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