NCC Inpatient Obstetric Nursing (RNC-OB) Certification Practice Exam

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• What is the preferred management for a pregnant patient severely addicted to heroin?
• What type of deceleration is characterized by the nadir corresponding to the peak of a contraction?
• What maternal condition is frequently associated with abruptio placentae?
• Idiopathic cardiomyopathy of pregnancy typically develops when?
• At what gestational weeks should the maternal serum screen ideally be conducted?
• Which hormone stimulates the alveolar cells of the breast to promote milk production following birth?
• Why is it important not to change prescriptions for corrective lenses during pregnancy?
• Diabetes mellitus during pregnancy is most likely to increase the risk of?
• What complication can arise from a fetal presentation abnormality during a twin delivery?
• Which are the cardinal movements during labor for vertex presentation?
• Which condition is the leading cause of postpartal hemorrhage?
• A primigravida patient nearing term who has leg cramps and increased pelvic pressure is likely experiencing what?
• What should be confirmed in a fetus to ensure safe administration of narcotics to the mother?
• What does a Bishop score of less than 5 typically indicate?
• What should a mother with HIV/AIDS be advised regarding breastfeeding to minimize transmission risks?
• Delivery with significant risk of lacerations is most likely in what scenario?
• What is the most common complication of vacuum-assisted delivery?
• What should be monitored during the use of Cervidil?
• What typically characterizes Braxton Hicks contractions?
• What is the preferred temperature for normal resting pressure measured by an intrauterine pressure catheter?
• A woman may be considered for vaginal delivery after a cesarean if the prior incision was?
• Where are vascular spiders most commonly found during pregnancy?
• Complications in a patient with macrosomia during labor can include which of the following?
• If a patient's uterus is firm but there is a continuous trickle of bright red blood, what might this indicate?
• When an amniotomy is performed to induce labor, what is it usually accompanied by?
• When should a mother seek help regarding postpartum emotional changes?
• What can be a significant outcome of a pregnant woman consuming alcohol during pregnancy?
• How soon after the birth of an infant do signs of placental separation typically begin?
• What is a contraindication for oxytocin infusion during labor?
• If a patient is experiencing cord prolapse, what position should they be placed in?
• A patient with hypertonic labor who is not progressing may benefit from what intervention?
• An indication of placenta previa includes what symptom?
• An obstetric laceration involving the rectal sphincter but not the rectal mucosa is classified as what degree?
• Why is monitoring fetal heart rate important in obese patients during labor?
• What substance is associated with milder neonatal abstinence syndrome (NAS) when used during pregnancy?
• At what point in pregnancy should methotrexate be discontinued for a lupus patient considering conception?
• What does a pH of 7.2 or lower indicate during fetal scalp sampling?
• A fetal baseline heart rate of 140 bpm is considered what according to NICHD terminology?
• What is the typical delivery week for twins?
• What may the presence of knots in the umbilical cord cause during labor?
• What can excessive bleeding from the placenta result in after delivery?
• Which visual change during pregnancy typically resolves within the first 8 weeks?
• When preparing a patient for a Cesarean section, when should the internal fetal monitor be removed?
• When establishing baseline fetal heart rate, for how long must the fetal heart be monitored?
• A pregnant patient with sudden onset of severe uterine pain and no vaginal bleeding should be assessed for which condition?
• What defines a reactive NST for a fetus at 32 weeks gestation?
• What is a common indication for applying suprapubic pressure during delivery?
• What is defined as more than 5 contractions in a 10-minute period during labor?
• A presumptive diagnosis of vasa previa is usually confirmed with?
• If 10% to 20% of the placental surface is detached without distress to mother and fetus, this condition is classified as:
• What factor may cause fetal heart sounds to be muffled in obese pregnant patients?
• What is the minimum anesthesia typically required for a forceps-assisted delivery?
• What is the minimum platelet count a patient with immune thrombocytopenia (ITP) should have prior to delivery?
• Which of the following increases the risk of IUGR?
