RNC-OB Certification Review Exam
with Complete Solutions
A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? -
ANSWER-Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... -
ANSWER-Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
ANSWER-Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room
after admission for severe gastric discomfort with nausea and vomiting. She is anxious
and dizzy. Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely
diagnosis is anxiety and... - ANSWER-Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is
an increased risk for... - ANSWER-Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are
absent with respiratory rate of 10. Which actions should be taken? - ANSWER-Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... -
ANSWER-As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - ANSWER-Attitude.
The most accurate dating of a pregnancy by ultrasound is... - ANSWER-First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered... - ANSWER-Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - ANSWER-Biophysical
profile.
, Cordocentesis is more commonly used to detect fetal... - ANSWER-Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - ANSWER-
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - ANSWER-1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic
fetal monitor 10 minutes after stadol administration to a patient with a previously normal
tracing. The appropriate response to this fetal heart rate pattern would be to... -
ANSWER-Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - ANSWER-
Variability.
Which tachyarrhythmia can result in fetal hydrops? - ANSWER-Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit.
FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation.
A complete flat tracing suggests the fetus has... - ANSWER-A complete heart block,
which can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the
goal of... - ANSWER-Relieving cord compression.
Baroreceptors respond mainly to changes in... - ANSWER-Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... -
ANSWER-increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - ANSWER-Prolonged.
Normal uterine activity... - ANSWER-Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
ANSWER-Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over
30 minutes of greater than... - ANSWER-5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in
the upper part of uterus, this is consistent with... - ANSWER-Breech presentation.
with Complete Solutions
A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? -
ANSWER-Gravida 3 Para 1212
Cholestasis is a condition that occurs in pregnancy and is caused by elevated... -
ANSWER-Bile acid
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
ANSWER-Increased serum creatinine
A patient at 37 weeks gestation arrives to labor and delivery from the emergency room
after admission for severe gastric discomfort with nausea and vomiting. She is anxious
and dizzy. Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely
diagnosis is anxiety and... - ANSWER-Preeclampsia with severe features
Fluid balance should be monitored in a woman on mag sulfate therapy because there is
an increased risk for... - ANSWER-Pulmonary edema
On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are
absent with respiratory rate of 10. Which actions should be taken? - ANSWER-Stop the
magnesium sulfate and notify provider.
A newly pregnant woman who is morbidly obese has a strong family history of Type 2
diabetes. The recommended time for this woman's initial glucose screen is... -
ANSWER-As soon as possible.
The relation of the fetal body parts to one another Is called fetal... - ANSWER-Attitude.
The most accurate dating of a pregnancy by ultrasound is... - ANSWER-First trimester
evaluation of the crown-rump length.
A biophysical score of 6 is considered... - ANSWER-Equivocal.
At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
reported as nonreactive. Which is appropriate for this patient? - ANSWER-Biophysical
profile.
, Cordocentesis is more commonly used to detect fetal... - ANSWER-Anemia.
Quad screening compared to alphafetoprotein testing can better detect... - ANSWER-
Trisomies.
A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
decelerations is a NICHD category... - ANSWER-1 (one)
A series of sine waves with similar duration and amplitude develop on the electronic
fetal monitor 10 minutes after stadol administration to a patient with a previously normal
tracing. The appropriate response to this fetal heart rate pattern would be to... -
ANSWER-Continue to observe...
Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - ANSWER-
Variability.
Which tachyarrhythmia can result in fetal hydrops? - ANSWER-Persistent
supraventricular tachycardia-sign of anemia which can in turn cause hydrops.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit.
FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation.
A complete flat tracing suggests the fetus has... - ANSWER-A complete heart block,
which can be a complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the
goal of... - ANSWER-Relieving cord compression.
Baroreceptors respond mainly to changes in... - ANSWER-Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... -
ANSWER-increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - ANSWER-Prolonged.
Normal uterine activity... - ANSWER-Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
ANSWER-Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over
30 minutes of greater than... - ANSWER-5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in
the upper part of uterus, this is consistent with... - ANSWER-Breech presentation.
