RNC-OB Exam Questions with 100% Correct Answers

Threatened Abortion Correct Answer Vaginal bleeding <20 weeks S/S- closed cervix and mild cramping Inevitable Abortion Correct Answer Bleeding with continuous dilation, without expulsion of fetal products. <20 weeks Vaginal bleeding and cramping, watch for hemorrhage May need D&C Incomplete Abortion Correct Answer Partial expulsion of conception products <20 weeks Bleeding and cramping but not all products have passed. Will need D&C Spontaneous/Complete Abortion Correct Answer <20 weeks or <500 gms Spontaneous and complete evacuation of all products of conception. Habitual Abortion Correct Answer spontaneous abortion occurring in three or more consecutive pregnancies When can a cerclage be placed? Correct Answer Second trimester Septic Shock Correct Answer Decreased BP Hypothermia Oliguria Septic Correct Answer Fever Chills Kidney failure DIC ARDS Death Protamine Sulfate Correct Answer Heparin Antagonist Antiphospholipid antibody syndrome Correct Answer Common cause of recurrent miscarriage and early severe pre-E Related to SLE Tx. With Heparin Progesterone Correct Answer Progesterone shots prevent early PTL (McKenna) 16-36 weeks Vaginal cream if <20 weeks or shortened cervix. Pregnancy and > 40 years old Correct Answer Intimacy vs. Isolation Teen Pregnancy Correct Answer Identity vs. Role Confusion Highest indication of a PTD Correct Answer Previous PTD Calorie increase during pregnancy Correct Answer 300 kcal/day 600 with twins Folic acid prevents what? Correct Answer neural tube defects With maternal lead exposure Correct Answer Think neuro and low IQ Type 1 DM Correct Answer Treatment is diet, exercise, and will need insulin injections. Type 2 DM Correct Answer Genetic link Treatment is diet, exercise, oral meds, and insulin may or may not be needed. DKA Correct Answer Metabolic Acidosis BS >250 Kussmauls Respirations Non-Ketosis Correct Answer BS >600 No fruity breath or kaussmauls To. IV fluids, IV insulin GDM A1 Correct Answer Diet controlled GDM A2 Correct Answer Not controlled by diet, needs medications Fetal Macrosomia Correct Answer >4,000 gms or 8lbs 13oz GDM have a higher risk of: Correct Answer UTI Polyhydramnios (baby has polyuria) Abruption PP uterine atony Pre-E- screen at 12 weeks PP Hyperglycemia S/S Correct Answer Polydipsia, polyuria, polyphagia, blurred vision, weakness, weight loss, syncope Polyhydramnios Recurring infections (UTI)