• What is the typical duration for leukocytosis to return to baseline normal after delivery?
• Precipitous labor is characterized by the entire process occurring within which time frame?
• During labor, what is the likely effect of fetal descent on the bladder?
• What maternal risks are associated with battledore placenta?
• During labor, what should be the maximum rate of paced breathing?
• What should be the initial intervention for a mother with severe postpartum depression who expresses dislike for her infant?
• How often should contractions last for a Contraction Stimulation Test to be valid?
• What is the minimum intensity (in mmHg) a contraction should generate to be considered effective?
• What does a biophysical profile (BPP) score of 8/10 generally indicate?
• What is the treatment of choice for a pregnant patient with Graves' disease?
• What describes a low forceps-assisted birth scenario?
• What maternal condition raises the risk for adverse outcomes during breech deliveries?
• If a pregnant woman has chlamydia, vaginal delivery of the neonate may result in?
• What is the purpose of fetal pulse oximetry?
• What is a safe action to take when assessing a neonate's temperature?
• A mother's smoking during pregnancy places the fetus at increased risk of what condition?
• An infant born to a mother who is positive for hepatitis B surface antigen should receive which treatment within 12 hours of birth?
• After 20 weeks of gestation, what primarily produces amniotic fluid?
• What is the purpose of using a transcervical Foley catheter balloon?
• Which approach to labor management is most effective in reducing cesarean birth rates?
• What does a fundus that is 2 centimeters above the umbilicus and boggy indicate about a patient 12 hours postpartum?
• What is the most common dental issue experienced during pregnancy?
• What is the normal fetal breathing movement (FBM) as per the biophysical profile assessment?
• Marked edema and severe bruising on one side of the episiotomy, with severe rectal pressure, likely indicates:
• What overall assessment should be made regarding the uterus after the delivery of the baby?
• What is the first Leopold maneuver aimed at assessing?
• What term describes edema of the fetal scalp resulting from pressure against the cervix?
• What is the most significant risk factor for uterine rupture?
• Before induction of labor, it is critical to assess for which condition?
• A patient is more likely to require an episiotomy if she is?
• How is neonatal thrombocytopenia defined?
• During contractions, which action is most beneficial for the progression of labor?
• What are the primary complications related to multiple gestations?
• Touch relaxation typically begins with which part of the body?
• Which of the following best describes maternal-infant interactions that indicate bonding?
• What is the expected outcome of cervical effacement as lightening occurs?
• How many Montevideo units are necessary for normal labor progress?
• Klumpke paralysis is associated with injury to which part of the brachial plexus?
• What is a potential outcome if a patient with IUGR is not monitored appropriately?
• What does an increase in a patient's white blood count from 15,000 mm3 to 28,000 mm3 in the postpartal period likely indicate?
• At what point postpartum is the uterus expected to descend to the level of the umbilicus?
• What labor pattern is suggested by a primigravida experiencing frequent erratic painful contractions but remaining at 2 to 3 cm dilation for a prolonged period?
• A patient who survived the acute stages of amniotic fluid embolism with disseminated intravascular coagulation is at increased risk for which condition?
• For a preterm fetus at 31 weeks' gestation, how is an acceleration defined?
• A score of zero on the New Ballard Score indicated how many weeks gestation?
• If the fundal height is measured at 28 cm during a normal singleton pregnancy, what is the approximate gestational age?
• What is a common indication of Braxton Hicks contractions?
• What is the primary risk a mother faces following a precipitous labor and birth?
• What fetal response might indicate compromised blood flow during labor?
• Which substance poses the highest risk for birth defects if used during pregnancy?
• What is a normal value for a single vertical pocket of amniotic fluid indicated in an AFI?
• Which NICHD category indicates a normal fetal acid-base status?
• Which anesthetic technique is known to provide the best pain relief during labor and delivery?
• What may cause the symptoms of maternal anxiety during labor?
• After delivery, the mother should be encouraged to urinate within how long?
