RNC-OB EXAM ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATION |
NEW UPDATE 2026 | ALREADY GRADED A+
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Terms in this set (300)
1. Late in pregnancy, a patient often A
develops supine hypotension because of partial occlusion of the vena cava and
because of aorta from the weight of the uterus. This impedes
a. partial occlusion of the vena cava venous return from the lower extremities
and aorta. although increased collateral circulation during
b. decreased peripheral collateral pregnancy helps to compensate. Remaining in
circulation. the supine position for long periods of time
c. increased blood flow to the could decrease fetal oxygenation as well. The
placenta. lateral recumbent position relieves the pressure
on the vena cava and aorta, allowing the blood
pressure to increase and symptoms to decrease.
,The nurse must educate the new C
mother that a contraindication to Some maternal contraindications to
breast feeding is breastfeeding include:
a. fetal macrosomia. -Infection with HIV/AIDS
b. type II diabetes. -Use of antiretroviral medications
c. infection with HIV/AIDS. -Active TB not treated
-Infection with human T-cell lymphotropic virus
-Illicit drug use
-Use of chemotherapeutic agents
-Radiation therapy (may require only interruption
during treatment)
-Use of other medications that pass into the
breast milk and may harm the child
-Presence of herpes on the breast
-Presence of varicella lesions on the breast (may
resume after lesions crust)
The initial postpartal intervention B
indicated for a soft boggy uterus is ...with the dominant hand while supporting the
to inferior uterus with the non-dominant hand to
a. apply an ice compress. prevent trauma. If the fundus does not contract
b. massage the fundus until firm. with massage, then further evaluation is indicated
c. apply a warm compress. to determine if placental fragments remain. After
the fundus becomes contracted, the nurse
should push firmly downward on the fundus to
expel clots that may have pooled.
,With the vibroacoustic stimulation A
test, stimulus with an artificial larynx Usually, stimulus is applied for 1-2 seconds and
or other device is applied to the repeated up to 3 times with time extending to 3
maternal abdomen for seconds in order to stimulate fetal movement. A
a. 1 to 3 seconds. positive or reactive finding is an increased fetal
b. 5 to 10 seconds. heart rate of 15 bpm or more for at least 15
c. 1 to 2 minutes. seconds; however, a nonreactive result does not
always indicate fetal abnormality but indicates
the need for further testing.
Absence of the Moro reflex on one C
side only in a neonate may indicate a fractured clavicle or brachial plexus injury.
a. fractured scapula. Damage to the central nervous system, such as
b. cerebral palsy. may occur with cerebral palsy, often results in
c. fractured clavicle. bilateral absence of the reflex. The Moro reflex is
elicited by allowing the infant's head and trunk to
fall slightly backward when the infant is raised. A
positive Moro reflex includes immediate
extension and abduction of the arms(and
sometimes the legs) with fingers fanning and
forming a C-shape with a return of the limbs to
the flexed states
In a multiparous woman, what is the A
lowest Bishop score that predicts In a multiparous woman, the Bishop score that
labor induction will be successful? predicts that labor induction will be successful is
a. 5 5 or more while it is a 9 or more for a nulliparous
b. 7 woman. The Bishop score is a rating system to
c. 9 determine readiness for induction based on
scores of 0-3 in four different measures: dilation
(cm), effacement (percentage), station (cm), and
cervical consistency (firm, medium, soft), and
cervical position (posterior, mid position,
anterior). The fifth measure, cervical position, is
scored only 0-2.
, When cervical laceration occur A
during delivery, they are most Cervical lacerations are most often identified
common at what position? with vaginal retractors when bleeding is
a. 3 and 9 o'clock persistent after delivery. The lacerations are
b. 12 and 6 o'clock sutured with absorbable sutures, so no further
c. 10 and 4 o'clock treatment is usually indicated. Minor lacerations
often occur during delivery, but they usually
require no treatment. Tears are more common
after forceps assisted and vacuum assisted
deliveries than normal vaginal births
If using fetal pulse oximetry, what is A
normal oxygen saturation? because of the fetus's high hemoglobin and
a. 30% to 65% hematocrit. A value below 30% may be
b. 65% to 90% associated with hypoxia and metabolic acidosis.
c. 90% to 100% For fetal pulse oximetry, which may be used to
determine whether immediate intervention is
needed for non-reassuring fetal heart rate, a
special single-use sensor is placed internally
along the fetal cheek, temple, or forehead.
However, fetal pulse oximetry has not been
found to reduce overall rates of Caesarean.
A decrease of fetal heart rate of at C
least 15 bpm for at least 10 minutes If it persists more than 2 minutes but less than 10
is classified as minutes, it is classified as a prolonged
a. recurrent deceleration. deceleration. Recurrent decelerations are
b. prolonged deceleration. classified as occurring with half or more of
c. baseline change. uterine contractions in a 20 minute period.
Intermittent decelerations occur with fewer than
half of uterine contractions in a 20 minute period.
