RNC test questions and answers |
Updated 2024/25 Newest
b - The insulin requirements for most diabetic breastfeeding mom's is:
ii ii ii ii ii ii ii ii ii ii ii ii
a. increased
ii
b. decreased
ii
c. same ii
b - In a normal pregnancy, there is usually a physiologic drop in blood pressure to its
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
lowest point in the
ii ii ii ii
a. first trimester
ii ii
b. 2nd trimester
ii ii
c. 3rd trimester
ii ii
a - Which statement best describes the relationship between maternal and fetal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hemoglobin levels?
ii ii
a. Fetal hemoglobin is higher than maternal hemoglobin
ii ii ii ii ii ii ii
b. Maternal hemoglobin is higher than fetal hemoglobin
ii ii ii ii ii ii ii
c. Maternal and fetal hemoglobin are the same
ii ii ii ii ii ii ii
b - The cardiac output during pregnancy
ii ii ii ii ii ii ii ii ii
a. decreases by 23%
ii ii ii
b. Increases by 30-50%
ii ii ii
c. remains the same
ii ii ii
a - What class of antihypertensive medication is recommended in pregnancy since it has
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
been shown not to increase the chance of new onset diabetes by improving sensitivity to
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
insulin glycemic control?
ii ii ii
a. Ace inhibitors
ii ii
b. Beta Blockers
ii ii
c. Calcium Channel Blockers
ii ii ii
a - An antihypertensive that Is contraindicated during the second and third trimester of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pregnancy is
ii ii
a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
ii ii ii ii ii ii
b. Calcium channel blockers (Nifedipine)
ii ii ii ii
c. Combined alpha - beta blockers (Labetolol)
ii ii ii ii ii ii
c - The primary indication for the use of magnesium sulfate in preeclampsia is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. lowering the blood pressure
ii ii ii ii
b. prevention of HELLP
ii ii ii
c. seizure prophylaxis
ii ii
,b - A pregnant woman on a continuous infusion of Magnesium Sulfate for preeclampsia
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
exhibits the following: Respiratory rare: 14 per minute, Deep tendon reflexes: decreased
ii ii ii ii ii ii ii ii ii ii ii ii
with clonus, absent mental status: awake and alert . The most appropriate nursing action is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
to
ii ii
a. decrease the infusion rate
ii ii ii ii
b. discontinue the infusion rate
ii ii ii ii
c. maintain the infusion rate
ii ii ii ii
b - Compared to the general population, woman with pregestational diabetes are how
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
likely to deliver a baby with a major congenital anomaly?
ii ii ii ii ii ii ii ii ii ii
a. 1-2 times more likely
ii ii ii ii
b. 3-4 times more likely
ii ii ii ii
c. 5-6 times more likely
ii ii ii ii
c - The tocolytic that is contraindicated in the diabetic woman is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. Magnesium Sulfate
ii ii
b. Nifedipine (Procardia)
ii ii
Terbutaline (Beta - mimetics) ii ii ii
a - Compared to the first trimester, the insulin requirements for the diabetic mother in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
third trimester are
ii ii ii ii
a. greaterii
b. less ii
c. the same
ii ii
c - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
complaints of abdominal pain, nausea and vomiting over the last 48 hours. she states she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
omitted her insulin last evening and this morning since she could not eat. Her vital signs
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These findings indicate
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. eugylcemia
ii
b. insulin shock
ii ii
c. ketoacidoses
ii
a - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
complaints of abdominal pain, nause and vomiting over the last 48 hours. she states she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
omitted her insulin last evening and this morning since she could not eat. Her vital signs
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The appropriate treatment is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. aggressive IV hydration and IV insulin
ii ii ii ii ii ii
b. fluid restriction and Iv glucose
ii ii ii ii ii
c. hyperalimentation and subcutaneous insulin
ii ii ii ii
a - A previously normotensive woman is 34 weeks gestation develops hypertension and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
proteinuria. Her diagnosis would be
ii ii ii ii ii
a. gestational hypertension
ii ii
b. preeclampsia
