RNC-OB Practice Test

In a patient with preeclampsia, which of the following symptoms would necessitate immediate medical intervention?

A pregnant patient presents with hyperemesis gravidarum. What is the primary treatment goal for this condition?

In the context of gestational diabetes, which of the following fetal complications is most commonly associated?

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?

A pregnant patient at 24 weeks gestation presents with painless, bright red vaginal bleeding. The most likely diagnosis is:

Which condition is most likely to result in fetal bradycardia during labor?

In managing a pregnant patient with severe preeclampsia, which medication is primarily used to prevent seizures?

A patient with a twin pregnancy is at increased risk for which of the following complications?

In a patient with oligohydramnios, which of the following is the most concerning fetal risk?

Which of the following is a recommended treatment for intrahepatic cholestasis of pregnancy?

In the context of preterm labor, which of the following interventions is primarily aimed at enhancing fetal lung maturity?

A pregnant patient with a known complete placenta previa at 34 weeks gestation is most likely to deliver by:

The presence of which antibody is most concerning for hemolytic disease of the newborn?

Which diagnostic tool is most appropriate for confirming suspected intrauterine growth restriction (IUGR)?

In a patient with eclampsia, the initial management step after stabilizing the mother's airway and administering oxygen is to:

A significant risk factor for placental abruption includes:

What is the most common symptom of a molar pregnancy?

The most effective method to diagnose amniotic fluid embolism is:

In the management of a patient with postpartum hemorrhage, which medication is initially preferred to contract the uterus?

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:

In a patient with preterm premature rupture of membranes (PPROM), which intervention is most appropriate to reduce neonatal morbidity?

A patient with gestational hypertension is most at risk for developing:

Which symptom in a postpartum patient is indicative of Sheehan's syndrome?

For a patient with placenta accreta, which of the following is the recommended delivery plan?

The use of magnesium sulfate in a patient with preeclampsia is primarily to prevent:

In the case of fetal demise after 20 weeks of gestation, which of the following is a critical concern for the mother?

A pregnant patient presents with a thyroid storm. What is the immediate treatment priority?

For a patient with a history of recurrent early pregnancy losses, which of the following is a recommended evaluation?

The most effective strategy to prevent vertical transmission of HIV from a pregnant woman to her fetus is:

What is the most likely fetal heart rate (FHR) pattern seen with umbilical cord compression?

A fetus with anemia would most likely display which of the following Doppler ultrasound findings?

Which FHR pattern is considered a sign of fetal well-being during non-stress testing (NST)?

In the context of fetal monitoring, what does a 'saltatory' pattern refer to?

The presence of 'mirror artifact' in fetal heart rate monitoring is most commonly associated with which type of monitoring?

What is the primary concern associated with persistent fetal tachycardia (>160 bpm for 10 minutes or more)?

In biophysical profile (BPP) scoring, what does a score of 6 out of 10 typically indicate?

Which of the following is a key feature distinguishing early decelerations from late decelerations in fetal heart rate monitoring?

Fetal magnetocardiography is primarily used to assess:

The 'short-term variability' in fetal heart rate monitoring refers to:

Which ultrasound finding is most indicative of fetal aneuploidy?

In twin-to-twin transfusion syndrome (TTTS), what fetal monitoring finding is most concerning?

What does the presence of sinusoidal heart rate pattern typically indicate?

Which condition is most likely to cause a false positive reading in fetal heart rate monitoring for bradycardia?

A significant decrease in fetal movement is reported by the mother. What is the first step in assessment?

What fetal heart rate pattern is indicative of head compression during labor?

In the context of electronic fetal monitoring, what is the significance of a 'category III' fetal heart rate tracing?

Fetal scalp stimulation during labor is used to assess:

A laboring patient exhibits a sudden decrease in fetal heart rate to 70 bpm after an amniotomy. The nurse's initial action should be to:

When managing a patient with a suspected uterine rupture, what is the most critical initial intervention?

In the context of a precipitous labor, what is the nurse's primary role?

A patient in active labor with an epidural experiences a sudden onset of shortness of breath and hypotension. The nurse suspects:

During labor, a fetal heart rate monitoring shows recurrent late decelerations. The nurse's first intervention should be to:

In the case of shoulder dystocia during delivery, what is the initial maneuver the nurse should be prepared to assist with?

A patient with a known complete placenta previa is experiencing bright red, painless vaginal bleeding. The nurse's priority intervention is to:

When a laboring patient's membrane ruptures, the fluid is meconium-stained, and the fetus shows a baseline heart rate of 110 bpm with no decelerations. The nurse's next step is to:

A laboring patient presents with intense back pain and a fetus in the occiput posterior position. The most effective nursing intervention to alleviate back pain is:

For a patient with a history of a classical cesarean section, what is the recommended mode of delivery in the current pregnancy?