• With abruptio placentae, fetal death is common when there is a separation of what percentage or greater?
• Which condition is characterized by the implantation of the placenta near or on the internal cervical os?
• When do postpartum blues typically occur following delivery?
• Which characteristic is observed in a neonate during the first period of reactivity after birth?
• During prolonged labor, the fetus is at risk for which of the following?
• What is typically the first physical sign of labor?
• Nonperiodic accelerations of fetal heart rate typically indicate which of the following?
• A fetus in breech position is especially at risk for which outcome?
• What is the primary concern if a pregnant woman who is opioid-dependent does not continue her methadone regimen?
• A Bishop score of 9 indicates what regarding labor?
• What factor significantly contributes to uterine atony?
• During the second stage of labor, how often should a patient's vital signs be monitored?
• Which condition is characterized by maternal hypertension and overdistension of the uterus?
• What is the purpose of using cricoid pressure before intubation?
• Post-term pregnancies increase the risk of:
• What is a primary problem associated with cocaine use during pregnancy?
• Which factor might indicate a need for increased IV fluids in a case of maternal hemorrhage?
• What is a potential outcome for a fetus in a high-risk twin pregnancy?
• On day one of birth for a term infant, what is a normal blood glucose level?
• What happens to the fetal heart rate during activity as measured by the nonstress test?
• A high level of alpha-fetoprotein in a maternal serum screen suggests which possible condition?
• What is the typical duration of the latent phase of the first stage of labor for a nullipara?
• What is the ideal position for monitoring fetal heart tones during labor?
• The New Ballard Score assesses how many measures of physical and neuromuscular maturity?
• What type of bleeding during labor is considered a warning sign?
• Identification of fetal abnormalities through cordocentesis is typically performed for pregnancies older than how many weeks?
• What is the last fetal system to mature functionally?
• What is a key criterion for outlet forceps-assisted birth?
• What is the primary purpose of percutaneous umbilical blood sampling (cordocentesis)?
• In which situation is a patient encouraged to perform fetal monitoring?
• In which trimester can an ultrasound first be used to examine the fetus for brain and spine defects?
• In a nonstress test (NST) for a fetus at 34 weeks, what is considered a normal or reactive acceleration?
• Which medication should be avoided in the late stages of pregnancy due to risk of hemolytic anemia in newborns?
• How many phases compose the first stage of labor?
• What behavior does the clinical staff encourage for mothers regarding bladder emptying post-delivery?
• How would a patient at 24 weeks' gestation with a BP of 150/94 mm Hg and 0.4 g of protein in a 2-hour urine specimen be classified?
• What are the three classic signs of placental separation after delivery?
• If a blood pH of 7.24 is found in a neonate, what does this indicate?
• HELLP syndrome is characterized by elevated liver enzymes and what other condition?
• In a neonate with poor ventilation, blood gas findings indicating respiratory acidosis include a:
• Folic acid deficiency in a pregnant woman increases the risk of which fetal condition?
• Absence of the Moro reflex on one side of a neonate may indicate which condition?
• How many contractions in a 10-minute period are typically needed for effective labor?
• What is a common physiological response in the postpartal period regarding blood composition?
• What is the purpose of RhoGAM for Rh-negative mothers?
• Complications associated with maternal obesity during labor include which of the following?
• What does colostrum promote in neonates aside from providing antibodies?
• Cervical lacerations during delivery are most commonly found at which position?
• Which drug is used to treat hypertonic contractions related to prostaglandin gel?
• Which birthing method encourages the use of specific movements known as the "birth dance"?
• During labor assessment, which contraction amplitude would indicate hypotonic labor?
• The purpose of Leopold maneuvers is to determine what aspect of the fetus?
• If vaginal bleeding persists after delivery and the uterus is firmly contracted, what should be suspected?
• In a case of mild bleeding before 36 weeks with placenta previa, what is the usual treatment?
• What causes supine hypotension late in pregnancy?
• After an amniotomy, how often should maternal temperature be assessed?
