1|Page
RNC-OB CERTIFICATION EXAM
The most appropriate instruction to give parents about what breastfeeding
frequency to expect during the first few weeks after birth is... - Correct
Answer>>Cluster feedings with 8-12 feedings in 24 hours.
A patient is examined and found to have a tender, red area in one breast that
feels small and hard, similar to a pea, just under the skin. The expected
management for this patient is... - Correct Answer>>gentle massage to relieve
the lump.
The type of neonatal jaundice caused by inadequate breastmilk intake is... -
Correct Answer>>breastfeeding jaundice.
A maternal contraindication to breastfeeding is... - Correct
Answer>>HTLV-1 (Human T-cell leukemia virus, type 1)
Appropriate teaching about breast engorgement for a non- breastfeeding
mother is to... - Correct Answer>>wear a 24-hour support bra for comfort.
A patient diagnosed with a postpartum infection states she does not have any
pain but seems confused and agitated. Her VS are: T99.9, BP 98/50, P125,
Urinary output is decreased. The most likely diagnosis is...
- Correct Answer>>Septic shock.
Which medication is contraindicated for use with a patient with uterine atony who
has preexisting hypertension? - Correct Answer>>Methylergonovine (Methergine)
,2|Page
After a massive hemorrhage of 2000ml blood loss, a woman presents to clinic on
day 5 postpartum verbalizing her milk has not come in. You should suspect... -
Correct Answer>>Sheehan's syndrome.
Forty eight hours after a woman's CS birth, the nurse notes that the woman's left
calf and foot are cool and pale. The left pedal pulse is diminished and there is a
decreased capillary refill. The Homan's sign is negative bilaterally. She reports
some tenderness in her left calf. The most appropriate initial response to these
finding would be to... - Correct Answer>>Place on bedrest with elevation of the
left leg.
Just prior to hospital discharge, a postpartum patient is crying, still in her
nightgown at 1pm and states she is overwhelmed from nursing the baby all of
the time. Physical assessments of the mother and baby are normal. The nurse
knows that this is a manifestation of postpartum... - Correct Answer>>blues.
Increased perfusion of the newborn liver is initiated by closure of the...
- Correct Answer>>ductus venosus.
A neonate has scrotal swelling which is soft, non-tender and transilluminates.
There are no palpable masses. The most likely diagnosis is... - Correct
Answer>>hydrocele.
When performing chest compression during neonatal resuscitation, the number of
compressions should be at what rate per minute? - Correct Answer>>90
At birth, the newborn is noted to have absent breath sounds on the left with heart
sounds shifted to the right. The abdomen is scaphoid and ventilation is difficult. The
most likely diagnosis is... - Correct Answer>>diaphragmatic hernia.
, 3|Page
A cause to physiological jaundice can be a result of... - Correct Answer>>delayed cord
clamping.
GBS and what other organism are currently the most common pathogens seen in
neonatal sepsis? - Correct Answer>>E. Coli.
A postpartum mother who would like to breastfeed her baby is diagnosed with
Hepatitis B surface-antigen positive. What is the recommendation regarding
breastfeeding for this mother? - Correct Answer>>Administer HBIG and hepatitis
vaccine to the newborn and then allow breastfeeding.
A neonate born to a mother whose HBsAg status is unknown should have... -
Correct Answer>>the first dose of hep B within 12 hours after birth.
The concept of nursing negligence requires that... - Correct Answer>>an injury
occurred to the patient.
The main tenet of evidence based practice is... - Correct Answer>>translation of
best available information into clinical guidelines.
A provider asks a nurse to obtain a signature on informed consent for surgery. the
nurse's responsibility in this situation is to... - Correct Answer>>determine if the
patient was advised of the reason, risks, and benefits of the surgery.
