RNC-OB Exam
QUESTIONS
FULLY SOLVED &
UPDATED
1. Late in pregnancy, a patient often develops
supine hypotension because of
a. partial occlusion of the vena cava and aorta.
b. decreased peripheral collateral circulation.
c. increased blood flow to the placenta. - answer A
because of partial occlusion of the vena cava and
aorta from the weight of the uterus. This impedes
venous return from the lower extremities although
increased collateral circulation during pregnancy
helps to compensate. Remaining in the supine
position for long periods of time could decrease
fetal oxygenation as well. The 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 mother that a
contraindication to breast feeding is
a. fetal macrosomia.
b. type II diabetes.
c. infection with HIV/AIDS. - answer C
Some maternal contraindications to breastfeeding
include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
-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 indicated for a
soft boggy uterus is to
a. apply an ice compress.
b. massage the fundus until firm.
c. apply a warm compress. - answer B
...with the dominant hand while supporting the
inferior uterus with the non-dominant hand to
prevent trauma. If the fundus does not contract
with massage, then further evaluation is indicated
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 test, stimulus
with an artificial larynx or other device is applied to
the maternal abdomen for
a. 1 to 3 seconds.
b. 5 to 10 seconds.
c. 1 to 2 minutes. - answer A
Usually, stimulus is applied for 1-2 seconds and
repeated up to 3 times with time extending to 3
seconds in order to stimulate fetal movement. A
, positive or reactive finding is an increased fetal
heart rate of 15 bpm or more for at least 15
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 side only in a
neonate may indicate
a. fractured scapula.
b. cerebral palsy.
c. fractured clavicle. - answer C
a fractured clavicle or brachial plexus injury.
Damage to the central nervous system, such as
may occur with cerebral palsy, often results in
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 lowest Bishop
score that predicts labor induction will be
successful?
QUESTIONS
FULLY SOLVED &
UPDATED
1. Late in pregnancy, a patient often develops
supine hypotension because of
a. partial occlusion of the vena cava and aorta.
b. decreased peripheral collateral circulation.
c. increased blood flow to the placenta. - answer A
because of partial occlusion of the vena cava and
aorta from the weight of the uterus. This impedes
venous return from the lower extremities although
increased collateral circulation during pregnancy
helps to compensate. Remaining in the supine
position for long periods of time could decrease
fetal oxygenation as well. The 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 mother that a
contraindication to breast feeding is
a. fetal macrosomia.
b. type II diabetes.
c. infection with HIV/AIDS. - answer C
Some maternal contraindications to breastfeeding
include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
-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 indicated for a
soft boggy uterus is to
a. apply an ice compress.
b. massage the fundus until firm.
c. apply a warm compress. - answer B
...with the dominant hand while supporting the
inferior uterus with the non-dominant hand to
prevent trauma. If the fundus does not contract
with massage, then further evaluation is indicated
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 test, stimulus
with an artificial larynx or other device is applied to
the maternal abdomen for
a. 1 to 3 seconds.
b. 5 to 10 seconds.
c. 1 to 2 minutes. - answer A
Usually, stimulus is applied for 1-2 seconds and
repeated up to 3 times with time extending to 3
seconds in order to stimulate fetal movement. A
, positive or reactive finding is an increased fetal
heart rate of 15 bpm or more for at least 15
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 side only in a
neonate may indicate
a. fractured scapula.
b. cerebral palsy.
c. fractured clavicle. - answer C
a fractured clavicle or brachial plexus injury.
Damage to the central nervous system, such as
may occur with cerebral palsy, often results in
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 lowest Bishop
score that predicts labor induction will be
successful?
