This comprehensive practice test is designed to help you prepare for the RNC-OB exam. Each question has been carefully curated to reflect the real-world scenarios you may encounter as a labor and delivery nurse, as well as mimic the actual RNC-OB test, covering all critical topics included in the exam. Use this test to gauge your knowledge, identify areas for improvement, and build the confidence you need to excel on exam day. Don’t overthink it! When in doubt, read the question carefully and think physiology! You got this!
This quiz is timed to mimic the actual exam! Please plan to have at least (x) minutes dedicated to take your quiz uninterrupted. There are 100 questions. You will be able to retake this quiz 3 times, so plan accordingly! Once the timer starts, you attempt has started.
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The greatest risk of herpes simplex virus (HSV) transmission to a newborn who is delivered vaginally occurs with:
The feature of fetal heart monitoring that is most predictive of fetal compromise is:
Patients who experience precipitous labor are at increased risk for:
An Rh negative mother delivers and Rh positive infant. In this case, the risk of hemolytic disease is greatest in:
A nonstress test is considered reactive when 20 minutes of monitoring demonstrates:
The birthing position associated with the highest rate for episiotomy during vaginal delivery is the:
Large, flat, non blanching blue-grey skin lesions on the flank and buttocks region of the newborn are consistent with:
Domestic violence during pregnancy is associated with increased:
The first stage of labor ends when the:
An important initial nurse response to a category 2 fetal heart rate pattern is to:
A patient in active labor acutely develops hyptotension, respiratory failure and disseminated intravascular coagulation. This clinical picture is most consistent with:
A contraindication for external cephalic version of the fetus in breech presentation:
The most common complication of epidural anesthesia is:
The most important factor in predicting a successful induction of labor is:
Bright, red painless bleeding in a pregnant patient at 37 weeks should be evaluated first by:
Skin-to-skin contact between the newborn and mother helps prevent heat loss through which mechanism:
During forceps-assisted vaginal delivery, traction is applied on the forceps:
Immediate delivery is indicated for the fetal rate pattern that demonstrates:
Systemic signs of illness (e.g. flu-like symptoms) in the breastfeeding patient are most often associated with:
A maneuver that is contraindicated during a shoulder dystocia is:
Betamethasone is administered to patients with preterm labor to prevent:
The risk of nerve injury in the lower extremities can be reduced with:
A patient receiving oxytocin for labor augmentation shows signs of tachysystole and a fetal heart rate pattern with minimal variability and intermittent late decels. In this case, the nurse should do the following:
In response to fetal scalp stimulation during labor, a positive finding would be:
Insulin production in fetuses of patients with poorly controlled diabetes relative to infants of non-diabetics is:
If a loop of umbilical cord is palpated in the vagina while the nurse is performing a cervical exam on a patient in active labor, the nurse should:
Polycythemia in the newborn is defined as a venous hematocrit greater than:
Tocolytic medication administration for preterm labor is contraindicated in the presence of:
Discharge instructions include instructing the postpartum patient to contact her primary care provider if she develops:
Vaginal birth after cesarean section is most likely to be successful in the patient with:
Untreated hypothyroidism in the pregnant patient is most likely to cause abnormalities in fetal:
The fetal cardiac condition frequently associated with maternal systemis lupus erythematosus is:
A multiple gestation pregnancy is associated with higher incidence of:
Gestational hypertension in the pregnant patient puts the fetus at risk for:
Continuous fetal monitoring is most appropriate for the patient who is:
Early decelerations observed on fetal heart rate monitoring during labor are caused by:
Abrupt onset of vaginal bleeding with uterine tenderness and increased uterine tone during labor is most consistent with:
The purpose of the quadruple screen is to identify:
The incidence of placenta previa increases with:
A pregnant patient with a history of bariatric surgery is at increased risk for having a growth restricted neonate due to:
Neonates exposed to lead in utero have a higher rate of problems with:
Dinoprostone (Cervidil) is used for cervical ripening in a woman at 39 weeks gestation/ After one hour, tachysystole develops but the fetal heart pattern is normal. Appropriate management would be:
Following scalp stimulation, there are no induced acceleration. This response would be classified as:
The urge to push is most related to:
Diaphoresis occurs in the early postpartum period as a result of:
Fetal fibronection is an early marker for preterm birth because its presence after 20-weeks gestation can indicate:
