RNC OB: Accurate Solutions For Every Question
The purpose of the quadruple screen is to identify Correct Answer
- genetic defects
Untreated hypothyroidism in the pregnant patient is most likely to
cause abnormalities in fetal Correct Answer - brain
development
Insulin production in fetuses of patients with poorly controlled
diabetes relative to infants of non-diabetics is Correct Answer -
increased
A patient in labor reports a sudden sharp tearing pain. The fetal
heart rate monitor shows tachysystole and the presenting part can
no longer be detected. This scenario is consistent with Correct
Answer - uterine rupture
The risk of nerve injury in the lower extremities can be reduced
with Correct Answer - continuing to change position during
second stage
Early decelerations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - baroreceptor stimulation
and a subsequent vagal response
Late decelerations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - chemoreceptor
activation in response to decreased oxygen
Variable declarations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - umbilical cord
compression
,Continuous fetal monitoring is most appropriate for the patient who
is Correct Answer - undergoing induction with iv oxytocin
Following scalp stimulation, there are no induced acceleration. This
response would be classified as Correct Answer - category II
Palpating a neonates head at 2 hours of age reveals a soft edematous
area that crosses suture lines and extends down the base of the skull
Correct Answer - sugaleal hemorrhage
Variable decels are often noted with monitoring monochorionic-
monoamniotic twins during labor because this type of twin
pregnancy is prone to what complication Correct Answer -
umbilical cord entanglement
Heparin works in treating deep vein thrombosis in pregnancy by
preventing clots through what mechanism Correct Answer -
inhibiting thrombin formation
The risk of asthma exacerbation during labor is Correct Answer -
high
The fetal cardiac condition frequently associated with maternal
systemis lupus erythematosus is Correct Answer - heart block
Return of blood to the venous circulation that was formerly
supplying the uteroplacental unit increases cardiac output in the
postpartum period secondary to increased Correct Answer -
stroke volume
The birthing position associated with the highest rate for episiotomy
during vaginal delivery is the Correct Answer - lithotomy
(recumbent spine) position
, Abrupt onset of vaginal bleeding with uterine tenderness and
increased uterine tone during labor is most consistent with
Correct Answer - placental abruption
Vaginal birth after cesarean section is most likely to be successful in
the patient with Correct Answer - spontaneous labor
The most important factor in predicting a successful induction of
labor is Correct Answer - bishop score
When uterine expansionoccurs away from the lower uterine
segment in placenta previa, this is caused by Correct Answer -
the growth of placental trophoblasts toward the fundus
Patients who experience precipitous labor are at increased risk for
Correct Answer - perineal lacerations
Systemic signs of illness (e.g. flu-like symptoms) in the breastfeeding
patient are most often associated with Correct Answer -
mastitis
A woman at 31 weeks gestation comes to labor and delivery with
signs and symptoms of preterm labor. Antenatal steroids are given
to Correct Answer - stimulate phospholipid surfactant
synthesis
During the early second stage of labor, a patient has been pushing
but wants to stop for awhile. The nurse should Correct Answer -
allow her to set the pace
Leaning over a birth ball would be a good strategy to Correct
Answer - relieve bak pain associated with contractions
The purpose of the quadruple screen is to identify Correct Answer
- genetic defects
Untreated hypothyroidism in the pregnant patient is most likely to
cause abnormalities in fetal Correct Answer - brain
development
Insulin production in fetuses of patients with poorly controlled
diabetes relative to infants of non-diabetics is Correct Answer -
increased
A patient in labor reports a sudden sharp tearing pain. The fetal
heart rate monitor shows tachysystole and the presenting part can
no longer be detected. This scenario is consistent with Correct
Answer - uterine rupture
The risk of nerve injury in the lower extremities can be reduced
with Correct Answer - continuing to change position during
second stage
Early decelerations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - baroreceptor stimulation
and a subsequent vagal response
Late decelerations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - chemoreceptor
activation in response to decreased oxygen
Variable declarations observed on fetal heart rate monitoring during
labor are caused by Correct Answer - umbilical cord
compression
,Continuous fetal monitoring is most appropriate for the patient who
is Correct Answer - undergoing induction with iv oxytocin
Following scalp stimulation, there are no induced acceleration. This
response would be classified as Correct Answer - category II
Palpating a neonates head at 2 hours of age reveals a soft edematous
area that crosses suture lines and extends down the base of the skull
Correct Answer - sugaleal hemorrhage
Variable decels are often noted with monitoring monochorionic-
monoamniotic twins during labor because this type of twin
pregnancy is prone to what complication Correct Answer -
umbilical cord entanglement
Heparin works in treating deep vein thrombosis in pregnancy by
preventing clots through what mechanism Correct Answer -
inhibiting thrombin formation
The risk of asthma exacerbation during labor is Correct Answer -
high
The fetal cardiac condition frequently associated with maternal
systemis lupus erythematosus is Correct Answer - heart block
Return of blood to the venous circulation that was formerly
supplying the uteroplacental unit increases cardiac output in the
postpartum period secondary to increased Correct Answer -
stroke volume
The birthing position associated with the highest rate for episiotomy
during vaginal delivery is the Correct Answer - lithotomy
(recumbent spine) position
, Abrupt onset of vaginal bleeding with uterine tenderness and
increased uterine tone during labor is most consistent with
Correct Answer - placental abruption
Vaginal birth after cesarean section is most likely to be successful in
the patient with Correct Answer - spontaneous labor
The most important factor in predicting a successful induction of
labor is Correct Answer - bishop score
When uterine expansionoccurs away from the lower uterine
segment in placenta previa, this is caused by Correct Answer -
the growth of placental trophoblasts toward the fundus
Patients who experience precipitous labor are at increased risk for
Correct Answer - perineal lacerations
Systemic signs of illness (e.g. flu-like symptoms) in the breastfeeding
patient are most often associated with Correct Answer -
mastitis
A woman at 31 weeks gestation comes to labor and delivery with
signs and symptoms of preterm labor. Antenatal steroids are given
to Correct Answer - stimulate phospholipid surfactant
synthesis
During the early second stage of labor, a patient has been pushing
but wants to stop for awhile. The nurse should Correct Answer -
allow her to set the pace
Leaning over a birth ball would be a good strategy to Correct
Answer - relieve bak pain associated with contractions
