Inpatient Obstetric Nursing Exam Quiz
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Do you know the special precautions being taken during pregnancy? If you are preparing for an inpatient obstetric nursing exam, take this quiz and see how well you know. This quiz will help you understand various situations and cases that you may encounter during your professional career. If you know all the answers, it will be the best practice test for you. But, if you miss out on something, just check the answer, and update your knowledge. All the best!
- 1.The patient in triage is diagnosed with PTL. The nurse should expect that the physician will order.
- A.
Betamethasone 12 mg IM
- B.
Discharge with orders to be off from work
- C.
Magnesium Sulfate IV and Procardia po
- D.
All of the above
- 2.The new patient in triage is a 32-week 18yo G3P01110 African American woman. She presents with a complaint of intermittent lower back pain. You are awaiting the fetal Fibronectin results. What may other historical factors be contributing?
- A.
Further obstetrical history details
- B.
Non-gynecological surgical history
- C.
6-week ultrasound result from the ER
- D.
None of the above
- 3.The tocolytic that is contraindicated in the diabetic woman is
- A.
Magnesium Sulfate
- B.
Nifedipine (Procardia)
- C.
Terbutaline (Beta-mimetics)
- D.
None of the above
- 4.A woman receives magnesium sulfate during labor for gestational hypertension. What effect can this have on the newborn?
- A.
Elevated cortisol levels
- B.
Hyperglycemia
- C.
Muscle weakness
- D.
None of the above
- 5.In comparing early and late decelerations, a distinguishing factor between the two is:
- A.
Onset time to the nadir of the deceleration
- B.
The number of decelerations that occur
- C.
Timing in relation to the contractions
- D.
None of the above
- 6.A postpartum woman's prenatal history shows a quad screen with a maternal serum alpha-fetoprotein (MSAFP) lower than normal and a higher than normal HCG and Inhibin A. The nurse can expect the diagnosis of the newborn.
- A.
Neurotube defect
- B.
Trisomy 21
- C.
Underestimates gestational age
- D.
None of the above
- 7.A postpartum patient on her 2nd day is concerned she has been voiding too much. Her output is 3000cc. The appropriate response of the nurse is to:
- A.
Contact her care provider for an antibiotic order
- B.
Explain that this is a normal physiologic response to delivery
- C.
Obtain a clean catch urine
- D.
None of the above
- 8.Subsequent to a massive hemorrhage after delivery of a macerated fetus, a woman appears to stabilize. Suddenly, at one hour postpartum, her respirations become rapid and shallow. She states she feels cold and begins to lose consciousness. Some laboratory tests are available and reveal: Hematocrit- 34% Fibrinogen- 350mg/dl Platelet count- 125,000/ mm3. The most appropriate management includes the administration of
- A.
Blood products
- B.
Epinephrine
- C.
Heparin
- D.
All of the above
- 9.A patient diagnosed with a postpartum infection states she does not have any pain but seems confused and agitated. Her vital signs are as follows: BP 98/50; Pulse 125; and output is decreased. The most likely diagnosis is
- A.
A pulmonary embolism
- B.
Septic shock
- C.
Thromboembolism
- D.
None of the above
- 10.A postpartum patient is diagnosed with Sheehan's Syndrome, which is caused by
- A.
Gestational hypertension
- B.
Hyperglycemia following delivery
- C.
Postpartum necrosis
- D.
None of the above
- 11.A woman 4 hours postpartum reports sudden, excruciating vulvar pain and severe rectal pressure. This patient is likely exhibiting symptoms of
- A.
Bartholin gland cyst
- B.
Vulvar edema
- C.
Vulvar hematoma
- D.
None of the above
- 12.Functional closure of the ductus arteriosus occurs as a result of:
- A.
Fibrosis of the ductal muscle
- B.
Increased arterial oxygen tension
- C.
Increased left atrial pressure
- D.
None of the above
- 13.A woman with hydramnios is experiencing abdominal pain and dyspnea. The treatment with indomethacin will:
- A.
Decrease fetal lung liquid absorption
- B.
Decrease fetal urine productions
- C.
Promote diuresis
- D.
None of the above
- 14.A pregnant woman on a continuous infusion of Magnesium Sulfate for preeclampsia exhibits the following: respiratory rate: 14 per minute and deep tendon reflexes are decreased with clonus absent.
- A.
Decrease the infusion rate
- B.
Discontinue the infusion
- C.
Maintain the infusion rate
- D.
None of the above
- 15.A woman with a BMI of 18 gains 25 pounds during her pregnancy. This pregnancy is at increased risk for:
- A.
Cesarean delivery
- B.
Delivery of a low birthweight infant
- C.
Preeclampsia
- D.
None of the above
- 16.A pregnant woman was diagnosed with varicella-zoster at 32 weeks gestation. She is now in labor and delivery in active labor at 40 weeks gestation. The nurse would expect which of the following would be appropriate in order to ensure the health of the newborn.
- A.
Administer zoster immunoglobulin to the newborn at delivery
- B.
Administer zoster immunoglobulin to the patient prior to delivery
- C.
The mother's antibodies will be protective, so no action is needed
- D.
None of the above
- 17.Within the first 2 days after birth, progesterone levels fall, causing what acid-base change?
- A.
Increased PaCO2
- B.
Decreased PaCO2
- C.
Decreased PaO2
- D.
Increased PaO2
- 18.Compared to the value in the third trimester, an increase in which of the following values happens postpartum.
- A.
BUN
- B.
Creatinine clearance
- C.
Proteinuria
- D.
All of the above
- 19.A woman who is 4 hours postpartum asks the nurse how much weight she might have lost with delivery. The nurse would know to tell her that the average weight loss at birth is:
- A.
10 lbs
- B.
12 lbs
- C.
14 lbs
- D.
20 lbs
- 20.A patient in preterm labor at 30 weeks received indomethacin (Indocin). The newborn should be observed for:
- A.
Duodenal Atresia
- B.
Hirschsprung Disease
- C.
Necrotizing Enterocolitis (NEC)
- D.
None of the above
- 21.The most important nursing action following the administration of epidural anesthesia is to:
- A.
Administer oxytocin to counteract the effect of the epidural
- B.
Maintain the patient in a flat position to avoid post-anesthesia headache
- C.
Monitor the blood pressure for possible hypotension
- D.
None of the above
- 22.The cause of the sudden late onset of postpartum hemorrhage secondary to retained placental fragments is due to:
- A.
Increased uterine contraction activity
- B.
Necrotic tissue separation from the uterus
- C.
Weakness in the uterine musculature
- D.
All of the above
- 23.The insulin requirements for most diabetic breastfeeding women is:
- A.
Decreased
- B.
Increased
- C.
The same as for bottle feeding diabetics
- D.
None of the above
- 24.A patient reports painful nipples. The nurse knows that:
- A.
A lack of nipple preparation can result in pain
- B.
Nursing too long can cause pain
- C.
Specific areas of pain can have a specific cause
- D.
None of the above
- 25.You are caring for a new mother in the recovery room who was delivered by cesarean at 35 weeks gestation. She has a personal history of tetralogy of Fallot. Your nursing care must include:
- A.
Vital signs including ling sounds and assessment of pedal edema
- B.
Knowledge of her cardiac status prior to and during her pregnancy
- C.
Counseling regarding the significant increased risk of heart defects in her newborn
- D.
None of the above
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