RNC-OB CERTIFICATION CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ AT 39 weeks gestation, a gravida 1 para 0 is admitted for elective induction
of labor. Her vaginal exam shows her to be 2cm/50%/-3. The provider
performs an AROM and goes back to the office. Two minutes later there is a
prolonged fetal heart rate decal. The nurse's initial response to this situation
is to....
Answer: perform a vaginal exam.
◍ Appropriate teaching about breast engorgement for a non-breastfeeding
mother is to....
Answer: wear a 24-hour support bra for comfort.
◍ GBS and what other organism are currently the most common pathogens
seen in neonatal sepsis?.
Answer: E. Coli.
◍ What does compound presentation mean?.
Answer: The presence of more than one fetal part overlying the pelvic inlet
(hand, head)
◍ The primary goal in treatment for late decelerations is toa. correct cord
compressionb. improve maternal oxygenationc. maximize uteroplacental
blood flow.
Answer: c. maximize uteroplacental blood flow
◍ Based on 28 day cycles, when using the first day of the last menstrual
period, the estimated date of confinement is calculated by addinga. 220
daysb. 240 daysc. 280 days.
Answer: c. 280 days
,◍ What happens to maternal PaO2 and PaCo2 levels during pregnancy?a. Both
decreaseb. Both increasec PaO2 increased and PaCO2 decreases.
Answer: c. PaO2 increases and PaCO2 decreases
◍ What grade of placental abruption would classify a patient with bright red
vaginal blood loss of 250mL, Category 2 fetal tracing d/t late decelerations,
maternal heart rate of 130 and increase in uterine tone. a. Grade 1b. Grade
2c. Grade 3.
Answer: b. Grade 2
◍ What happens to the tissue of the heart during pregnancy?.
Answer: A remodeling process results in a enlargement or hypertrophy and
expansion of the capillary bed to supply adequate oxygenation for the
increased workload.
◍ One sign that suggests placental separation is....
Answer: lengthening of umbilical cord.
◍ Clinically significant fetal metabolic academia is indicated by an arterial
cord gas pH of < 7.10 and a base deficit ofa. 3.b. 6.c. 12..
Answer: c. 12.
◍ A postpartum patient has a spinal headache. The nurse that this can occur as
a consequence of epidural anesthesia due to....
Answer: leakage of fluid at the puncture site.
◍ Anesthesia personnel are required to remain with a post anesthesia care unit
(PACU) patient until thea. monitoring equipment has been appliedb. PACU
nurse accepts responsibility for the patient.c. patient is alert and oriented.
Answer: b. PACU nurse accepts responsibility for the patient
◍ During pregnancy, the position for optimum maternal cardiac output is.a.
lateralb. semi-Fowler'sc. supine.
Answer: a. lateral
◍ What are the two types of oxytocin receptors?a. b..
Answer: a. Myometrialb. Decimal
,◍ The first Leopold's maneuver assists in identifying fetal....
Answer: Position.
◍ The most frequently observed type of FHR deceleration isa. earlyb. latec.
variable.
Answer: c. variable
◍ An expected white blood cell count during labor and the early postpartum
isa. 8000-10000 mmb. 13000-15000 mmc. 20000-22000 mm.
Answer: c. 20,000-22,000 mm
◍ A woman at 31 weeks gestation is admitted to labor and delivery for cuts
and bruises on her stomach and torso. When asked how she acquired the
bruise, she admits that her partner beat her after she told him she was
leaving him due to repeated abusive episodes. The nurse would recognize
that the utmost priority is the woman's a. need for social supportb. physical
safetyc. risk for fetal loss.
Answer: physical safety
◍ An initial sign of inadequate cerebral perfusion isa. low pulse oximeter
readingb. restlessnessc. unequal pupil dilation.
Answer: b. restlessness
◍ When is Fetal Fibronectin "the protein that acts like a glue" present in
vaginal discharge?a. before 22 weeks of pregnancyb. after 22 weeks of
pregnancyc. after 32 weeks of pregnancy.
