Inpatient OB certification study points

Inpatient OB certification study points What is autotransfusion? Correct Answer: Increased cardiac output due to 300-500 ml blood back into circulation with each contraction What causes heartburn during pregnancy ...

Inpatient OB certification study points What is autotransfusion? Correct Answer: Increased cardiac output due to 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 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