CORRECT ANSWERS WITH EXPLANATION |
NEW UPDATE 2026 | ALREADY GRADED A+
Save
Terms in this set (300)
1. Late in pregnancy, a patient often A
develops supine hypotension because of partial occlusion of the vena cava and
because of aorta from the weight of the uterus. This impedes
a. partial occlusion of the vena cava venous return from the lower extremities
and aorta. although increased collateral circulation during
b. decreased peripheral collateral pregnancy helps to compensate. Remaining in
circulation. the supine position for long periods of time
c. increased blood flow to the could decrease fetal oxygenation as well. The
placenta. lateral recumbent position relieves the pressure
on the vena cava and aorta, allowing the blood
pressure to increase and symptoms to decrease.
,The nurse must educate the new C
mother that a contraindication to Some maternal contraindications to
breast feeding is breastfeeding include:
a. fetal macrosomia. -Infection with HIV/AIDS
b. type II diabetes. -Use of antiretroviral medications
c. infection with HIV/AIDS. -Active TB not treated
-Infection with human T-cell lymphotropic virus
-Illicit drug use
-Use of chemotherapeutic agents
-Radiation therapy (may require only interruption
during treatment)
-Use of other medications that pass into the
breast milk and may harm the child
-Presence of herpes on the breast
-Presence of varicella lesions on the breast (may
resume after lesions crust)
The initial postpartal intervention B
indicated for a soft boggy uterus is ...with the dominant hand while supporting the
to inferior uterus with the non-dominant hand to
a. apply an ice compress. prevent trauma. If the fundus does not contract
b. massage the fundus until firm. with massage, then further evaluation is indicated
c. apply a warm compress. to determine if placental fragments remain. After
the fundus becomes contracted, the nurse
should push firmly downward on the fundus to
expel clots that may have pooled.
,With the vibroacoustic stimulation A
test, stimulus with an artificial larynx Usually, stimulus is applied for 1-2 seconds and
or other device is applied to the repeated up to 3 times with time extending to 3
maternal abdomen for seconds in order to stimulate fetal movement. A
a. 1 to 3 seconds. positive or reactive finding is an increased fetal
b. 5 to 10 seconds. heart rate of 15 bpm or more for at least 15
c. 1 to 2 minutes. seconds; however, a nonreactive result does not
always indicate fetal abnormality but indicates
the need for further testing.
Absence of the Moro reflex on one C
side only in a neonate may indicate a fractured clavicle or brachial plexus injury.
a. fractured scapula. Damage to the central nervous system, such as
b. cerebral palsy. may occur with cerebral palsy, often results in
c. fractured clavicle. bilateral absence of the reflex. The Moro reflex is
elicited by allowing the infant's head and trunk to
fall slightly backward when the infant is raised. A
positive Moro reflex includes immediate
extension and abduction of the arms(and
sometimes the legs) with fingers fanning and
forming a C-shape with a return of the limbs to
the flexed states
In a multiparous woman, what is the A
lowest Bishop score that predicts In a multiparous woman, the Bishop score that
labor induction will be successful? predicts that labor induction will be successful is
a. 5 5 or more while it is a 9 or more for a nulliparous
b. 7 woman. The Bishop score is a rating system to
c. 9 determine readiness for induction based on
scores of 0-3 in four different measures: dilation
(cm), effacement (percentage), station (cm), and
cervical consistency (firm, medium, soft), and
cervical position (posterior, mid position,
anterior). The fifth measure, cervical position, is
scored only 0-2.
, When cervical laceration occur A
during delivery, they are most Cervical lacerations are most often identified
common at what position? with vaginal retractors when bleeding is
a. 3 and 9 o'clock persistent after delivery. The lacerations are
b. 12 and 6 o'clock sutured with absorbable sutures, so no further
c. 10 and 4 o'clock treatment is usually indicated. Minor lacerations
often occur during delivery, but they usually
require no treatment. Tears are more common
after forceps assisted and vacuum assisted
deliveries than normal vaginal births
If using fetal pulse oximetry, what is A
normal oxygen saturation? because of the fetus's high hemoglobin and
a. 30% to 65% hematocrit. A value below 30% may be
b. 65% to 90% associated with hypoxia and metabolic acidosis.
c. 90% to 100% For fetal pulse oximetry, which may be used to
determine whether immediate intervention is
needed for non-reassuring fetal heart rate, a
special single-use sensor is placed internally
along the fetal cheek, temple, or forehead.
However, fetal pulse oximetry has not been
found to reduce overall rates of Caesarean.
A decrease of fetal heart rate of at C
least 15 bpm for at least 10 minutes If it persists more than 2 minutes but less than 10
is classified as minutes, it is classified as a prolonged
a. recurrent deceleration. deceleration. Recurrent decelerations are
b. prolonged deceleration. classified as occurring with half or more of
c. baseline change. uterine contractions in a 20 minute period.
Intermittent decelerations occur with fewer than
half of uterine contractions in a 20 minute period.