• What should be done if a neonate exhibits an absent blink reflex?
• When assessing neonatal blood gases, a pH below 7.25 typically indicates which condition?
• What is a common treatment for afterpains that can occur after childbirth?
• A decrease in fetal heart rate variability is often associated with which condition?
• If a fetal scalp sampling shows a pH of 7.23 with a non-reassuring fetal heart rate, what should be the next step?
• Supporting a patient's request for both an opioid and an epidural during labor exemplifies which ethical principle?
• During the second stage of labor, the patient experiences a strong urge to bear down due to pressure on which nerves?
• Velamentous insertion of the umbilical cord is commonly associated with which condition?
• A significant risk associated with velamentous cord insertion is:
• The probable gestational age of an infant with dry, wrinkled, peeling skin and no vernix is?
• Which condition is a contraindication for performing an external cephalic version (ECV)?
• Repeated variable decelerations of fetal heart rate during labor typically indicate what condition?
• When using the vocalization technique during contractions, how is the patient encouraged to vocalize?
• Hypotension with a positive Cullen sign may indicate which condition?
• Before receiving general anesthesia for an emergency cesarean, what should the patient be administered?
• What is the appropriate endotracheal tube size for a neonate of 30 weeks' gestation weighing 1,500 g?
• How are fetal heart rate patterns categorized?
• If a vanishing twin is detected in the first trimester, how is the pregnancy categorized?
• Podalic version is indicated for which scenario?
• Which factor is NOT typically associated with pudendal block anesthesia?
• A common cause of symmetric intrauterine growth restriction (IUGR) is?
• Where do most ectopic pregnancies commonly implant?
• Where would pain typically be felt in a pregnant woman with appendicitis?
• What does an amniotic fluid index (AFI) of 28 cm indicate?
• What is the correct position for a mother undergoing a fetal nonstress test (NST)?
• Which maternal indication is associated with amniotic fluid embolism?
• At which station is the fetal head considered engaged?
• What is the most common cause of uterine inversion?
• Before starting Subutex® (buprenorphine) administration, a patient should abstain from drug use for how many hours?
• What should be done if hypotension occurs after spinal blockade?
• When does cervical effacement typically begin?
• A cordocentesis can be performed after how many weeks' gestation?
• What is often the primary symptom of oligohydramnios?
• A multiparous patient in active labor should be expected to dilate at what rate per hour?
• For administration of prostaglandin cervical gel, the patient should be placed in which position?
• What is the most common source of Escherichia coli infection in neonates?
• If a mother has a score of 6 on the biophysical profile, what does this indicate?
• If a neonate is asymptomatic at birth after a mother with recurrent genital herpes, what is the next step?
• In the context of postpartum care, what should be avoided to help suppress lactation?
• What is a typical sign of respiratory distress in a neonate?
• What is the primary purpose of a birth plan?
• In the context of preeclampsia, hyperreflexia is most commonly assessed where?
• A vaginal pH of 7.2 likely indicates the presence of what fluid?
• What should be monitored closely in a patient experiencing coagulopathy?
• If the results of one study are replicated with additional studies, what does this imply about the initial study?
• A series of ultrasound scans showing a normal fetal head growth but lower than expected abdominal circumference may indicate what condition?
• What does a score of 10 on the Silverman-Anderson index indicate in a neonate?
• When might further evaluation be necessary post-fundal massage?
• During labor, if the presenting part reaches the level of the ischial spines, what is the station number?
• What effect does the presence of blood have on the nitrazine test for amniotic fluid?
• What behavior in a neonate may indicate hunger?
• What type of uterine contractions can lead to less than 1 cm dilation per hour and a halt in progress for more than 2 hours?
• What is the most common complication after spinal blockade?
• What is the expected diameter of the contracted uterus on palpation immediately after a singleton birth?
• How does human placental lactogen affect insulin levels during pregnancy?
• What should a labor patient do if she is standing during a contraction and experiencing severe back pain?
