EXAM: RNC-OB Certification Review Exam| 163
Questions with Complete Solutions
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
, EXAM: RNC-OB Certification Review Exam| 163
Questions with Complete Solutions
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.
, EXAM: RNC-OB Certification Review Exam| 163
Questions with Complete Solutions
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...
Questions with Complete Solutions
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
, EXAM: RNC-OB Certification Review Exam| 163
Questions with Complete Solutions
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.
, EXAM: RNC-OB Certification Review Exam| 163
Questions with Complete Solutions
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...
