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RNC-OB Exam 2026/2027 Complete Questions And Answers
A+ Graded ||Just Out!!!
Normal uterine activity is defined as
a. no more than 5 uterine contractions in a 10 minute period of
time averaged over a 30 minute period
b. at least 5 uterine contractions in a 10 minute period of time
averaged over a 30 minute period
c. at least 8 uterine contractions in a 10 minute period of time
averaged over a 30 minute period - ANSWER-A
...with at least 3 uterine contractions usually needed for
effective labor. Tachysystole is defined as at least 5 uterine
contractions in a 10 minute period of time averaged over a 30
minute period. While tachysystole may occur spontaneously, it
may also result from assisted obstetrics procedures, such as
amniotomy and use of oxytocin or misoprostol. Maternal
hypertension and epidural anesthetics also increase risk of
tachysystole.
The most common reason for elevated bilirubin levels in a
breastfed infant within a week of birth is
a. fatty acids resulting from cold stress
b. inadequate intake of breast milk
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c. immature gastrointestinal tract - ANSWER-B
aka breastfeeding jaundice. If the child does not nurse
adequately because of excessive sleepiness, poor sucking, or
infrequent nursing, the child may not ingest enough colostrum
to benefit from its laxative effect, which helps to eliminate
meconium, which is high in bilirubin. The mother may need
assistance with breastfeeding to increase the neonate's intake
and the production of milk.
If maternal hypotension occurs during labor, the initial response
should be to
a. administer a bolus of IV lactated Ringer's solution
b. reposition the patient to lateral position
c. administer ephedrine 5-10 mg intravenously - ANSWER-B
...toward the left is preferable, but either side is acceptable
because lying flat during labor increases the risk of maternal
hypotension and decreases uteroplacental blood flow. If the
patient remains hypotensive, then a bolus of IV lactated
Ringer's solution may be administered. If hypotension persists
despite the other interventions, then ephedrine 5-10 mg IV may
be administered.
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A transient sinusoidal fetal heart rate pattern with slight
increase of rate over baseline may occur after administration of
a. magnesium sulfate
b. terbutaline
c. butorphanol - ANSWER-C
aka Stadol. It is a synthetic opioid that is commonly used for
intrapartum management of pain at usual dose of 1 mg every 3-
4 hours. It may be administrated by IM, IV, or nasal spray.
Because it has some narcotic antagonist effects, it can cause
withdrawal symptoms in patients who are addicted to opiate
drugs or if other narcotics have been administered previously.
Which NICHD category predicts normal fetal acid-base status?
a. I
b. II
c. III - ANSWER-A
-Category I: Predicts normal fetal acid-base status with baseline
fetal heart rate of 110-160, moderate baseline variability, and
no late or variable decelerations although early decelerations
may be evident.
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-Category II: Indeterminate classification with all tracings
varying from both Category I and Category III findings.
-Category III: Predicts abnormal fetal acid-base status with
sinusoidal pattern and absent variability associated with
recurrent late or variable decelerations or bradycardia.
A comfort measure to reduce perineal edema in the immediate
postpartal period is
a. hot pack
b. ice pack
c. Sitz bath - ANSWER-B
...especially for the first 24 hours As the edema subsides, then a
Sitz bath may provide comfort, especially if the patient has had
an episiotomy. Swelling that is localized on one side may
indicate that the patient has a hematoma and should prompt
immediate evaluation to determine the cause of the bleeding.
When using the Silverman-Anderson index to score respiratory
difficulty in a neonate, a score of 10 indicates
a. severe respiratory distress
RNC-OB Exam 2026/2027 Complete Questions And Answers
A+ Graded ||Just Out!!!
Normal uterine activity is defined as
a. no more than 5 uterine contractions in a 10 minute period of
time averaged over a 30 minute period
b. at least 5 uterine contractions in a 10 minute period of time
averaged over a 30 minute period
c. at least 8 uterine contractions in a 10 minute period of time
averaged over a 30 minute period - ANSWER-A
...with at least 3 uterine contractions usually needed for
effective labor. Tachysystole is defined as at least 5 uterine
contractions in a 10 minute period of time averaged over a 30
minute period. While tachysystole may occur spontaneously, it
may also result from assisted obstetrics procedures, such as
amniotomy and use of oxytocin or misoprostol. Maternal
hypertension and epidural anesthetics also increase risk of
tachysystole.
The most common reason for elevated bilirubin levels in a
breastfed infant within a week of birth is
a. fatty acids resulting from cold stress
b. inadequate intake of breast milk
,2|Page
c. immature gastrointestinal tract - ANSWER-B
aka breastfeeding jaundice. If the child does not nurse
adequately because of excessive sleepiness, poor sucking, or
infrequent nursing, the child may not ingest enough colostrum
to benefit from its laxative effect, which helps to eliminate
meconium, which is high in bilirubin. The mother may need
assistance with breastfeeding to increase the neonate's intake
and the production of milk.
If maternal hypotension occurs during labor, the initial response
should be to
a. administer a bolus of IV lactated Ringer's solution
b. reposition the patient to lateral position
c. administer ephedrine 5-10 mg intravenously - ANSWER-B
...toward the left is preferable, but either side is acceptable
because lying flat during labor increases the risk of maternal
hypotension and decreases uteroplacental blood flow. If the
patient remains hypotensive, then a bolus of IV lactated
Ringer's solution may be administered. If hypotension persists
despite the other interventions, then ephedrine 5-10 mg IV may
be administered.
,3|Page
A transient sinusoidal fetal heart rate pattern with slight
increase of rate over baseline may occur after administration of
a. magnesium sulfate
b. terbutaline
c. butorphanol - ANSWER-C
aka Stadol. It is a synthetic opioid that is commonly used for
intrapartum management of pain at usual dose of 1 mg every 3-
4 hours. It may be administrated by IM, IV, or nasal spray.
Because it has some narcotic antagonist effects, it can cause
withdrawal symptoms in patients who are addicted to opiate
drugs or if other narcotics have been administered previously.
Which NICHD category predicts normal fetal acid-base status?
a. I
b. II
c. III - ANSWER-A
-Category I: Predicts normal fetal acid-base status with baseline
fetal heart rate of 110-160, moderate baseline variability, and
no late or variable decelerations although early decelerations
may be evident.
, 4|Page
-Category II: Indeterminate classification with all tracings
varying from both Category I and Category III findings.
-Category III: Predicts abnormal fetal acid-base status with
sinusoidal pattern and absent variability associated with
recurrent late or variable decelerations or bradycardia.
A comfort measure to reduce perineal edema in the immediate
postpartal period is
a. hot pack
b. ice pack
c. Sitz bath - ANSWER-B
...especially for the first 24 hours As the edema subsides, then a
Sitz bath may provide comfort, especially if the patient has had
an episiotomy. Swelling that is localized on one side may
indicate that the patient has a hematoma and should prompt
immediate evaluation to determine the cause of the bleeding.
When using the Silverman-Anderson index to score respiratory
difficulty in a neonate, a score of 10 indicates
a. severe respiratory distress
