RNC-OB Test Questions with Verified
Solutions
causes of fetal tachycardia (8) - correct Answer-- cocaine
- fever
- dehydration
- hyperthyroid
- infection
- ephedrine (in term)
- B-sympathomimetic drugs
- Parasympatherolytic dugs
which cord blood gas has a higher pH always - correct Answer-umbilical vein
respiratory acidosis reading on cord gas (pH, pCO2, base deficit, base excess) - correct
Answer-pH<7.20
pCo2 >60
pO2 >20
Base deficit <12
Base excess >-12
metabolic acidosis reading on cord gas (pH, pCO2, base deficit, base excess) - correct
Answer-pH <7.0 (significant)
pCO2 <60
pO2 <20
Bicarb <22
Base deficit >12
Has risk of hypoxic ischemic encephalopathy
what could cause someone to go into DKA (4) - correct Answer-infection
inadequate insulin use
BMZ shots/steroid use
vomitting
4 sx of DKA - correct Answer-fruity breath
tachycardia
altered consciousness
abd pain
8 risks for PTL - correct Answer-<18 or >35
, multiple gestation
hx PTB
bacterial vaginosis
af am
low SES
low pre preg BMI
vag bleeding in multiple trimesters
smoking/drugs
3 immediate goals for PTL - correct Answer-GBS prophylaxis, BMZ, and MgSO4 for
neuro protection
what 4 meds can you give for tocolytic therapy - correct Answer-terb
MgSO4
calcium channel blocker (nifed)
prostaglandins (indomethacin)
how long do you continue chorio abx until - correct Answer-usually one extra dose PP
and then continue until pt is afebrile if needed
what is a vasa previa - correct Answer-velamentous cord where the exposed vessels lie
over the cervix
9 risk factors for placental abruption - correct Answer-coke
meth
smoking
twins
short cord
abd trauma
HTN
uterine fibroids
sudden uterine decompression (SROM?)
what are the 4-5 risks of uterine rupture - correct Answer-multiple scars
cervical ripening
induction
hx PP infection
short interval delivery
what is the time for an early PPH and a late PPH - correct Answer-early is within 24 h
late is 24h-6w
6 symptoms of DIC - correct Answer-hemorrhage
oozing
hypovolemia
acute renal failure
Solutions
causes of fetal tachycardia (8) - correct Answer-- cocaine
- fever
- dehydration
- hyperthyroid
- infection
- ephedrine (in term)
- B-sympathomimetic drugs
- Parasympatherolytic dugs
which cord blood gas has a higher pH always - correct Answer-umbilical vein
respiratory acidosis reading on cord gas (pH, pCO2, base deficit, base excess) - correct
Answer-pH<7.20
pCo2 >60
pO2 >20
Base deficit <12
Base excess >-12
metabolic acidosis reading on cord gas (pH, pCO2, base deficit, base excess) - correct
Answer-pH <7.0 (significant)
pCO2 <60
pO2 <20
Bicarb <22
Base deficit >12
Has risk of hypoxic ischemic encephalopathy
what could cause someone to go into DKA (4) - correct Answer-infection
inadequate insulin use
BMZ shots/steroid use
vomitting
4 sx of DKA - correct Answer-fruity breath
tachycardia
altered consciousness
abd pain
8 risks for PTL - correct Answer-<18 or >35
, multiple gestation
hx PTB
bacterial vaginosis
af am
low SES
low pre preg BMI
vag bleeding in multiple trimesters
smoking/drugs
3 immediate goals for PTL - correct Answer-GBS prophylaxis, BMZ, and MgSO4 for
neuro protection
what 4 meds can you give for tocolytic therapy - correct Answer-terb
MgSO4
calcium channel blocker (nifed)
prostaglandins (indomethacin)
how long do you continue chorio abx until - correct Answer-usually one extra dose PP
and then continue until pt is afebrile if needed
what is a vasa previa - correct Answer-velamentous cord where the exposed vessels lie
over the cervix
9 risk factors for placental abruption - correct Answer-coke
meth
smoking
twins
short cord
abd trauma
HTN
uterine fibroids
sudden uterine decompression (SROM?)
what are the 4-5 risks of uterine rupture - correct Answer-multiple scars
cervical ripening
induction
hx PP infection
short interval delivery
what is the time for an early PPH and a late PPH - correct Answer-early is within 24 h
late is 24h-6w
6 symptoms of DIC - correct Answer-hemorrhage
oozing
hypovolemia
acute renal failure
