RNC OB INPATIENT OB CERTIFICATION
PRACTICE EXAM 2026 QUESTIONS WITH
ACCURATE ANSWERS
◉ A class of antihypertensive drugs that should be avoided in
pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers. Answer: ACE inhibitors
◉ Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life. Answer: Overt diabetes in later life
◉ A sign of symptom that indicates a progression of preeclampsia to
eclampsia and warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
,c. persistent proteinuria. Answer: epigastric pain
◉ A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia. Answer: nulliparity
◉ A women is receiving magnesium sulfate. A sign that the
magnesium sulfate is reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech. Answer: Slurring of the speech
◉ A positive ankle clonus that occurs with preeclampsia is usually a
result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema. Answer: cerebral edema
,◉ A potentially life saving measure for a fetus that is exposed to
chicken pox just prior to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG). Answer: Varicella immune
globulin (VZIG)
◉ Following cesarean delivery for abrupt placenta, a clot
observation test is initiated. Placing a small amount of blood in a test
tube for 20 minutes yields a soft clot that dissolves easily. This is
consistent with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III. Answer: Hypofibriongenemia
◉ A finding that would indicate a pregnant diabetic patient is at
increased risk for giving birth to an infant with a congenital defect is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
c. glucose levels above 140 mg/dL in the third trimester. Answer: an
elevated hemoglobin A1C levels during the first trimeter
, ◉ When a pregnant woman experiences a cardiac arrest, the nurse
should:
a. first focus on assessing fetal status
b. if the mother dies, discontinue resuscitative efforts
c. treat the patient as the same as a non-pregnant patient. Answer:
Treat the patient as the same as a non-pregnant patient
◉ At term, a woman is labor is found to have severe condylomata
which has obstructed the vaginal canal. The appropriate disposition
is.
a. cesarean delivery
b. cryotherapy removal
c. immediate removal with podophyllin. Answer: cesarean delivery
◉ A hematologic change in pregnancy that predisposes to venous
thrombosis is
a. depressed fibrinolytic activity
b. increased white blood cell count
PRACTICE EXAM 2026 QUESTIONS WITH
ACCURATE ANSWERS
◉ A class of antihypertensive drugs that should be avoided in
pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers. Answer: ACE inhibitors
◉ Gestational diabetes places a woman at increased risk of:
a. a birth with a congenital defect
b. oligohydramnios with resultant fetal growth restriction
c. overt diabetes in later life. Answer: Overt diabetes in later life
◉ A sign of symptom that indicates a progression of preeclampsia to
eclampsia and warrants a consideration for delivery is:
a. epigastric pain
b. nausea or vomiting
,c. persistent proteinuria. Answer: epigastric pain
◉ A predisposing factor for preeclampsia is:
a. nulliparity
b. obesity prior to pregnancy
c. previous history of preeclampsia. Answer: nulliparity
◉ A women is receiving magnesium sulfate. A sign that the
magnesium sulfate is reaching a toxic level is:
a. decreased appetite
b. difficulty in swallowing
c. slurring of speech. Answer: Slurring of the speech
◉ A positive ankle clonus that occurs with preeclampsia is usually a
result of
a. cerebral edema
b. decreased colloid osmotic pressure
c. dependent edema. Answer: cerebral edema
,◉ A potentially life saving measure for a fetus that is exposed to
chicken pox just prior to delivery is for the mother to receive:
a. acyclovir (Zovirax)
b. the chicken pox vaccine
c. varicella immune globulin (VZIG). Answer: Varicella immune
globulin (VZIG)
◉ Following cesarean delivery for abrupt placenta, a clot
observation test is initiated. Placing a small amount of blood in a test
tube for 20 minutes yields a soft clot that dissolves easily. This is
consistent with:
a. hypofibriongenemia
b. normal coagulation process
c. presence of antithrombin III. Answer: Hypofibriongenemia
◉ A finding that would indicate a pregnant diabetic patient is at
increased risk for giving birth to an infant with a congenital defect is:
a. a history of macrosomia in her previous pregnancy
b. an elevated hemoglobin A1C levels during the first trimester
c. glucose levels above 140 mg/dL in the third trimester. Answer: an
elevated hemoglobin A1C levels during the first trimeter
, ◉ When a pregnant woman experiences a cardiac arrest, the nurse
should:
a. first focus on assessing fetal status
b. if the mother dies, discontinue resuscitative efforts
c. treat the patient as the same as a non-pregnant patient. Answer:
Treat the patient as the same as a non-pregnant patient
◉ At term, a woman is labor is found to have severe condylomata
which has obstructed the vaginal canal. The appropriate disposition
is.
a. cesarean delivery
b. cryotherapy removal
c. immediate removal with podophyllin. Answer: cesarean delivery
◉ A hematologic change in pregnancy that predisposes to venous
thrombosis is
a. depressed fibrinolytic activity
b. increased white blood cell count