• How long should a woman remain in the dorsal recumbent position after the placement of the prostaglandin cervical gel?
• What test uses breast self-stimulation to evaluate fetal heart rate response to contractions?
• What effect does maternal narcotic administration have on fetal heart rate?
• What is the best comfort measure for a patient giving birth in the left lateral Sims position?
• Which tool is most commonly used for auscultating fetal heart rate in very obese pregnant patients?
• During uterine contractions, what is the expected change in fetal heart rate?
• What is the most common cause of fever greater than 38C/100.4F in the postpartal period?
• What complication may arise from prolonged labor in multiparous patients?
• What is a common complication in pregnancies complicated by Marfan syndrome?
• What area does a pudendal nerve block primarily relieve pain in?
• What is the most effective relief method for a spinal headache after spinal blockade?
• At 26 weeks' gestation, a fundal height of 31 cm may indicate which of the following conditions?
• What precaution should a mother with active tuberculosis take regarding her newborn?
• Which intervention is essential to take in cases of retained placental fragments after delivery?
• In HypnoBirthing, what is an essential component of "breathing the baby down"?
• How often should contractions be timed to ensure accurate assessment during labor?
• When should cervical ripening with Cervidil ideally be performed?
• An infant born with ABO incompatibility is most at risk for developing which condition post-delivery?
• Postpartal infection is most commonly associated with trauma and:
• What is a potential consequence of episiotomy that providers seek to prevent?
• What should a woman be advised to do before a transabdominal ultrasound for amniocentesis at 32 weeks of gestation?
• What is the hemoglobin threshold for diagnosing anemia of pregnancy?
• What should be included in the assessment of fetal movement during pregnancy?
• If a woman experiences severe pain during labor, what could be a potential reason related to fetal position?
• After how many weeks is fundal height no longer an accurate estimate of gestation?
• A patient nearing term with low back pain could be experiencing which of the following?
• During an NST, what might cause a nonreactive result?
• A pregnant patient with asymptomatic bacteriuria should?
• What is the initial intervention for a soft, boggy uterus after childbirth?
• The three most common factors associated with labor abnormalities include the fetus, pelvic size/shape, and:
• What should a pregnant woman do before flu season?
• At what gestational age range is the crown-rump length most accurate for determining the estimated date of birth (EDB)?
• Which of the following is a contraindication for breastfeeding?
• Which intervention should be encouraged during labor to help manage pain?
• What is commonly assessed to prevent bleeding during the fourth stage of labor?
• During delivery, if meconium-stained amniotic fluid is observed, what should be the initial response?
• What is the primary function of oxytocin during lactation?
• What is the main purpose of the modified Ritgen maneuver during delivery?
• How much should a breastfeeding woman increase her caloric intake compared to pre-pregnant levels?
• At what cervical dilation is the cervix considered uneffaced?
• A neonate's umbilical cord blood shows a pH of 7.16. What does this indicate?
• During which phase of the puerperal period is a mother most receptive to patient education?
• Which maternal condition is commonly associated with macrosomia in the fetus?
• In a scenario where the mother is Rh- and the father is Rh+, what are the odds that the fetus will be Rh+?
• Which placental variation is associated with an increased risk of late abortion, intrauterine growth restriction (IUGR), prematurity, and fetal death?
• What is indicated by a maternal serum screen result showing decreased alpha-fetoprotein (AFP)?
• A pregnant woman who is addicted to heroin should first be stabilized with which medication before starting treatment with buprenorphine?
• If signals from a fetal scalp electrode suddenly become erratic and stop, what is the most likely reason?
• What is a common indication for performing an amniocentesis?
• Which condition is a contraindication for performing an external version on a fetus?
• What situation can result from fetal pressure against the cervix?
• Post-term pregnancy is defined as lasting longer than how many weeks?
• During the fourth stage of labor, lochia should generally not exceed how many saturated pads per hour?
• Which of the following is a contraindication to the induction of labor?
• What is a potential risk of carrying an ectopic pregnancy to term?
