RNC OB Certification Review Exam With
Correct Solutions 2024
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.
The .relation .of .the .fetal .body .parts .to .one .another .Is .called .fetal... .- .correct
.answer.Attitude.
The .most .accurate .dating .of .a .pregnancy .by .ultrasound .is... .- .correct .answer.First
.trimester .evaluation .of .the .crown-rump .length.
A .biophysical .score .of .6 .is .considered... .- .correct .answer.Equivocal.
, At .32 .weeks, .a .prenatal .patient .reported .decreased .fetal .movement. .A .nonstress .test .is
.reported .as .nonreactive. .Which .is .appropriate .for .this .patient? .- .correct
.answer.Biophysical .profile.
Cordocentesis .is .more .commonly .used .to .detect .fetal... .- .correct .answer.Anemia.
Quad .screening .compared .to .alphafetoprotein .testing .can .better .detect... .- .correct
.answer.Trisomies.
A .fetal .heart .rate .baseline .of .140 .with .moderate .variability, .no .accelerations .and .no
.decelerations .is .a .NICHD .category... .- .correct .answer.1 .(one)
A .series .of .sine .waves .with .similar .duration .and .amplitude .develop .on .the .electronic .fetal
.monitor .10 .minutes .after .stadol .administration .to .a .patient .with .a .previously .normal
.tracing. .The .appropriate .response .to .this .fetal .heart .rate .pattern .would .be .to... .- .correct
.answer.Continue .to .observe...
Fetal .metabolic .acidosis .in .a .tracing .can .be .ruled .out .with .the .presence .of... .- .correct
.answer.Variability.
Which .tachyarrhythmia .can .result .in .fetal .hydrops? .- .correct .answer.Persistent
.supraventricular .tachycardia-sign .of .anemia .which .can .in .turn .cause .hydrops.
A .G2P1 .at .34 .weeks .gestation .with .a .history .of .lupus .was .in .for .a .routine .prenatal .visit.
.FHT's .were .auscultated .at .60. .She .was .sent .to .labor .and .delivery .for .further .evaluation. .A
.complete .flat .tracing .suggests .the .fetus .has... .- .correct .answer.A .complete .heart .block,
.which .can .be .a .complication .of .lupus.
A .woman .at .term .is .in .labor .and .exhibits .recurrent .variable .decelerations .with .moderate
.variability .and .meconium .stained .amniotic .fluid. .An .amnioinfusion .is .ordered .with .the
.goal .of... .- .correct .answer.Relieving .cord .compression.
Baroreceptors .respond .mainly .to .changes .in... .- .correct .answer.Blood .pressure.
Stimulation .of .the .sympathetic .nervous .system .causes .the .fetal .heart .rate .to... .- .correct
.answer.increase.
According .to .the .NICHD .definitions, .which .deceleration .much .drop .at .least .15 .beats .per
.minutes... .- .correct .answer.Prolonged.
Normal .uterine .activity... .- .correct .answer.Resting .tone .less .than .20-25 .mmHg.
The .most .common .side .effect .of .prostaglandin .administration .for .cervical .ripening .is... .-
.correct .answer.Tachysystole.
Correct Solutions 2024
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.
The .relation .of .the .fetal .body .parts .to .one .another .Is .called .fetal... .- .correct
.answer.Attitude.
The .most .accurate .dating .of .a .pregnancy .by .ultrasound .is... .- .correct .answer.First
.trimester .evaluation .of .the .crown-rump .length.
A .biophysical .score .of .6 .is .considered... .- .correct .answer.Equivocal.
, At .32 .weeks, .a .prenatal .patient .reported .decreased .fetal .movement. .A .nonstress .test .is
.reported .as .nonreactive. .Which .is .appropriate .for .this .patient? .- .correct
.answer.Biophysical .profile.
Cordocentesis .is .more .commonly .used .to .detect .fetal... .- .correct .answer.Anemia.
Quad .screening .compared .to .alphafetoprotein .testing .can .better .detect... .- .correct
.answer.Trisomies.
A .fetal .heart .rate .baseline .of .140 .with .moderate .variability, .no .accelerations .and .no
.decelerations .is .a .NICHD .category... .- .correct .answer.1 .(one)
A .series .of .sine .waves .with .similar .duration .and .amplitude .develop .on .the .electronic .fetal
.monitor .10 .minutes .after .stadol .administration .to .a .patient .with .a .previously .normal
.tracing. .The .appropriate .response .to .this .fetal .heart .rate .pattern .would .be .to... .- .correct
.answer.Continue .to .observe...
Fetal .metabolic .acidosis .in .a .tracing .can .be .ruled .out .with .the .presence .of... .- .correct
.answer.Variability.
Which .tachyarrhythmia .can .result .in .fetal .hydrops? .- .correct .answer.Persistent
.supraventricular .tachycardia-sign .of .anemia .which .can .in .turn .cause .hydrops.
A .G2P1 .at .34 .weeks .gestation .with .a .history .of .lupus .was .in .for .a .routine .prenatal .visit.
.FHT's .were .auscultated .at .60. .She .was .sent .to .labor .and .delivery .for .further .evaluation. .A
.complete .flat .tracing .suggests .the .fetus .has... .- .correct .answer.A .complete .heart .block,
.which .can .be .a .complication .of .lupus.
A .woman .at .term .is .in .labor .and .exhibits .recurrent .variable .decelerations .with .moderate
.variability .and .meconium .stained .amniotic .fluid. .An .amnioinfusion .is .ordered .with .the
.goal .of... .- .correct .answer.Relieving .cord .compression.
Baroreceptors .respond .mainly .to .changes .in... .- .correct .answer.Blood .pressure.
Stimulation .of .the .sympathetic .nervous .system .causes .the .fetal .heart .rate .to... .- .correct
.answer.increase.
According .to .the .NICHD .definitions, .which .deceleration .much .drop .at .least .15 .beats .per
.minutes... .- .correct .answer.Prolonged.
Normal .uterine .activity... .- .correct .answer.Resting .tone .less .than .20-25 .mmHg.
The .most .common .side .effect .of .prostaglandin .administration .for .cervical .ripening .is... .-
.correct .answer.Tachysystole.
