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RNC-OB Certification Review Exam With complete solution 2024/25 RATED A+
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RNC-OB Certification Review Exam Withcomplete solution 2024/25 RATED A+
A patient's record states her pregnancy history is 1 term pregnancy, 1 miscarriage at 10
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weeks, twins at 35 weeks with one who dies soon after birth. What is her GP? - Gravida 3
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Para 1212
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ii Cholestasis is a condition that occurs in pregnancy and is caused by elevated... - Bile acid ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
What is a sign of deteriorating status in pregnancy complicated by hypertension? -
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Increased serum creatinine
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A patient at 37 weeks gestation arrives to labor and delivery from the emergency room
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after admission for severe gastric discomfort with nausea and vomiting. She is anxious
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and dizzy. Her blood pressure is 156/100. She has 4+ protein in her urine. Most likely
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diagnosis is anxiety and... - Preeclampsia with severe features
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Fluid balance should be monitored in a woman on mag sulfate therapy because there is an
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increased risk for... - Pulmonary edema
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On admission to the labor unit, a woman's deep tendon reflexes are assessed at 2+.
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Intravenous magnesium sulfate is initiated. At her next assessment, her reflexes are
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absent with respiratory rate of 10. Which actions should be taken? - Stop the magnesium
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sulfate and notify provider.
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A newly pregnant woman who is morbidly obese has a strong family history of Type 2
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diabetes. The recommended time for this woman's initial glucose screen is... - As soon as
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possible.
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ii The relation of the fetal body parts to one another Is called fetal... - Attitude.
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The most accurate dating of a pregnancy by ultrasound is... - First trimester evaluation of
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the crown-rump length.
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ii A biophysical score of 6 is considered... - Equivocal.
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At 32 weeks, a prenatal patient reported decreased fetal movement. A nonstress test is
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reported as nonreactive. Which is appropriate for this patient? - Biophysical profile.
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ii Cordocentesis is more commonly used to detect fetal... - Anemia. ii ii ii ii ii ii ii ii ii ii ii
ii Quad screening compared to alphafetoprotein testing can better detect... - Trisomies.
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A fetal heart rate baseline of 140 with moderate variability, no accelerations and no
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decelerations is a NICHD category... - 1 (one)
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, A series of sine waves with similar duration and amplitude develop on the electronic fetal
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monitor 10 minutes after stadol administration to a patient with a previously normal tracing.
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The appropriate response to this fetal heart rate pattern would be to... - Continue to
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observe...
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ii Fetal metabolic acidosis in a tracing can be ruled out with the presence of... - Variability.
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Which tachyarrhythmia can result in fetal hydrops? - Persistent supraventricular
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tachycardia-sign of anemia which can in turn cause hydrops.
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A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit.
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FHT's were auscultated at 60. She was sent to labor and delivery for further evaluation. A
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complete flat tracing suggests the fetus has... - A complete heart block, which can be a
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complication of lupus.
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A woman at term is in labor and exhibits recurrent variable decelerations with moderate
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variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal
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of... - Relieving cord compression.
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ii Baroreceptors respond mainly to changes in... - Blood pressure. ii ii ii ii ii ii ii ii ii ii
ii Stimulation of the sympathetic nervous system causes the fetal heart rate to... - increase.
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According to the NICHD definitions, which deceleration much drop at least 15 beats per
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minutes... - Prolonged.
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ii Normal uterine activity... - Resting tone less than 20-25 mmHg.
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The most common side effect of prostaglandin administration for cervical ripening is... -
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Tachysystole.
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The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
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minutes of greater than... - 5 contractions in 10 minutes.
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When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the
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upper part of uterus, this is consistent with... - Breech presentation.
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During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal
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heart rate after a contraction that lasts 60 seconds. The appropriate documentation of this
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finding is that after a contraction, there is a... - decrease in the fetal heart rate after
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contraction.
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A reliable method for confirming the presence of an irregular fetal heart rhythm is a... -
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Fetoscope, because you can HEAR heart sounds vs US soundwaves.
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