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