RNC-OB Practice Questions - With Verified Answers, Complete Solutions

RNC-OB Practice Questions - With Verified Answers, Complete Solutions Epidural anesthesia increases the risk of persistent occiput-posterior presentation As the placenta ages with pregnancy continuing beyond term, placental reserve is decreased because of amniotic basal membrane thinning Following birth, a sign of placental separation is sudden trickle or spurt of blood A woman who has positive group B streptococcal screen is having a planned cesarean birth. Administration of prophylactic antibiotics for this patient is not required A woman is admitted to labor and delivery at 38 weeks gestation with an active case of rubella. The risk of the neonate acquiring rubella is High The lower segment transverse incision is most commonly used for cesarean birth because of less blood loss At 37 weeks gestation a woman (G3P1) with current history of alcohol and cocaine use is admitted to labor and delivery. She denies drug use for "several days". She is dilated 4cm. Blood pressure is 148/92 and the pulse is 120. Reflexes were brisk and her urine protein is negative. This patient is at risk for withdrawal seizures The cause of metabolic acidosis is decreased alveolar ventilation Anticipated intrapartum insulin management of women with type 2 diabetes includes recognition that they will need less, or no, insulin A woman feels burning sensation in the perineal area as the fetal head is crowning, this is a result of perineal stretching Cervical ripeing with the use of a transcervical catheter works by releasing Prostaglandin When to institute epidural anesthesia to a woman in active labor is based on her request for it Hypertonic contractions in latent labor persist. Appropriate management would be to increase hydration A rigid, painful abdomen that occurs with placental abruption is due to myometrial bleeding trapped in the uterus When R-R intervals are long, the fetal heart rate is Slow When care is given based on what a reasonably prudent nurse with similar education and experience would do in a given situation, this is called standard of care During the early second stage of labor, a woman has been pushing but wants to stop for a while. The nurse should suggest she change to a different position In fetal vibroacoustic stimulation, a reactive response is indicated by fetal heart rate accelerations Fetal fibronectin is an early marker for preterm birth because its presence after 20 weeks gestation can indicate disruption of the attachment of the fetal membranes Open glottis pushing results in less fetal stress A 39 year old woman G1 at 40.4 weeks gestation is admitted in early labor. She is 59 inches tall and her prepregnancy weight was 100 pounds. Current weight is 138 pounds. There is an increased risk for cephlopelvic disproportion Fetal heart block is most likely to occur when a pregnancy is complicated by systemic lupus erythematosus Oxygenation of the fetal blood occurs in the Placenta A late preterm birth is defined by gestational age Oxytocin is discontinued after tachysystole develops. One hour later, the infusion is to be restarted. The dose should be started