Naegele's Rule - Correct Answer>>Subtract months from first day of last menstrual
period and add 7 days and 1 year
LMP - 3Months + 7 days + 1 year
RNC-OB CERTIFICATION EXAM
The most appropriate instruction to give parents about what breastfeeding
frequency to expect during the first few weeks after birth is... - Correct
Answer>>Cluster feedings with 8-12 feedings in 24 hours.
A patient is examined and found to have a tender, red area in one breast that
feels small and hard, similar to a pea, just under the skin. The expected
management for this patient is... - Correct Answer>>gentle massage to relieve
the lump.
The type of neonatal jaundice caused by inadequate breastmilk intake is... -
Correct Answer>>breastfeeding jaundice.
A maternal contraindication to breastfeeding is... - Correct
Answer>>HTLV-1 (Human T-cell leukemia virus, type 1)
Appropriate teaching about breast engorgement for a non- breastfeeding
mother is to... - Correct Answer>>wear a 24-hour support bra for comfort.
A patient diagnosed with a postpartum infection states she does not have any
pain but seems confused and agitated. Her VS are: T99.9, BP 98/50, P125,
Urinary output is decreased. The most likely diagnosis is...
- Correct Answer>>Septic shock.
Which medication is contraindicated for use with a patient with uterine atony who
has preexisting hypertension? - Correct Answer>>Methylergonovine (Methergine)
,2|Page
After a massive hemorrhage of 2000ml blood loss, a woman presents to clinic on
day 5 postpartum verbalizing her milk has not come in. You should suspect... -
Correct Answer>>Sheehan's syndrome.
Forty eight hours after a woman's CS birth, the nurse notes that the woman's left
calf and foot are cool and pale. The left pedal pulse is diminished and there is a
decreased capillary refill. The Homan's sign is negative bilaterally. She reports
some tenderness in her left calf. The most appropriate initial response to these
finding would be to... - Correct Answer>>Place on bedrest with elevation of the
left leg.
Just prior to hospital discharge, a postpartum patient is crying, still in her
nightgown at 1pm and states she is overwhelmed from nursing the baby all of
the time. Physical assessments of the mother and baby are normal. The nurse
knows that this is a manifestation of postpartum... - Correct Answer>>blues.
Increased perfusion of the newborn liver is initiated by closure of the...
- Correct Answer>>ductus venosus.
A neonate has scrotal swelling which is soft, non-tender and transilluminates.
There are no palpable masses. The most likely diagnosis is... - Correct
Answer>>hydrocele.
When performing chest compression during neonatal resuscitation, the number of
compressions should be at what rate per minute? - Correct Answer>>90
At birth, the newborn is noted to have absent breath sounds on the left with heart
sounds shifted to the right. The abdomen is scaphoid and ventilation is difficult. The
most likely diagnosis is... - Correct Answer>>diaphragmatic hernia.
, 3|Page
A cause to physiological jaundice can be a result of... - Correct Answer>>delayed cord
clamping.
GBS and what other organism are currently the most common pathogens seen in
neonatal sepsis? - Correct Answer>>E. Coli.
A postpartum mother who would like to breastfeed her baby is diagnosed with
Hepatitis B surface-antigen positive. What is the recommendation regarding
breastfeeding for this mother? - Correct Answer>>Administer HBIG and hepatitis
vaccine to the newborn and then allow breastfeeding.
A neonate born to a mother whose HBsAg status is unknown should have... -
Correct Answer>>the first dose of hep B within 12 hours after birth.
The concept of nursing negligence requires that... - Correct Answer>>an injury
occurred to the patient.
The main tenet of evidence based practice is... - Correct Answer>>translation of
best available information into clinical guidelines.
A provider asks a nurse to obtain a signature on informed consent for surgery. the
nurse's responsibility in this situation is to... - Correct Answer>>determine if the
patient was advised of the reason, risks, and benefits of the surgery.
Naegele's Rule - Correct Answer>>Subtract months from first day of last menstrual
period and add 7 days and 1 year
LMP - 3Months + 7 days + 1 year
