RNC OB INPATIENT OB CERTIFICATION
ACTUAL TEST 2026 QUESTIONS WITH
VERIFIED ANSWERS
◉ Infant care for baby with HIV + mom Answer: - CBC
- Zidovudine and Nevirapine
- viral load checks at birth, 6 weeks, 6 months, 18 months
- CD4 count
- CD4 count less than 200 dx for AIDS
- elisa and rapid test at delivery
◉ Chlamydia Answer: -A bacterial infection that affects the
reproductive organs of both males and females (oral, vaginal, anal
routes)
- s/s: mucus discharge, salpingitis, inflamed cervix, risk for pp
endometritis, burning with urination
- tx: Azithromax 7 day oral or 1g IM
- retest in 2 weeks
- must wait 7 days to have sex and treat partner
◉ Chlamydia and babies Answer: - high vaginal delivery
transmission to fetus (2/3)
,- watch neonate for conjunctivitis (red prevents blindness) and
pneumonia
- does NOT cross placenta. Transmission is during vaginal delivery
after ROM, most common bacterial infection
◉ Gonorrhea Answer: A bacterial STD that usually associated with
other STDs
- cervix is usually culture site
- no symptoms about 1/3 of the time but pussy bag discharge,
painful urination, abdominal pain
- tx Rocephine (2 r in gonorrhea) 125 mg (1 dose) must wait 7 days
to have sex/ treat partner
- can cause infertility, scar fallipian tubes
◉ Gonorrhea and infants Answer: A mother can pass gonorrhea to
her baby during childbirth- does NOT cross placenta, molecules too
large
- treat with ees at birth to prevent blindness
◉ primary cause of cervical cancer Answer: HPV
◉ Pap smear rules Answer: age 21-65
Q 3 years
,◉ Syphilis does or does not cross placenta Answer: DOES
◉ Syphilis treatment Answer: Penicillin G
- 2.4 million units weekly x 3 dosages
- compliance issue is huge
- If miss dose, have to start treatment all over
- Zithromax if allergy to pcn
- have to treat prior to 16 weeks to protect fetus
◉ Syphilis dangers to fetus Answer: IUGR, stillborn, NEURO
EFFECTS, skin peels after delivery (need ab x10 days)
◉ Syphilis dx Answer: RPR and VDRL
FTA if RPR is +, tells us if syphilis is currently active
◉ TORCH infections Answer: Teratogenic viral and bacterial
infections
Infectious disease antibody titer test
T - toxoplasmosis - cat litter/feces, meat/eggs
, O - other (syphilis, hep B, varicella, Epstein barr, parvovirus (slapped
cheeks))
R - rubella German measles (heart defects)
C - cytomegalovirus
H - herpes/HIV
◉ IgM vs IgG Answer: IgM: antibody in INITIAL immune response;
iMMediate infection
IgG: previous infection, you're GOOD currently
◉ Fetal risks for torch infections Answer: Deafness, low IQ,
heart/neuro problems, low plts, demise, IUGR
◉ How do you get toxoplasmosis Answer: Infection from oocysts in
cat stool or acquired infection through soil, raw or undercooked
meat, feces from cats in soil (wear gloves when gardening)
◉ Toxoplasmosis transmission to baby and risk for baby Answer:
DOES cross placenta; 3-4% transmission rate to fetus
Risk to fetus: SAB esp if in 1st trimester, if further along increased
transmission but decreases risk to fetus bc neuro already developed
◉ CMV (cytomegalovirus) Answer: Type of herpes virus
ACTUAL TEST 2026 QUESTIONS WITH
VERIFIED ANSWERS
◉ Infant care for baby with HIV + mom Answer: - CBC
- Zidovudine and Nevirapine
- viral load checks at birth, 6 weeks, 6 months, 18 months
- CD4 count
- CD4 count less than 200 dx for AIDS
- elisa and rapid test at delivery
◉ Chlamydia Answer: -A bacterial infection that affects the
reproductive organs of both males and females (oral, vaginal, anal
routes)
- s/s: mucus discharge, salpingitis, inflamed cervix, risk for pp
endometritis, burning with urination
- tx: Azithromax 7 day oral or 1g IM
- retest in 2 weeks
- must wait 7 days to have sex and treat partner
◉ Chlamydia and babies Answer: - high vaginal delivery
transmission to fetus (2/3)
,- watch neonate for conjunctivitis (red prevents blindness) and
pneumonia
- does NOT cross placenta. Transmission is during vaginal delivery
after ROM, most common bacterial infection
◉ Gonorrhea Answer: A bacterial STD that usually associated with
other STDs
- cervix is usually culture site
- no symptoms about 1/3 of the time but pussy bag discharge,
painful urination, abdominal pain
- tx Rocephine (2 r in gonorrhea) 125 mg (1 dose) must wait 7 days
to have sex/ treat partner
- can cause infertility, scar fallipian tubes
◉ Gonorrhea and infants Answer: A mother can pass gonorrhea to
her baby during childbirth- does NOT cross placenta, molecules too
large
- treat with ees at birth to prevent blindness
◉ primary cause of cervical cancer Answer: HPV
◉ Pap smear rules Answer: age 21-65
Q 3 years
,◉ Syphilis does or does not cross placenta Answer: DOES
◉ Syphilis treatment Answer: Penicillin G
- 2.4 million units weekly x 3 dosages
- compliance issue is huge
- If miss dose, have to start treatment all over
- Zithromax if allergy to pcn
- have to treat prior to 16 weeks to protect fetus
◉ Syphilis dangers to fetus Answer: IUGR, stillborn, NEURO
EFFECTS, skin peels after delivery (need ab x10 days)
◉ Syphilis dx Answer: RPR and VDRL
FTA if RPR is +, tells us if syphilis is currently active
◉ TORCH infections Answer: Teratogenic viral and bacterial
infections
Infectious disease antibody titer test
T - toxoplasmosis - cat litter/feces, meat/eggs
, O - other (syphilis, hep B, varicella, Epstein barr, parvovirus (slapped
cheeks))
R - rubella German measles (heart defects)
C - cytomegalovirus
H - herpes/HIV
◉ IgM vs IgG Answer: IgM: antibody in INITIAL immune response;
iMMediate infection
IgG: previous infection, you're GOOD currently
◉ Fetal risks for torch infections Answer: Deafness, low IQ,
heart/neuro problems, low plts, demise, IUGR
◉ How do you get toxoplasmosis Answer: Infection from oocysts in
cat stool or acquired infection through soil, raw or undercooked
meat, feces from cats in soil (wear gloves when gardening)
◉ Toxoplasmosis transmission to baby and risk for baby Answer:
DOES cross placenta; 3-4% transmission rate to fetus
Risk to fetus: SAB esp if in 1st trimester, if further along increased
transmission but decreases risk to fetus bc neuro already developed
◉ CMV (cytomegalovirus) Answer: Type of herpes virus
