Ob Inpatient Certification
Study questions for certification exam.
- 1.
By 32 weeks of gestation in a noraml pregnancy, blood volume increases by approximately
- A.
1000 mL
- B.
1300 mL
- C.
1600 mL
Correct Answer
C. 1600 mL -
- 2.
During pregnancy, the position for optimum maternal cardiac output is
- A.
Lateral
- B.
Semi-Fowlers
- C.
Supine
Correct Answer
A. Lateral -
- 3.
During labor, maternal cardiac output
- A.
Decreases slightly
- B.
Increases progressively
- C.
Remains the same
Correct Answer
B. Increases progressively -
- 4.
An intravenous fluid bolus is given before epidural anethesia to prevent
- A.
Hypotension
- B.
Renal hypoperfusion
- C.
Sympathetic blockade
Correct Answer
A. Hypotension -
- 5.
Normally during pregnancy, maternal sitting and standing systolic blood pressure readings
- A.
Decrease, then increase
- B.
Increase progressively
- C.
Remain unchanged
Correct Answer
C. Remain unchanged -
- 6.
The volume of the maternal autotransfusion immediately after birth is
- A.
600 mL
- B.
800 mL
- C.
1000 mL
Correct Answer
C. 1000 mL -
- 7.
The normal range for maternal PaO2 levels in late pregnancy is
- A.
94-98 mm Hg
- B.
99-103 mm Hg
- C.
104-108 mmHg
Correct Answer
C. 104-108 mmHg -
- 8.
The slight increase in pH that occurs during pregnancy is due to
- A.
Decrease in hemoglobin and hematocrit
- B.
Increase in renal excretion of bicarbonate
- C.
Increase in ventilatory rate
Correct Answer
C. Increase in ventilatory rate -
- 9.
During pregnancy, serum urea and creatine levels
- A.
Decrease
- B.
Increase
- C.
Remain constant
Correct Answer
A. Decrease -
- 10.
Heartburn is common during pregnancy due to
- A.
Heartburn is common during pregnancy due to
- B.
Heartburn is common during pregnancy due to
- C.
Relaxation of the esophageal sphincter
Correct Answer
C. Relaxation of the esophageal sphincter -
- 11.
A physical finding that may occur during pregnancy in response to normal cardiovascular changes is
- A.
Decreased heart rate
- B.
Dependent edema
- C.
Elevated blood pressure
Correct Answer
B. Dependent edema -
- 12.
The average blood loss during vaginal birth is
- A.
300-400 mL
- B.
500-600 mL
- C.
700-800 mL
Correct Answer
B. 500-600 mL -
- 13.
The average blood loss during cesarean birth is
- A.
600 mL
- B.
800 mL
- C.
1000 mL
Correct Answer
C. 1000 mL -
- 14.
During pregnancy, cardiac output increases approximately
- A.
10%-25%
- B.
30%-50%
- C.
60%-75%
Correct Answer
B. 30%-50% -
- 15.
Cardiac output is greatest during which period of the birth process?
- A.
First stage, active phase
- B.
Immediately after birth
- C.
Second stage
Correct Answer
B. Immediately after birth -
- 16.
A cardiovascular parameter which normally decreases during pregnancy is
- A.
Heart rate
- B.
Stroke volume
- C.
Systemic vascular resistance
Correct Answer
C. Systemic vascular resistance -
- 17.
An expected white cell count during early postpartum is
- A.
8,000-10,000 mm3
- B.
13,000-15,000 mm3
- C.
20,000-22,000 mm3
Correct Answer
C. 20,000-22,000 mm3 -
- 18.
Which of the following coagulation factors does not increase during pregnancy?
- A.
Fibrin
- B.
Platelets
- C.
Fibrinogen
Correct Answer
B. Platelets -
- 19.
Which of the following increases during pregnancy?
- A.
Colloid oncotic pressure
- B.
Glomerular filtration rate
- C.
