RNC-OB Certification Review Exam 2024 2025 EXAM QUESTIONS AND
CORRECT ANSWERS PROFESSOR VERIFIED
1. A patient's record states her pregnancy history is 1 term pregnancy, 1
miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after
birth. What is her GP?: Gravida 3 Para 1212
2. Cholestasis is a condition that occurs in pregnancy and is caused by
elevated...: Bile acid
3. What is a sign of deteriorating status in pregnancy complicated by
hypertension?: Increased serum creatinine
4. A patient at 37 weeks gestation arrives to labor and delivery from the
emergency room after admission for severe gastric discomfort with
nausea and vomiting. She is anxious and dizzy. Her blood pressure is
156/100. She has 4+ protein in her urine. Most likely diagnosis is anxiety
and...: Preeclampsia with severe features
5. Fluid balance should be monitored in a woman on mag sulfate therapy
because there is an increased risk for...: Pulmonary edema
6. On admission to the labor unit, a woman's deep tendon reflexes are
assessed at 2+. Intravenous magnesium sulfate is initiated. At her next
assessment, her reflexes are absent with respiratory rate of 10. Which
actions should be taken?: Stop the magnesium sulfate and notify provider.
, 7. 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...: As soon as possible.
8. The relation of the fetal body parts to one another Is called fetal...: Attitude.
9. The most accurate dating of a pregnancy by ultrasound is...: First trimester
evaluation of the crown-rump length.
10. A biophysical score of 6 is considered...: Equivocal.
11. At 32 weeks, a prenatal patient reported decreased fetal movement. A
nonstress test is reported as nonreactive. Which is appropriate for this
patient?: Biophysical profile.
12. Cordocentesis is more commonly used to detect fetal...: Anemia.
13. Quad screening compared to alphafetoprotein testing can better detect...:
Trisomies.
14. A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category...: 1 (one)
15. 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...: Continue to observe...
16. Fetal metabolic acidosis in a tracing can be ruled out with the presence
of...: Variability.
17 Which tachyarrhythmia can result in fetal hydrops?: Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
18. 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...: A complete heart block, which can be a complication of lupus.
19. A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium stained amniotic
CORRECT ANSWERS PROFESSOR VERIFIED
1. A patient's record states her pregnancy history is 1 term pregnancy, 1
miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after
birth. What is her GP?: Gravida 3 Para 1212
2. Cholestasis is a condition that occurs in pregnancy and is caused by
elevated...: Bile acid
3. What is a sign of deteriorating status in pregnancy complicated by
hypertension?: Increased serum creatinine
4. A patient at 37 weeks gestation arrives to labor and delivery from the
emergency room after admission for severe gastric discomfort with
nausea and vomiting. She is anxious and dizzy. Her blood pressure is
156/100. She has 4+ protein in her urine. Most likely diagnosis is anxiety
and...: Preeclampsia with severe features
5. Fluid balance should be monitored in a woman on mag sulfate therapy
because there is an increased risk for...: Pulmonary edema
6. On admission to the labor unit, a woman's deep tendon reflexes are
assessed at 2+. Intravenous magnesium sulfate is initiated. At her next
assessment, her reflexes are absent with respiratory rate of 10. Which
actions should be taken?: Stop the magnesium sulfate and notify provider.
, 7. 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...: As soon as possible.
8. The relation of the fetal body parts to one another Is called fetal...: Attitude.
9. The most accurate dating of a pregnancy by ultrasound is...: First trimester
evaluation of the crown-rump length.
10. A biophysical score of 6 is considered...: Equivocal.
11. At 32 weeks, a prenatal patient reported decreased fetal movement. A
nonstress test is reported as nonreactive. Which is appropriate for this
patient?: Biophysical profile.
12. Cordocentesis is more commonly used to detect fetal...: Anemia.
13. Quad screening compared to alphafetoprotein testing can better detect...:
Trisomies.
14. A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category...: 1 (one)
15. 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...: Continue to observe...
16. Fetal metabolic acidosis in a tracing can be ruled out with the presence
of...: Variability.
17 Which tachyarrhythmia can result in fetal hydrops?: Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
18. 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...: A complete heart block, which can be a complication of lupus.
19. A woman at term is in labor and exhibits recurrent variable
decelerations with moderate variability and meconium stained amniotic
