RNC OB UPDATED ACTUAL TEST
QUESTIONS AND VERIFIED ANSWERS
BUNDLE
●● Kick Count
Answer: Same time daily, lie on a side, parameter is 10 movement
within 2 hrs (can stop at 45 mins if 10 movements). If <10 movement,
need further testing.
●● Most common C/O adverse neonatal outcomes
Answer: DFM
●● Determines GA within 1 wk in 1st trimester
Answer: Crown rump
●● What is looked at in 2nd trimester US?
Answer: Biparietal diameter
●● What causes lagging abd circumfrence?
Answer: Shunting of blood away from abd and is the first growth rate
decline of the fetus
,●● Amniocentesis
Answer: Analysis of amniotic fluid for cultures, genetic studies, CNS
anomalies, ventral wall defects, lung maturity
●● When is an amniocentesis normally performed?
Answer: 14-20 wks
●● How much fluid can be removed on amniocentesis before 14 wks?
Answer: 1 mL per gestational wk
●● What is L/S ratio used for?
Answer: Determines fetal lung maturity in 3rd trimester
●● Risks of Amniocentesis
Answer: - Fetal death
- Club foot
- Infection
- ROM
- Bleeding
- PTD
●● Amniocentesis risks before 14 wks
, Answer: Club foot
●● Amniocentesis risks 15-16 wks
Answer: Respiratory distress
●● Nursing Care for Amniocentesis
Answer: - Empty bladder
- Baseline monitoring VS
- EFM post procedure
- Give rhogam if Rh-
- Obs for bleeding, leaking, bruising
- D/C teaching (no heavy lifting)
●● Normal AFI
Answer: 5-25 cm
●● What is total AFI volume at 36 wks
Answer: 800-1000 and will slowly start to decrease as pregnancy
decreases
●● AFI
Answer: Measure of pockets of fluid in all 4 uterine quadrants
QUESTIONS AND VERIFIED ANSWERS
BUNDLE
●● Kick Count
Answer: Same time daily, lie on a side, parameter is 10 movement
within 2 hrs (can stop at 45 mins if 10 movements). If <10 movement,
need further testing.
●● Most common C/O adverse neonatal outcomes
Answer: DFM
●● Determines GA within 1 wk in 1st trimester
Answer: Crown rump
●● What is looked at in 2nd trimester US?
Answer: Biparietal diameter
●● What causes lagging abd circumfrence?
Answer: Shunting of blood away from abd and is the first growth rate
decline of the fetus
,●● Amniocentesis
Answer: Analysis of amniotic fluid for cultures, genetic studies, CNS
anomalies, ventral wall defects, lung maturity
●● When is an amniocentesis normally performed?
Answer: 14-20 wks
●● How much fluid can be removed on amniocentesis before 14 wks?
Answer: 1 mL per gestational wk
●● What is L/S ratio used for?
Answer: Determines fetal lung maturity in 3rd trimester
●● Risks of Amniocentesis
Answer: - Fetal death
- Club foot
- Infection
- ROM
- Bleeding
- PTD
●● Amniocentesis risks before 14 wks
, Answer: Club foot
●● Amniocentesis risks 15-16 wks
Answer: Respiratory distress
●● Nursing Care for Amniocentesis
Answer: - Empty bladder
- Baseline monitoring VS
- EFM post procedure
- Give rhogam if Rh-
- Obs for bleeding, leaking, bruising
- D/C teaching (no heavy lifting)
●● Normal AFI
Answer: 5-25 cm
●● What is total AFI volume at 36 wks
Answer: 800-1000 and will slowly start to decrease as pregnancy
decreases
●● AFI
Answer: Measure of pockets of fluid in all 4 uterine quadrants
