OB EXAM GALEN COLLEGE OF NURSING 270
QUESTIONS & CORRECT ANSWERS LATEST 2025
What is the most common medical complication of pregnancy? - ANSWER-
Hypertension
What is PIH? - ANSWER-Pregnancy induced hypertension
How is PIH diagnosed? - ANSWER-140/90 two times 6 hours apart
What is gestational hypertension? - ANSWER-Onset after 20 weeks of gestation
without proteinuria, return of normal B/P in postpartum
What is Pre-eclampsia? - ANSWER-onset after 20 weeks of gestation with
proteinuria, multisystem vasopastic, reduced organ profusion, classified as mile or
severe
Risk factors for PIH - ANSWER-women younger than 20 or older than 40, african
and native americans, primigravidas, obesity, multiple fetus', family history,
comorbitities (diabetes), chronic hypertension, chronic renal disease
A concentration of _________ mg/dl or greater in at least ___ random urine
specimens is proteinuria. - ANSWER-30;2
,Edema is not used as a marker of what? - ANSWER-preeclampsia
What is pathologic edema? - ANSWER-generalized accumulation of fluid in the
face, hands or abdomen that is not responsive to 12 hours of bed rest, rapid
weight gain of more than 2 kg in 1 week
If a womens last menstrual period is 5/21 when is her estimated due date? -
ANSWER-February 28th
What is Leopolds maneuver? - ANSWER-It is used to determine the baby's
position and know where to place the stethescope.
Left occiput anterior = - ANSWER-Easy labor
Left occiput posterior= - ANSWER-Difficult/painful labor
What is considered tachycardia for a fetus? Indicative of what? - ANSWER->160
bpm, indicative of maternal or fetal infection or fetal hypoxia (an ominous sign).
What is considered fetal bradycardia? Indicative of? Intervention? - ANSWER-
<120 bpm, indicative of fetal hypoxia or stress and maternal hypotension after
epidural initiation (place client on left side, increase fluids, and stop pitocin).
WHAT IS AN EARLY DECELERATION? - ANSWER-HR SLOWS BEFORE PEAK OF
CONTRACTION AND RECOVERS BY END OF CONTRACTION. (BEING EARLY IS
GOOD)
,WHAT ARE EARLY DECELERATIONS INDICATIVE OF? - ANSWER-HEAD
COMPRESSION (NOT OMINOUS=NO INTERVENTION REQUIRED).
WHAT ARE LATE DECELERATIONS? - ANSWER-HR DECREASES AFTER PEAK OF
CONTRACTION AND RECOVERS AFTER CONTRACTION ENDS. (BEING LATE IS BAD).
WHAT ARE LATE DECELERATIONS INDICATIVE OF? INTERVENTIONS? - ANSWER-
FETAL STRESS AND HYPOXIA OR DEFICIENT PLACENTAL PERFUSION (CHANGE
MATERNAL POSITION AND DISCONTINUE OXYTOCIN (PITOCIN)).
WHAT ARE VARIABLE DECELERATIONS? - ANSWER-TRANSIENT DECREASE IN HR
ANY TIME DURING CONTRACTION.
WHAT ARE VARIABLE DECELERATIONS INDICATIVE OF? INTERVENTIONS? -
ANSWER-CORD COMPRESSION (CHANGE MATERNAL POSITION-KNEE CHEST/ASS
IN AIR). IF CORD IS PROTRUDING NEVER TOUCH.
What is decreased variability? - ANSWER-A smooth baseline. The baseline should
vary by 10 to 15 beats every minute. The loss of short term variability can be
ominous where as long term loss (20 to 40 mins) is probably not significant and
can indicate a sleep cycle.
What is decreased variability indicative of? - ANSWER-Fetal sleep cycle,
depressant drugs, hypoxia, or CNS anomalies.
What is an acme? - ANSWER-A peak of something
, What are the three different ratings for APGAR CRITERIA? - ANSWER-0 (POOR), 1,
and 2 (BETTER). LOWEST SCORE IS A 0 AND HIGHEST IS 10.
What are the different criteria for APGAR SCORING? - ANSWER-COLOR, HR,
REFLEX IRRITABILITY, MUSCLE TONE, RESPIRATORY EFFORT.
What pregnancy complications are of concern in the 1st trimester? - ANSWER-
Ectopic pregnancy, abortion, incompetent cervix, and hyperemesis gravidarum)
What pregnancy complications are of concern in the 3rd trimester? - ANSWER-
Placenta previa, abruptio placenta, and hypertensive disorders.
What treatment should be done for ectopic pregnancy? - ANSWER-Surgical
treatment and IV FLUID
What is a characteristic sign of placenta previa? - ANSWER-painless bleeding
around the 7th month
What is characteristic of abruptio placentae? - ANSWER-Tender abdomen c
pain/bleeding
What classifies as eclampsia? - ANSWER-Pregnancy induced hypertension after a
seizure.
What preventative measures are taken for hypertensive disorders during
pregnancy? - ANSWER-No sodium intake, I&O, and elevate extremities.