Serum creatinine levels
Correct Answer
B. Glomerular filtration rate -
- 20.
By term, blood flow to the uterus is approximately
- A.
200 mL/min
- B.
500 mL/min
- C.
800 mL/min
Correct Answer
B. 500 mL/min -
- 21.
During pregnancy, the pigmented line in the skin that traverses the abdomen longitudinally from the sterum to the symphysis is called the
- A.
Linea nigra
- B.
Spider nevus
- C.
Striae gravidarum
Correct Answer
A. Linea nigra -
- 22.
Which of the following is a change occurring in the respiratory system during pregnancy?
- A.
Oxygen consumption increases 15%-20%
- B.
Respiratory rate decreases 5%
- C.
Tidal volume decreases 30%-40%
Correct Answer
A. Oxygen consumption increases 15%-20% -
- 23.
A finding that can be considered a normal finding during pregnancy is
- A.
Glycosuria
- B.
Hematuria
- C.
Proteinuria
Correct Answer
A. Glycosuria -
- 24.
The respiratory system parameter that decreases during pregnancy is the
- A.
Functional residual capacity
- B.
Minute ventilation
- C.
Tidal volume
Correct Answer
A. Functional residual capacity -
- 25.
A clotting factor that decreases during pregnancy is/are
- A.
Coagulation factors XI, XIII
- B.
Fibrin
- C.
Plasma fibrinogen
Correct Answer
A. Coagulation factors XI, XIII -
- 26.
The developmental task of the first trimester is
- A.
Identification of the maternal role
- B.
Movement from conflict and ambivalence to acceptance
- C.
Resolution of the approach-avoidance conflict related to childbirth and loss of control
Correct Answer
B. Movement from conflict and ambivalence to acceptance -
- 27.
A necessary element for the development of a therapeutic relationship with a perinatal client is
- A.
Establishment of healthy, clear boundaries between the woman and the nurse
- B.
Kind and sympathetic judgements to guide the woman toward an appropriate matenal role
- C.
Sharing of relevant personal information that demonstrates the empathy of the perinatal nurse
Correct Answer
A. Establishment of healthy, clear boundaries between the woman and the nurse -
- 28.
The changes and transitions affecting the mind, body, and soul during pregnancy are best defined using a
- A.
Holistic model
- B.
Physiologic model
- C.
Psychosocial model
Correct Answer
A. Holistic model -
- 29.
A major issue during the third trimester is
- A.
The physical changes of pregnancy
- B.
Fetal well-being
- C.
Ambivalence about the maternal role
Correct Answer
B. Fetal well-being -
- 30.
Symptoms of postpartum depression include
- A.
Agitation and anger
- B.
Anxiety and irritability
- C.
Hallucinations and delusions
Correct Answer
B. Anxiety and irritability -
- 31.
When the length of postpartum hospitalization is short, discharge planning should include
- A.
A brief psychiatric assessment to rule out potential for postpartum psychosis
- B.
Directing the new mother to look up the telephone numbers of postpartum resources
- C.
Identitying with the new mother and her partner/key support person
Correct Answer
C. Identitying with the new mother and her partner/key support person -
- 32.
During the postpartum period it is helpful for the new mother to
- A.
Accept constructive criticism from the nurse so that she can learn to correctly care for her infant
- B.
Be encouraged to focus on the infant's needs exclusively so that she can provide care following discharge
- C.
Put meaning into the childbirth experience by verbalizing her reality
Correct Answer
C. Put meaning into the childbirth experience by verbalizing her reality -
- 33.
The estimated percentage of new mothers who experience "baby blues" is
- A.
30%-40%
- B.
50%-60%
- C.
70%-80%
Correct Answer
C. 70%-80% -
- 34.
Discharge teaching for the new mother and family includes information that labile moods should stabilize and organization and confidence should increase by
- A.
4 weeks
- B.
8 weeks
- C.