Answer: a. before 22 weeks of pregnancy
◍ List 5 risk factors for an ectopic pregnancy?.
Answer: IUD useTubal surgery (repair, ligation)History of pelvic infection
(Salpingitis)Current use of progestin contraceptivesSmokingDES Exposure
(4-5 time greater risk)Infertility (conception via assisted reproductive
techniques)
◍ A clinical finding associated with a dehiscence of a uterine scar during a
trial of labor after cesarean birth (TOLAC) isa. cessation of uterine
, contractionsb. fetal heart rate (FHR) with variable decelerationsc. sudden
decrease of intrauterine pressure.
Answer: b. fetal heart rate (FHR) with variable decelerations
◍ Increased perfusion of the newborn liver is initiated by closure of the....
Answer: ductus venosus.
◍ A predisposing factor for preeclampsia is:a. nulliparityb. obesity prior to
pregnancyc. previous history of preeclampsia.
Answer: nulliparity
◍ The transition phase of labor is characterized by maternal....
Answer: panic and fear.
◍ Which medication is contraindicated for use with a patient with uterine
atony who has preexisting hypertension?.
Answer: Methylergonovine (Methergine)
◍ The type of neonatal jaundice caused by inadequate breastmilk intake is....
Answer: breastfeeding jaundice.
◍ Variable decelerations are characterized by decelerations that have
__________________ timing in relation to the contractions but always have
an __________change in rate..
Answer: variable, abrupt
◍ Ten minutes after placement of an epidural, maternal blood pressure
decreases by 20%. After performing IV hydration and lateral positioning,
what should be the nurses next intervention?.
Answer: Administer ephedrine.
◍ The incidence of placenta previa is increasing likely due to a. better
diagnostic tools such as transvaginal ultrasoundb. increased rate of cesarean
birthc. more women delaying childbirth until they are older.
Answer: b. increased rate of cesarean birth
◍ In the presence of late or variable decelerations, two parameters that indicate
adequate fetal oxygenation are _______ and ______.
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ AT 39 weeks gestation, a gravida 1 para 0 is admitted for elective induction
of labor. Her vaginal exam shows her to be 2cm/50%/-3. The provider
performs an AROM and goes back to the office. Two minutes later there is a
prolonged fetal heart rate decal. The nurse's initial response to this situation
is to....
Answer: perform a vaginal exam.
◍ Appropriate teaching about breast engorgement for a non-breastfeeding
mother is to....
Answer: wear a 24-hour support bra for comfort.
◍ GBS and what other organism are currently the most common pathogens
seen in neonatal sepsis?.
Answer: E. Coli.
◍ What does compound presentation mean?.
Answer: The presence of more than one fetal part overlying the pelvic inlet
(hand, head)
◍ The primary goal in treatment for late decelerations is toa. correct cord
compressionb. improve maternal oxygenationc. maximize uteroplacental
blood flow.
Answer: c. maximize uteroplacental blood flow
◍ Based on 28 day cycles, when using the first day of the last menstrual
period, the estimated date of confinement is calculated by addinga. 220
daysb. 240 daysc. 280 days.
Answer: c. 280 days
,◍ What happens to maternal PaO2 and PaCo2 levels during pregnancy?a. Both
decreaseb. Both increasec PaO2 increased and PaCO2 decreases.
Answer: c. PaO2 increases and PaCO2 decreases
◍ What grade of placental abruption would classify a patient with bright red
vaginal blood loss of 250mL, Category 2 fetal tracing d/t late decelerations,
maternal heart rate of 130 and increase in uterine tone. a. Grade 1b. Grade
2c. Grade 3.
Answer: b. Grade 2
◍ What happens to the tissue of the heart during pregnancy?.
Answer: A remodeling process results in a enlargement or hypertrophy and
expansion of the capillary bed to supply adequate oxygenation for the
increased workload.
◍ One sign that suggests placental separation is....
Answer: lengthening of umbilical cord.
