1|Page
RNC-OB EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A pregnant woman with pre-eclampsia who develops petechiae,
hematuria, and oozing of blood at IV insertions site, likely has
a. sepsis.
b. coagulopathy.
c. anemia. - ANSWER-B
...such as disseminated intravascular coagulation (DIC). DIC is an
emergent condition that occurs secondary to another disorder, so
immediate assessment should include coagulation studies. The
patient should be tilted toward the left to increase blood flow to
the uterus and should receive oxygen and blood products. Urinary
output must be monitored carefully for signs of renal failure.
Prior to administration of a narcotic to relieve labor pain, a
nullipara should generally be dilated to how many centimeters?
a. 3 to 4
b. 4 to 5
c. 6 to 7 - ANSWER-A
,2|Page
...and a multipara to 4-5 cm. However, the patient should have
stable vital signs and be without drug allergy, drug dependency, or
respiratory compromise; and the fetus should be at term and have
FHR of 110-160 bpm with a reactive NST and no evidence of
meconium staining. Additionally, the pattern of contractions should
be well established and the presenting part engaged with
progressive descent.
Prior to the induction phase of Subutex® (buprenorphine)
administration, the patient should abstain from drug use for how
many hours?
a. 6 to 12
b. 12 to 24
c. 24 to 48 - ANSWER-B
...in order to avoid abrupt withdrawal symptoms when the drug is
administered. Induction may be controlled through administration
of morphine to stabilize blood levels in the pregnant woman.
During the stabilization phase, the patient should discontinue use
of other drugs, and the drug dosage may require adjustment.
During the maintenance phase, the patient's dose is stable and
the patient should be progressing well.
,3|Page
Which substance poses the highest risk for birth defects if used
during pregnancy?
a. Marijuana
b. Cocaine
c. Alcohol - ANSWER-C
...which can cause fetal alcohol syndrome and a wide range of
defects, including impairment of the CNS with intellectual
disability and hyperactivity, facial abnormalities, and growth
retardation. Marijuana poses fewer risks but may be associated
with learning disabilities and behavioral problems. Cocaine has a
low risk of birth defects but does impair fetal growth resulting in
low birth weight, smaller head, and shorter length.
If the partner of a woman in labor and delivery begins shouting at
her and hitting her, the best response is to
a. call security immediately.
b. restrain the partner and call for help.
c. stand between the patient and the partner. - ANSWER-A
, 4|Page
While the initial inclination may be to intervene and restrain the
partner, this places the healthcare worker at risk of injury as well
as the patient, so the best response is to immediately call
security. Any interventions, such as calling out to the person to
stop, should be done from a safe distance and preferable with
additional staff members present. It's important to bear in mind
that a person who is violent may carry a weapon, putting
everyone in the vicinity at risk.
A pregnant woman with organic mercury poisoning (methyl
mercury) but few symptoms places the fetus at
a. virtually no risk of impairment.
b. slight risk of impairment.
c. high risk of impairment. - ANSWER-C
Even though the mother may have few symptoms of organic
mercury poisoning, the fetus may be profoundly affected because
the fetus is more sensitive to mercury than the adult. Mercury
impairs the development of the central nervous system, so the
child may have severe neurological abnormalities, including
impaired memory, thinking abilities, visuospatial skills, and
attention span as well as impaired motor skills.
RNC-OB EXAM NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A pregnant woman with pre-eclampsia who develops petechiae,
hematuria, and oozing of blood at IV insertions site, likely has
a. sepsis.
b. coagulopathy.
c. anemia. - ANSWER-B
...such as disseminated intravascular coagulation (DIC). DIC is an
emergent condition that occurs secondary to another disorder, so
immediate assessment should include coagulation studies. The
patient should be tilted toward the left to increase blood flow to
the uterus and should receive oxygen and blood products. Urinary
output must be monitored carefully for signs of renal failure.
Prior to administration of a narcotic to relieve labor pain, a
nullipara should generally be dilated to how many centimeters?
a. 3 to 4
b. 4 to 5
c. 6 to 7 - ANSWER-A
,2|Page
...and a multipara to 4-5 cm. However, the patient should have
stable vital signs and be without drug allergy, drug dependency, or
respiratory compromise; and the fetus should be at term and have
FHR of 110-160 bpm with a reactive NST and no evidence of
meconium staining. Additionally, the pattern of contractions should
be well established and the presenting part engaged with
progressive descent.
Prior to the induction phase of Subutex® (buprenorphine)
administration, the patient should abstain from drug use for how
many hours?
a. 6 to 12
b. 12 to 24
c. 24 to 48 - ANSWER-B
...in order to avoid abrupt withdrawal symptoms when the drug is
administered. Induction may be controlled through administration
of morphine to stabilize blood levels in the pregnant woman.
During the stabilization phase, the patient should discontinue use
of other drugs, and the drug dosage may require adjustment.
During the maintenance phase, the patient's dose is stable and
the patient should be progressing well.
,3|Page
Which substance poses the highest risk for birth defects if used
during pregnancy?
a. Marijuana
b. Cocaine
c. Alcohol - ANSWER-C
...which can cause fetal alcohol syndrome and a wide range of
defects, including impairment of the CNS with intellectual
disability and hyperactivity, facial abnormalities, and growth
retardation. Marijuana poses fewer risks but may be associated
with learning disabilities and behavioral problems. Cocaine has a
low risk of birth defects but does impair fetal growth resulting in
low birth weight, smaller head, and shorter length.
If the partner of a woman in labor and delivery begins shouting at
her and hitting her, the best response is to
a. call security immediately.
b. restrain the partner and call for help.
c. stand between the patient and the partner. - ANSWER-A
, 4|Page
While the initial inclination may be to intervene and restrain the
partner, this places the healthcare worker at risk of injury as well
as the patient, so the best response is to immediately call
security. Any interventions, such as calling out to the person to
stop, should be done from a safe distance and preferable with
additional staff members present. It's important to bear in mind
that a person who is violent may carry a weapon, putting
everyone in the vicinity at risk.
A pregnant woman with organic mercury poisoning (methyl
mercury) but few symptoms places the fetus at
a. virtually no risk of impairment.
b. slight risk of impairment.
c. high risk of impairment. - ANSWER-C
Even though the mother may have few symptoms of organic
mercury poisoning, the fetus may be profoundly affected because
the fetus is more sensitive to mercury than the adult. Mercury
impairs the development of the central nervous system, so the
child may have severe neurological abnormalities, including
impaired memory, thinking abilities, visuospatial skills, and
attention span as well as impaired motor skills.
