RNC-OB CERTIFICATION REVIEW EXAM PREP
PRACTICE SET 2026 FULL SOLUTION
◉ Cholestasis is a condition that occurs in pregnancy and is caused
by elevated... Answer: Bile acid
◉ What is a sign of deteriorating status in pregnancy complicated by
hypertension? Answer: Increased serum creatinine
◉ A patient at 37 weeks gestation arrives to labor and delivery from
the emergency room after admission for severe gastric discomfort
with nausea and vomiting. She is anxious and dizzy. Her blood
pressure is 156/100. She has 4+ protein in her urine. Most likely
diagnosis is anxiety and... Answer: Preeclampsia with severe
features
◉ Fluid balance should be monitored in a woman on mag sulfate
therapy because there is an increased risk for... Answer: Pulmonary
edema
◉ On admission to the labor unit, a woman's deep tendon reflexes
are assessed at 2+. Intravenous magnesium sulfate is initiated. At
her next assessment, her reflexes are absent with respiratory rate of
10. Which actions should be taken? Answer: Stop the magnesium
sulfate and notify provider.
,◉ A newly pregnant woman who is morbidly obese has a strong
family history of Type 2 diabetes. The recommended time for this
woman's initial glucose screen is... Answer: As soon as possible.
◉ The relation of the fetal body parts to one another Is called fetal...
Answer: Attitude.
◉ The most accurate dating of a pregnancy by ultrasound is...
Answer: First trimester evaluation of the crown-rump length.
◉ A biophysical score of 6 is considered... Answer: Equivocal.
◉ At 32 weeks, a prenatal patient reported decreased fetal
movement. A nonstress test is reported as nonreactive. Which is
appropriate for this patient? Answer: Biophysical profile.
◉ Cordocentesis is more commonly used to detect fetal... Answer:
Anemia.
◉ Quad screening compared to alphafetoprotein testing can better
detect... Answer: Trisomies.
, ◉ A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category... Answer: 1
(one)
◉ A series of sine waves with similar duration and amplitude
develop on the electronic fetal monitor 10 minutes after stadol
administration to a patient with a previously normal tracing. The
appropriate response to this fetal heart rate pattern would be to...
Answer: Continue to observe...
◉ Fetal metabolic acidosis in a tracing can be ruled out with the
presence of... Answer: Variability.
◉ Which tachyarrhythmia can result in fetal hydrops? Answer:
Persistent supraventricular tachycardia-sign of anemia which can in
turn cause hydrops.
◉ A G2P1 at 34 weeks gestation with a history of lupus was in for a
routine prenatal visit. FHT's were auscultated at 60. She was sent to
labor and delivery for further evaluation. A complete flat tracing
suggests the fetus has... Answer: A complete heart block, which can
be a complication of lupus.
◉ A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium stained
PRACTICE SET 2026 FULL SOLUTION
◉ Cholestasis is a condition that occurs in pregnancy and is caused
by elevated... Answer: Bile acid
◉ What is a sign of deteriorating status in pregnancy complicated by
hypertension? Answer: Increased serum creatinine
◉ A patient at 37 weeks gestation arrives to labor and delivery from
the emergency room after admission for severe gastric discomfort
with nausea and vomiting. She is anxious and dizzy. Her blood
pressure is 156/100. She has 4+ protein in her urine. Most likely
diagnosis is anxiety and... Answer: Preeclampsia with severe
features
◉ Fluid balance should be monitored in a woman on mag sulfate
therapy because there is an increased risk for... Answer: Pulmonary
edema
◉ On admission to the labor unit, a woman's deep tendon reflexes
are assessed at 2+. Intravenous magnesium sulfate is initiated. At
her next assessment, her reflexes are absent with respiratory rate of
10. Which actions should be taken? Answer: Stop the magnesium
sulfate and notify provider.
,◉ A newly pregnant woman who is morbidly obese has a strong
family history of Type 2 diabetes. The recommended time for this
woman's initial glucose screen is... Answer: As soon as possible.
◉ The relation of the fetal body parts to one another Is called fetal...
Answer: Attitude.
◉ The most accurate dating of a pregnancy by ultrasound is...
Answer: First trimester evaluation of the crown-rump length.
◉ A biophysical score of 6 is considered... Answer: Equivocal.
◉ At 32 weeks, a prenatal patient reported decreased fetal
movement. A nonstress test is reported as nonreactive. Which is
appropriate for this patient? Answer: Biophysical profile.
◉ Cordocentesis is more commonly used to detect fetal... Answer:
Anemia.
◉ Quad screening compared to alphafetoprotein testing can better
detect... Answer: Trisomies.
, ◉ A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category... Answer: 1
(one)
◉ A series of sine waves with similar duration and amplitude
develop on the electronic fetal monitor 10 minutes after stadol
administration to a patient with a previously normal tracing. The
appropriate response to this fetal heart rate pattern would be to...
Answer: Continue to observe...
◉ Fetal metabolic acidosis in a tracing can be ruled out with the
presence of... Answer: Variability.
◉ Which tachyarrhythmia can result in fetal hydrops? Answer:
Persistent supraventricular tachycardia-sign of anemia which can in
turn cause hydrops.
◉ A G2P1 at 34 weeks gestation with a history of lupus was in for a
routine prenatal visit. FHT's were auscultated at 60. She was sent to
labor and delivery for further evaluation. A complete flat tracing
suggests the fetus has... Answer: A complete heart block, which can
be a complication of lupus.
◉ A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium stained
