Inpatient OB certification study points
What is autotransfusion? Correct Answer: Increased cardiac output due to 300-500 ml blood back into
... [Show More] circulation with each contraction
What causes heartburn during pregnancy? Correct Answer: Relaxation of the lower esophageal sphincter
What is a normal wbc after labor? Correct Answer: 20-22
When is the glucose screen done? Correct Answer: 26-28 weeks
Onset of GHTN is most commonly seen in which trimester? Correct Answer: 3rd
On admission to L& D a pt inquires if her history of Herpes Simplex Virus will prevent a vaginal delivery. The nurse knows that even without any apparent lesions, the recommendation is to? Correct Answer: Take oral acyclovir for weeks prior to delivery
Most rapid peak affects parenteral analgesic? Correct Answer: fentanyl
Guidance for ethical nursing care is provided by the Correct Answer: ANA code of ethics for nurses
Disruptive clinician behavior is often linked to Correct Answer: clinical practice issues
professional nursing liability is most commonly increased by the absence of Correct Answer: adequate record documentation
Culturally American Indians are at high risk for Correct Answer: increased alcoholism, heart disease, cirrhosis of the liver, DM
Korean culture Correct Answer: Mother in law cares for the mother and newborn post-partum
What are some strategies to increase cultural competence? Correct Answer: -enhance communication skills
-determine the family decision makers
-non-verbal communication
-culturally appropriate teaching
The areas of clinical practice that are most commonly involved in perinatal pt harm are Correct Answer: -fetal assessment
-labor induction
-Second stage labor management
Essential criteria for safe care include: Correct Answer: effective leadership, shared philosophy, professional behavior, excellence in key clinical practices
An African American/black woman who believes she should not swallow her saliva and carries a spit cup with her during pregnancy is most likely from Correct Answer: Haiti
During labor maternal cardiac output Correct Answer: increases progressively
During labor/delivery when is cardiac output greatest Correct Answer: immediately after birth
By term, blood flow to the uterus is approximately Correct Answer: 500 ml/min
The hormone released from the anterior pituitary that is responsible for initiating lactation is Correct Answer: prolactin
The hormones responsible for maintaining progesterone and estrogen production by the ovaries until the placenta is established is Correct Answer: HCG
What hormone produces relaxation of smooth muscle and vasodilation? Correct Answer: progesterone
The pregnant woman is at increased risk for venous thrombosis formation due to Correct Answer: coagulation changes and venous stasis
Potent vasodilators that affect smooth muscle contractility and play an important role in labor onset Correct Answer: prostaglandins
After the initial screening for gc/chlamydia when should this test be repeated Correct Answer: at 36 weeks
5 parts of a BPP Correct Answer:
-AFI
-NST
-fetal tone
-fetal breathing
-fetal reflex movement
Maternal morbidity from hypertension in pregnancy results from Correct Answer:
-abruption placentae
-DIC
-hepatic failure
-acute renal failure
The risk of uterine inversion is increased with Correct Answer: traction applied to the cord
vesa previa is a result of the Correct Answer: velamentous insertion of the cord
-active management of the third stage of labor includes Correct Answer: -administering pit with delivery of the anterior shoulder
-clamping/cutting the umbilical cord by 2-3 minutes of birth
-controlling traction of the umblical cord with the provider's hand supporting the uterus
-performing vigorous fundal massage for at least 15 seconds
5 diabetogeic hormones of pregnancy Correct Answer:
-prolactin
-estrogen
-progesterone
-human placental lactogen
-cortisol
Maternal outcomes in pregnancies of women with Marfan syndrome are related to Correct Answer: degree of aortic root dilation
symptoms indicative of heart disease in pregnancy are Correct Answer:
-severe dyspnea
-disatolic murmurms
-sycope with exertion
-chest pain with exertion
Mitral and aortic stenosis is examples of cardiac diseases caused by Correct Answer: rheumatic fever
The most common bacterial pathogen in pneumonia during pregnancy is Correct Answer: streptococcus pneumonia
Maternal complications of pneumonia during pregnancy are Correct Answer: preterm labor, pericardial tamponade, bacteremia, pneumothorax, atrial fib, respiratory failure
The lambdia sign, a triangle-shaped ultrasound marker seen at the junction of the chorions and amnions indicates Correct Answer: trizygotic gestation
The term for similarity in FHR accels, basline oscilations, and periodic changes with contractions in healthy twins is Correct Answer: fetal synchrony
Fetal programming refers to Correct Answer: the process in which an in utero stimulus establishes a permanent fetal response that can lead to increased susceptibility to disease throughout life.
Women who are overweight or obese are how many times more likely to develop gestational diabetes than a normal weight woman? Correct Answer: six [Show Less]