• What complication may arise if fragments of the placenta remain in the uterus post-delivery?
• Which medication may be administered to stabilize blood levels in a pregnant woman during the induction phase of treatment?
• What indicates the use of vacuum-assisted delivery?
• Which of the following is NOT a potential sign of fetal distress?
• What is a frequent consequence of an extra-long umbilical cord?
• What is the normal range for fetal heart rate at term?
• What is the recommended folic acid intake for pregnant women at high risk for neural tube defects?
• What is the lowest Bishop score that indicates successful labor induction in a multiparous woman?
• What is a key feature of succenturiate placenta?
• Which Cesarean incision carries the greatest risk of subsequent uterine rupture with vaginal birth?
• Which maneuver is commonly used to prevent laceration or episiotomy during delivery?
• A pregnant woman with cervical funneling is at risk for which condition?
• What complication can occur in a neonate if maternal use of heroin is not managed appropriately during pregnancy?
• Which symptom is most commonly associated with idiopathic cardiomyopathy of pregnancy?
• What is the primary concern when administering narcotics during labor?
• Which of the following is a potential symptom of E. coli infection in neonates?
• Which medication poses a significant risk if taken by a patient with lupus erythematosus during pregnancy?
• What is the primary reason for bradycardia in patients during the early postpartal period?
• When is the vibroacoustic stimulation test (VST) typically utilized?
• Where should the skin temperature probe be placed for an infant in a radiant warmer?
• A pregnant woman with symptoms of petechiae, hematuria, and bleeding from IV sites likely has which condition?
• An indication of placental insufficiency is:
• In case of shoulder dystocia during delivery, which maternal position is recommended to help alleviate the issue?
• What is the best way to determine if maternal-infant bonding is happening?
• When assessing the pattern of contractions, where should the hands be positioned for the best results?
• In an early pregnancy assessment, what does a decreasing beta hCG value over two days suggest?
• An indication of good health in a newborn is an Apgar score of?
• What condition is indicated by a newborn having a portion of the spinal cord protruding from the lower back?
• A transient sinusoidal fetal heart rate pattern may occur after administering which medication?
• What condition could cause preterm labor if a heroin-addicted mother suddenly stops using?
• A forceps-assisted delivery is classified as "low" when the leading edge of the fetal skull is at which station?
• A decrease in fetal heart rate of at least 15 bpm for at least 10 minutes is classified as what?
• What does the presence of red splotchy areas with white papules in a neonate typically indicate?
• What is the primary advantage of a combined spinal epidural (CSE) over a traditional epidural?
• What cardiovascular adaptation is observed in a neonate within the first 15 hours of life?
• What is a common sign of postpartum blues that may necessitate intervention?
• If a pregnant patient is in a methadone program, what is the most appropriate advice?
• Severe pain in the perineal area after delivery may indicate:
• What defines normal uterine activity during labor?
• If a patient has vasa previa, the most appropriate treatment is:
• Where should the fetoscope be positioned to auscultate the fetal heartbeat during the third trimester?
• Which medication is primarily used if uterine atony does not respond to massage?
• At what average gestational age are most twin pregnancies typically delivered?
• Which type of breast milk is known for providing passive immunity to the neonate?
• What does a late deceleration indicate in relation to uterine contractions?
• A hallmark sign of HELLP syndrome in pregnant patients is?
• If massaging the uterus for uterine atony is ineffective, the next step is generally to administer?
• In the case of uterine inversion, what initial step should be taken for treatment?
• Which method is best to confirm suspicion of retained placental fragments?
• What may be a sign of maternal fever after spontaneous rupture of membranes?
• What condition is an infant born to a mother with diabetes mellitus most likely to exhibit after delivery?
• When is a cord blood gas specimen typically obtained during delivery?
• What comfort measure is recommended to reduce perineal edema in the immediate postpartal period?
• What complication may arise if shoulder dystocia is not properly managed?
• Which over-the-counter drug should be avoided during pregnancy due to potential fetal harm?
