RNC-OB Exam Prep with Questions and Verified Answers

RNC-OB Exam Prep with Questions and Verified Answers During the fourth stage of labor, lochia should generally not exceed a. one saturated pad per hour. b. one saturated pad per 2 hours. c. two saturated pads per hour. ANSWER A ...as excessive drainage may indicate hemorrhage. Small clots are common in the lochia rubra, but large clots may indicate excessive bleeding. When changing the pad, it's important to examine the buttocks and back to determine if overflow drainage has pooled. If the uterus is firm but there is a continuous trickle of bright red blood, this may be an indication of laceration. When determining the baseline fetal heart rate, the fetal heart must be monitored for at least a. 2 minutes. b. 5 minutes. c. 10 minutes. ANSWER C The baseline rate is the average rate during that time period, rounded to the nearest 5 bpm. The normal fetal heart rate is 110-160 bpm at term with a slightly increased rate for the preterm fetus. Fetal tachycardia is defined as either over 150 bpm or over 160 bpm for at least 10 minutes, while bradycardia is defined as either under 110 bpm or under 120 bpm for at least 10 minutes The most common visual complaint during pregnancy is a. myopia. b. blurred vision. c. hyperopia. ANSWER B The pregnancy woman tends to retain fluid, and this retention along with decreased intraocular pressure causes some thickening of the cornea and change of shape during the first trimester, resulting in blurring of vision. However, these changes usually resolve within the first 8 weeks of pregnancy, so the visual changes should not be causes for changing prescriptions for corrective lenses. Pregnant women also commonly complain of dry eyes, which may be relieved by the use of artificial tears.