RNC-OB Certification Review Exam - Questions and Answers

RNC-OB Certification Review Exam - Questions and Answers A 39 week gestation primigravida has had regular contractions for the past 48 hours. She has remained 1 cm dilated since the onset of contractions. She is exhausted, uncomfortable and unable to sleep. Which medication is recommended for therapeutic rest? Morphine During a precipitous labor and imminent birth, the initial action by the attending nurse is to... prepare to deliver the newborn. The most common fetal malposition is... occiput posterior. A woman with a macrosomic fetus is at risk for a... dysfunctional labor. During a shoulder dystocia, the provider has the nurse place the patient on all fours to facilitate delivery. Which of the following maneuvers would the provider request? Gaskin. When fundal pressure is used during shoulder dystocia, the nurse is aware that it will potentially... impact the fetal shoulder. During a shoulder dystocia, one maneuver that a nurse may use to help relieve the stuck shoulder is... Suprapubic pressure. When a fetus is in the occiput posterior position, the position that is most helpful in facilitation rotation is... Hands and knees. A placenta in which the umbilical blood vessels are separated when they leave the placenta and not protected with Wharton jelly is what placental variation? Velamentous At 36 weeks gestation, an ultrasound reveals a velamentous cord insertion. Based upon this knowledge, the nurse is aware this fetus is at higher risk for a... Hemorrhage AT 39 weeks gestation, a gravida 1 para 0 is admitted for elective induction of labor. Her vaginal exam shows her to be 2cm/50%/-3. The provider performs an AROM and goes back to the office. Two minutes later there is a prolonged fetal heart rate decal. The nurse's initial response to this situation is to... perform a vaginal exam. A gravida 2 para 1 in active labor just reported SROM. Ten minutes later, she suddenly complains of sever shortness of breath and lightheadedness. The nurse should suspect... Anaphylactoid syndrome. Hydramnios is common in which condition? Down syndrome. Oligohydramnios is diagnosed when a biophysical profile shows an amniotc fluid index of... 4 When the chorionic villi attached to the myometrium of the uterus, this represents... Placenta accrete. A woman is admitted to labor and delivery with a diagnosis of placental abruption. The test that determines the presence of a fetomaternal hemorrhage is... Kleihauer-Betke A woman is admitted to labor and delivery with moderate uterine pain without bleeding. On examination, the uterus has a high tonicity and the uterine contraction tracing shows increased resting tone. The most likely cause is... placental abruption. A woman at 28 weeks gestation reports to L&D with painless vaginal bleeding that started this morning. The nurse's first step in caring for this woman is to determine... placental location. Following PROM, a woman at 33 weeks gestation is placed on a fetal heart rate monitor. The fetal heart rate is persistently 175 bpm. This is most likely consistent with... Uterine infection. Which one of the following women fits the definition of preterm labor? A 36 week gestation multigravida who is admitted WITH REGULAR CONTRACTIONS and is 3cm dilated. A negative fetal fibronectin at 30 weeks indicates... risk of delivery is very low for the next 7-14 days. Betamethasone given to the mother can transiently affect the fetal heart rate by... Decreasing variability.