• During breastfeeding, why might a woman experience postpartal dyspareunia?
• What is the most important preoperative measure for an elective Caesarean?
• If a biophysical profile shows a score of 8 with normal amniotic fluid volume, what is the required intervention?
• What is a potential outcome for the fetus if vasa previa is not managed appropriately during labor?
• What is a significant risk associated with artificial rupture of membranes after the fetal head is engaged?
• What is a significant sign of maternal gonorrhea infection during delivery?
• During labor induction, which method may be utilized to strengthen contractions?
• Hypertension without proteinuria that develops after 20 or more weeks' gestation is classified as what?
• What is the recommended treatment for vaginal candidiasis during pregnancy?
• What condition commonly leads to the decision for cesarean delivery when diagnosed early in pregnancy?
• What does the scarf sign indicate when elicited in a neonate?
• After an amniocentesis, how long should the pregnant patient avoid strenuous activities?
• To minimize the risk of hemorrhagic disease after birth, what vitamin should a neonate be administered?
• Iron deficiency anemia during pregnancy is usually treated with?
• Low birth weight is defined as a weight of:
• What describes a symmetrical deceleration that occurs at the peak of a uterine contraction?
• Which cardiac abnormality poses the least maternal risk during pregnancy?
• What may fetal bradycardia with variable decelerations during uterine contractions indicate?
• What role does the perineum play during the second stage of labor?
• What type of heat loss does placing the newborn against the mother's bare skin primarily help to reduce?
• What complication is most likely associated with velamentous cord insertion?
• Why is the amniotic fluid index (AFI) significant in the biophysical profile?
• What is the primary risk associated with a vertical cesarean incision?
• When using the deep tendon reflex rating scale, what is a low normal but diminished response rated as?
• During pregnancy, a patient who is receiving hemodialysis for end-stage kidney disease should generally receive hemodialysis how often?
• If a patient presents with painless bleeding after 20 weeks gestation, what condition should be considered?
• For a multipara, protracted labor is diagnosed when descent of the presenting part is less than?
• At birth, a neonate infected with hepatitis C usually exhibits?
• If the partner of a woman in labor begins shouting at her and hitting her, what is the best response?
• What does an abnormal maternal serum screen suggest when there are increased levels of hCG and inhibin A and decreased levels of uE3 and AFP?
• What does the term "bloody show" indicate in a patient?
• What is a common result of uterine atony?
• If the initial biophysical profile (BPP) score is 6/10 and a repeat score is 4/10, what is the next appropriate action?
• A pregnant woman with organic mercury poisoning places her fetus at what level of risk?
• If a postpartal rubella antibody screen indicates a patient is not immune to rubella, what is the recommended action?
• Poor control of blood glucose levels during the third trimester in a patient with gestational diabetes increases the risk of?
• What fetal complication can occur with cord compression during labor?
• If there is uncertainty regarding membrane rupture, what should be done during the initial vaginal exam?
• What is the best action for a partner who is afraid of fainting during an emergency cesarean delivery?
• Amniotic fluid levels decrease during prolonged labor, increasing the risk of:
• In the event of maternal hypotension during labor, what is the first intervention recommended?
• A 32-week pregnant patient with sudden severe lower abdominal pain and vaginal bleeding most likely has which condition?
• During the active phase of the first stage of labor, the patient should typically dilate to what range of centimeters?
• What does a tocotransducer primarily measure during labor?
• What is the first step in quality improvement measures on a nursing unit?
• What is the normal oxygen saturation range for fetal pulse oximetry?
• How long before delivery should Demerol be administered for effective pain control during labor?
• In cases of oligohydramnios, what is a common suspected condition?
• When is a pregnancy considered postterm if the due date is April 3?
• How long may afterpains persist after delivery?
• In the event of a nuchal cord after delivery of the fetal head, which should be the initial response?
• A sign that a patient is moving to the transition phase of labor is?
• When using Cervidil for cervical ripening, how long should it remain in place?
