RNC-OB PRACTICE QUESTIONS AND ANSWERS
Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After one hour,
tachysystole develops but the fetal heart rate pattern is normal. Appropriate management is to: -
(ANSWER)remove the insert
Nifedipine acts as a tocolytic agent by interfering with: - (ANSWER)availability of calcium
The progression of labor is based on: - (ANSWER)individual factors and clinical conditions
Universal alphafetoprotein sceening should be offered to all women because: - (ANSWER)there is little
risk or complications from the testing
A nurse observed a new mother breastfeeding her infant and hears "smacking sounds" as the infant
feeds. The nurse should recognize this might indicate a problem with: - (ANSWER)Latch on the breast
A woman with type-1 diabetes at 32 weeks gestation has diabetic ketoacidosis. Before administration of
IV potassium, it is important to assure adequate: - (ANSWER)urine output
Increased bloody show In a woman in labor is representative of: - (ANSWER)rapid cervical dilation
According to NICHD terminology, accelerations and decelerations are based on their relationship to" -
(ANSWER)fetal heart rate baseline
Hindmilk promotes infant weight gain because of its: - (ANSWER)high fat content
The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief strategy in labor
of: - (ANSWER)imagery
After administration of an epidural, a woman experienced respiratory depression. This is likely due to: -
(ANSWER)sympathetic blockade
A main disadvantage of fentanyl use for pain relief in labor is: - (ANSWER)short duration of action
, RNC-OB PRACTICE QUESTIONS AND ANSWERS
The most common umbilical cord complication of monoamniotic twin gestation is: -
(ANSWER)entanglement
A potential complication from a vacuum extraction delivery is: - (ANSWER)depression skull fracture
A shorter labor duration is seen with what type of maternal positioning: - (ANSWER)upright
A breastfeeding mother notes that small amounts of milk drool from her infant's mouth after
breastfeeding. This is an indication of what: - (ANSWER)a need to evaluate proper latch-on
When administering oxytocin, it is important to understand that 40 minutes after administration: -
(ANSWER)a steady state plasma concentration will be reached
In the hypothermin neonate, heat production is accomplished by thermogenesis secondary to: -
(ANSWER)brown fat metabolism
Women are most likely to experience trauma leading to injury in pregnancy from: - (ANSWER)intimate
partner violence
A contraindication to neuraxial anesthesia during labor is: - (ANSWER)coagulation disorder
A woman at 31 weeks gestation comes to labor and delivery with signs and symptoms of preterm labor.
Antenatal steroids are given to: - (ANSWER)promote fetal lung alveoli growth
Symptoms of deep vein thrombosis are most likely due to: - (ANSWER)inflammation
Death from anaphylactoid syndrome of pregnancy(amniotic fluid embolism) is most commonly due to: -
(ANSWER)hypoxic-ischemic insult
Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation. After one hour,
tachysystole develops but the fetal heart rate pattern is normal. Appropriate management is to: -
(ANSWER)remove the insert
Nifedipine acts as a tocolytic agent by interfering with: - (ANSWER)availability of calcium
The progression of labor is based on: - (ANSWER)individual factors and clinical conditions
Universal alphafetoprotein sceening should be offered to all women because: - (ANSWER)there is little
risk or complications from the testing
A nurse observed a new mother breastfeeding her infant and hears "smacking sounds" as the infant
feeds. The nurse should recognize this might indicate a problem with: - (ANSWER)Latch on the breast
A woman with type-1 diabetes at 32 weeks gestation has diabetic ketoacidosis. Before administration of
IV potassium, it is important to assure adequate: - (ANSWER)urine output
Increased bloody show In a woman in labor is representative of: - (ANSWER)rapid cervical dilation
According to NICHD terminology, accelerations and decelerations are based on their relationship to" -
(ANSWER)fetal heart rate baseline
Hindmilk promotes infant weight gain because of its: - (ANSWER)high fat content
The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief strategy in labor
of: - (ANSWER)imagery
After administration of an epidural, a woman experienced respiratory depression. This is likely due to: -
(ANSWER)sympathetic blockade
A main disadvantage of fentanyl use for pain relief in labor is: - (ANSWER)short duration of action
, RNC-OB PRACTICE QUESTIONS AND ANSWERS
The most common umbilical cord complication of monoamniotic twin gestation is: -
(ANSWER)entanglement
A potential complication from a vacuum extraction delivery is: - (ANSWER)depression skull fracture
A shorter labor duration is seen with what type of maternal positioning: - (ANSWER)upright
A breastfeeding mother notes that small amounts of milk drool from her infant's mouth after
breastfeeding. This is an indication of what: - (ANSWER)a need to evaluate proper latch-on
When administering oxytocin, it is important to understand that 40 minutes after administration: -
(ANSWER)a steady state plasma concentration will be reached
In the hypothermin neonate, heat production is accomplished by thermogenesis secondary to: -
(ANSWER)brown fat metabolism
Women are most likely to experience trauma leading to injury in pregnancy from: - (ANSWER)intimate
partner violence
A contraindication to neuraxial anesthesia during labor is: - (ANSWER)coagulation disorder
A woman at 31 weeks gestation comes to labor and delivery with signs and symptoms of preterm labor.
Antenatal steroids are given to: - (ANSWER)promote fetal lung alveoli growth
Symptoms of deep vein thrombosis are most likely due to: - (ANSWER)inflammation
Death from anaphylactoid syndrome of pregnancy(amniotic fluid embolism) is most commonly due to: -
(ANSWER)hypoxic-ischemic insult