12 weeks
Correct Answer
A. 4 weeks -
- 35.
Over the past 40 years, the incidence of preterm birth in the United States has
- A.
Declined
- B.
Increased
- C.
Remained the same
Correct Answer
B. Increased -
- 36.
An appropriate recommendation for weight gain for an underweight pregnant woman would be
- A.
20 lbs
- B.
25 lbs
- C.
30 lbs
Correct Answer
C. 30 lbs -
- 37.
Delayed entry into prenatal care is associated with physical violence in
- A.
Older women of higher socioeconomic status
- B.
Older women of lower socioeconomic status
- C.
Younger women of higher socioeconomic status
Correct Answer
A. Older women of higher socioeconomic status -
- 38.
The time during pregnancy when blood pressure is lowest in the normotensive woman is the
- A.
First trimester
- B.
Second trimester
- C.
Third trimester
Correct Answer
B. Second trimester -
- 39.
The time when measurement of fundal height in centimeters should correlate with gestational age is
- A.
After 20 weeks' gestation
- B.
Near term
- C.
Before 20 weeks' gestation
Correct Answer
A. After 20 weeks' gestation -
- 40.
Planning culturally specific care includes
- A.
Making sure that a translator is available when requested
- B.
Noting patterns of decision making in the family
- C.
Using a translator at each visit
Correct Answer
B. Noting patterns of decision making in the family -
- 41.
A nonreactive nonstress test at 39 weeks' gestation is an indication for
- A.
Expedited delivery
- B.
Further testing
- C.
Reassurance about fetal status
Correct Answer
B. Further testing -
- 42.
Health promotion and education to improve pregnancy outcome in the next generation should begin when
- A.
Children are in elementary school
- B.
Pregnancy occurs in the peer group
- C.
Teens are sexually active
Correct Answer
A. Children are in elementary school -
- 43.
An appropriate gestational age for a glucose screening test is at
- A.
23 weeks' gestation
- B.
26 weeks' gestation
- C.
29 weeks' gestation
Correct Answer
B. 26 weeks' gestation -
- 44.
Risk assessment for all women during the initial prenatal visit should include
- A.
Complete health history
- B.
Triple screen
- C.
Ultrasound for fetal anomalies
Correct Answer
A. Complete health history -
- 45.
Which of the following women would be at risk for nutritional problems during pregnancy?
- A.
Advanced maternal age
- B.
Cigarette smoker
- C.
Gravida 3, Term 1, Preterm 0, Abortion 1, Living Child 1
Correct Answer
B. Cigarette smoker -
- 46.
An effect of cigarette smoking during pregnancy is increased incidence of
- A.
Low-birth weight and prematurity
- B.
Neonatal TTNB (transient tachypnea)
- C.
Pregnancy-induced hypertension
Correct Answer
A. Low-birth weight and prematurity -
- 47.
Maternal serum alpha-fetoprotein specifically screens for
- A.
Heart defects
- B.
Neural tube defects
- C.
Placental defects
Correct Answer
B. Neural tube defects -
- 48.
If both parents are affected by sickle cell disease, the risk of their children being affected by sickle cell disease is
- A.
25%
- B.
50%
- C.
100%
Correct Answer
C. 100% -
- 49.
A primary method of fetal surveillance during pregnancy is
- A.
Fetal kick counts
- B.
Nonstress testing
- C.
Ultrasonography
Correct Answer
A. Fetal kick counts -
- 50.
The most significant food shortages for low-income women occur
- A.
At the end of the month when federal/local resources diminish
- B.
Before Women, Infants, and Children (WIC) eligibility is determined
- C.
Postpartum, when fatigue prevents appointments with WIC
Correct Answer
A. At the end of the month when federal/local resources diminish -
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Current Version
-
Mar 17, 2022Quiz Edited by
ProProfs Editorial Team -
Aug 17, 2012Quiz Created by
Hemlinger
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