Inpatient OB certification study points 42 Questions with Verified Answers
What is autotransfusion? - CORRECT ANSWER Increased cardiac output due to
... [Show More] 300-500 ml blood back into 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 effect 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 commuication
-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 vasodilaton? - 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 pregancy results from - CORRECT ANSWER -abruptio 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 are examples of cardiac diseases caused by - CORRECT ANSWER rhuematic fever
the most common bacterial pathogen in pneumonia during pregnancy is - CORRECT ANSWER streptococcus pneumoniae
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 ultraound 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
the epidural catheter for labor pain management is generally placed between the: - CORRECT ANSWER 4th and 5th lumbar vertebrae
One of the contraindications to neuraxial anasthesia is that the woman received her last dose of low-molecular-weight heparin within - CORRECT ANSWER 12 hours [Show Less]