken in
the same position on the left arm, horizontal with the heart
In nursing management of a women with preeclampsia, oliguria is [-------] and is an [-----] sign Correct
Answers: oliguria is output less than 30ml/hr for 2hrs.... and is an ominous sign
In nursing management of a women with preeclampsia, limit fluid administration to no more than [-----
] or [--]ml/kr/hr Correct Answers: no more than 150ml/hr, or 1ml/kg/hr
Magnesium sulfate is given for [-------] therapy, it is note given to treat [------] Correct Answers:
Magnesium sulfate is given for anticonvulsant therapy, not to treat hypertension
The therapeutic range of magnesium sulfate is between [-------] Correct Answers: between 4 to 7
mEq/L
The antidote to Magnesium toxicity is [-----] Correct Answers: Calcium gluconate
Current recommendations for antihypertensive therapy include these 3 medications: Correct
Answers: 1) Hydralazine (Apresoline- arteriolar dilator)
2) Labetalol (Adrenergic blocker)
3) Nifedipine (Calcium entry blocker)
The preeclamptic women maintained on therapeutic levels of Mag Sulfate is at risk for [-------] after
delivery, this is of great concern because she is already experiencing reduced [----] and [-----] Correct
Answers: At risk for postpartum hemorrhage after delivery... she is already experiencing reduced
blood volume and hemoconcentration
HTN during the last 20weeks of pregnancy or in the first 24hrs postpartum without other signs of
preeclampsia Correct Answers: Transient Hypertension
A term sometimes used to designate expectant women who have elevated BP after 20 weeks but
without accompanying proteinuria Correct Answers: Gestational Hypertension
A subset of preeclampsia Correct Answers: HELLP syndrome
Sometimes seen in normotensive women within the first hours after delivery but with a subsequent
return to baseline BP levels within 24 hrs. Correct Answers: Transient Hypertension
The development of a BP higher than 140/90 mmHG or higher after the 20th week of pregnancy and
accompanied by proteunuria Correct Answers: Preeclampsia
Occurs before the 20th week of gestation in the presence of pathologic changes in the placenta
Correct Answers: Preeclampsia
A disorder that can begin with implantation, but has no overt signs or symptoms for weeks or even
months Correct Answers: Preeclampsia
Questions And Answers
The [_____] is considered the pathogenic focus for all manifestations of pre-e Correct Answers:
Placenta
(Regarding Pre-e): Increased sensitivity to Angiotensin II leads to [-------] and [------] Correct Answers:
Vascular damage & arteriolar vasoconstriction and systemic vasospasm
A [---------] measurement is recommended for all pregnant women with HTN Correct Answers: 24-hr
urinary protein measurement
Thrombocytopenia is present when platelets are low: [-------], and severe: [------] Correct Answers:
Low platelets: less than 100,000/mm3, severe platelets: less than 50,000/mm3
In severe pre-e, urine output decreases to less than [---]ml in 24hrs Correct Answers: 400ml
(Regarding pre-e): Arteriolar vasospasms damage the [-----] layer of small blood vessels, causing
lesions --> [-----] accumulate at lesions sites and fibrin network forms--> RBCs are forced through the
network under high pressure, resulting in [------] Correct Answers: Arteriolar vasospasms damage the
endothelial layer..... platelets accumulate at lesions..... resulting in hemolysis
With regards to HELLP, Hemolysis can be identified by looking for (4): Correct Answers: 1) falling
hematocrit
2) hyperbilirubinemia (>1.2mg/dl)
3) Increased LDH
4) Jaundice including sclerae
With regards to HELLP, Elevated Liver Enzymes can be identified by looking for (5): Correct
Answers: 1) Increased LDH
2) Increased AST/ALT
3) Feeling Malaise
4) Viral-like symptoms
5) RUQ pain
With regards to HELLP, Low Platelets can be identified by looking for (2): Correct Answers: 1) falling
platelet count (low: <100,000, severe: <50,000)
2) Abnormal coagulation and fibrinolytic values
You do not need to diagnose [-------] in order to diagnose HELLP Correct Answers: Preeclampsia
The definitive treatment of for preeclampsia is .... Correct Answers: delivery
The primary goals of management of pre-e are: (4) Correct Answers: 1) Prevent convulsions through
use of Mag Sulfate
2) Ensure adequate kidney functions
3) Monitor fetal status continuously for signs of uteroplacental insufficiency
4) To stabilize the women so vaginal/cesarean birth can be accomplished
, A women with preeclampsia might experience a reduced plasma volume, and a [--------] diet can
worsen the situation Correct Answers: a salt-restricted diet
In nursing management of a women with preeclampsia, BPs should be ..... Correct Answers: taken in
the same position on the left arm, horizontal with the heart
In nursing management of a women with preeclampsia, oliguria is [-------] and is an [-----] sign Correct
Answers: oliguria is output less than 30ml/hr for 2hrs.... and is an ominous sign
In nursing management of a women with preeclampsia, limit fluid administration to no more than [-----
] or [--]ml/kr/hr Correct Answers: no more than 150ml/hr, or 1ml/kg/hr
Magnesium sulfate is given for [-------] therapy, it is note given to treat [------] Correct Answers:
Magnesium sulfate is given for anticonvulsant therapy, not to treat hypertension
The therapeutic range of magnesium sulfate is between [-------] Correct Answers: between 4 to 7
mEq/L
The antidote to Magnesium toxicity is [-----] Correct Answers: Calcium gluconate
Current recommendations for antihypertensive therapy include these 3 medications: Correct
Answers: 1) Hydralazine (Apresoline- arteriolar dilator)
2) Labetalol (Adrenergic blocker)
3) Nifedipine (Calcium entry blocker)
The preeclamptic women maintained on therapeutic levels of Mag Sulfate is at risk for [-------] after
delivery, this is of great concern because she is already experiencing reduced [----] and [-----] Correct
Answers: At risk for postpartum hemorrhage after delivery... she is already experiencing reduced
blood volume and hemoconcentration
HTN during the last 20weeks of pregnancy or in the first 24hrs postpartum without other signs of
preeclampsia Correct Answers: Transient Hypertension
A term sometimes used to designate expectant women who have elevated BP after 20 weeks but
without accompanying proteinuria Correct Answers: Gestational Hypertension
A subset of preeclampsia Correct Answers: HELLP syndrome
Sometimes seen in normotensive women within the first hours after delivery but with a subsequent
return to baseline BP levels within 24 hrs. Correct Answers: Transient Hypertension
The development of a BP higher than 140/90 mmHG or higher after the 20th week of pregnancy and
accompanied by proteunuria Correct Answers: Preeclampsia
Occurs before the 20th week of gestation in the presence of pathologic changes in the placenta
Correct Answers: Preeclampsia
A disorder that can begin with implantation, but has no overt signs or symptoms for weeks or even
months Correct Answers: Preeclampsia
