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Exam (elaborations)

RNC-OB Practice Questions and Answers Graded A

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Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After one hour, tachysystole develops but the fetal heart rate pattern is normal. Appropriate management is to: - -remove the insert Nifedipine acts as a tocolytic agent by interfering with: - -availability of calcium The progressio

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RNC-OB
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January 17, 2026
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Written in
2025/2026
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RNC-OB Practice Questions and Answers Graded A
Dinoprostone (Cervidil) is used for cervical
ripening in a woman at 39 weeks gestation. After The concept of "day dreaming" is an integral part
one hour, tachysystole develops but the fetal of the nonpharmacologic pain relief strategy in
heart rate pattern is normal. Appropriate labor of: - -imagery
management is to: - -remove the insert

After administration of an epidural, a woman
Nifedipine acts as a tocolytic agent by interfering experienced respiratory depression. This is likely
with: - -availability of calcium due to: - -sympathetic blockade


The progression of labor is based on: - - A main disadvantage of fentanyl use for pain
individual factors and clinical conditions relief in labor is: - -short duration of action


Universal alphafetoprotein sceening should be The most common umbilical cord complication of
offered to all women because: - -there is monoamniotic twin gestation is: - -
little risk or complications from the testing entanglement


A nurse observed a new mother breastfeeding A potential complication from a vacuum
her infant and hears "smacking sounds" as the extraction delivery is: - -depression skull
infant feeds. The nurse should recognize this fracture
might indicate a problem with: - -Latch on
the breast
A shorter labor duration is seen with what type of
maternal positioning: - -upright
A woman with type-1 diabetes at 32 weeks
gestation has diabetic ketoacidosis. Before
administration of IV potassium, it is important to A breastfeeding mother notes that small amounts
assure adequate: - -urine output of milk drool from her infant's mouth after
breastfeeding. This is an indication of what: -
-a need to evaluate proper latch-on
Increased bloody show In a woman in labor is
representative of: - -rapid cervical dilation
When administering oxytocin, it is important to
understand that 40 minutes after administration: -
According to NICHD terminology, accelerations -a steady state plasma concentration will
and decelerations are based on their relationship be reached
to" - -fetal heart rate baseline

In the hypothermin neonate, heat production is
Hindmilk promotes infant weight gain because of accomplished by thermogenesis secondary to: -
its: - -high fat content -brown fat metabolism

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, RNC-OB Practice Questions and Answers Graded A
second stage of labor reports tingling and
Women are most likely to experience trauma numbness of the legs. A indicated intervention as
leading to injury in pregnancy from: - - she continues to push it to - -place her feet
intimate partner violence flat on the bed


A contraindication to neuraxial anesthesia during A woman in labor has just received an epidural
labor is: - -coagulation disorder anesthesia. Following a test dose of local
anesthesia and ephederine, she experiences
increased heart rate, palpitations, numbness of
A woman at 31 weeks gestation comes to labor tongue and slurred speech and jitteriness. These
and delivery with signs and symptoms of preterm symptoms reflect - -injection in the spinal
labor. Antenatal steroids are given to: - - fluid
promote fetal lung alveoli growth

When using an external monitor, the fetal heart
Symptoms of deep vein thrombosis are most rate is detected by - -ultrasound
likely due to: - -inflammation

A renal finding indicative of progressing
Death from anaphylactoid syndrome of preeclampsia is decreased - -creatinine
pregnancy(amniotic fluid embolism) is most clearance
commonly due to: - -hypoxic-ischemic
insult
Stripping of membranes to augment labor results
in release of - -prostaglandin
Reversal of the diabetogenic effects of
pregnancy occurs with: - -delivery of the
placenta Late preterm infants are at increased risk for
hyperbilirubinemia because of - -poor
feeding
Rapid bolus of oxytocin after birth places the
woman at risk for - -hypercontractility of
the uterus Damage to the myometrium or any process that
interferes with placenta migration increases the
risk for - -placenta previa
To minimize bias in a research study, the best
design includes - -randomized participants
The factor that will most influence whether a
woman after having a cesarean can have future
intrauterine growth restriction predisposes the vaginal birth is - -type and location of the
neonate to - -sepsis incision


Following sustained pushing, a woman in the A factor that decreases the chance of success of
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