RNC-OB Certification Review Exam Questions And
100% Correct Answers
A patient's record shows her pregnancy history as 1 term pregnancy, 1 miscarriage at
10 weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? -
Answer Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated. - Answer
Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
Answer Increased serum creatinine
A 37-weeks pregnant patient presents to the labour and delivery from the emergency
room upon admission with symptoms of severe gastric discomfort associated with
nausea and vomiting. She is apprehensive and dizzy. Blood pressure is 156/100. Her
urinalysis shows 4+ proteinuria. Most likely diagnosis is anxiety and. - Answer
Preeclampsia with severe features
A woman on mag sulfate therapy should have her fluid balance monitored because there
is an increased risk for. - Answer Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is started. At her next assessment, her reflexes are
absent with respiratory rate of 10. Which actions should be taken? - Answer Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is. - Answer As
soon as possible.
,The relation of the fetal body parts to one another Is called fetal. - Answer Attitude.
The most accurate dating of a pregnancy by ultrasound is. - Answer First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered. Equivocal.
At 32 weeks, a prenatal patient complains of decreased fetal movement. A nonstress
test is reported as nonreactive. Which is appropriate for this patient? Biophysical
profile.
Cordocentesis is more commonly used to detect fetal. Anemia.
Quad screening compared to alphafetoprotein testing can better detect. Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category. - Answer 1 (one)
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
tracing. The appropriate response to this fetal heart rate pattern would be to. - Answer
Continue to observe.
The presence of _________ can rule out fetal metabolic aciditis in a tracing. - Answer
Variability.
Which tachyarrhythmia may cause fetal hydrops? - Answer Persistent supraventricular
tachycardia-sign of anemia 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. She was sent to labor and delivery for further evaluation.
, A complete flat tracing suggests the fetus has. - Answer A complete heart block, which
can be a complication of lupus.
A term woman is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the
goal of. - Answer Relieving cord compression.
Baroreceptors respond mainly to changes in. - Answer Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to. - Answer
increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes. - Answer Prolonged.
Normal uterine activity. - Answer Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is. -
Answer Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over
30 minutes of greater than. - Answer 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in
the upper part of uterus, this is consistent with. -Answer Breech presentation.
When auscultating the fetal heart rate, the nurse finds that with each contraction, the
fetal heart rate is steadily dropping, continuing for 60 seconds following the contraction.
This finding should be documented as follows: After a contraction, there is a. - Answer
decrease in the fetal heart rate after contraction.
100% Correct Answers
A patient's record shows her pregnancy history as 1 term pregnancy, 1 miscarriage at
10 weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? -
Answer Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated. - Answer
Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
Answer Increased serum creatinine
A 37-weeks pregnant patient presents to the labour and delivery from the emergency
room upon admission with symptoms of severe gastric discomfort associated with
nausea and vomiting. She is apprehensive and dizzy. Blood pressure is 156/100. Her
urinalysis shows 4+ proteinuria. Most likely diagnosis is anxiety and. - Answer
Preeclampsia with severe features
A woman on mag sulfate therapy should have her fluid balance monitored because there
is an increased risk for. - Answer Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is started. At her next assessment, her reflexes are
absent with respiratory rate of 10. Which actions should be taken? - Answer Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is. - Answer As
soon as possible.
,The relation of the fetal body parts to one another Is called fetal. - Answer Attitude.
The most accurate dating of a pregnancy by ultrasound is. - Answer First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered. Equivocal.
At 32 weeks, a prenatal patient complains of decreased fetal movement. A nonstress
test is reported as nonreactive. Which is appropriate for this patient? Biophysical
profile.
Cordocentesis is more commonly used to detect fetal. Anemia.
Quad screening compared to alphafetoprotein testing can better detect. Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category. - Answer 1 (one)
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
tracing. The appropriate response to this fetal heart rate pattern would be to. - Answer
Continue to observe.
The presence of _________ can rule out fetal metabolic aciditis in a tracing. - Answer
Variability.
Which tachyarrhythmia may cause fetal hydrops? - Answer Persistent supraventricular
tachycardia-sign of anemia 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. She was sent to labor and delivery for further evaluation.
, A complete flat tracing suggests the fetus has. - Answer A complete heart block, which
can be a complication of lupus.
A term woman is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the
goal of. - Answer Relieving cord compression.
Baroreceptors respond mainly to changes in. - Answer Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to. - Answer
increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes. - Answer Prolonged.
Normal uterine activity. - Answer Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is. -
Answer Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over
30 minutes of greater than. - Answer 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in
the upper part of uterus, this is consistent with. -Answer Breech presentation.
When auscultating the fetal heart rate, the nurse finds that with each contraction, the
fetal heart rate is steadily dropping, continuing for 60 seconds following the contraction.
This finding should be documented as follows: After a contraction, there is a. - Answer
decrease in the fetal heart rate after contraction.
