TEST BANK FOR RNC OB INPATIENT | OB
CERTIFICATION | 840 ACTUAL QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS| LATEST UPDATE 2024|2025
Pain during the first stage of labor is caused by
a. cervical and lower uterine segment stretching and traction on ovaries, fallopian tubes,
and uterine ligaments.
b. pressure on the urethra, bladder, and rectum by the descending fetal presenting part
c. uterine muscle hypoxia, lactic acid accumulation, and distention of the pelvic floor
muscles.
Correct Answer: a. cervical and lower uterine segment stretching and traction on
ovaries, fallopian tubes, and uterine ligaments.
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 Correct 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 Correct 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) Correct 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 Correct 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 Correct Answer: b. an elevated
hemoglobin A1C levels during the first trimeter
(A1C) — Hemoglobin A1C levels are monitored during pregnancy because they
correlate with a woman's blood glucose concentration over the prior 8 to 12 weeks and
are predictive of the risk for congenital malformations and neonatal birth weight [9].
Lower values have been associated with better outcomes. (<6)
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 Correct Answer: c. 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 Correct Answer: a. cesarean delivery
A hematologic change in pregnancy that predisposes to venous thrombosis is
a. depressed fibrinolytic activity
b. increased white blood cell count
c. reduced erythrocyte production Correct Answer: a. depressed fibrinolytic activity
A women is admitted to labor and delivery at 32 weeks gestation with vaginal bleeding.
Her hematocrit is falling and she is tachycardic. A Kleihauer-Betketest is ordered. This
is done to:
a. detect fetal red blood cells in the maternal circulation
b. detect hemolysis of fetal red blood ells
c. rule out Rh isoimmunization Correct Answer: a. detect fetal red blood cells in the
maternal circulation
A pregnant woman at 33 weeks gestation experiences an eclamptic seizure. The
medication of choice for this patient is immediate, intravenous administration of:
a. diazepam (Valium)
b. magnesium sulfate
c. phenytoin (Dilantin) Correct Answer: b. magnesium sulfate
, A pregnant woman has a hemoglobin level of 9 g/dL and is stable, afebrile, and can
ambulate without adverse symptoms. The indicated treatment is
a. oral iron preparation
b. parenteral iron therapy
c. whole blood transfusions Correct Answer: a. oral iron preparation
The Centers for Disease Control and Prevention (CDC) has defined anemia as
hemoglobin levels of less than 11 g/dL (hematocrit less than 33 percent) in the first and
third trimesters and less than 10.5 g/dL (hematocrit less than 32 percent) in the second
trimester [21]. Since hemoglobin and hematocrit levels are lower in African-American
adults, the Institute of Medicine recommends lowering the hemoglobin cut-off level by
0.8 g/dL in this population
A class of antihypertensive drugs that should be avoided in pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers Correct Answer: a. 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 Correct 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 Correct Answer: epigastric pain
CERTIFICATION | 840 ACTUAL QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS| LATEST UPDATE 2024|2025
Pain during the first stage of labor is caused by
a. cervical and lower uterine segment stretching and traction on ovaries, fallopian tubes,
and uterine ligaments.
b. pressure on the urethra, bladder, and rectum by the descending fetal presenting part
c. uterine muscle hypoxia, lactic acid accumulation, and distention of the pelvic floor
muscles.
Correct Answer: a. cervical and lower uterine segment stretching and traction on
ovaries, fallopian tubes, and uterine ligaments.
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 Correct 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 Correct 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) Correct 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 Correct 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 Correct Answer: b. an elevated
hemoglobin A1C levels during the first trimeter
(A1C) — Hemoglobin A1C levels are monitored during pregnancy because they
correlate with a woman's blood glucose concentration over the prior 8 to 12 weeks and
are predictive of the risk for congenital malformations and neonatal birth weight [9].
Lower values have been associated with better outcomes. (<6)
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 Correct Answer: c. 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 Correct Answer: a. cesarean delivery
A hematologic change in pregnancy that predisposes to venous thrombosis is
a. depressed fibrinolytic activity
b. increased white blood cell count
c. reduced erythrocyte production Correct Answer: a. depressed fibrinolytic activity
A women is admitted to labor and delivery at 32 weeks gestation with vaginal bleeding.
Her hematocrit is falling and she is tachycardic. A Kleihauer-Betketest is ordered. This
is done to:
a. detect fetal red blood cells in the maternal circulation
b. detect hemolysis of fetal red blood ells
c. rule out Rh isoimmunization Correct Answer: a. detect fetal red blood cells in the
maternal circulation
A pregnant woman at 33 weeks gestation experiences an eclamptic seizure. The
medication of choice for this patient is immediate, intravenous administration of:
a. diazepam (Valium)
b. magnesium sulfate
c. phenytoin (Dilantin) Correct Answer: b. magnesium sulfate
, A pregnant woman has a hemoglobin level of 9 g/dL and is stable, afebrile, and can
ambulate without adverse symptoms. The indicated treatment is
a. oral iron preparation
b. parenteral iron therapy
c. whole blood transfusions Correct Answer: a. oral iron preparation
The Centers for Disease Control and Prevention (CDC) has defined anemia as
hemoglobin levels of less than 11 g/dL (hematocrit less than 33 percent) in the first and
third trimesters and less than 10.5 g/dL (hematocrit less than 32 percent) in the second
trimester [21]. Since hemoglobin and hematocrit levels are lower in African-American
adults, the Institute of Medicine recommends lowering the hemoglobin cut-off level by
0.8 g/dL in this population
A class of antihypertensive drugs that should be avoided in pregnancy is:
a. ACE inhibitors
b. adrenergic blocking agents
c. calcium channel blockers Correct Answer: a. 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 Correct 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 Correct Answer: epigastric pain
