RNC-OB Certification Review Exam questions with correct answers

A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10 weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? CORRECT ANSWER Gravida 3 Para 1212 Cholestasis is a condition that occurs in pregnancy and is caused by elevated... CORRECT ANSWER Bile acid What is a sign of deteriorating status in pregnancy complicated by hypertension? CORRECT ANSWER Increased serum creatinine 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... CORRECT ANSWER Preeclampsia with severe features Fluid balance should be monitored in a woman on mag sulfate therapy because there is an increased risk for... CORRECT ANSWER Pulmonary edema On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+. Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are absent with respiratory rate of 10. Which actions should be taken? CORRECT ANSWER Stop the magnesium sulfate and notify provider. A newly pregnant woman who is morbidly obese has a strong family history of Type 2 diabetes. The recommended time for this woman's initial glucose screen is... CORRECT ANSWER As soon as possible.