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 The relation of the fetal body parts to one another
birth. What is her GP? - -Gravida 3 Para Is called fetal... - -Attitude.
1212
The most accurate dating of a pregnancy by
Cholestasis is a condition that occurs in ultrasound is... - -First trimester evaluation
pregnancy and is caused by elevated... - - of the crown-rump length.
Bile acid
A biophysical score of 6 is considered... - -
What is a sign of deteriorating status in Equivocal.
pregnancy complicated by hypertension? -
-Increased serum creatinine
At 32 weeks, a prenatal patient reported
decreased fetal movement. A nonstress test is
A patient at 37 weeks gestation arrives to labor reported as nonreactive. Which is appropriate for
and delivery from the emergency room after this patient? - -Biophysical profile.
admission for severe gastric discomfort with
nausea and vomiting. She is anxious and dizzy.
Her blood pressure is 156/100. She has 4+ Cordocentesis is more commonly used to detect
protein in her urine. Most likely diagnosis is fetal... - -Anemia.
anxiety and... - -Preeclampsia with severe
features
Quad screening compared to alphafetoprotein
testing can better detect... - -Trisomies.
Fluid balance should be monitored in a woman
on mag sulfate therapy because there is an
increased risk for... - -Pulmonary edema A fetal heart rate baseline of 140 with moderate
variability, no accelerations and no decelerations
is a NICHD category... - -1 (one)
On admission to the labor unit, a woman's deep
tendon reflexes are assessed at 2+. Intravenous
magnesium sulfate is initiated. At her next A series of sine waves with similar duration and
assessment, her reflexes are absent with amplitude develop on the electronic fetal monitor
respiratory rate of 10. Which actions should be 10 minutes after stadol administration to a patient
taken? - -Stop the magnesium sulfate and with a previously normal tracing. The appropriate
notify provider. response to this fetal heart rate pattern would be
to... - -Continue to observe...
A newly pregnant woman who is morbidly obese
has a strong family history of Type 2 diabetes. Fetal metabolic acidosis in a tracing can be ruled
The recommended time for this woman's initial
out with the presence of... - -Variability.
glucose screen is... - -As soon as possible.
, RNC-OB Certification Review Exam Questions and Answers
The NICHD definition of uterine tachysystole is a
Which tachyarrhythmia can result in fetal contraction frequency averaged over 30 minutes
hydrops? - -Persistent supraventricular of greater than... - -5 contractions in 10
tachycardia-sign of anemia which can in turn minutes.
cause hydrops.
When fetal heart tones are heard about the
A G2P1 at 34 weeks gestation with a history of umbilicus and the fetal head is palpated in the
lupus was in for a routine prenatal visit. FHT's upper part of uterus, this is consistent with... -
were auscultated at 60. She was sent to labor -Breech presentation.
and delivery for further evaluation. A complete
flat tracing suggests the fetus has... - -A
complete heart block, which can be a During auscultation of the fetal heart rate, the
complication of lupus. nurse notes a gradual decrease in the fetal heart
rate after a contraction that lasts 60 seconds. The
appropriate documentation of this finding is that
A woman at term is in labor and exhibits after a contraction, there is a... - -decrease
recurrent variable decelerations with moderate in the fetal heart rate after contraction.
variability and meconium stained amniotic fluid.
An amnioinfusion is ordered with the goal of... -
-Relieving cord compression. A reliable method for confirming the presence of
an irregular fetal heart rhythm is a... - -
Fetoscope, because you can HEAR heart sounds
Baroreceptors respond mainly to changes in... - vs US soundwaves.
-Blood pressure.
The first Leopold's maneuver assists in
Stimulation of the sympathetic nervous system identifying fetal... - -Position.
causes the fetal heart rate to... - -increase.
An advantage of vibroacoustic testing is that it... -
According to the NICHD definitions, which -can be used effectively at any gestational
deceleration much drop at least 15 beats per age.
minutes... - -Prolonged.
When differentiating false labor from true labor, a
Normal uterine activity... - -Resting tone finding that would suggest a woman is in true
less than 20-25 mmHg. labor is if after 1-2 hours of walking... - -
back pain is radiating to the abdomen.
The most common side effect of prostaglandin
administration for cervical ripening is... - - The umbilical vein carries... - -oxygenated
Tachysystole. blood from the placenta to the fetus.