Download RNC-OB Certification Review Exam Questions and Answers and more Exams Biology in PDF only on Docsity! RNC-OB Certification Review Exam Questions and answers A woman is admitted to labor and delivery with moderate uterine pain without bleeding. On examination, the uterus has a high tonicity and the uterine contraction tracing shows increased resting tone. The most likely cause is... placental abruption. A woman at 28 weeks gestation reports to L&D with painless vaginal bleeding that started this morning. The nurse's first step in caring for this woman is to determine... placental location. Following PROM, a woman at 33 weeks gestation is placed on a fetal heart rate monitor. The fetal heart rate is persistently 175 bpm. This is most likely consistent with... Uterine infection. Which one of the following women fits the definition of preterm labor? A 36 week gestation multigravida who is admitted WITH REGULAR CONTRACTIONS and is 3cm dilated. A negative fetal fibronectin at 30 weeks indicates... risk of delivery is very low for the next 7-14 days. Betamethasone given to the mother can transiently affect the fetal heart rate by... Decreasing variability. After administration of antenatal corticosteroids, the optimal neonatal benefit is observed when delivery occurs after... 48 hours. Nifedipine (Procardia) for tocolysis in preterm labor should be given cautiously with which other drug? Magnesium Sulfate. Beta-sympathomimetic drugs decrease the frequency and intensity of uterine contractions by... stimulating beta 2 receptor action. decreased. The most appropriate instruction to give parents about what breastfeeding frequency to expect during the first few weeks after birth is... Cluster feedings with 8-12 feedings in 24 hours. A patient is examined and found to have a tender, red area in one breast that feels small and hard, similar to a pea, just under the skin. The expected management for this patient is... gentle massage to relieve the lump. The type of neonatal jaundice caused by inadequate breastmilk intake is... breastfeeding jaundice. A maternal contraindication to breastfeeding is... HTLV-1 (Human T-cell leukemia virus, type 1) Appropriate teaching about breast engorgement for a non-breastfeeding mother is to... wear a 24-hour support bra for comfort. A patient diagnosed with a postpartum infection states she does not have any pain but seems confused and agitated. Her VS are: T99.9, BP 98/50, P125, Urinary output is decreased. The most likely diagnosis is... Septic shock. Which medication is contraindicated for use with a patient with uterine atony who has preexisting hypertension? Methylergonovine (Methergine) After a massive hemorrhage of 2000ml blood loss, a woman presents to clinic on day 5 postpartum verbalizing her milk has not come in. You should suspect... Sheehan's syndrome. Forty eight hours after a woman's CS birth, the nurse notes that the woman's left calf and foot are cool and pale. The left pedal pulse is diminished and there is a decreased capillary refill. The Homan's sign is negative bilaterally. She reports some tenderness in her left calf. The most appropriate initial response to these finding would be to... Place on bedrest with elevation of the left leg. Just prior to hospital discharge, a postpartum patient is crying, still in her nightgown at 1pm and states she is overwhelmed from nursing the baby all of the time. Physical assessments of the mother and baby are normal. The nurse knows that this is a manifestation of postpartum... blues. Increased perfusion of the newborn liver is initiated by closure of the... ductus venosus. A neonate has scrotal swelling which is soft, non- tender and transilluminates. There are no palpable masses. The most likely diagnosis is... hydrocele. When performing chest compression during neonatal resuscitation, the number of compressions should be at what rate per minute? 90 At birth, the newborn is noted to have absent breath sounds on the left with heart sounds shifted to the right. The abdomen is scaphoid and ventilation is difficult. The most likely diagnosis is... diaphragmatic hernia. A cause to physiological jaundice can be a result of... delayed cord clamping. GBS and what other organism are currently the most common pathogens seen in neonatal sepsis? E. Coli. A postpartum mother who would like to breastfeed her baby is diagnosed with Hepatitis B surface- Validity Accuracy and truth of the data and findings that are produced Significance Statistics determine if something occurs by chance. Generalization Application of findings to the broader population that is represented by the sample of the study Liability having a legal responsibility Negligence failure to provide the care a reasonable prudent person would do in like circumstances Malpractice duty to provide care and a breath of that duty that produces patient harm Standards of Care What similarly trained and experienced persons would do in similar circumstances, a declaration of care by a professional or authoritative body Chain of Command Specific course of action involving administrative and clinical lines of authority, established to ensure conflict resolution in patient care situations and is mostly applicable in emergency situations. Informed consent An agreement to do something or allow something to happen, made with complete knowledge of all the relevant facts, such as the risks involved or any available alternatives. Assault Apprehension, not fear, or unlawful physical contact; Crime that involves causing a victim to apprehend violence; A threat of violence caused by immediate show of force. Battery Involves the unlawful physical contact with another person; Use of force against another, resulting in harmful or offensive contact; "any unlawful touching of the person of another by the aggressor himself, or by a substance put in motion by him".