RNC OB INPATIENT OB CERTIFICATION
PRACTICE EXAM QUESTIONS AND CORRECT
ANSWERS NEW MODIFIED TESTED AND
APPROVED 2026 NEW UPDATE
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
Page 1 of 181
,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 women at 34 weeks gestation is admitted to the antepartum unit for influenza type
symptoms and lymphadenopathy. A culture shows an infection caused by T. gondii. The most
likely transmission route for this infection is.
a. ingestion of raw meat
b. rectal transfer
c. sexual intercourse --CORRECT ANSWER--ingestion of raw meat
Page 2 of 181
,Toxoplasma gondii is a ubiquitous protozoan parasite that infects humans in various settings.
Acute infection in the mother is usually asymptomatic. When symptoms of infection occur,
they are nonspecific, such as fatigue, fever, headache, malaise, and myalgia.
Lymphadenopathy is a more specific sign of the disease.
A pregnant woman who is HIV positive is on combination antiviral therapy comes to the
hospital for delivery. Drug therapy should be:
a. continued on the prenatal dosing regimen throughout labor and delivery
b. discontinued until after delivery where combination therapy should be resumed postpartum
c. switched to zidovudine IV for one hour and followed by continuous infusion until delivery
--CORRECT ANSWER--a. continued on the prenatal dosing regimen throughout labor and
delivery.
Women should continue taking their ART regimen during labor and delivery or scheduled
cesarean delivery. For women who have HIV RNA ≥1000 copies/mL or unknown viral levels
in late pregnancy and around the time of delivery, we recommend intrapartum intravenous
zidovudine to further reduce the risk of perinatal transmission (table 2) (Grade 1B). For
women who have had HIV RNA <1000 copies/mL consistently in late pregnancy and around
the time of delivery and have no concerns related to adherence or resistance to the regimen,
intrapartum intravenous zidovudine is not associated with further reduction of HIV
transmission.
A diagnostic test used in the diagnosis of HELLP syndrome is.
a. decreased liver function studies
b. increased creatinine clearance
c. presence of burr cells --CORRECT ANSWER--c. decreased liver function studies
Page 3 of 181
, 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 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:
Page 4 of 181
PRACTICE EXAM QUESTIONS AND CORRECT
ANSWERS NEW MODIFIED TESTED AND
APPROVED 2026 NEW UPDATE
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
Page 1 of 181
,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 women at 34 weeks gestation is admitted to the antepartum unit for influenza type
symptoms and lymphadenopathy. A culture shows an infection caused by T. gondii. The most
likely transmission route for this infection is.
a. ingestion of raw meat
b. rectal transfer
c. sexual intercourse --CORRECT ANSWER--ingestion of raw meat
Page 2 of 181
,Toxoplasma gondii is a ubiquitous protozoan parasite that infects humans in various settings.
Acute infection in the mother is usually asymptomatic. When symptoms of infection occur,
they are nonspecific, such as fatigue, fever, headache, malaise, and myalgia.
Lymphadenopathy is a more specific sign of the disease.
A pregnant woman who is HIV positive is on combination antiviral therapy comes to the
hospital for delivery. Drug therapy should be:
a. continued on the prenatal dosing regimen throughout labor and delivery
b. discontinued until after delivery where combination therapy should be resumed postpartum
c. switched to zidovudine IV for one hour and followed by continuous infusion until delivery
--CORRECT ANSWER--a. continued on the prenatal dosing regimen throughout labor and
delivery.
Women should continue taking their ART regimen during labor and delivery or scheduled
cesarean delivery. For women who have HIV RNA ≥1000 copies/mL or unknown viral levels
in late pregnancy and around the time of delivery, we recommend intrapartum intravenous
zidovudine to further reduce the risk of perinatal transmission (table 2) (Grade 1B). For
women who have had HIV RNA <1000 copies/mL consistently in late pregnancy and around
the time of delivery and have no concerns related to adherence or resistance to the regimen,
intrapartum intravenous zidovudine is not associated with further reduction of HIV
transmission.
A diagnostic test used in the diagnosis of HELLP syndrome is.
a. decreased liver function studies
b. increased creatinine clearance
c. presence of burr cells --CORRECT ANSWER--c. decreased liver function studies
Page 3 of 181
, 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 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:
Page 4 of 181
