Inpatient Obstetric Nursing Test Breakdown

Inpatient Obstetric Nursing Certification Exam Outline [Infographic]

The Inpatient Obstetric Nursing exam covers a wide variety of topics.  Use the quick reference exam outline below to get a better understanding of the test.  In addition, we offer free Inpatient Obstetric Nursing exam practice questions.

Inpatient Obstetric Exam

Inpatient Obstetric Nursing

Inpatient Obstetric Nursing Certification Exam Outline

Exam Administration
Inpatient Obstetric Nursing Exam Length
• 3 hours to complete
• 175 questions long (multiple-choice)
• 25 pre-test questions that do not count towards or against the final score

Inpatient Obstetric Nursing Study Guide
Inpatient Obstetric Nursing Study Guide

Distribution of Content for the Inpatient Obstetric Nursing Exam
• 14% – Maternal Factors
• 20% – Fetal Assessment
• 29% – Labor and Birth
• 20% – Obstetric Complications
• 10% – Postpartum
• 5% – Newborn
• 2% – Professional Issues

 

Overview of the Inpatient Obstetric Nursing Exam Content

1. Maternal Factors

a. Disease Process

  • Hypertension
  • Diabetes
  • Maternal Cardiac Disease
  • Infectious Diseases
  • Antivirals
  • Blood Disorders
  • Acute Fatty Liver
  • Obesity
  • Hyperthyroidism / Hypothyroidism
  • Systemic Lupus Erythematosus
  • Cholethystitis
  • Rh Incompatibility

b. Pregnancy Risks

  • Life-style
  • Anxiety and treatment
  • Substance use / abuse
  • Domestic violence
  • Environmental

2. Fetal Assessment

a. Antepartum Assessment / Prenatal Diagnosis

  • Ultrasound
  • Assessment of fetal growth
  • Non-stress testing
  • Biophysical profile
  • Amniocentesis
  • Cordocentesis
  • Maternal Serum Screening

b. Electronic Fetal Monitoring

  • Fetal Heart Assessment
  • Signal ambiguity
  • Periodic or Episodic Changes
  • Uterine Activity

c. Non-Electronic Monitoring

  • Auscultation
  • Palpation

d. Acid-Base Assessment

  • Cord blood gas evaluation
  • Fetal stimulation

3. Labor and Birth

a. Physiology of Labor

  • Characteristics of true labor
  • Uteroplacental physiology
  • Maternal physiology

b. Labor Management

  • General assessment
  • Stages of Labor (First, Second, Third)

c. Obstetrical Procedures

  • Version
  • Episiotomy
  • Forcepts / vacuum extraction
  • Cesarean birth
  • Vaginal Birth after Cesarean Birth (TOLAC)
  • Induction of labor / Cervical Ripening

d. Pain Management

  • Non-pharmacologic methods
  • Pharmacological methods
  • Regional
  • General Anesthesia
  • Nursing Responsibilities

4. Obstetric Complications

a. Labor and Placental Disorders

  • Dysfunctional labor (Dystocias)
  • Malposition or malpresentation
  • Problems associated with umbilical cord
  • Problems associated with Amniotic Fluid
  • Rupture of membranes
  • Amniotic fluid embolism
  • Chorioamnionitis
  • Obesity
  • Placental problems
  • Hemorrhage
Inpatient Obstetric Nursing Flashcards
Inpatient Obstetric Nurse Exam Flashcard Study System

b. Preterm Labor

  • Definition / risks
  • Diagnosis
  • Management
  • Fetal and neonatal complications

c. Multiple Gestation

  • Definition / risks
  • Management
  • Fetal and neonatal complications

d. Prolonged Pregnancy

  • Definition / risks
  • Management
  • Fetal and neonatal complications

5. Postpartum

a. Postpartum Physiology

  • Physical changes
  • Nursing care of the postpartum woman

b. Family Adaptation

  • Psycho / Social / Cultural
  • Parent infant interactions
  • Discharge planning and home care
  • Patient education

c. Lactation

  • Physiology of lactation
  • Nutritional needs of lactating woman
  • Breast feeding techniques
  • Complications
  • Contraindications to breastfeeding
  • Care of the non-breastfeeing mother

d. Complications of the Postpartum Period

  • Infection
  • Bleeding
  • Thromboembolic
  • Cardiomyopathy
  • Psychological
  • Other medical / obstetrical conditions

6. Newborn

a. Adaptation to Extrauterine Life

  • Respiratory changes
  • Cardiovascular changes
  • Thermoregulation
  • Glucose homeostasis and fluid balance

b. Assessment

  • Physical
  • Laboratory Evaluation
  • Neurological
  • Behavioral states
  • Gestational age
  • Late preterm infants

c. Resuscitation

  • Initial evaluation
  • Personnel and equipment
  • Indications and techniques
  • Indications for transport

d. Infant Nutrition

  • Feeding
  • Problems / complications

7. Professional Issues

a. Ethical Principles

  • Autonomy
  • Beneficence
  • Non-maleficence
  • Justice

b. Professional / Legal Issues

  • Professional
  • Staffing issues
  • Legal liability

c. Evidence Based Practice

  • Terminology
  • Quality Improvement
  • Research utilization

d. Patient Safety

  • Communication
  • Interprofessional Practice

 

Inpatient Obstetric Nurse Certification Resources

1. Inpatient Obstetric Nurse Exam Secrets Study Guide: Inpatient Obstetric Test Review for the Inpatient Obstetric Nurse Exam (link)

2. Inpatient Obstetric Nurse Exam Practice Questions: Inpatient Obstetric Practice Tests & Exam Review for the Inpatient Obstetric Nurse Exam (link)

3. National Certification Corporation (link)

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Jay Willis joined Mometrix as Vice President of Sales in 2009, and has developed several key strategic relationships that have enhanced the distribution of Mometrix products. With nearly 20 years of sales experience in the publishing industry, his dedication to providing the highest quality experience for customers, coupled with his sales and marketing expertise, has resulted in significant growth of the Institutional Sales division. Learn more

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