RNC test UPDATED ACTUAL Exam
Questions and CORRECT Answers
The insulin requirements for most diabetic breastfeeding mom's is:
a. increased
b. decreased
c. same - CORRECT ANSWER -b
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 - CORRECT ANSWER -b
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 - CORRECT ANSWER -a
The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same - CORRECT ANSWER -b
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 - CORRECT ANSWER -a
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) - CORRECT ANSWER -a
The primary indication for the use of magnesium sulfate in preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis - CORRECT ANSWER -c
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 - CORRECT ANSWER -b
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 - CORRECT ANSWER -b
The tocolytic that is contraindicated in the diabetic woman is
a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics) - CORRECT ANSWER -c
,Compared to the first trimester, the insulin requirements for the diabetic mother in the third
trimester are
a. greater
b. less
c. the same - CORRECT ANSWER -a
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 - CORRECT ANSWER -c
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 - CORRECT ANSWER -a
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) - CORRECT ANSWER -a
The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
a. congenital anomalies
, b. growth restriction
c. macrosomia - CORRECT ANSWER -c
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 - CORRECT ANSWER -b
Woman with gestational diabetes are at a higher risk for developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa - CORRECT ANSWER -b
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 - CORRECT ANSWER -c
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 - CORRECT ANSWER -c
The medication that is contraindicated in women with a cardia condition
a. hydralazine (apresoline)
b. oxytocin
c. terbutaline - CORRECT ANSWER -c
Questions and CORRECT Answers
The insulin requirements for most diabetic breastfeeding mom's is:
a. increased
b. decreased
c. same - CORRECT ANSWER -b
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 - CORRECT ANSWER -b
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 - CORRECT ANSWER -a
The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same - CORRECT ANSWER -b
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 - CORRECT ANSWER -a
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) - CORRECT ANSWER -a
The primary indication for the use of magnesium sulfate in preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis - CORRECT ANSWER -c
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 - CORRECT ANSWER -b
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 - CORRECT ANSWER -b
The tocolytic that is contraindicated in the diabetic woman is
a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics) - CORRECT ANSWER -c
,Compared to the first trimester, the insulin requirements for the diabetic mother in the third
trimester are
a. greater
b. less
c. the same - CORRECT ANSWER -a
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 - CORRECT ANSWER -c
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 - CORRECT ANSWER -a
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) - CORRECT ANSWER -a
The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
a. congenital anomalies
, b. growth restriction
c. macrosomia - CORRECT ANSWER -c
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 - CORRECT ANSWER -b
Woman with gestational diabetes are at a higher risk for developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa - CORRECT ANSWER -b
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 - CORRECT ANSWER -c
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 - CORRECT ANSWER -c
The medication that is contraindicated in women with a cardia condition
a. hydralazine (apresoline)
b. oxytocin
c. terbutaline - CORRECT ANSWER -c
