RNC-OB: Questions With Actual Solutions
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)
If risk factors for hyperglycemia are present, we should screen at
Correct Answer - 1st prenatal visit. If WNL screen again at 24-28
weeks.
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)
If risk factors for hyperglycemia are present, we should screen at
Correct Answer - 1st prenatal visit. If WNL screen again at 24-28
weeks.