QUESTIONS & CORRECT ANSWERS LATEST 2025
What is the most common medical complication of pregnancy? - ANSWER-
Hypertension
What is PIH? - ANSWER-Pregnancy induced hypertension
How is PIH diagnosed? - ANSWER-140/90 two times 6 hours apart
What is gestational hypertension? - ANSWER-Onset after 20 weeks of gestation
without proteinuria, return of normal B/P in postpartum
What is Pre-eclampsia? - ANSWER-onset after 20 weeks of gestation with
proteinuria, multisystem vasopastic, reduced organ profusion, classified as mile or
severe
Risk factors for PIH - ANSWER-women younger than 20 or older than 40, african
and native americans, primigravidas, obesity, multiple fetus', family history,
comorbitities (diabetes), chronic hypertension, chronic renal disease
A concentration of _________ mg/dl or greater in at least ___ random urine
specimens is proteinuria. - ANSWER-30;2
,Edema is not used as a marker of what? - ANSWER-preeclampsia
What is pathologic edema? - ANSWER-generalized accumulation of fluid in the
face, hands or abdomen that is not responsive to 12 hours of bed rest, rapid
weight gain of more than 2 kg in 1 week
If a womens last menstrual period is 5/21 when is her estimated due date? -
ANSWER-February 28th
What is Leopolds maneuver? - ANSWER-It is used to determine the baby's
position and know where to place the stethescope.
Left occiput anterior = - ANSWER-Easy labor
Left occiput posterior= - ANSWER-Difficult/painful labor
What is considered tachycardia for a fetus? Indicative of what? - ANSWER->160
bpm, indicative of maternal or fetal infection or fetal hypoxia (an ominous sign).
What is considered fetal bradycardia? Indicative of? Intervention? - ANSWER-
<120 bpm, indicative of fetal hypoxia or stress and maternal hypotension after
epidural initiation (place client on left side, increase fluids, and stop pitocin).
WHAT IS AN EARLY DECELERATION? - ANSWER-HR SLOWS BEFORE PEAK OF
CONTRACTION AND RECOVERS BY END OF CONTRACTION. (BEING EARLY IS
GOOD)
,WHAT ARE EARLY DECELERATIONS INDICATIVE OF? - ANSWER-HEAD
COMPRESSION (NOT OMINOUS=NO INTERVENTION REQUIRED).
WHAT ARE LATE DECELERATIONS? - ANSWER-HR DECREASES AFTER PEAK OF
CONTRACTION AND RECOVERS AFTER CONTRACTION ENDS. (BEING LATE IS BAD).
WHAT ARE LATE DECELERATIONS INDICATIVE OF? INTERVENTIONS? - ANSWER-
FETAL STRESS AND HYPOXIA OR DEFICIENT PLACENTAL PERFUSION (CHANGE
MATERNAL POSITION AND DISCONTINUE OXYTOCIN (PITOCIN)).
WHAT ARE VARIABLE DECELERATIONS? - ANSWER-TRANSIENT DECREASE IN HR
ANY TIME DURING CONTRACTION.
WHAT ARE VARIABLE DECELERATIONS INDICATIVE OF? INTERVENTIONS? -
ANSWER-CORD COMPRESSION (CHANGE MATERNAL POSITION-KNEE CHEST/ASS
IN AIR). IF CORD IS PROTRUDING NEVER TOUCH.
What is decreased variability? - ANSWER-A smooth baseline. The baseline should
vary by 10 to 15 beats every minute. The loss of short term variability can be
ominous where as long term loss (20 to 40 mins) is probably not significant and
can indicate a sleep cycle.
What is decreased variability indicative of? - ANSWER-Fetal sleep cycle,
depressant drugs, hypoxia, or CNS anomalies.
What is an acme? - ANSWER-A peak of something
, What are the three different ratings for APGAR CRITERIA? - ANSWER-0 (POOR), 1,
and 2 (BETTER). LOWEST SCORE IS A 0 AND HIGHEST IS 10.
What are the different criteria for APGAR SCORING? - ANSWER-COLOR, HR,
REFLEX IRRITABILITY, MUSCLE TONE, RESPIRATORY EFFORT.
What pregnancy complications are of concern in the 1st trimester? - ANSWER-
Ectopic pregnancy, abortion, incompetent cervix, and hyperemesis gravidarum)
What pregnancy complications are of concern in the 3rd trimester? - ANSWER-
Placenta previa, abruptio placenta, and hypertensive disorders.
What treatment should be done for ectopic pregnancy? - ANSWER-Surgical
treatment and IV FLUID
What is a characteristic sign of placenta previa? - ANSWER-painless bleeding
around the 7th month
What is characteristic of abruptio placentae? - ANSWER-Tender abdomen c
pain/bleeding
What classifies as eclampsia? - ANSWER-Pregnancy induced hypertension after a
seizure.
What preventative measures are taken for hypertensive disorders during
pregnancy? - ANSWER-No sodium intake, I&O, and elevate extremities.
