RNC-OB REAL EXAM 2025
RNC-OB REAL final EXAM 2025-2026
ACCURATE FALL-SPRING SESSION
ORIGINAL COMPLETE QUESTIONS
AND ANSWERS WITH DETAILED
RATIONALES GRADED A+
Which of the following medications is given AFTER the placenta is delivered to help the uterus
contract?
A.) Motrin 600 mg po q4-6h
B.) Oxytocin (Pitocin) 10-40 units/1000 ml of LR IV
C.) Magnesium Sulfate 2 gm/hour IV
D.) Colace
E.) FeSO4 300 mg po
A+ 1
, RNC-OB REAL EXAM 2025
B.) Oxytocin (Pitocin) 10-40 units/1000 ml of LR IV
Which of the following would NOT be an important nursing intervention during the FOURTH
stage of labor?
A.) Assess fundal height and firmness
B.) Monitor maternal vital signs
C.) Assist the pt to assume a position for pushing
D.) Determine the need for pain medication
E.) Assess lochia for amount and color
C.) Assist the pt to assume a position for pushing
A pt who is 32 weeks gestation is in the office for a prenatal visit. The doctor begins to push
on her abdomen and palpate the uterus. The pt asks what the doctor is doing. Your BEST
response is the doctor is trying to:
A.) Assess if your uterus will allow for a vaginal delivery
B.) Evaluate dilatation and effacement
C.) Palpate the position of the fetus in your uterus
D.) Determine if you are contracting and are in labor
C.) Palpate the position of the fetus in your uterus
The physician performs an amniotomy. What is the PRIMARY nursing action AFTER this
procedure?
A+ 2
, RNC-OB REAL EXAM 2025
A.) Monitor contractions for frequency and duration
B.) Note the color of the vaginal discharge
C.) Assess the fetal HR
D.) Apply Nitrazine to the amniotic fluid to note the color
E.) Notify anesthesia of the need for an epidural
C.) Assess the fetal HR
Which of the following is the MOST RELIABLE indicator that TRUE labor has begun?
A.) Contractions are palpated by the nurse in the lower abdomen
B.) The cervix has dilated from 1 cm to 4 cm with contractions
C.) The membranes have ruptured
D.) Contractions occur every 15-20 minutes
E.) The mother experiences the nesting instinct
B.) The cervix has dilated from 1 cm to 4 cm with contractions
Which of the following would NOT be considered a risk factor for pain?
A.) Anxiety
B.) Anterior position of the fetus
C.) Posterior position of the fetus
D.) Fatigue
E.) Fear
B.) Anterior position of the fetus
A+ 3
, RNC-OB REAL EXAM 2025
A station of +1 means that the:
A.) Fetal presenting part is 1 cm BELOW the mother's ischial spines
B.) Maternal cervix is dilated 1 cm
C.) Fetus is unlikely to be born vaginally because the pelvis is too small
D.) Mother's ischial spines project into her pelvis 1 cm
A.) Fetal presenting part is 1 cm BELOW the mother's ischial spines
Which of the following is considered a POTENTIAL SE of epidural anesthesia?
A.) INCREASED frequency of urination
B.) Hypotension
C.) Hypertension
D.) Drowsiness
E.) N/V
B.) Hypotension
What is the PRIMARY nursing responsibility during the administration of pain medications
during labor?
A.) Assist the CRNA or anesthesiologist in the administration of epidural medications
B.) Assist the pt's husband/significant other in helping the pt
C.) Monitor maternal and fetal well being
D.) Give pain medications q4h
E.) Encourage the mother to have an epidural for pain control
A+ 4
RNC-OB REAL final EXAM 2025-2026
ACCURATE FALL-SPRING SESSION
ORIGINAL COMPLETE QUESTIONS
AND ANSWERS WITH DETAILED
RATIONALES GRADED A+
Which of the following medications is given AFTER the placenta is delivered to help the uterus
contract?
A.) Motrin 600 mg po q4-6h
B.) Oxytocin (Pitocin) 10-40 units/1000 ml of LR IV
C.) Magnesium Sulfate 2 gm/hour IV
D.) Colace
E.) FeSO4 300 mg po
A+ 1
, RNC-OB REAL EXAM 2025
B.) Oxytocin (Pitocin) 10-40 units/1000 ml of LR IV
Which of the following would NOT be an important nursing intervention during the FOURTH
stage of labor?
A.) Assess fundal height and firmness
B.) Monitor maternal vital signs
C.) Assist the pt to assume a position for pushing
D.) Determine the need for pain medication
E.) Assess lochia for amount and color
C.) Assist the pt to assume a position for pushing
A pt who is 32 weeks gestation is in the office for a prenatal visit. The doctor begins to push
on her abdomen and palpate the uterus. The pt asks what the doctor is doing. Your BEST
response is the doctor is trying to:
A.) Assess if your uterus will allow for a vaginal delivery
B.) Evaluate dilatation and effacement
C.) Palpate the position of the fetus in your uterus
D.) Determine if you are contracting and are in labor
C.) Palpate the position of the fetus in your uterus
The physician performs an amniotomy. What is the PRIMARY nursing action AFTER this
procedure?
A+ 2
, RNC-OB REAL EXAM 2025
A.) Monitor contractions for frequency and duration
B.) Note the color of the vaginal discharge
C.) Assess the fetal HR
D.) Apply Nitrazine to the amniotic fluid to note the color
E.) Notify anesthesia of the need for an epidural
C.) Assess the fetal HR
Which of the following is the MOST RELIABLE indicator that TRUE labor has begun?
A.) Contractions are palpated by the nurse in the lower abdomen
B.) The cervix has dilated from 1 cm to 4 cm with contractions
C.) The membranes have ruptured
D.) Contractions occur every 15-20 minutes
E.) The mother experiences the nesting instinct
B.) The cervix has dilated from 1 cm to 4 cm with contractions
Which of the following would NOT be considered a risk factor for pain?
A.) Anxiety
B.) Anterior position of the fetus
C.) Posterior position of the fetus
D.) Fatigue
E.) Fear
B.) Anterior position of the fetus
A+ 3
, RNC-OB REAL EXAM 2025
A station of +1 means that the:
A.) Fetal presenting part is 1 cm BELOW the mother's ischial spines
B.) Maternal cervix is dilated 1 cm
C.) Fetus is unlikely to be born vaginally because the pelvis is too small
D.) Mother's ischial spines project into her pelvis 1 cm
A.) Fetal presenting part is 1 cm BELOW the mother's ischial spines
Which of the following is considered a POTENTIAL SE of epidural anesthesia?
A.) INCREASED frequency of urination
B.) Hypotension
C.) Hypertension
D.) Drowsiness
E.) N/V
B.) Hypotension
What is the PRIMARY nursing responsibility during the administration of pain medications
during labor?
A.) Assist the CRNA or anesthesiologist in the administration of epidural medications
B.) Assist the pt's husband/significant other in helping the pt
C.) Monitor maternal and fetal well being
D.) Give pain medications q4h
E.) Encourage the mother to have an epidural for pain control
A+ 4