A neonate born at 38 weeks would be classified as:
The main cause of labor onset is:
The recommended mode of delivery for twins is:
The most reliable method to determine fetal presentation is:
A predisposing factor to precipitous birth is:
The most common cause of a non-reactive nonstress test is:
When water is not reabsorbed by the renal tubules because of the osmotic activity of glucose, this manifests in what symptom of diabetes:
Return of blood to the venous circulation that was formerly supplying the uteroplacental unit increases cardiac output in the postpartum period secondary to increased:
Twelve hours after delivery, a new father tells the nurse that his wife seems more interested in telling their family about her labor then about the neonate. The nurse should:
Intra-amniotic inflammation in a woman with cervical insufficiency is a risk factor for:
Oxytocin is discontinued after tachysystole develops. One hour later, the infusion is to be restarted. The dose should be started:
When there is fetal metabolic acidosis, the lower PCO2 indicates that:
An order for meperidine is given for a woman in labor. It is important to check the patient for which contraindication prior to administration:
A renal finding indicative of worsening pre-eclampsia is:
Based on current research, bed rest for management of preterm labor:
A patient in labor reports a sudden sharp tearing pain. The fetal heart rate monitor shows tachysystole and the presenting part can no longer be detected. This scenario is consistent with:
In differentiating fetal dysrhythmia on a fetal heart rate monitor from artifact, dysrhytmia usually appears:
During the early second stage of labor, a patient has been pushing but wants to stop for awhile. The nurse should:
An adverse effect of methlydopa for treatment of hypertension during pregnancy is:
A patient does not have an urge to push during the second stage of labor, a position that may help them would be to assume:
Closed glottis pushing can result in:
Misoprostol (cytotec) compared to other cervical ripening agents has:
A postterm pregnancy is defined as pregnancy lasting longer than:
Cervical ripening with the use of transcervical catheter works by releasing:
In metabolic acidosis, the oxygen supply to the fetus is diminished causing an increase in:
Umbilical artery doppler velocimetry is performed to assess:
Variable decels are often noted with monitoring monochorionic-monoamniotic twins during labor because this type of twin pregnancy is prone to what complication:
Heparin works in treating deep vein thrombosis in pregnancy by preventing clots through what mechanism:
A fetal heart rate fluctuates between 122 and 146 beats per minute it should be recorded as:
A fetal heart rate fluctuates between 122 and 146 beats per minute it would represent:
Laminaria aid in cervical ripening by:
When uterine expansionoccurs away from the lower uterine segment in placenta previa, this is caused by:
A woman at 31 weeks gestation comes to labor and delivery with signs and symptoms of preterm labor. Antenatal steroids are given to:
A patient at 34 weeks gestation is showing signs of preterm labor. Tocolysis with an oral dose of 100 mg of indomethacin is ordered. The nurse should:
When the station is above +2 station and the fetal head is engaged, forceps delivery can be delivered with:
The risk of asthma exacerbation during labor is:
A mother of healthy term twins is concerned that she will not be able to produce enough milk for both infants. The most appropriate patient education the nurse should provide would be:
The best indicator on a fetal heart monitor that a fetus has not developed metabolic acidosis is:
Symptoms of deep vein thrombosis are often absent but when they occur, they are most likely due to:
Early labor pain is caused by:
Late decelerations are most concerning when they are:
Anticipated intrapartum insulin management of diabetic women includes recognition that most women:
Oral analgesics are not used during labor because they:
A woman is admitted to OB triage at 34 weeks gestation for evaluation of contractions. Upon physical examination it is noted she has a generalized papular red rash confined to her hands and soles of her feet. She has a low grade fever. These findings are consistent with:
A risk of the use of balloon catheters for labor induction includes:
A woman at 36 weeks gestation is transferred to labor and delivery after being admitted to the emergency room with malaise, epigastric pain, nausea and vomiting. They symptoms are consistent with:
The concept that attachment and loss are interconnected is best depicted following neonatal loss by:
Delayed cord clamping results in increased neonatal:
Leaning over a birth ball would be a good strategy to:
Following birth, a sign of placental separation:
Hindmilk promotes neonate weight gain because of its:
Women are most likely to experience trauma leading to injury in pregnancy from:
Palpating a neonates head at 2 hours of age reveals a soft edematous area that crosses suture lines and extends down the base of the skull:
A herpetic lesion on the breast require what management for the breastfeeding woman: