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RNC-OB CERTIFICATION REVIEW EXAM
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RNC-OB CERTIFICATION REVIEW EXAM
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RNC-OB CERTIFICATION REVIEW EXAMA 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? -
Answers -Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... -
Answers -Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
Answers -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... - Answers -Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is
an increased risk for... - Answers -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? - Answers -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... - Answers
-As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - Answers -Attitude.
The most accurate dating of a pregnancy by ultrasound is... - Answers -First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered... - Answers -Equivocal.
When differentiating false labor from true labor, a finding that would suggest a woman is
in true labor is if after 1-2 hours of walking... - Answers -back pain is radiating to the
abdomen.
The umbilical vein carries... - Answers -oxygenated blood from the placenta to the fetus.
The Ferguson reflex is the result of... - Answers -Pressure on the cervix.
Compared to non-pregnant values, maternal carbon dioxide (pCO2) during pregnancy
is... - Answers -decreased, because mother breathing faster.
, The metabolic state of pregnancy is described as a chronic... - Answers -respiratory
alkalosis.
During pregnancy, cardiac output increases by what percent? - Answers -30-50%
A 39 week gestation G3P2 who is currently 6cm/90%/-1, who received an epidural test
dose 10 minutes ago is having late decelerations. The most likely cause is... - Answers -
Maternal hypotension.
The color of nitrazine paper most indicative of ruptured membranes is... - Answers -
Blue.
The fetal heart tones of a baby in the ROP position would best be heard over the
mother's... - Answers -Right lower abdomen.
On a vaginal exam the nurse determines the patient is 7cm dilated. She also notes the
cervix is well applied posteriorly but that the cervix is not well applied anteriorly with a
slight gap along the vertex. She should suspect that the fetal position is... - Answers -
OP (occiput posterior)
In the low risk patient who is being monitored in the active stage of labor using
auscultation, the fetal heart rate should be assessed every... - Answers -15 minutes
According to ACOG guidelines for continuous EFM, a patient without complications in
the active phase of labor should have the FHR assessed every... - Answers -30 minutes
The cervix of a labor patient is dilated to 3cm. She would be in what stage of labor? -
Answers -Latent phase of labor.
When using EFM monitors in the second stage of labor, the high risk patient who is
actively pushing should be assessed every... - Answers -5 minutes.
The phase of labor that distraction techniques are most likely to be effective is... -
Answers -Latent.
A prolonged second stage in the primigravida with regional anesthesia is defined as a
lack of continuing progress and a second stage duration of greater than... - Answers -3
hours.
Internal rotation of the head generally occurs in... - Answers -mid pelvis.
The transition phase of labor is characterized by maternal... - Answers -panic and fear.
One sign that suggests placental separation is... - Answers -lengthening of umbilical
cord.
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