RNC-OB CERTIFICATION ACTUAL EXAM
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ total weight gain in pregnancy for normal weight.
Answer: 25-35lb
◍ thrombocytopenia tx.
Answer: dexamethasone/prednisone orally or IM
◍ cervical height is an accurate estimate of gestation until what week.
Answer: 36
◍ seafood intake in pregnancy.
Answer: 8-12oz of low mercury seafood6oz of canned albacore tunano large
fish with higher levels of mercury
◍ virchow's triad.
Answer: venous stasishypercoagulationblood vessel trauma
◍ fetal scalp blood sampling 7.25 or greater.
Answer: normal
◍ postterm pregnancy.
Answer: 42 weeks
◍ main goal of neonatal resuscitation.
Answer: ensure the baby's survival and prevent long-term complications
◍ HPV.
Answer: rarely transmitted to the infant during vaginal deliveries, c/s not
indicated unless warts are so large they block the birth canal
◍ lupus.
, Answer: autoimmune disease where body's immune system mistakenly
attacks healthy tissues and organs
◍ autonomy.
Answer: duty to allow patient to make independent decisions
◍ macrosomia.
Answer: EFW >90%ile or >4000g
◍ malignant hyperthermia syndrome.
Answer: high fever, death, dantrolene
◍ Risks of battledore placenta.
Answer: Preterm labor, bleeding, fetal stress
◍ maternal serum screen.
Answer: blood test done at 15-20w to assess for risks of fetal chromosomal
abnormalities
◍ slow paced breathing.
Answer: rate should be no slower than. half the normal rate
◍ narcotic pain relief in labor.
Answer: ideal for primips at 3-4cm and multips at 4-5cm
◍ 500 cc blood loss = ___ hemoglobin loss.
Answer: 1-1.5 g
◍ Succenturiate placenta is also know as.
Answer: bilobed placenta
◍ mag effect on FHR.
Answer: decreased baseline
◍ mortality rate for group A strep.
Answer: 90% for mother50% for fetus
◍ number one cause of a previa.
Answer: previous damage to myometrium (like a c/s) --> imbeds on scar
tissue
,◍ twin to twin transfusion.
Answer: one becomes anemicone becomes polycythemic --> prone to clot
--> high in crit
◍ first sign of respiratory distress.
Answer: tachypnea
◍ latent first stage of labor.
Answer: 0-3cm
◍ 8/10 BPP with abnormal AFI.
Answer: chronic asphyxiaincreased rate of perinatal mortality within a
weekmove towards delivery
◍ s/s appendicitis.
Answer: R flank pain, fever, rebound tenderness, n/vguarding - Macburny's
point (LRQ)
◍ negligence.
Answer: failure to exercise the appropriate level of care, skill, or caution in
providing healthcare services
◍ hunger signs newborn.
Answer: bobbing head, hands in fists, licking, sucking motions, rooting,
bringing hands to mouth/face, crying
◍ most commonly used method for evaluation of baby.
Answer: ultrasound-fetal age, anatomy, growth
◍ positive CST.
Answer: late decels in over half contractions
◍ lightening symptoms.
Answer: decreased indigestion, decreased SOB, increased pressure on the
bladder, increased pelvic pressure, increased vaginal secretions, peripheral
edema
◍ suspicious CST.
, Answer: intermittent lates/variables
◍ asymmetric IUGR.
Answer: head normal, body smallassociated with: placental insufficiency,
preE
◍ post term associated with.
Answer: increased risk of still birth, neonatal mortality, oligo, mec
aspiration, fetal respiratory distress, fetal increased hemoglobin, fetal
asphyxia
◍ opioid antagonist.
Answer: narcan
◍ nuchal cord.
Answer: grasp the cord and pull it over the fetal headif unsuccessful, doubly
clamp and cut
◍ second most common neuro conditions.
Answer: epilepsy
◍ retinal hemorrhage.
Answer: occurs in 25% of newborns, increased risk with VAVD
◍ 4.0mm ET tube.
Answer: >38w, >3000g
◍ confidentiality.
Answer: duty to keep information from disclosure without consent
◍ hypnobirthing.
Answer: natural childbirth method that utilizes self-hypnosis to reduce stress
and anxiety during childbirth
◍ ectopic pregnancy.
Answer: 95% occur in fallopian tubes10% of maternal deaths
◍ protracted descent.
