RNC OB INPATIENT OB CERTIFICATION
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
⩥ Cholestasis is a condition that occurs in pregnancy and is caused by
elevated. Answer: Bile acid
⩥ What is a sign of deteriorating status in pregnancy complicated by
hypertension? 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... Answer: Preeclampsia with severe features
⩥ Fluid balance should be monitored in a woman on mag sulfate therapy
because there is an increased risk for... 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? 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... Answer: As soon as possible.
⩥ The relation of the fetal body parts to one another Is called fetal...
Answer: Attitude.
⩥ The most accurate dating of a pregnancy by ultrasound is... Answer:
First trimester evaluation of the crown-rump length.
⩥ A biophysical score of 6 is considered... 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? Answer: Biophysical profile.
⩥ Cordocentesis is more commonly used to detect fetal... Answer:
Anemia.
⩥ Quad screening compared to alphafetoprotein testing can better
detect... Answer: Trisomies.
, ⩥ A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category... 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... Answer: Continue to observe...
⩥ Fetal metabolic acidosis in a tracing can be ruled out with the
presence of... Answer: Variability.
⩥ Which tachyarrhythmia can result in fetal hydrops? 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... 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... Answer: Relieving
cord compression.
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
⩥ Cholestasis is a condition that occurs in pregnancy and is caused by
elevated. Answer: Bile acid
⩥ What is a sign of deteriorating status in pregnancy complicated by
hypertension? 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... Answer: Preeclampsia with severe features
⩥ Fluid balance should be monitored in a woman on mag sulfate therapy
because there is an increased risk for... 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? 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... Answer: As soon as possible.
⩥ The relation of the fetal body parts to one another Is called fetal...
Answer: Attitude.
⩥ The most accurate dating of a pregnancy by ultrasound is... Answer:
First trimester evaluation of the crown-rump length.
⩥ A biophysical score of 6 is considered... 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? Answer: Biophysical profile.
⩥ Cordocentesis is more commonly used to detect fetal... Answer:
Anemia.
⩥ Quad screening compared to alphafetoprotein testing can better
detect... Answer: Trisomies.
, ⩥ A fetal heart rate baseline of 140 with moderate variability, no
accelerations and no decelerations is a NICHD category... 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... Answer: Continue to observe...
⩥ Fetal metabolic acidosis in a tracing can be ruled out with the
presence of... Answer: Variability.
⩥ Which tachyarrhythmia can result in fetal hydrops? 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... 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... Answer: Relieving
cord compression.
