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RNC test questions and answers | Updated 2024/25 Newest
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RNC test questions and answers | Updated 2024/25 Newest
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RNC test questions and answers |Updated 2024/25 Newest
b - The insulin requirements for most diabetic breastfeeding mom's is:
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a. increased
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b. decreased
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c. same ii
b - In a normal pregnancy, there is usually a physiologic drop in blood pressure to its
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lowest point in the
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a. first trimester
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b. 2nd trimester
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c. 3rd trimester
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a - Which statement best describes the relationship between maternal and fetal
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hemoglobin levels?
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a. Fetal hemoglobin is higher than maternal hemoglobin
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b. Maternal hemoglobin is higher than fetal hemoglobin
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c. Maternal and fetal hemoglobin are the same
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b - The cardiac output during pregnancy
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a. decreases by 23%
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b. Increases by 30-50%
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c. remains the same
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a - What class of antihypertensive medication is recommended in pregnancy since it has
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been shown not to increase the chance of new onset diabetes by improving sensitivity to
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insulin glycemic control?
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a. Ace inhibitors
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b. Beta Blockers
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c. Calcium Channel Blockers
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a - An antihypertensive that Is contraindicated during the second and third trimester of
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pregnancy is
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a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
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b. Calcium channel blockers (Nifedipine)
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c. Combined alpha - beta blockers (Labetolol)
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c - The primary indication for the use of magnesium sulfate in preeclampsia is
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a. lowering the blood pressure
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b. prevention of HELLP
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c. seizure prophylaxis
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,b - A pregnant woman on a continuous infusion of Magnesium Sulfate for preeclampsia
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exhibits the following: Respiratory rare: 14 per minute, Deep tendon reflexes: decreased
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with clonus, absent mental status: awake and alert . The most appropriate nursing action is
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to
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a. decrease the infusion rate
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b. discontinue the infusion rate
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c. maintain the infusion rate
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b - Compared to the general population, woman with pregestational diabetes are how
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likely to deliver a baby with a major congenital anomaly?
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a. 1-2 times more likely
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b. 3-4 times more likely
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c. 5-6 times more likely
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c - The tocolytic that is contraindicated in the diabetic woman is
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a. Magnesium Sulfate
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b. Nifedipine (Procardia)
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Terbutaline (Beta - mimetics) ii ii ii
a - Compared to the first trimester, the insulin requirements for the diabetic mother in the
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third trimester are
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a. greaterii
b. less ii
c. the same
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c - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
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complaints of abdominal pain, nausea and vomiting over the last 48 hours. she states she
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omitted her insulin last evening and this morning since she could not eat. Her vital signs
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are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These findings indicate
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a. eugylcemia
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b. insulin shock
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c. ketoacidoses
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a - A Type I (pregestational) diabetic woman at 32 weeks gestation is admitted with
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complaints of abdominal pain, nause and vomiting over the last 48 hours. she states she
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omitted her insulin last evening and this morning since she could not eat. Her vital signs
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are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The appropriate treatment is
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a. aggressive IV hydration and IV insulin
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b. fluid restriction and Iv glucose
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c. hyperalimentation and subcutaneous insulin
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a - A previously normotensive woman is 34 weeks gestation develops hypertension and
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proteinuria. Her diagnosis would be
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a. gestational hypertension
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b. preeclampsia
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c. pregnancy induced hypertension (PIH)
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, c - The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
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a. congenital anomalies
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b. growth restriction
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c. macrosomia
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b - The customary recommendation for the timing of laboratory screening to detect
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gestational diabetes in the low risk woman is
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a. 12-16 weeks
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b. 24-28 weeks
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c. 32-36 weeks
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b - Woman with gestational diabetes are at a higher risk for developing
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a. gestational trophoblastic disease
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b. hypertension
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c. placenta previa
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c - Which one of the cardiac conditions listed below has the highest rate of maternal
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mortality
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a. atrial septal defect
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b. mitral stenosis
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c. pulmonary hypertension
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c - The time during labor and birth that is of greatest risk for woman with a cardiac
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condition is
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a. active phase of labor
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b. second stage of birth
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c. immediately after birth
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c - The medication that is contraindicated in women with a cardia condition
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a. hydralazine (apresoline)
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b. oxytocin
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c. terbutaline
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a - Which one of the following infections does not cross the placenta?
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a. Neisseria gonorrhea
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b. HIV ii
c. Syphyllis
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c - Physiologic anemia of pregnancy occurs due to
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a. decreased iron stores due to an inadequate diet rich in iron foods
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b. inadequate intake of folic acid preconceptionally
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c. proportionately greater increase in plasma that red cell volume
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