Exam (elaborations)
RNC-OB PRACTICE QUESTIONS AND ANSWERS
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RNC-OB PRACTICE QUESTIONS AND ANSWERS
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RNC-OB PRACTICE QUESTIONS AND ANSWERSDinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation.
After one hour, tachysystole develops but the fetal heart rate pattern is normal.
Appropriate management is to: - Answers -remove the insert
Nifedipine acts as a tocolytic agent by interfering with: - Answers -availability of calcium
The progression of labor is based on: - Answers -individual factors and clinical
conditions
Universal alphafetoprotein sceening should be offered to all women because: - Answers
-there is little risk or complications from the testing
A nurse observed a new mother breastfeeding her infant and hears "smacking sounds"
as the infant feeds. The nurse should recognize this might indicate a problem with: -
Answers -Latch on the breast
A woman with type-1 diabetes at 32 weeks gestation has diabetic ketoacidosis. Before
administration of IV potassium, it is important to assure adequate: - Answers -urine
output
Increased bloody show In a woman in labor is representative of: - Answers -rapid
cervical dilation
According to NICHD terminology, accelerations and decelerations are based on their
relationship to" - Answers -fetal heart rate baseline
Hindmilk promotes infant weight gain because of its: - Answers -high fat content
The concept of "day dreaming" is an integral part of the nonpharmacologic pain relief
strategy in labor of: - Answers -imagery
After administration of an epidural, a woman experienced respiratory depression. This is
likely due to: - Answers -sympathetic blockade
A main disadvantage of fentanyl use for pain relief in labor is: - Answers -short duration
of action
The most common umbilical cord complication of monoamniotic twin gestation is: -
Answers -entanglement
A potential complication from a vacuum extraction delivery is: - Answers -depression
skull fracture
, A shorter labor duration is seen with what type of maternal positioning: - Answers -
upright
A woman in labor has just received an epidural anesthesia. Following a test dose of
local anesthesia and ephederine, she experiences increased heart rate, palpitations,
numbness of tongue and slurred speech and jitteriness. These symptoms reflect -
Answers -injection in the spinal fluid
When using an external monitor, the fetal heart rate is detected by - Answers -
ultrasound
A renal finding indicative of progressing preeclampsia is decreased - Answers -
creatinine clearance
Stripping of membranes to augment labor results in release of - Answers -prostaglandin
Late preterm infants are at increased risk for hyperbilirubinemia because of - Answers -
poor feeding
Damage to the myometrium or any process that interferes with placenta migration
increases the risk for - Answers -placenta previa
The factor that will most influence whether a woman after having a cesarean can have
future vaginal birth is - Answers -type and location of the incision
A factor that decreases the chance of success of external version is - Answers -
oligohydramnios
A major contributory factor to the increasing cesarean rate in the U.S is - Answers -
decreased opportunity for VBAC trial
When a woman in labor hyperventilates, the underlying physiology is - Answers -poor
oxygenation
A herpetic lesion on the breast requires what management for the breastfeeding
woman? - Answers -use the breast shied so infant has no direct contact with the lesion
The presence of fetal breathing movements on a biophysical profile reflects adequate -
Answers -neurologic function
Combination tocolytic therapy of magnesium sulfate and nifedipine can result in -
Answers -low calcium levels
A woman is being induced at 38 weeks gestation because of abnormal antenatal
screening. What component is most concerning? - Answers -Contraction pattern
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