Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
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NCC National Certification
Corporation 2024-2025 NCC Registered Nurse Certified
for Inpatient Obstetric Nursing RNC-OB Exam Multiple
Choice Questions with Answers and Rationales | 100%
Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. Late in pregnancy, a patient often develops supine
hypotension because of
a. partial occlusion of the vena cava and aorta.
b. decreased peripheral collateral circulation.
c. increased blood flow to the placenta. - Answer>> A
because of partial occlusion of the vena cava and aorta
from the weight of the uterus. This impedes venous
return from the lower extremities although increased
collateral circulation during pregnancy helps to
compensate. Remaining in the supine position for long
periods of time could decrease fetal oxygenation as
well. The lateral recumbent position relieves the
pressure on the vena cava and aorta, allowing the
blood pressure to increase and symptoms to decrease.
The nurse must educate the new mother that a
contraindication to breast feeding is
a. fetal macrosomia.
b. type II diabetes.
c. infection with HIV/AIDS. - Answer>> C
Some maternal contraindications to breastfeeding
include:
-Infection with HIV/AIDS
-Use of antiretroviral medications
-Active TB not treated
-Infection with human T-cell lymphotropic virus
-Illicit drug use
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-Use of chemotherapeutic agents
-Radiation therapy (may require
only interruption during treatment)
-Use of other medications that pass into the breast milk
and may harm the child
-Presence of herpes on the breast
-Presence of varicella lesions on the breast (may
resume after lesions crust)
The initial postpartal intervention indicated for a soft
boggy uterus is to
a. apply an ice compress.
b. massage the fundus until firm.
c. apply a warm compress. - Answer>> B
...with the dominant hand while supporting the inferior
uterus with the non-dominant hand to prevent trauma.
If the fundus does not contract with massage, then
further evaluation is indicated to determine if placental
fragments remain. After the fundus becomes
contracted, the nurse should push firmly downward on
the fundus to expel clots that may have pooled.
With the vibroacoustic stimulation test, stimulus with
an artificial larynx or other device is applied to the
maternal abdomen for
a. 1 to 3 seconds.
b. 5 to 10 seconds.
c. 1 to 2 minutes. - Answer>> A
Usually, stimulus is applied for 1-2 seconds and
repeated up to 3 times with time extending to 3
seconds in order to stimulate fetal movement. A
positive or reactive finding is an increased fetal heart
rate of 15 bpm or more for at least 15 seconds;
however, a nonreactive result does not always indicate
fetal abnormality but indicates the need for further
testing.
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Absence of the Moro reflex on
one side only in a neonate may
indicate
a. fractured scapula.
b. cerebral palsy.
c. fractured clavicle. - Answer>> C
a fractured clavicle or brachial plexus injury. Damage to
the central nervous system, such as may occur with
cerebral palsy, often results in bilateral absence of the
reflex. The Moro reflex is elicited by allowing the
infant's head and trunk to fall slightly backward when
the infant is raised. A positive Moro reflex includes
immediate extension and abduction of the arms(and
sometimes the legs) with fingers fanning and forming a
C-shape with a return of the limbs to the flexed states
In a multiparous woman, what is the lowest Bishop
score that predicts labor induction will be successful?
a. 5
b. 7
c. 9 - Answer>> A
In a multiparous woman, the Bishop score that predicts
that labor induction will be successful is 5 or more while
it is a 9 or more for a nulliparous woman. The Bishop
score is a rating system to determine readiness for
induction based on scores of 0-3 in four different
measures: dilation (cm), effacement (percentage),
station (cm), and cervical consistency (firm, medium,
soft), and cervical position (posterior, mid position,
anterior). The fifth measure, cervical position, is scored
only 0-2.
When cervical laceration occur during delivery, they are
most common at what position?
a. 3 and 9 o'clock
b. 12 and 6 o'clock
c. 10 and 4 o'clock - Answer>> A
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