RNC-OB — Inpatient Obstetric Nursing
Certification, WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2025/2026)
Question 1
A pregnant woman with pre-eclampsia develops petechiae, hematuria,
and oozing of blood at IV insertion sites. The nurse suspects:
• A) Sepsis
• B) Coagulopathy (DIC)
• C) Anemia
• D) Thrombocytopenia
Correct ,,,,Answer,,,,: B
Rationale: These signs suggest disseminated intravascular coagulation
(DIC), an emergent condition secondary to another disorder such as pre-
eclampsia. Immediate assessment should include coagulation studies,
and the patient should be tilted left to increase uterine blood flow while
receiving oxygen and blood products .
Question 2
Folic acid/folate deficiency in the mother places the fetus at risk for:
, • A) Cardiac defects
• B) Neural tube defects
• C) Renal anomalies
• D) Cleft lip/palate
Correct ,,,,Answer,,,,: B
Rationale: Folic acid deficiency during early pregnancy is strongly
associated with neural tube defects (spina bifida, anencephaly). The
recommended daily dose is 0.4 mg, increasing to 1 mg if deficiency is
present .
Question 3
A pregnant woman's platelet count is 140,000 mcg/L. The nurse
recognizes this as:
• A) Normal for pregnancy
• B) Thrombocytopenia
• C) Gestational thrombocytosis
• D) Pseudo-thrombocytopenia
Correct ,,,,Answer,,,,: B
Rationale: Thrombocytopenia in pregnancy is defined as a platelet count
<150,000 mcg/L. While mild thrombocytopenia can be normal in late
pregnancy (gestational thrombocytopenia), counts below this threshold
require investigation .
,Question 4
A patient with a history of cardiac disease is classified as NYHA Class 3.
The nurse anticipates the delivery plan will likely include:
• A) Unassisted vaginal delivery
• B) Cesarean section or assisted (vacuum/forceps) delivery
• C) Home birth
• D) Delivery at a birth center
Correct ,,,,Answer,,,,: B
Rationale: NYHA Class 3 and 4 cardiac patients require cesarean section
or assisted delivery (vacuum/forceps) to minimize cardiac stress during
the second stage of labor .
Question 5
The recommended daily iron intake during pregnancy for a woman with
normal hemoglobin is:
• A) 15 mg
• B) 30 mg
• C) 60 mg
• D) 120 mg
Correct ,,,,Answer,,,,: B
Rationale: Iron needs during pregnancy are approximately 30 mg daily.
This increases to 60-120 mg in anemic patients while
hemoglobin/hematocrit remain abnormal .
, Question 6
The safest antidepressant during pregnancy is:
• A) Fluoxetine (Prozac)
• B) Sertraline (Zoloft)
• C) Buspirone (Buspar)
• D) Paroxetine (Paxil)
Correct ,,,,Answer,,,,: C
Rationale: Buspirone is considered the safest antidepressant in
pregnancy with a Class B rating. SSRIs like paroxetine have higher risks of
fetal cardiac defects .
Question 7
For a pregnant patient with opioid use disorder, which medication is
preferred because it does NOT contain naloxone?
• A) Suboxone
• B) Methadone
• C) Subutex
• D) Naltrexone
Correct ,,,,Answer,,,,: C
Rationale: Subutex (buprenorphine without naloxone) is preferred over
Suboxone during pregnancy because naloxone could theoretically
precipitate withdrawal in the fetus. Methadone is also acceptable .
Certification, WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2025/2026)
Question 1
A pregnant woman with pre-eclampsia develops petechiae, hematuria,
and oozing of blood at IV insertion sites. The nurse suspects:
• A) Sepsis
• B) Coagulopathy (DIC)
• C) Anemia
• D) Thrombocytopenia
Correct ,,,,Answer,,,,: B
Rationale: These signs suggest disseminated intravascular coagulation
(DIC), an emergent condition secondary to another disorder such as pre-
eclampsia. Immediate assessment should include coagulation studies,
and the patient should be tilted left to increase uterine blood flow while
receiving oxygen and blood products .
Question 2
Folic acid/folate deficiency in the mother places the fetus at risk for:
, • A) Cardiac defects
• B) Neural tube defects
• C) Renal anomalies
• D) Cleft lip/palate
Correct ,,,,Answer,,,,: B
Rationale: Folic acid deficiency during early pregnancy is strongly
associated with neural tube defects (spina bifida, anencephaly). The
recommended daily dose is 0.4 mg, increasing to 1 mg if deficiency is
present .
Question 3
A pregnant woman's platelet count is 140,000 mcg/L. The nurse
recognizes this as:
• A) Normal for pregnancy
• B) Thrombocytopenia
• C) Gestational thrombocytosis
• D) Pseudo-thrombocytopenia
Correct ,,,,Answer,,,,: B
Rationale: Thrombocytopenia in pregnancy is defined as a platelet count
<150,000 mcg/L. While mild thrombocytopenia can be normal in late
pregnancy (gestational thrombocytopenia), counts below this threshold
require investigation .
,Question 4
A patient with a history of cardiac disease is classified as NYHA Class 3.
The nurse anticipates the delivery plan will likely include:
• A) Unassisted vaginal delivery
• B) Cesarean section or assisted (vacuum/forceps) delivery
• C) Home birth
• D) Delivery at a birth center
Correct ,,,,Answer,,,,: B
Rationale: NYHA Class 3 and 4 cardiac patients require cesarean section
or assisted delivery (vacuum/forceps) to minimize cardiac stress during
the second stage of labor .
Question 5
The recommended daily iron intake during pregnancy for a woman with
normal hemoglobin is:
• A) 15 mg
• B) 30 mg
• C) 60 mg
• D) 120 mg
Correct ,,,,Answer,,,,: B
Rationale: Iron needs during pregnancy are approximately 30 mg daily.
This increases to 60-120 mg in anemic patients while
hemoglobin/hematocrit remain abnormal .
, Question 6
The safest antidepressant during pregnancy is:
• A) Fluoxetine (Prozac)
• B) Sertraline (Zoloft)
• C) Buspirone (Buspar)
• D) Paroxetine (Paxil)
Correct ,,,,Answer,,,,: C
Rationale: Buspirone is considered the safest antidepressant in
pregnancy with a Class B rating. SSRIs like paroxetine have higher risks of
fetal cardiac defects .
Question 7
For a pregnant patient with opioid use disorder, which medication is
preferred because it does NOT contain naloxone?
• A) Suboxone
• B) Methadone
• C) Subutex
• D) Naltrexone
Correct ,,,,Answer,,,,: C
Rationale: Subutex (buprenorphine without naloxone) is preferred over
Suboxone during pregnancy because naloxone could theoretically
precipitate withdrawal in the fetus. Methadone is also acceptable .
