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RNC-OB Test Exam 2026 – Newest Complete Exam Questions with Detailed Verified Answers (100% Correct, Already Graded A+)

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Comprehensive 2026 RNC-OB (Inpatient Obstetric Nursing) certification exam study guide containing the newest verified and 100% correct questions with detailed rationales. This A+ resource covers all major topics on the NCC RNC-OB exam, including antepartum, intrapartum, postpartum, and newborn care, as well as complications of pregnancy, fetal monitoring interpretation, pharmacology, maternal conditions, and legal/ethical nursing practice. Each question includes an accurate, concise explanation to reinforce clinical reasoning and exam readiness for labor and delivery nurses seeking RNC-OB certification.

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Uploaded on
October 30, 2025
Number of pages
41
Written in
2025/2026
Type
Exam (elaborations)
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RNC TEST EXAM 2026 NEWEST EXAM
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+


c - CORRECT ANSWER ✔✔- A woman has a diagnosis of monozygotic twins.
compared to a patient with dizygotic twins, the risk of discordant growth and
malformation is
a. higher
b. lower
c. the same


b - CORRECT ANSWER ✔✔- A predisposing factor to a breech presentation is
a. grand multiparity
b. multifetal pregnancy
c. previous breech presentation


c - CORRECT ANSWER ✔✔- In twin to twin transfusion, the complication that
occurs in the recipient twin is
a. macrosomia
b. oliguria
c. plethora



1|Page

,c - CORRECT ANSWER ✔✔- Neurologic injury in a twin who survivies the
intrauterine death of the co-twin is most likely due to
a. DIC due to transfer of thromboplastic material
b. Rh isoimmunization
c. significant hypotension at the time of the demise


c - CORRECT ANSWER ✔✔- A pregnancy is classified as postterm beginning at
a. 40 weeks and 1 day
b. 41 weeks and 6 days
c. 42 weeks and 0 days


c - CORRECT ANSWER ✔✔- Afterpains are due to
a. hormonal shifts that affect the muscles
b. physiologic stress from the birth process
c. uterine contractions during involution


a - CORRECT ANSWER ✔✔- On postpartum day two, a postpartum woman who
is afebrile has a white blood count of 20,000. this indicates
a. a normal physiologic response
b. an infection
c. hemoconcentration


a - CORRECT ANSWER ✔✔- Uterine involution occurs through the process of
a. autolysis
b. a decrease in the number of myometrial cells


2|Page

,c. exfolitation


c - CORRECT ANSWER ✔✔- At the end of the 3rd stage of labor, the fundus is
located
a. at the umbilicus
b. one fingerbreadth above the umbilicus
c. 2 cms below the level of the umbilicus


b - CORRECT ANSWER ✔✔- Four hours after delivery, a woman's fundus is
three fingers above the umbilicus and deviated to the left. Her fundus is boggy but
firms with massage. she has moderate lochia rubra. The most appropriate action is
to
a. administer Pitocin to promote uterine contractions
b. assist the woman to the bathroom to void
c. perform continued fundal massage to express clots


c - CORRECT ANSWER ✔✔- Which of the following women is most likely to
experience the strongest afterbirth pains?
a. breastfeeding mom after her 1st baby
b. bottlefeeding mom after her 2nd baby
c. breastfeeding mom after her 3rd baby


b - CORRECT ANSWER ✔✔- The insulin requirements for most diabetic
breastfeeding mom's is:
a. increased
b. decreased
c. same

3|Page

, b - CORRECT ANSWER ✔✔- 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


a - CORRECT ANSWER ✔✔- 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


b - CORRECT ANSWER ✔✔- The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same


a - CORRECT ANSWER ✔✔- 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




4|Page

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