RNC-OB CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ The type of forceps used during a vaginal breech birth is....
Answer: Piper.
◍ Informed consent.
Answer: An agreement to do something or allow something to happen, made
with complete knowledge of all the relevant facts, such as the risks involved
or any available alternatives.
◍ The recommended initial intravaginal dose of misoprostol (Cytotec) for
cervical ripening is....
Answer: 25 micrograms.
◍ According to ACOG guidelines for continuous EFM, a patient without
complications in the active phase of labor should have the FHR assessed
every....
Answer: 30 minutes
◍ A contraindication to the use of Dinoprostone (cervidil) would be....
Answer: A patient with 6 or more previous term pregnancies.
◍ Which medication is contraindicated for use with a patient with uterine
atony who has preexisting hypertension?.
Answer: Methylergonovine (Methergine)
◍ Non-Maleficence.
Answer: "First to do no harm", Avoid harm or risk of harm
◍ Fidelity.
Answer: Faithfulness to duties or obligations
◍ Autonomy.
, Answer: Capacity to make own independent decisions, right to
non-interference, self-determination
◍ A pregnancy is classified as post term beginning at....
Answer: 42 weeks.
◍ According to the NICHD definitions, which deceleration much drop at least
15 beats per minutes....
Answer: Prolonged.
◍ The lochia that is pink or brown and occurs between 3-10 days postpartum
is....
Answer: serosa.
◍ The current recommendation regarding timing of prophylactic antibiotics for
a cesarean section is....
Answer: within 60 minutes prior to the start of the incision.
◍ A woman with a macrosomic fetus is at risk for a....
Answer: dysfunctional labor.
◍ Beta-sympathomimetic drugs decrease the frequency and intensity of uterine
contractions by....
Answer: stimulating beta 2 receptor action.
◍ 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....
Answer: A complete heart block, which can be a complication of lupus.
◍ Informed consent.
Answer: An agreement to do something or allow something to happen, made
with complete knowledge of all the relevant facts, such as the risks involved
or any available alternatives.
◍ The release of catecholamines during labor can result in....
Answer: a more rapid second stage.
, ◍ 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....
Answer: Preeclampsia with severe features
◍ Mei Lin, a Chinese woman gave birth to her first child by CS 12 hours ago.
She grimaces when getting out of bed, but hasn't asked for anything for
pain. Based on information about the Asian American cultures, the nurse
should....
Answer: Offer pain medication when due since they tend to be stoic and
may not ask.
◍ A cause to physiological jaundice can be a result of....
Answer: delayed cord clamping.
◍ Which one of the following women is the best candidate for a vaginal birth
after cesarean (VBAC)?.
Answer: A gravida 3 para 2 who had a vaginal delivery with her first
pregnancy and a cesarean for breech with her second baby.
◍ 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....
Answer: Septic shock.
◍ A provider asks a nurse to obtain a signature on informed consent for
surgery. the nurse's responsibility in this situation is to....
Answer: determine if the patient was advised of the reason, risks, and
benefits of the surgery.
◍ Liability.
Answer: having a legal responsibility
◍ 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
QUESTIONS WITH SOLUTIONS GRADED A+
◍ The type of forceps used during a vaginal breech birth is....
Answer: Piper.
◍ Informed consent.
Answer: An agreement to do something or allow something to happen, made
with complete knowledge of all the relevant facts, such as the risks involved
or any available alternatives.
◍ The recommended initial intravaginal dose of misoprostol (Cytotec) for
cervical ripening is....
Answer: 25 micrograms.
◍ According to ACOG guidelines for continuous EFM, a patient without
complications in the active phase of labor should have the FHR assessed
every....
Answer: 30 minutes
◍ A contraindication to the use of Dinoprostone (cervidil) would be....
Answer: A patient with 6 or more previous term pregnancies.
◍ Which medication is contraindicated for use with a patient with uterine
atony who has preexisting hypertension?.
Answer: Methylergonovine (Methergine)
◍ Non-Maleficence.
Answer: "First to do no harm", Avoid harm or risk of harm
◍ Fidelity.
Answer: Faithfulness to duties or obligations
◍ Autonomy.
, Answer: Capacity to make own independent decisions, right to
non-interference, self-determination
◍ A pregnancy is classified as post term beginning at....
Answer: 42 weeks.
◍ According to the NICHD definitions, which deceleration much drop at least
15 beats per minutes....
Answer: Prolonged.
◍ The lochia that is pink or brown and occurs between 3-10 days postpartum
is....
Answer: serosa.
◍ The current recommendation regarding timing of prophylactic antibiotics for
a cesarean section is....
Answer: within 60 minutes prior to the start of the incision.
◍ A woman with a macrosomic fetus is at risk for a....
Answer: dysfunctional labor.
◍ Beta-sympathomimetic drugs decrease the frequency and intensity of uterine
contractions by....
Answer: stimulating beta 2 receptor action.
◍ 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....
Answer: A complete heart block, which can be a complication of lupus.
◍ Informed consent.
Answer: An agreement to do something or allow something to happen, made
with complete knowledge of all the relevant facts, such as the risks involved
or any available alternatives.
◍ The release of catecholamines during labor can result in....
Answer: a more rapid second stage.
, ◍ 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....
Answer: Preeclampsia with severe features
◍ Mei Lin, a Chinese woman gave birth to her first child by CS 12 hours ago.
She grimaces when getting out of bed, but hasn't asked for anything for
pain. Based on information about the Asian American cultures, the nurse
should....
Answer: Offer pain medication when due since they tend to be stoic and
may not ask.
◍ A cause to physiological jaundice can be a result of....
Answer: delayed cord clamping.
◍ Which one of the following women is the best candidate for a vaginal birth
after cesarean (VBAC)?.
Answer: A gravida 3 para 2 who had a vaginal delivery with her first
pregnancy and a cesarean for breech with her second baby.
◍ 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....
Answer: Septic shock.
◍ A provider asks a nurse to obtain a signature on informed consent for
surgery. the nurse's responsibility in this situation is to....
Answer: determine if the patient was advised of the reason, risks, and
benefits of the surgery.
◍ Liability.
Answer: having a legal responsibility
◍ 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
