RNC test UPDATED ACTUAL Exam
Questions and CORRECT Answers
b - CORRECT ANSWER- ✔✔The insulin requirements for most diabetic breastfeeding
mom's is:
a. increased
b. decreased
c. same
b - CORRECT ANSWER- ✔✔In a normal pregnancy, there is usually a physiologic drop in
blood pressure to its lowest point in the
a. first trimester
b. 2nd trimester
c. 3rd trimester
a - CORRECT ANSWER- ✔✔Which statement best describes the relationship between
maternal and fetal hemoglobin levels?
a. Fetal hemoglobin is higher than maternal hemoglobin
b. Maternal hemoglobin is higher than fetal hemoglobin
c. Maternal and fetal hemoglobin are the same
b - CORRECT ANSWER- ✔✔The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same
a - CORRECT ANSWER- ✔✔What class of antihypertensive medication is recommended in
pregnancy since it has been shown not to increase the chance of new onset diabetes by
improving sensitivity to insulin glycemic control?
a. Ace inhibitors
b. Beta Blockers
c. Calcium Channel Blockers
,a - CORRECT ANSWER- ✔✔An antihypertensive that Is contraindicated during the second
and third trimester of pregnancy is
a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
b. Calcium channel blockers (Nifedipine)
c. Combined alpha - beta blockers (Labetolol)
c - CORRECT ANSWER- ✔✔The primary indication for the use of magnesium sulfate in
preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis
b - CORRECT ANSWER- ✔✔A pregnant woman on a continuous infusion of Magnesium
Sulfate for preeclampsia exhibits the following: Respiratory rare: 14 per minute, Deep tendon
reflexes: decreased with clonus, absent mental status: awake and alert . The most appropriate
nursing action is to
a. decrease the infusion rate
b. discontinue the infusion rate
c. maintain the infusion rate
b - CORRECT ANSWER- ✔✔Compared to the general population, woman with
pregestational diabetes are how likely to deliver a baby with a major congenital anomaly?
a. 1-2 times more likely
b. 3-4 times more likely
c. 5-6 times more likely
c - CORRECT ANSWER- ✔✔The tocolytic that is contraindicated in the diabetic woman is
a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics)
,a - CORRECT ANSWER- ✔✔Compared to the first trimester, the insulin requirements for
the diabetic mother in the third trimester are
a. greater
b. less
c. the same
c - CORRECT ANSWER- ✔✔A Type I (pregestational) diabetic woman at 32 weeks
gestation is admitted with complaints of abdominal pain, nausea and vomiting over the last
48 hours. she states she omitted her insulin last evening and this morning since she could not
eat. Her vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These
findings indicate
a. eugylcemia
b. insulin shock
c. ketoacidoses
a - CORRECT ANSWER- ✔✔A Type I (pregestational) diabetic woman at 32 weeks
gestation is admitted with complaints of abdominal pain, nause and vomiting over the last 48
hours. she states she omitted her insulin last evening and this morning since she could not eat.
Her vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The appropriate
treatment is
a. aggressive IV hydration and IV insulin
b. fluid restriction and Iv glucose
c. hyperalimentation and subcutaneous insulin
a - CORRECT ANSWER- ✔✔A previously normotensive woman is 34 weeks gestation
develops hypertension and proteinuria. Her diagnosis would be
a. gestational hypertension
b. preeclampsia
c. pregnancy induced hypertension (PIH)
c - CORRECT ANSWER- ✔✔The goal of treatment of gestational diabetes is to decrease the
likelihood of fetal
a. congenital anomalies
b. growth restriction
, c. macrosomia
b - CORRECT ANSWER- ✔✔The customary recommendation for the timing of laboratory
screening to detect gestational diabetes in the low risk woman is
a. 12-16 weeks
b. 24-28 weeks
c. 32-36 weeks
b - CORRECT ANSWER- ✔✔Woman with gestational diabetes are at a higher risk for
developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa
c - CORRECT ANSWER- ✔✔Which one of the cardiac conditions listed below has the
highest rate of maternal mortality
a. atrial septal defect
b. mitral stenosis
c. pulmonary hypertension
c - CORRECT ANSWER- ✔✔The time during labor and birth that is of greatest risk for
woman with a cardiac condition is
a. active phase of labor
b. second stage of birth
c. immediately after birth
c - CORRECT ANSWER- ✔✔The medication that is contraindicated in women with a cardia
condition
a. hydralazine (apresoline)
b. oxytocin
c. terbutaline
Questions and CORRECT Answers
b - CORRECT ANSWER- ✔✔The insulin requirements for most diabetic breastfeeding
mom's is:
a. increased
b. decreased
c. same
b - CORRECT ANSWER- ✔✔In a normal pregnancy, there is usually a physiologic drop in
blood pressure to its lowest point in the
a. first trimester
b. 2nd trimester
c. 3rd trimester
a - CORRECT ANSWER- ✔✔Which statement best describes the relationship between
maternal and fetal hemoglobin levels?