In the presence of a non-reassuring fetal heart rate pattern, which intervention is least likely to be beneficial?

During labor, a fetal scalp electrode reveals a fetal heart rate baseline variability of less than 5 bpm for 90 minutes. This finding indicates:

A laboring patient's cervix is dilated to 5 cm, and she has intense, painful contractions every 1-2 minutes. However, there is no cervical change after 2 hours. The next best step is to:

A patient in labor has a uterine scar from a previous myomectomy. Which of the following is the most appropriate monitoring strategy?

During a vaginal delivery, the nurse notices a loop of umbilical cord protruding from the vagina. The nurse's immediate action should be to:

For a patient experiencing a postpartum hemorrhage due to uterine atony, which medication is least likely to be effective?

When managing a patient with a suspected vasa previa, what is the most critical initial intervention?

A patient in labor has a sudden onset of intense abdominal pain, vaginal bleeding, and a tense, tender uterus. These symptoms most likely indicate:

In the case of a fetal bradycardia noted during labor, what is the first step in intrauterine resuscitative measures?

A laboring patient with a known low-lying placenta experiences sudden, painless, bright red vaginal bleeding. What is the most appropriate nursing action?

A patient in the second stage of labor with an epidural reports a sudden, severe headache and blurred vision. The nurse should first:

When assessing a laboring patient, the nurse finds the fetal heart rate baseline to be 180 bpm with no decelerations. The most appropriate next step is to:

In managing a patient with suspected chorioamnionitis, which intervention is not typically recommended?

A patient in labor is noted to have a uterine tachysystole with a pattern of more than five contractions in 10 minutes over two consecutive 10-minute windows. The initial nursing intervention is to:

A laboring patient's fetal monitoring indicates a sinusoidal heart rate pattern. The nurse understands this pattern is most commonly associated with:

In a patient experiencing a prolonged deceleration during labor, the nurse's priority intervention is to:

A patient with a known opioid dependency is in labor. The nurse should be particularly vigilant for:

When caring for a patient with polyhydramnios, the nurse is aware that there is an increased risk of:

During labor induction with misoprostol, the nurse should closely monitor for:

A nurse observes variable decelerations on the fetal monitor. The first intervention should be to:

A nurse is caring for a patient in labor with suspected intrauterine infection. Which of the following findings would be least likely to be associated with this condition?

During labor, a patient's water breaks, and the amniotic fluid is noted to have a greenish tint. The nurse recognizes this as a sign of:

In a patient with gestational hypertension developing severe features, the nurse anticipates the administration of which medication to prevent seizures?

A nurse is assessing a patient in labor and notes a significant drop in blood pressure following an epidural analgesia. The nurse's immediate response should be to:

When monitoring a patient for uterine rupture, which of the following signs would the nurse consider critical and requiring immediate intervention?

When assessing a postpartum client, the nurse notes that the uterus is boggy and deviated to the right side. The initial nursing action should be to:

For a newborn diagnosed with polycythemia, what is the most appropriate initial nursing intervention?

In the context of postpartum hemorrhage, which medication is considered first-line treatment to contract the uterus?

A postpartum woman exhibits signs of preeclampsia. Which symptom is most critical and requires immediate intervention?

In evaluating a newborn's adaptation to extrauterine life, which of the following findings would be a cause for concern?

A nurse is caring for a postpartum client who had a vaginal delivery with a second-degree laceration. What is the priority nursing assessment to monitor for signs of infection in the perineal area?

Which intervention is most appropriate for a newborn diagnosed with hypoglycemia?

A newborn is diagnosed with transient tachypnea. Which of the following is the most appropriate initial nursing intervention?

A newborn's initial Apgar score is 6. What is the priority nursing intervention?

In the case of a postpartum client with a temperature of 38.5"C (101.3"F) on the second postpartum day, what is the most likely diagnosis?

A newborn exhibits signs of jaundice at 24 hours of life. What is the most appropriate initial nursing action?

A newborn is exhibiting signs of neonatal abstinence syndrome (NAS). Which of the following is the most appropriate initial nursing action?

When monitoring a postpartum client who received magnesium sulfate for preeclampsia, which finding would necessitate immediate intervention?

In the context of neonatal care, what is the most significant risk associated with a maternal infection of group B Streptococcus (GBS) untreated during labor?

A postpartum client is experiencing postpartum blues. Which of the following symptoms would indicate a progression to postpartum depression and require further evaluation?

Which ethical principle is primarily concerned with the distribution of resources and ensuring fair treatment for all patients?

When addressing a conflict between two staff members in the obstetric unit, what is the most appropriate initial step according to conflict resolution best practices?

In the context of obstetric nursing, informed consent is crucial before any procedure. What is the nurse's role in this process?