Answer: failing to descend-excessive fetal size, maternal pelvis relationship
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ total weight gain in pregnancy for normal weight.
Answer: 25-35lb
◍ thrombocytopenia tx.
Answer: dexamethasone/prednisone orally or IM
◍ cervical height is an accurate estimate of gestation until what week.
Answer: 36
◍ seafood intake in pregnancy.
Answer: 8-12oz of low mercury seafood6oz of canned albacore tunano large
fish with higher levels of mercury
◍ virchow's triad.
Answer: venous stasishypercoagulationblood vessel trauma
◍ fetal scalp blood sampling 7.25 or greater.
Answer: normal
◍ postterm pregnancy.
Answer: 42 weeks
◍ main goal of neonatal resuscitation.
Answer: ensure the baby's survival and prevent long-term complications
◍ HPV.
Answer: rarely transmitted to the infant during vaginal deliveries, c/s not
indicated unless warts are so large they block the birth canal
◍ lupus.
, Answer: autoimmune disease where body's immune system mistakenly
attacks healthy tissues and organs
◍ autonomy.
Answer: duty to allow patient to make independent decisions
◍ macrosomia.
Answer: EFW >90%ile or >4000g
◍ malignant hyperthermia syndrome.
Answer: high fever, death, dantrolene
◍ Risks of battledore placenta.
Answer: Preterm labor, bleeding, fetal stress
◍ maternal serum screen.
Answer: blood test done at 15-20w to assess for risks of fetal chromosomal
abnormalities
◍ slow paced breathing.
Answer: rate should be no slower than. half the normal rate
◍ narcotic pain relief in labor.
Answer: ideal for primips at 3-4cm and multips at 4-5cm
◍ 500 cc blood loss = ___ hemoglobin loss.
Answer: 1-1.5 g
◍ Succenturiate placenta is also know as.
Answer: bilobed placenta
◍ mag effect on FHR.
Answer: decreased baseline
◍ mortality rate for group A strep.
Answer: 90% for mother50% for fetus
◍ number one cause of a previa.
Answer: previous damage to myometrium (like a c/s) --> imbeds on scar
tissue
,◍ twin to twin transfusion.
Answer: one becomes anemicone becomes polycythemic --> prone to clot
--> high in crit
◍ first sign of respiratory distress.
Answer: tachypnea
◍ latent first stage of labor.
Answer: 0-3cm
◍ 8/10 BPP with abnormal AFI.
Answer: chronic asphyxiaincreased rate of perinatal mortality within a
weekmove towards delivery
◍ s/s appendicitis.
Answer: R flank pain, fever, rebound tenderness, n/vguarding - Macburny's
point (LRQ)
◍ negligence.
Answer: failure to exercise the appropriate level of care, skill, or caution in
providing healthcare services
◍ hunger signs newborn.
Answer: bobbing head, hands in fists, licking, sucking motions, rooting,
bringing hands to mouth/face, crying
◍ most commonly used method for evaluation of baby.
Answer: ultrasound-fetal age, anatomy, growth
◍ positive CST.
Answer: late decels in over half contractions
◍ lightening symptoms.
Answer: decreased indigestion, decreased SOB, increased pressure on the
bladder, increased pelvic pressure, increased vaginal secretions, peripheral
edema
◍ suspicious CST.
, Answer: intermittent lates/variables
◍ asymmetric IUGR.
Answer: head normal, body smallassociated with: placental insufficiency,
preE
◍ post term associated with.
Answer: increased risk of still birth, neonatal mortality, oligo, mec
aspiration, fetal respiratory distress, fetal increased hemoglobin, fetal
asphyxia
◍ opioid antagonist.
Answer: narcan
◍ nuchal cord.
Answer: grasp the cord and pull it over the fetal headif unsuccessful, doubly
clamp and cut
◍ second most common neuro conditions.
Answer: epilepsy
◍ retinal hemorrhage.
Answer: occurs in 25% of newborns, increased risk with VAVD
◍ 4.0mm ET tube.
Answer: >38w, >3000g
◍ confidentiality.
Answer: duty to keep information from disclosure without consent
◍ hypnobirthing.
Answer: natural childbirth method that utilizes self-hypnosis to reduce stress
and anxiety during childbirth
◍ ectopic pregnancy.
Answer: 95% occur in fallopian tubes10% of maternal deaths
◍ protracted descent.
Answer: failing to descend-excessive fetal size, maternal pelvis relationship
