Inpatient Ob exam 44 Questions with Verified Answers
Compared to non-pregnant values the maternal arterial carbon dioxide Pco2during pregnancy is -
... [Show More] CORRECT ANSWER Decreased
A postpartum patient has a spinal headache. The nurse knows that this can occur as a consequence of epidural anesthesia due to - CORRECT ANSWER Leakage of Fluid at the puncture site
PH 7.0 PC02 80 Mmhg po2 21 hco3. 21.3mm/l Umbilical cord blood values above reflect - CORRECT ANSWER Respiratory acidemia
Quad screening compared to alpha fetal protein testing can be better to detect - CORRECT ANSWER Trisomies
Oligo hydramnios is diagnosed wanna biophysical profile shows an amniotic fluid index or an AFI of - CORRECT ANSWER Less than 4 cm
The current recommendation regarding timing of prophylactic anabiotic's for a Cesarian section is - CORRECT ANSWER Within 60 minutes prior to the start of the Cesarian section
According to the gate control theory relieving pain with massage, heat and cold ask by - CORRECT ANSWER Blocking the capacity of nerve pathways to transmit pain
The Ferguson reflex is the result of - CORRECT ANSWER Stretching of the pelvic floor muscles
The cardinal symptoms of cholestasis of pregnancy is - CORRECT ANSWER Pruritus
The maternal anemia that can result in painful vaso-occlusive episodes is - CORRECT ANSWER Sickle cell anemia
A maternal contraindication to breast-feeding is - CORRECT ANSWER HTLV- 1 (humans T cell leukemia virus type 1
When using Electronic fetal monitoring in the second stage of labor, the high-risk patient who is actively pushing should be assessed every - CORRECT ANSWER 5 mins
Guidelines from the centers for disease control CDC regarding tetanus toxoid reduced diptheria toxoid , and a cellular pertussis TDap for a postpartum patient who had a tetanus booster two years ago would be to - CORRECT ANSWER Administer before discharge
A sign of deteriorating status in a pregnancy complicated by hypertension is increased - CORRECT ANSWER Serum creatinine
The pushing technique that a woman in second stage should be encouraged to use is - CORRECT ANSWER Open glottis pushing for 6-8 seconds with 3 to 4 pushes per contraction
A woman is admitted to labor and delivery with a diagnosis of placenta abruption. The test that determines the presence of fetal maternal hemorrhage is - CORRECT ANSWER Kleihauer- betke
When is systemic analgesic is adminstered to the mother during labor compared to the brain of a non-hypoxic fetus the brain of a hypoxic fetus will receive a - CORRECT ANSWER Larger amount of the drug
The NICHD definition of uterine tachysystole is a contraction frequency average over 30 minutes of greater than - CORRECT ANSWER 5 contractions in 10 mins
They half-life of Pitocin is how many minutes - CORRECT ANSWER 10-12
A contraindication to the use of Cervidil would be - CORRECT ANSWER A patient with six or more previous term pregnancies
The phase of labor where woman is most likely to begin to fear loss of control is - CORRECT ANSWER Latent
The transition phase of labor is characterized by maternal - CORRECT ANSWER Panic and fear
What maternal disease results and damage to the fetal heart conduction system - CORRECT ANSWER Systemic lupus Erythematosus
Immediately following an emergency cesarean delivery for placenta abruption, a woman begins to exhibit at epitaxis and bleeding from her intravenous site the clinical presentation is suggestive of - CORRECT ANSWER Disseminated intravascular dissemination
At birth the newborn is noted to have absent breath sounds on the left with heart sounds shifted to the right. The abdomen is noted to be scaphoid and ventilation is difficult. The most likely diagnosis is - CORRECT ANSWER Diaphragmatic hernia
In twin to twin transfusion, the recipient twin is - CORRECT ANSWER Plethoric
A pregnant woman at 24 weeks gestation is an elementary school teacher. She states there is an episode of fifth disease in the school. The patient is at risk for acquiring - CORRECT ANSWER Parvovirus B19
The fetus of a woman with hypothyroidism is at increased risk for - CORRECT ANSWER Neurologic abnormalities
Which statement describes normal uterine activity - CORRECT ANSWER Resting tone less than 20 to 25 mmHg
A patient at 37 weeks just station arrives to labor and delivery from the emergency room after admission for severe gastric discomfort with nausea and vomiting. Her blood pressure is 156/100 mmhg . She complains of blurred vision. These findings are consistent with a diagnosis of - CORRECT ANSWER Preeclampsia with severe features
A patient's record states her pregnancy history is one term pregnancy, one miscarriage at 10 weeks, twins at 35 weeks with one who died soon after birth. Which of the following accurately portrays her pregnancy history - CORRECT ANSWER G3 Para 1212
The type of forceps used during a vaginal breech birth is - CORRECT ANSWER Piper
The most common fetal malposition is - CORRECT ANSWER Occiput posterior OP
Fluid balance should be monitored and in the preeclamptic woman on magnesium sulfate therapy because there is an increased risk for - CORRECT ANSWER Pulmonary Edema
Use of stirrups during delivery can cause straining of pelvic ligaments due to - CORRECT ANSWER Poor positioning
The uterine incision which has the highest risk of heavy blood loss and repair difficulty is - CORRECT ANSWER Upper uterine segment vertical (classic)
In the low risk patient who is being monitored in the active stage of labor using auscultation,
The fetal heart rate should be assessed every - CORRECT ANSWER 15 mins
Which one of the following women fits the definition of preterm labor - CORRECT ANSWER A36 week gestation multigravida who is admitted with regular contractions and who is 3 cm dilated
A newly pregnant woman who is Morbidly obese has a strong family history of type two diabetes. The recommended time for this woman's initial glucose screen is - CORRECT ANSWER As soon as possible
A woman a term is in labor and exhibits were current variable decelerations with moderate variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal of - CORRECT ANSWER Relieving umbilical cord compression
Which one of the following infections does not cross the placenta - CORRECT ANSWER Neisseria gonorrhea
48 hours after woman C-section the nurse notes that the woman's left calf and foot are cool and pale. The left pedal pulse is diminished and there is decreased capillary refill. The Homans sign is negative bilaterally. She reports some tenderness in the left calf. The most appropriate initial response of these findings would be to - CORRECT ANSWER Place on bed rest with elevation of left leg
The type of neonatal Jandice caused by in adequate breastmilk intake is - CORRECT ANSWER Breastfeeding jaundice
Beta Sympathomimetic drugs decrease the frequency and intensity of contractions by - CORRECT ANSWER Stimulatiing beta 2 receptor action [Show Less]