Inpatient certification practice Exam
INPATIENT CERTIFICATION PRACTICE EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
The most common rheumatic valvular lesion in pregnancy is?
Mitral stenosis
Cardiac defect with most complications in labor?
Mitral stenosis
Methamphetamines are expected to last?
7-24 hrs
What is recommended L/S ratio?
2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing?
Fetal anemia
What is the parenteral analgesic with most rapid peak effect?
Fentanyl
What neonatal complication is increased with cesarean delivery?
Respiratory morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp
complication?
Wound infection
1|Page
, Inpatient certification practice Exam
During the postpartum period, low levels of placental lactogen, estrogen, cortisol,
growth hormone and insulinase result in?
Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected
to be elevated postpartum?
BUN
Avg weight loss with delivery?
12 lbs
Where would you expect to palpate fundus 24h pp?
1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora
Lochia serosa
The process of involution that allows for healing of the placental site preventing
scarring is?
Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery
True
If pp woman's fundus is deviated from midline first RN intervention is?
Empty bladder
Why is UTI common in 1st few weeks pp?
Dilated ureters and renal pelvis
2|Page
, Inpatient certification practice Exam
By which pp day has circulating blood volume diminished secondary to diuresis,
returning to prepregnancy volume?
Day 5
What intervention can increase physiological jaundice?
Delayed cord clamping
After delivery, progesterone levels fall causing what acid/base change?
Increase pco2
With what disorder would AFP be elevated?
Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at what rate?
Onset within 20 years in 35-60%
Glucose screen is done when?
24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte
imbalance is the neonate at risk for?
Magnesium deficiency
In which trimester is new onset of GHTN most common?
3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating
status?
Increased serum creatinine
3|Page
, Inpatient certification practice Exam
What difference can be expected between manual and electronic diastolic BP?
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?
Stop mag and notify provider
With no apparent HSV lesions what is the recommendation?
Oral acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period?
The recurrence is unlikely, no further action is required. (IgG chronic, IgM is active)
A woman is 12 days pp and has WBC of 25,000. This indicates?
Expected range
What is the antidote for Coumadin?
Vitamin k
What is antidote to MAg?
Calcium glucinate
What med for malignant hyperthermia?
Dantrolene sodium
Uterotonic med contraindicated for elevated BP?
Methergine
Following delivery, insulin requirements I'd diabetic woman....
Decrease rapidly
4|Page
INPATIENT CERTIFICATION PRACTICE EXAM NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
The most common rheumatic valvular lesion in pregnancy is?
Mitral stenosis
Cardiac defect with most complications in labor?
Mitral stenosis
Methamphetamines are expected to last?
7-24 hrs
What is recommended L/S ratio?
2:1 - lungs are probably mature
3:1 - indicative of maturity
What causes a sinusoidal FHR tracing?
Fetal anemia
What is the parenteral analgesic with most rapid peak effect?
Fentanyl
What neonatal complication is increased with cesarean delivery?
Respiratory morbidity
A woman who has a c/s is more likely to be re-hospitalized with what pp
complication?
Wound infection
1|Page
, Inpatient certification practice Exam
During the postpartum period, low levels of placental lactogen, estrogen, cortisol,
growth hormone and insulinase result in?
Lower glucose levels
Due to the catabolic process of involution postpartum, which lab value is expected
to be elevated postpartum?
BUN
Avg weight loss with delivery?
12 lbs
Where would you expect to palpate fundus 24h pp?
1cm below umbilicus
What is the term for lochia appearing 3-10 days pp and pink or brown in colora
Lochia serosa
The process of involution that allows for healing of the placental site preventing
scarring is?
Exfoliation
True or false 2500cc urine 2 days pp is a normal physiologic response to delivery
True
If pp woman's fundus is deviated from midline first RN intervention is?
Empty bladder
Why is UTI common in 1st few weeks pp?
Dilated ureters and renal pelvis
2|Page
, Inpatient certification practice Exam
By which pp day has circulating blood volume diminished secondary to diuresis,
returning to prepregnancy volume?
Day 5
What intervention can increase physiological jaundice?
Delayed cord clamping
After delivery, progesterone levels fall causing what acid/base change?
Increase pco2
With what disorder would AFP be elevated?
Esophageal atresia, neural tube defects
Women with a history of GDM have increased risk of diabetes at what rate?
Onset within 20 years in 35-60%
Glucose screen is done when?
24-28 weeks
If a mother has Insulin dependent diabetes during pregnancy, what electrolyte
imbalance is the neonate at risk for?
Magnesium deficiency
In which trimester is new onset of GHTN most common?
3rd trimester
In a pregnancy complicated by hypertension, what is a sign of deteriorating
status?
Increased serum creatinine
3|Page
, Inpatient certification practice Exam
What difference can be expected between manual and electronic diastolic BP?
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?
Stop mag and notify provider
With no apparent HSV lesions what is the recommendation?
Oral acyclovir 4 weeks prior to delivery
+IgG antibodies in PP period?
The recurrence is unlikely, no further action is required. (IgG chronic, IgM is active)
A woman is 12 days pp and has WBC of 25,000. This indicates?
Expected range
What is the antidote for Coumadin?
Vitamin k
What is antidote to MAg?
Calcium glucinate
What med for malignant hyperthermia?
Dantrolene sodium
Uterotonic med contraindicated for elevated BP?
Methergine
Following delivery, insulin requirements I'd diabetic woman....
Decrease rapidly
4|Page
