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NCC Inpatient Obstetrics /RNC-OB Practice Examination Questions With Revised Correct Detailed Answers GRADED A+ PASS

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INPATIENT OBSTETRIC NURSING- RNC OB CERTIFICATION

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INPATIENT OBSTETRIC NURSING- RNC OB CERTIFICATION

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NCC Inpatient Obstetrics /RNC-OB
Practice Examination Questions
With Revised Correct Detailed
Answers
GRADED A+ PASS

1) 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 - ANSWER withdrawal seizures

2) 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 - ANSWER
cephlopelvic disproportion

3) The cause of metabolic acidosis is decreased - ANSWER alveolar
ventilation

4) Anticipated intrapartum insulin management of women with type 2
diabetes includes recognition that they - ANSWER will need less, or no,
insulin

5) A woman feels burning sensation in the perineal area as the fetal head is
crowning, this is - ANSWER a result of perineal stretching

, 6) Cervical ripeing with the use of a transcervical catheter works by releasing -
ANSWER prostaglandin

7) When to institute epidural anesthesia to a woman in active labor is based
on - ANSWER her request for it

8) Hypertonic contractions in latent labor persist. Appropriate management
would be to - ANSWER increase hydration

9) A rigid, painful abdomen that occurs with placental abruption is due to -
ANSWER myometrial bleeding trapped in the uterus

10) When R-R intervals are long, the fetal heart rate is - ANSWER
slow

11) 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
- ANSWER standard of care

11) During the early second stage of labor, a woman has been pushing but wants
to stop for a while. The nurse should - ANSWER suggest she change to a
different position

12} In fetal vibroacoustic stimulation, a reactive response is indicated by fetal -
ANSWER heart rate accelerations

,13) Fetal fibronectin is an early marker for preterm birth because its presence
after 20 weeks gestation can indicate - ANSWER disruption of the attachment
of the fetal membranes

14) Open glottis pushing results in - ANSWER less fetal stress

15)

Fetal heart block is most likely to occur when a pregnancy is complicated by -
ANSWER systemic lupus erythematosus

Oxygenation of the fetal blood occurs in the - ANSWER placenta

A late preterm birth is defined by - ANSWER gestational age

Oxytocin is discontinued after tachysystole develops. One hour later, the infusion
is to be restarted. The dose should be started - ANSWER at the initial starting
dose

A management consideration when using Indomethacin as a tocolytic agent is it -
ANSWER should be used only if gestational age is <34 weeks

Breech presentation occurs more frequently - ANSWER with macrosomia

An application of the ethical principle of autonomy is - ANSWER informed
consent

, Oxytocin has been classified as a high alert medication by the institute for safe
medication practices. This means - ANSWER there is a heightened risk for
significant patient harm when used in error

Indomethacin is contraindicated for tocolysis in a woman who has - ANSWER
diabetes

A consequence of twin to twin transfusion is - ANSWER hypertension in the
recipient twin

Leading cause of perinatal admissions to the ICU - ANSWER Hemorrhagic
disorders

Percentage of deaths related to pregnancy related hemorrhages - ANSWER
17-25%

Most maternal deaths from obstetric hemorrhage after first trimester of
pregnancy are due to - ANSWER Placental abruption

Race most likely to die from post partum hemorrhage - ANSWER African
Americans

Mortality rate (2006) for white women, African American women and Hispanic
women in the US, stated as deaths per 100,000 live births - ANSWER White
women 13.3/100,000
African American women 32.7/100,000

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