• What is the most important consideration when a patient is using a birthing ball during labor?
• Which of the following describes the timing for labor onset after PROM?
• Fetal tone is assessed by observing what movement?
• When administering magnesium sulfate to a patient in preterm labor, the recommended fluid intake should be?
• An abnormal molding of the neonate's skull with fluid that crosses suture lines is likely related to?
• If fetal scalp blood sampling shows a pH of 7.2, what is the appropriate action?
• After delivery, when is a patient most at risk for developing deep vein thrombosis?
• What marks the end of the first stage of labor?
• What is a likely cause of a nonreactive vibroacoustic stimulation test?
• What does the nonstress test (NST) primarily measure?
• What is an expected finding regarding a fetal murmur auscultated immediately after birth?
• What does a Doppler scan measure in pregnancy?
• What is the most common reason for elevated bilirubin levels in a breastfed infant within the first week?
• Which fetal heart rate pattern indicates abnormal acid-base status?
• What complication is most commonly associated with uterine atony?
• Which hormone primarily affects glucose metabolism during pregnancy, complicating diabetes management?
• What cardiac change occurs in the newborn shortly after birth?
• In the second stage of labor, patients are typically encouraged to do what?
• Contractions during the first stage of labor typically last how long?
• What is a potential consequence of oligohydramnios if it occurs early in pregnancy?
• During the early postpartal period, which of the following increases due to a physiological response to inflammation and pain?
• What is the most common visual complaint reported during pregnancy?
• What is the duration of hypothermia treatment for a neonate with moderate hypoxemic-ischemic encephalopathy?
• Which cephalic presentation is most likely to require a cesarean delivery?
• Prior to administration of a narcotic to relieve labor pain, a nullipara should generally be dilated to how many centimeters?
• How long is the stimulus applied in a vibroacoustic stimulation test?
• Preterm labor is defined as the onset of labor before which week of gestation?
• What is the first-line management for a pregnant woman experiencing severe nausea and vomiting?
• What typically happens to a mother's pulse about a week after delivery?
• Which risk factor is associated with an increased likelihood of placenta previa?
• What is the risk of not using oxytocin after an amniotomy?
• Which scenario would most likely require antibiotic prophylaxis prior to amniotomy?
• During the second stage of labor, contractions usually occur every how many minutes?
• What is the primary risk associated with a midline episiotomy?
• Before placing the intrauterine pressure catheter, what should be reviewed to determine contraindications?
• Which anesthetic technique poses the least risk to the fetus?
• If a nurse observes signs of fetal distress but fails to notify the physician, this act could be classified as which type of negligence?
• What is a significant risk when a fetus presents with a compound presentation?
• In assessing the Bishop score, which measure is NOT included?
• When should an Rh-negative mother receive RhoGAM to prevent erythroblastosis fetalis?
• If a neonate does not blink when a light is flashed in his or her eyes, what might this indicate?
• What is the most common complication from excessive force on the fetal neck during delivery?
• During which stage of labor does external rotation of the fetal head occur?
• Maternal gonorrhea can put an infant at risk for what condition?
• What is the most effective method for a patient to suppress lactation?
• Premature rupture of membranes (PROM) increases the risk of which condition?
• What is a primary indication for patients in labor to go to the hospital?
• What type of trauma is associated with persistent vaginal bleeding post-delivery with a contracted uterus?
• How does placental insufficiency generally affect fetal nutrient distribution?
• What is the goal of therapy for a neonate with acute respiratory distress syndrome (ARDS)?
• What is the risk to pregnancy associated with untreated asymptomatic bacteriuria?
• If maternal hypotension occurs, which position is recommended?
• A pregnant patient with hyperthyroidism may require which of the following treatments?
• Which twin pregnancy type carries the highest risk for complications?
• What antimicrobial agent is contraindicated during pregnancy for bacterial infections?
• If a patient in active labor has contractions every 8 minutes that last 45 seconds and are increasing in intensity, what type of labor might she be experiencing?