a. Fetal hemoglobin is higher than maternal hemoglobin
b. Maternal hemoglobin is higher than fetal hemoglobin
c. Maternal and fetal hemoglobin are the same
b - CORRECT ANSWER- ✔✔The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same
a - CORRECT ANSWER- ✔✔What class of antihypertensive medication is recommended in
pregnancy since it has been shown not to increase the chance of new onset diabetes by
improving sensitivity to insulin glycemic control?
a. Ace inhibitors
b. Beta Blockers
c. Calcium Channel Blockers
,a - CORRECT ANSWER- ✔✔An antihypertensive that Is contraindicated during the second
and third trimester of pregnancy is
a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
b. Calcium channel blockers (Nifedipine)
c. Combined alpha - beta blockers (Labetolol)
c - CORRECT ANSWER- ✔✔The primary indication for the use of magnesium sulfate in
preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis
b - CORRECT ANSWER- ✔✔A pregnant woman on a continuous infusion of Magnesium
Sulfate for preeclampsia exhibits the following: Respiratory rare: 14 per minute, Deep tendon
reflexes: decreased with clonus, absent mental status: awake and alert . The most appropriate
nursing action is to
a. decrease the infusion rate
b. discontinue the infusion rate
c. maintain the infusion rate
b - CORRECT ANSWER- ✔✔Compared to the general population, woman with
pregestational diabetes are how likely to deliver a baby with a major congenital anomaly?
a. 1-2 times more likely
b. 3-4 times more likely
c. 5-6 times more likely
c - CORRECT ANSWER- ✔✔The tocolytic that is contraindicated in the diabetic woman is
a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics)
,a - CORRECT ANSWER- ✔✔Compared to the first trimester, the insulin requirements for
the diabetic mother in the third trimester are
a. greater
b. less
c. the same
c - CORRECT ANSWER- ✔✔A Type I (pregestational) diabetic woman at 32 weeks
gestation is admitted with complaints of abdominal pain, nausea and vomiting over the last
48 hours. she states she omitted her insulin last evening and this morning since she could not
eat. Her vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These
findings indicate
a. eugylcemia
b. insulin shock
c. ketoacidoses
a - CORRECT ANSWER- ✔✔A Type I (pregestational) diabetic woman at 32 weeks
gestation is admitted with complaints of abdominal pain, nause and vomiting over the last 48
hours. she states she omitted her insulin last evening and this morning since she could not eat.
Her vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The appropriate
treatment is
a. aggressive IV hydration and IV insulin
b. fluid restriction and Iv glucose
c. hyperalimentation and subcutaneous insulin
a - CORRECT ANSWER- ✔✔A previously normotensive woman is 34 weeks gestation
develops hypertension and proteinuria. Her diagnosis would be
a. gestational hypertension
b. preeclampsia
c. pregnancy induced hypertension (PIH)
c - CORRECT ANSWER- ✔✔The goal of treatment of gestational diabetes is to decrease the
likelihood of fetal
a. congenital anomalies
b. growth restriction
, c. macrosomia
b - CORRECT ANSWER- ✔✔The customary recommendation for the timing of laboratory
screening to detect gestational diabetes in the low risk woman is
a. 12-16 weeks
b. 24-28 weeks
c. 32-36 weeks
b - CORRECT ANSWER- ✔✔Woman with gestational diabetes are at a higher risk for
developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa
c - CORRECT ANSWER- ✔✔Which one of the cardiac conditions listed below has the
highest rate of maternal mortality
a. atrial septal defect
b. mitral stenosis
c. pulmonary hypertension
c - CORRECT ANSWER- ✔✔The time during labor and birth that is of greatest risk for
woman with a cardiac condition is
a. active phase of labor
b. second stage of birth
c. immediately after birth
c - CORRECT ANSWER- ✔✔The medication that is contraindicated in women with a cardia
condition
a. hydralazine (apresoline)
b. oxytocin
c. terbutaline
