SOLUTIONS
Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After
one hour, tachysystole develops but the fetal heart rate pattern is normal. Appropriate
management is to: Correct Answer-remove the insert
Nifedipine acts as a tocolytic agent by interfering with: Correct Answer-availability of
calcium
The progression of labor is based on: Correct Answer-individual factors and clinical
conditions
Universal alphafetoprotein sceening should be offered to all women because: Correct
Answer-there is little risk or complications from the testing
A nurse observed a new mother breastfeeding her infant and hears "smacking sounds" as the
infant feeds. The nurse should recognize this might indicate a problem with: Correct
Answer-Latch on the breast
, EXAM: RNC-OB PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
A woman with type-1 diabetes at 32 weeks gestation has diabetic ketoacidosis. Before
administration of IV potassium, it is important to assure adequate: Correct Answer-urine
output
Increased bloody show In a woman in labor is representative of: Correct Answer-rapid
cervical dilation
According to NICHD terminology, accelerations and decelerations are based on their
relationship to" Correct Answer-fetal heart rate baseline
Hindmilk promotes infant weight gain because of its: Correct Answer-high fat content
The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief strategy
in labor of: Correct Answer-imagery
After administration of an epidural, a woman experienced respiratory depression. This is
likely due to: Correct Answer-sympathetic blockade
, EXAM: RNC-OB PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
A main disadvantage of fentanyl use for pain relief in labor is: Correct Answer-short
duration of action
The most common umbilical cord complication of monoamniotic twin gestation is: Correct
Answer-entanglement
A potential complication from a vacuum extraction delivery is: Correct Answer-depression
skull fracture
A shorter labor duration is seen with what type of maternal positioning: Correct Answer-
upright
A breastfeeding mother notes that small amounts of milk drool from her infant's mouth after
breastfeeding. This is an indication of what: Correct Answer-a need to evaluate proper
latch-on
When administering oxytocin, it is important to understand that 40 minutes after
administration: Correct Answer-a steady state plasma concentration will be reached