RNC OB CERTIFICATION EVALUATION
EXAMS 2026 FULL SOLUTION VIEW AHEAD
◉ With accurate dating of the last menstrual period beginning on
December 12, an elective birth can be attempted no sooner than
Answer: September 12
◉ Epidural anesthesia increases the risk of
Answer: persistent occiput-posterior presentation
◉ As the placenta ages with pregnancy continuing beyond term,
placental reserve is decreased because of
Answer: amniotic basal membrane thinning
◉ Following birth, a sign of placental separation is
Answer: sudden trickle or spurt of blood
◉ A woman who has positive group B streptococcal screen is having
a planned cesarean birth. Administration of prophylactic antibiotics
for this patient
Answer: is not required
, ◉ A woman is admitted to labor and delivery at 38 weeks gestation
with an active case of rubella. The risk of the neonate acquiring
rubella is
Answer: high
◉ The lower segment transverse incision is most commonly used for
cesarean birth because of
Answer: less blood loss
◉ At 37 weeks gestation a woman (G3P1) with current history of
alcohol and cocaine use is admitted to labor and delivery. She denies
drug use for "several days". She is dilated 4cm. Blood pressure is
148/92 and the pulse is 120. Reflexes were brisk and her urine
protein is negative. This patient is at risk for
Answer: withdrawal seizures
◉ The cause of metabolic acidosis is decreased
Answer: alveolar ventilation
◉ Anticipated intrapartum insulin management of women with type
2 diabetes includes recognition that they
Answer: will need less, or no, insulin
EXAMS 2026 FULL SOLUTION VIEW AHEAD
◉ With accurate dating of the last menstrual period beginning on
December 12, an elective birth can be attempted no sooner than
Answer: September 12
◉ Epidural anesthesia increases the risk of
Answer: persistent occiput-posterior presentation
◉ As the placenta ages with pregnancy continuing beyond term,
placental reserve is decreased because of
Answer: amniotic basal membrane thinning
◉ Following birth, a sign of placental separation is
Answer: sudden trickle or spurt of blood
◉ A woman who has positive group B streptococcal screen is having
a planned cesarean birth. Administration of prophylactic antibiotics
for this patient
Answer: is not required
, ◉ A woman is admitted to labor and delivery at 38 weeks gestation
with an active case of rubella. The risk of the neonate acquiring
rubella is
Answer: high
◉ The lower segment transverse incision is most commonly used for
cesarean birth because of
Answer: less blood loss
◉ At 37 weeks gestation a woman (G3P1) with current history of
alcohol and cocaine use is admitted to labor and delivery. She denies
drug use for "several days". She is dilated 4cm. Blood pressure is
148/92 and the pulse is 120. Reflexes were brisk and her urine
protein is negative. This patient is at risk for
Answer: withdrawal seizures
◉ The cause of metabolic acidosis is decreased
Answer: alveolar ventilation
◉ Anticipated intrapartum insulin management of women with type
2 diabetes includes recognition that they
Answer: will need less, or no, insulin