ii
c. pregnancy induced hypertension (PIH)
ii ii ii ii
, c - The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. congenital anomalies
ii ii
b. growth restriction
ii ii
c. macrosomia
ii
b - The customary recommendation for the timing of laboratory screening to detect
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
gestational diabetes in the low risk woman is
ii ii ii ii ii ii ii ii ii
a. 12-16 weeks
ii ii
b. 24-28 weeks
ii ii
c. 32-36 weeks
ii ii
b - Woman with gestational diabetes are at a higher risk for developing
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. gestational trophoblastic disease
ii ii ii
b. hypertension
ii
c. placenta previa
ii ii
c - Which one of the cardiac conditions listed below has the highest rate of maternal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
mortality
ii
a. atrial septal defect
ii ii ii
b. mitral stenosis
ii ii
c. pulmonary hypertension
ii ii
c - The time during labor and birth that is of greatest risk for woman with a cardiac
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
condition is
ii ii
a. active phase of labor
ii ii ii ii
b. second stage of birth
ii ii ii ii
c. immediately after birth
ii ii ii
c - The medication that is contraindicated in women with a cardia condition
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. hydralazine (apresoline)
ii ii
b. oxytocin
ii
c. terbutaline
ii
a - Which one of the following infections does not cross the placenta?
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. Neisseria gonorrhea
ii ii
b. HIV ii
c. Syphyllis
ii
c - Physiologic anemia of pregnancy occurs due to
ii ii ii ii ii ii ii ii ii ii ii
a. decreased iron stores due to an inadequate diet rich in iron foods
ii ii ii ii ii ii ii ii ii ii ii ii
b. inadequate intake of folic acid preconceptionally
ii ii ii ii ii ii
c. proportionately greater increase in plasma that red cell volume
ii ii ii ii ii ii ii ii ii
Updated 2024/25 Newest
b - The insulin requirements for most diabetic breastfeeding mom's is:
ii ii ii ii ii ii ii ii ii ii ii ii
a. increased
ii
b. decreased
ii
c. same ii
b - In a normal pregnancy, there is usually a physiologic drop in blood pressure to its
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
lowest point in the
ii ii ii ii
a. first trimester
ii ii
b. 2nd trimester
ii ii
c. 3rd trimester
ii ii
a - Which statement best describes the relationship between maternal and fetal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hemoglobin levels?
ii ii
a. Fetal hemoglobin is higher than maternal hemoglobin
ii ii ii ii ii ii ii
b. Maternal hemoglobin is higher than fetal hemoglobin
ii ii ii ii ii ii ii
c. Maternal and fetal hemoglobin are the same
ii ii ii ii ii ii ii
b - The cardiac output during pregnancy
ii ii ii ii ii ii ii ii ii
a. decreases by 23%
ii ii ii
b. Increases by 30-50%
ii ii ii
c. remains the same
ii ii ii
a - What class of antihypertensive medication is recommended in pregnancy since it has
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
been shown not to increase the chance of new onset diabetes by improving sensitivity to
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
insulin glycemic control?
ii ii ii
a. Ace inhibitors
ii ii
b. Beta Blockers
ii ii
c. Calcium Channel Blockers
ii ii ii
a - An antihypertensive that Is contraindicated during the second and third trimester of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pregnancy is
ii ii
a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
ii ii ii ii ii ii
b. Calcium channel blockers (Nifedipine)
ii ii ii ii
c. Combined alpha - beta blockers (Labetolol)
ii ii ii ii ii ii
c - The primary indication for the use of magnesium sulfate in preeclampsia is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. lowering the blood pressure
ii ii ii ii
b. prevention of HELLP
ii ii ii
c. seizure prophylaxis
ii ii
,b - A pregnant woman on a continuous infusion of Magnesium Sulfate for preeclampsia
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
exhibits the following: Respiratory rare: 14 per minute, Deep tendon reflexes: decreased
ii ii ii ii ii ii ii ii ii ii ii ii
with clonus, absent mental status: awake and alert . The most appropriate nursing action is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
to
ii ii
a. decrease the infusion rate
ii ii ii ii
b. discontinue the infusion rate
ii ii ii ii
c. maintain the infusion rate
ii ii ii ii
b - Compared to the general population, woman with pregestational diabetes are how
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
likely to deliver a baby with a major congenital anomaly?
