1|Page
RNC-OB CERTIFICATION ACTUAL FINAL EXAM
[LATEST UPDATED]
Halogenated agents used for general anesthesia can result in a uterine tone that
is... - ANSWER decreased.
The release of catecholamines during labor can result in... - ANSWER a more
rapid second stage.
A 39 week gestation primigravida has had regular contractions for the past 48
hours. She has remained 1 cm dilated since the onset of contractions. She is
exhausted, uncomfortable and unable to sleep. Which medication is
recommended for therapeutic rest? - ANSWER Morphine
During a precipitous labor and imminent birth, the initial action by the attending
nurse is to... - ANSWER prepare to deliver the newborn.
The most common fetal malposition is... - ANSWER occiput posterior.
A woman with a macrosomic fetus is at risk for a... - ANSWER dysfunctional labor.
During a shoulder dystocia, the provider has the nurse place the patient on all
fours to facilitate delivery. Which of the following maneuvers would the provider
request? - ANSWER Gaskin.
,2|Page
When fundal pressure is used during shoulder dystocia, the nurse is aware that it
will potentially... - ANSWER impact the fetal shoulder.
During a shoulder dystocia, one maneuver that a nurse may use to help relieve
the stuck shoulder is... - ANSWER Suprapubic pressure.
When a fetus is in the occiput posterior position, the position that is most helpful
in facilitation rotation is... - ANSWER Hands and knees.
A placenta in which the umbilical blood vessels are separated when they leave the
placenta and not protected with Wharton jelly is what placental variation? -
ANSWER Velamentous
At 36 weeks gestation, an ultrasound reveals a velamentous cord insertion. Based
upon this knowledge, the nurse is aware this fetus is at higher risk for a... -
ANSWER Hemorrhage
AT 39 weeks gestation, a gravida 1 para 0 is admitted for elective induction of
labor. Her vaginal exam shows her to be 2cm/50%/-3. The provider performs an
AROM and goes back to the office. Two minutes later there is a prolonged fetal
heart rate decal. The nurse's initial response to this situation is to... - ANSWER
perform a vaginal exam.
A gravida 2 para 1 in active labor just reported SROM. Ten minutes later, she
suddenly complains of sever shortness of breath and lightheadedness. The nurse
should suspect... - ANSWER Anaphylactoid syndrome.
, 3|Page
Hydramnios is common in which condition? - ANSWER Down syndrome.
Oligohydramnios is diagnosed when a biophysical profile shows an amniotc fluid
index of... - ANSWER 4
When the chorionic villi attached to the myometrium of the uterus, this
represents... - ANSWER Placenta accrete.
A woman is admitted to labor and delivery with a diagnosis of placental abruption.
The test that determines the presence of a fetomaternal hemorrhage is... -
ANSWER Kleihauer-Betke
A woman is admitted to labor and delivery with moderate uterine pain without
bleeding. On examination, the uterus has a high tonicity and the uterine
contraction tracing shows increased resting tone. The most likely cause is... -
ANSWER placental abruption.
A woman at 28 weeks gestation reports to L&D with painless vaginal bleeding that
started this morning. The nurse's first step in caring for this woman is to
determine... - ANSWER placental location.
Following PROM, a woman at 33 weeks gestation is placed on a fetal heart rate
monitor. The fetal heart rate is persistently 175 bpm. This is most likely consistent
with... - ANSWER Uterine infection.
RNC-OB CERTIFICATION ACTUAL FINAL EXAM
[LATEST UPDATED]
Halogenated agents used for general anesthesia can result in a uterine tone that
is... - ANSWER decreased.
The release of catecholamines during labor can result in... - ANSWER a more
rapid second stage.
A 39 week gestation primigravida has had regular contractions for the past 48
hours. She has remained 1 cm dilated since the onset of contractions. She is
exhausted, uncomfortable and unable to sleep. Which medication is
recommended for therapeutic rest? - ANSWER Morphine
During a precipitous labor and imminent birth, the initial action by the attending
nurse is to... - ANSWER prepare to deliver the newborn.
The most common fetal malposition is... - ANSWER occiput posterior.
A woman with a macrosomic fetus is at risk for a... - ANSWER dysfunctional labor.
During a shoulder dystocia, the provider has the nurse place the patient on all
fours to facilitate delivery. Which of the following maneuvers would the provider
request? - ANSWER Gaskin.
,2|Page
When fundal pressure is used during shoulder dystocia, the nurse is aware that it
will potentially... - ANSWER impact the fetal shoulder.
During a shoulder dystocia, one maneuver that a nurse may use to help relieve
the stuck shoulder is... - ANSWER Suprapubic pressure.
When a fetus is in the occiput posterior position, the position that is most helpful
in facilitation rotation is... - ANSWER Hands and knees.
A placenta in which the umbilical blood vessels are separated when they leave the
placenta and not protected with Wharton jelly is what placental variation? -
ANSWER Velamentous
At 36 weeks gestation, an ultrasound reveals a velamentous cord insertion. Based
upon this knowledge, the nurse is aware this fetus is at higher risk for a... -
ANSWER Hemorrhage
AT 39 weeks gestation, a gravida 1 para 0 is admitted for elective induction of
labor. Her vaginal exam shows her to be 2cm/50%/-3. The provider performs an
AROM and goes back to the office. Two minutes later there is a prolonged fetal
heart rate decal. The nurse's initial response to this situation is to... - ANSWER
perform a vaginal exam.
A gravida 2 para 1 in active labor just reported SROM. Ten minutes later, she
suddenly complains of sever shortness of breath and lightheadedness. The nurse
should suspect... - ANSWER Anaphylactoid syndrome.
, 3|Page
Hydramnios is common in which condition? - ANSWER Down syndrome.
Oligohydramnios is diagnosed when a biophysical profile shows an amniotc fluid
index of... - ANSWER 4
When the chorionic villi attached to the myometrium of the uterus, this
represents... - ANSWER Placenta accrete.
A woman is admitted to labor and delivery with a diagnosis of placental abruption.
The test that determines the presence of a fetomaternal hemorrhage is... -
ANSWER Kleihauer-Betke
A woman is admitted to labor and delivery with moderate uterine pain without
bleeding. On examination, the uterus has a high tonicity and the uterine
contraction tracing shows increased resting tone. The most likely cause is... -
ANSWER placental abruption.
A woman at 28 weeks gestation reports to L&D with painless vaginal bleeding that
started this morning. The nurse's first step in caring for this woman is to
determine... - ANSWER placental location.
Following PROM, a woman at 33 weeks gestation is placed on a fetal heart rate
monitor. The fetal heart rate is persistently 175 bpm. This is most likely consistent
with... - ANSWER Uterine infection.
