RNC-OB Domain 1: Complications of Pregnancy Welcome to your RNC-OB Domain 1: Complications of Pregnancy 1. RNC-OB: Complications of Pregnancy A 32-year-old patient at 28 weeks of gestation presents with sudden onset of severe abdominal pain, vaginal bleeding, and hypotension. The most likely diagnosis is: Placenta previa Uterine rupture Abruptio placentae Ectopic pregnancy None 2. RNC-OB: Complications of Pregnancy In a patient with preeclampsia, which of the following symptoms would necessitate immediate medical intervention? Mild headache Swelling of the hands and feet Blurred vision Proteinuria None 3. RNC-OB: Complications of Pregnancy A pregnant patient presents with hyperemesis gravidarum. What is the primary treatment goal for this condition? Increase fetal weight Enhance maternal nutrition Prevent aspiration Correct electrolyte imbalance None 4. RNC-OB: Complications of Pregnancy In the context of gestational diabetes, which of the following fetal complications is most commonly associated? Small for gestational age 'SGA' Congenital heart defects Macrosomia Renal agenesis None 5. RNC-OB: Complications of Pregnancy A patient at 35 weeks gestation with a history of deep vein thrombosis (DVT) is most likely to be managed with which of the following medications? Warfarin Heparin Aspirin Ibuprofen None 6. RNC-OB: Complications of Pregnancy A pregnant patient at 24 weeks gestation presents with painless, bright red vaginal bleeding. The most likely diagnosis is: Vasa previa Placenta accreta Placenta previa Uterine rupture None 7. RNC-OB: Complications of Pregnancy Which condition is most likely to result in fetal bradycardia during labor? Maternal fever Uterine hyperstimulation Fetal anemia Meconium-stained amniotic fluid None 8. RNC-OB: Complications of Pregnancy In managing a pregnant patient with severe preeclampsia, which medication is primarily used to prevent seizures? Magnesium sulfate Nifedipine Hydralazine Labetalol None 9. RNC-OB: Complications of Pregnancy A patient with a twin pregnancy is at increased risk for which of the following complications? Decreased fetal movements Single umbilical artery Twin-twin transfusion syndrome Unilateral fetal growth restriction None 10. RNC-OB: Complications of Pregnancy In a patient with oligohydramnios, which of the following is the most concerning fetal risk? Macrosomia Limb deformities Fetal overactivity Polyhydramnios in a co-twin None 11. RNC-OB: Complications of Pregnancy Which of the following is a recommended treatment for intrahepatic cholestasis of pregnancy? Ursodeoxycholic acid Methyldopa Magnesium sulfate Atosiban None 12. RNC-OB: Complications of Pregnancy In the context of preterm labor, which of the following interventions is primarily aimed at enhancing fetal lung maturity? Administration of tocolytics Corticosteroid administration Therapeutic amniocentesis Magnesium sulfate administration None 13. RNC-OB: Complications of Pregnancy A pregnant patient with a known complete placenta previa at 34 weeks gestation is most likely to deliver by: Vaginal delivery Vacuum-assisted delivery Cesarean section Forceps-assisted delivery None 14. RNC-OB: Complications of Pregnancy The presence of which antibody is most concerning for hemolytic disease of the newborn? Anti-D Anti-A Anti-M Anti-Kell None 15. RNC-OB: Complications of Pregnancy Which diagnostic tool is most appropriate for confirming suspected intrauterine growth restriction (IUGR)? Maternal serum alpha-fetoprotein Fetal echocardiography Doppler ultrasound Amniocentesis None 16. RNC-OB: Complications of Pregnancy In a patient with eclampsia, the initial management step after stabilizing the mother's airway and administering oxygen is to: Deliver the baby immediately Administer magnesium sulfate Perform an emergency cesarean section Give antihypertensive medication None 17. RNC-OB: Complications of Pregnancy A significant risk factor for placental abruption includes: Previous cesarean delivery Maternal age under 20 History of diabetes Hypertension or preeclampsia None 18. RNC-OB: Complications of Pregnancy What is the most common symptom of a molar pregnancy? Hyperemesis gravidarum Hypertension Vaginal bleeding Pelvic pain None 19. RNC-OB: Complications of Pregnancy The most effective method to diagnose amniotic fluid embolism is: Maternal echocardiography Clinical presentation and exclusion of other diagnoses Amniocentesis MRI of the abdomen None 20. RNC-OB: Complications of Pregnancy In the management of a patient with postpartum hemorrhage, which medication is initially preferred to contract the uterus? Methergine Misoprostol Oxytocin Tranexamic acid None 21. RNC-OB: Complications of Pregnancy A patient at 20 weeks gestation with a cerclage in place reports sudden gush of clear fluid and vaginal pressure. The initial assessment should focus on: Checking for cord prolapse Measuring fundal height Assessing for uterine contractions Evaluating fetal heart rate None 22. RNC-OB: Complications of Pregnancy In a patient with preterm premature rupture of membranes (PPROM), which intervention is most appropriate to reduce neonatal morbidity? Immediate delivery Administration of corticosteroids Therapeutic amniocentesis Continuous fetal monitoring None 23. RNC-OB: Complications of Pregnancy A patient with gestational hypertension is most at risk for developing: Gestational diabetes Preeclampsia Chronic hypertension HELLP syndrome None 24. RNC-OB: Complications of Pregnancy Which symptom in a postpartum patient is indicative of Sheehan's syndrome? Inability to breastfeed Severe abdominal pain Persistent vaginal bleeding Elevated blood pressure None 25. RNC-OB: Complications of Pregnancy For a patient with placenta accreta, which of the following is the recommended delivery plan? Vaginal delivery with close monitoring Scheduled cesarean delivery with possible hysterectomy Induction of labor at term Expectant management with weekly ultrasounds None 26. RNC-OB: Complications of Pregnancy The use of magnesium sulfate in a patient with preeclampsia is primarily to prevent: Hypertension Seizures Fetal distress Preterm labor None 27. RNC-OB: Complications of Pregnancy In the case of fetal demise after 20 weeks of gestation, which of the following is a critical concern for the mother? Development of disseminated intravascular coagulation 'DIC' Immediate need for cesarean section Risk of gestational diabetes Likelihood of chronic hypertension None 28. RNC-OB: Complications of Pregnancy A pregnant patient presents with a thyroid storm. What is the immediate treatment priority? Beta-blockers Thyroidectomy Propylthiouracil Radioactive iodine therapy None 29. RNC-OB: Complications of Pregnancy For a patient with a history of recurrent early pregnancy losses, which of the following is a recommended evaluation? Serial hCG testing Karyotyping of both partners Weekly progesterone injections in the first trimester Immediate cerclage placement in the next pregnancy None 30. RNC-OB: Complications of Pregnancy The most effective strategy to prevent vertical transmission of HIV from a pregnant woman to her fetus is: Cesarean delivery before the onset of labor and rupture of membranes Antiretroviral therapy during pregnancy Exclusive breastfeeding Administration of intravenous immunoglobulin during pregnancy None 1 out of 30 Time is Up! Time's up