◍ Clinically significant fetal metabolic academia is indicated by an arterial
cord gas pH of < 7.10 and a base deficit ofa. 3.b. 6.c. 12..
Answer: c. 12.
◍ A postpartum patient has a spinal headache. The nurse that this can occur as
a consequence of epidural anesthesia due to....
Answer: leakage of fluid at the puncture site.
◍ Anesthesia personnel are required to remain with a post anesthesia care unit
(PACU) patient until thea. monitoring equipment has been appliedb. PACU
nurse accepts responsibility for the patient.c. patient is alert and oriented.
Answer: b. PACU nurse accepts responsibility for the patient
◍ During pregnancy, the position for optimum maternal cardiac output is.a.
lateralb. semi-Fowler'sc. supine.
Answer: a. lateral
◍ What are the two types of oxytocin receptors?a. b..
Answer: a. Myometrialb. Decimal
,◍ The first Leopold's maneuver assists in identifying fetal....
Answer: Position.
◍ The most frequently observed type of FHR deceleration isa. earlyb. latec.
variable.
Answer: c. variable
◍ An expected white blood cell count during labor and the early postpartum
isa. 8000-10000 mmb. 13000-15000 mmc. 20000-22000 mm.
Answer: c. 20,000-22,000 mm
◍ A woman at 31 weeks gestation is admitted to labor and delivery for cuts
and bruises on her stomach and torso. When asked how she acquired the
bruise, she admits that her partner beat her after she told him she was
leaving him due to repeated abusive episodes. The nurse would recognize
that the utmost priority is the woman's a. need for social supportb. physical
safetyc. risk for fetal loss.
Answer: physical safety
◍ An initial sign of inadequate cerebral perfusion isa. low pulse oximeter
readingb. restlessnessc. unequal pupil dilation.
Answer: b. restlessness
◍ When is Fetal Fibronectin "the protein that acts like a glue" present in
vaginal discharge?a. before 22 weeks of pregnancyb. after 22 weeks of
pregnancyc. after 32 weeks of pregnancy.
Answer: a. before 22 weeks of pregnancy
◍ List 5 risk factors for an ectopic pregnancy?.
Answer: IUD useTubal surgery (repair, ligation)History of pelvic infection
(Salpingitis)Current use of progestin contraceptivesSmokingDES Exposure
(4-5 time greater risk)Infertility (conception via assisted reproductive
techniques)
◍ A clinical finding associated with a dehiscence of a uterine scar during a
trial of labor after cesarean birth (TOLAC) isa. cessation of uterine
, contractionsb. fetal heart rate (FHR) with variable decelerationsc. sudden
decrease of intrauterine pressure.
Answer: b. fetal heart rate (FHR) with variable decelerations
◍ Increased perfusion of the newborn liver is initiated by closure of the....
Answer: ductus venosus.
◍ A predisposing factor for preeclampsia is:a. nulliparityb. obesity prior to
pregnancyc. previous history of preeclampsia.
Answer: nulliparity
◍ The transition phase of labor is characterized by maternal....
Answer: panic and fear.
◍ Which medication is contraindicated for use with a patient with uterine
atony who has preexisting hypertension?.
Answer: Methylergonovine (Methergine)
◍ The type of neonatal jaundice caused by inadequate breastmilk intake is....
Answer: breastfeeding jaundice.
◍ Variable decelerations are characterized by decelerations that have
__________________ timing in relation to the contractions but always have
an __________change in rate..
Answer: variable, abrupt
◍ Ten minutes after placement of an epidural, maternal blood pressure
decreases by 20%. After performing IV hydration and lateral positioning,
what should be the nurses next intervention?.
Answer: Administer ephedrine.
◍ The incidence of placenta previa is increasing likely due to a. better
diagnostic tools such as transvaginal ultrasoundb. increased rate of cesarean
birthc. more women delaying childbirth until they are older.
Answer: b. increased rate of cesarean birth
◍ In the presence of late or variable decelerations, two parameters that indicate
adequate fetal oxygenation are _______ and ______.
