RNC-OB CERTIFICATION REVIEW
COMPREHENSIVE TEST 2026 SOLVED
QUESTIONS
◉ High AFP =. Answer: NTD.
◉ When can you not give Terbutaline. Answer: You cannot give
Terbutaline to pts w/ DM or to a bleeding pt that is hypotensive.
◉ When can Braxton Hicks start?. Answer: Can start as early as 16
wks.
◉ Cerclage. Answer: Performed in 2nd trimester due to the wt of the
fetus.
◉ Hgb A1C. Answer: Best if it is around 7 or less prior to pregnancy.
If elevated, worry about fetal heart defects.
◉ Smoking in Pregnancy. Answer: Leads to LBW, PTL, IUFD, SIDS,
birth defects, resp distress, abruption, previa, and cleft lip.
, ◉ Cocaine Use. Answer: Causes maternal/fetal vasoconstriction,
tachycardia, HTN, decrease uterine blood flow, placental
insufficiency, abruption, SAB, PTL/PTD, PPROM, and fetal distress.
◉ IUGR. Answer: Low AFI and smaller organs (kidney size) all
related to lack of BF.
◉ Elevated Direct Coomb's Test. Answer: Increases chance of
hyperbili which increases the chance of jaundice (needs
phototherapy). ABO incompatibility is the most common cause of a
+DAT.
◉ Indocin (NSAID). Answer: Do not give to pts allergic to ASA. Use
caution in patients >32 wks due to the risk for premature closure of
ductus arteriosus. Do not use for >24 hrs because it can lead to oligo
and increased risk of PPH in mom.
◉ Umbilical Vein. Answer: Oxygenated blood bypasses the liver
(ductus venosus) and heads to the right atrium to the foramen ovale
to the left ventricle. The blood that does not enter the right ventricle
bypasses the lungs through the ductus arteriosus and then enters
the aorta. The umbilical arteries return the unoxygenated blood.
◉ Forceps for Breech Delivery. Answer: Pipers.
COMPREHENSIVE TEST 2026 SOLVED
QUESTIONS
◉ High AFP =. Answer: NTD.
◉ When can you not give Terbutaline. Answer: You cannot give
Terbutaline to pts w/ DM or to a bleeding pt that is hypotensive.
◉ When can Braxton Hicks start?. Answer: Can start as early as 16
wks.
◉ Cerclage. Answer: Performed in 2nd trimester due to the wt of the
fetus.
◉ Hgb A1C. Answer: Best if it is around 7 or less prior to pregnancy.
If elevated, worry about fetal heart defects.
◉ Smoking in Pregnancy. Answer: Leads to LBW, PTL, IUFD, SIDS,
birth defects, resp distress, abruption, previa, and cleft lip.
, ◉ Cocaine Use. Answer: Causes maternal/fetal vasoconstriction,
tachycardia, HTN, decrease uterine blood flow, placental
insufficiency, abruption, SAB, PTL/PTD, PPROM, and fetal distress.
◉ IUGR. Answer: Low AFI and smaller organs (kidney size) all
related to lack of BF.
◉ Elevated Direct Coomb's Test. Answer: Increases chance of
hyperbili which increases the chance of jaundice (needs
phototherapy). ABO incompatibility is the most common cause of a
+DAT.
◉ Indocin (NSAID). Answer: Do not give to pts allergic to ASA. Use
caution in patients >32 wks due to the risk for premature closure of
ductus arteriosus. Do not use for >24 hrs because it can lead to oligo
and increased risk of PPH in mom.
◉ Umbilical Vein. Answer: Oxygenated blood bypasses the liver
(ductus venosus) and heads to the right atrium to the foramen ovale
to the left ventricle. The blood that does not enter the right ventricle
bypasses the lungs through the ductus arteriosus and then enters
the aorta. The umbilical arteries return the unoxygenated blood.
◉ Forceps for Breech Delivery. Answer: Pipers.
