RNC-OB Certification Review Exam Test with Answers Rated A
A patient's record states her pregnancy history is 1 term
pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks Gravida 3 Para 1212
with one who dies soon after birth. What is her GP?
Cholestasis is a condition that occurs in pregnancy and is
Bile acid
caused by elevated...
What is a sign of deteriorating status in pregnancy com-
Increased serum creatinine
plicated by hypertension?
A patient at 37 weeks gestation arrives to labor and deliv-
ery from the emergency room after admission for severe
gastric discomfort with nausea and vomiting. She is anx- Preeclampsia with severe features
ious and dizzy. Her blood pressure is 156/100. She has 4+
protein in her urine. Most likely diagnosis is anxiety and...
Fluid balance should be monitored in a woman on mag
Pulmonary edema
sulfate therapy because there is an increased risk for...
On admission to the labor unit, a woman's deep tendon
reflexes are assessed at 2+. Intravenous magnesium sul-
fate is initiated. At her next assessment, her reflexes are Stop the magnesium sulfate and notify provider.
absent with respiratory rate of 10. Which actions should
be taken?
A newly pregnant woman who is morbidly obese has a
strong family history of Type 2 diabetes. The recommend- As soon as possible.
ed time for this woman's initial glucose screen is...
The relation of the fetal body parts to one another Is called
Attitude.
fetal...
The most accurate dating of a pregnancy by ultrasound
First trimester evaluation of the crown-rump length.
is...
A biophysical score of 6 is considered... Equivocal.
, At 32 weeks, a prenatal patient reported decreased fetal
movement. A nonstress test is reported as nonreactive. Biophysical profile.
Which is appropriate for this patient?
Cordocentesis is more commonly used to detect fetal... Anemia.
Quad screening compared to alphafetoprotein testing can
Trisomies.
better detect...
A fetal heart rate baseline of 140 with moderate variability,
no accelerations and no decelerations is a NICHD catego- 1 (one)
ry...
A series of sine waves with similar duration and amplitude
develop on the electronic fetal monitor 10 minutes after
stadol administration to a patient with a previously normal Continue to observe...
tracing. The appropriate response to this fetal heart rate
pattern would be to...
Fetal metabolic acidosis in a tracing can be ruled out with
Variability.
the presence of...
Persistent supraventricular tachycardia-sign of anemia
Which tachyarrhythmia can result in fetal hydrops?
which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was
in for a routine prenatal visit. FHT's were auscultated at 60. A complete heart block, which can be a complication of
She was sent to labor and delivery for further evaluation. lupus.
A complete flat tracing suggests the fetus has...
A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium
Relieving cord compression.
stained amniotic fluid. An amnioinfusion is ordered with
the goal of...
Baroreceptors respond mainly to changes in... Blood pressure.
increase.
A patient's record states her pregnancy history is 1 term
pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks Gravida 3 Para 1212
with one who dies soon after birth. What is her GP?
Cholestasis is a condition that occurs in pregnancy and is
Bile acid
caused by elevated...
What is a sign of deteriorating status in pregnancy com-
Increased serum creatinine
plicated by hypertension?
A patient at 37 weeks gestation arrives to labor and deliv-
ery from the emergency room after admission for severe
gastric discomfort with nausea and vomiting. She is anx- Preeclampsia with severe features
ious and dizzy. Her blood pressure is 156/100. She has 4+
protein in her urine. Most likely diagnosis is anxiety and...
Fluid balance should be monitored in a woman on mag
Pulmonary edema
sulfate therapy because there is an increased risk for...
On admission to the labor unit, a woman's deep tendon
reflexes are assessed at 2+. Intravenous magnesium sul-
fate is initiated. At her next assessment, her reflexes are Stop the magnesium sulfate and notify provider.
absent with respiratory rate of 10. Which actions should
be taken?
A newly pregnant woman who is morbidly obese has a
strong family history of Type 2 diabetes. The recommend- As soon as possible.
ed time for this woman's initial glucose screen is...
The relation of the fetal body parts to one another Is called
Attitude.
fetal...
The most accurate dating of a pregnancy by ultrasound
First trimester evaluation of the crown-rump length.
is...
A biophysical score of 6 is considered... Equivocal.
, At 32 weeks, a prenatal patient reported decreased fetal
movement. A nonstress test is reported as nonreactive. Biophysical profile.
Which is appropriate for this patient?
Cordocentesis is more commonly used to detect fetal... Anemia.
Quad screening compared to alphafetoprotein testing can
Trisomies.
better detect...
A fetal heart rate baseline of 140 with moderate variability,
no accelerations and no decelerations is a NICHD catego- 1 (one)
ry...
A series of sine waves with similar duration and amplitude
develop on the electronic fetal monitor 10 minutes after
stadol administration to a patient with a previously normal Continue to observe...
tracing. The appropriate response to this fetal heart rate
pattern would be to...
Fetal metabolic acidosis in a tracing can be ruled out with
Variability.
the presence of...
Persistent supraventricular tachycardia-sign of anemia
Which tachyarrhythmia can result in fetal hydrops?
which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was
in for a routine prenatal visit. FHT's were auscultated at 60. A complete heart block, which can be a complication of
She was sent to labor and delivery for further evaluation. lupus.
A complete flat tracing suggests the fetus has...
A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium
Relieving cord compression.
stained amniotic fluid. An amnioinfusion is ordered with
the goal of...
Baroreceptors respond mainly to changes in... Blood pressure.
increase.