ii ii ii ii ii ii ii ii ii ii
a. 1-2 times more likely
ii ii ii ii
b. 3-4 times more likely
ii ii ii ii
c. 5-6 times more likely
ii ii ii ii
c - The tocolytic that is contraindicated in the diabetic woman is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. Magnesium Sulfate
ii ii
b. Nifedipine (Procardia)
ii ii
Terbutaline (Beta - mimetics) ii ii ii
a - Compared to the first trimester, the insulin requirements for the diabetic mother in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
third trimester are
ii ii ii ii
a. greaterii
b. less ii
c. the same
ii ii
c - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
complaints of abdominal pain, nausea and vomiting over the last 48 hours. she states she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
omitted her insulin last evening and this morning since she could not eat. Her vital signs
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These findings indicate
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. eugylcemia
ii
b. insulin shock
ii ii
c. ketoacidoses
ii
a - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
complaints of abdominal pain, nause and vomiting over the last 48 hours. she states she
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
omitted her insulin last evening and this morning since she could not eat. Her vital signs
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The appropriate treatment is
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. aggressive IV hydration and IV insulin
ii ii ii ii ii ii
b. fluid restriction and Iv glucose
ii ii ii ii ii
c. hyperalimentation and subcutaneous insulin
ii ii ii ii
a - A previously normotensive woman is 34 weeks gestation develops hypertension and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
proteinuria. Her diagnosis would be
ii ii ii ii ii
a. gestational hypertension
ii ii
b. preeclampsia
ii
c. pregnancy induced hypertension (PIH)
ii ii ii ii
, c - The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. congenital anomalies
ii ii
b. growth restriction
ii ii
c. macrosomia
ii
b - The customary recommendation for the timing of laboratory screening to detect
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
gestational diabetes in the low risk woman is
ii ii ii ii ii ii ii ii ii
a. 12-16 weeks
ii ii
b. 24-28 weeks
ii ii
c. 32-36 weeks
ii ii
b - Woman with gestational diabetes are at a higher risk for developing
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. gestational trophoblastic disease
ii ii ii
b. hypertension
ii
c. placenta previa
ii ii
c - Which one of the cardiac conditions listed below has the highest rate of maternal
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
mortality
ii
a. atrial septal defect
ii ii ii
b. mitral stenosis
ii ii
c. pulmonary hypertension
ii ii
c - The time during labor and birth that is of greatest risk for woman with a cardiac
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
condition is
ii ii
a. active phase of labor
ii ii ii ii
b. second stage of birth
ii ii ii ii
c. immediately after birth
ii ii ii
c - The medication that is contraindicated in women with a cardia condition
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. hydralazine (apresoline)
ii ii
b. oxytocin
ii
c. terbutaline
ii
a - Which one of the following infections does not cross the placenta?
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
a. Neisseria gonorrhea
ii ii
b. HIV ii
c. Syphyllis
ii
c - Physiologic anemia of pregnancy occurs due to
ii ii ii ii ii ii ii ii ii ii ii
a. decreased iron stores due to an inadequate diet rich in iron foods
ii ii ii ii ii ii ii ii ii ii ii ii
b. inadequate intake of folic acid preconceptionally
ii ii ii ii ii ii
c. proportionately greater increase in plasma that red cell volume
ii ii ii ii ii ii ii ii ii
