RNC-OB Exam Preparation

RNC-OB Preparation and Resources

The NCC provides a list of suggested references to support candidates preparing for the Inpatient Obstetric Nursing (RNC-OB) certification exam. These references include foundational textbooks and clinical guidelines relevant to obstetric nursing, offering insights into key areas such as fetal assessment, labor management, and maternal complications.

BoardCerts integrates these recommended resources and the NCC exam blueprint into the development of the question banks, ensuring they are accurate, relevant, and aligned with the essential competencies of inpatient obstetric nursing.

Key Concepts on RNC-OB Exam

Exam Categories: Percentage Distribution

RNC-OB Blueprint and Focus Areas

Area of FocusSubtopicsPercent of Questions

Complications of Pregnancy

  • Hypertensive disorders: Preeclampsia, eclampsia, and gestational hypertension.
  • Diabetes in pregnancy: Gestational diabetes and pre-existing diabetes management.
  • Preterm labor: Identification, prevention, and management strategies.
  • Multiple gestations: Care considerations for twin or higher-order pregnancies.
  • Placental abnormalities: Placenta previa, placental abruption, and accreta spectrum disorders.
  • Other maternal complications: Infections, thromboembolic disorders, and autoimmune conditions affecting pregnancy.

28%

Fetal Assessment

  • Electronic fetal monitoring: Interpretation of fetal heart rate patterns and uterine activity.
  • Biophysical profiles: Assessment combining ultrasound and non-stress test results.
  • Non-stress tests: Monitoring fetal heart rate responses to movements.
  • Fetal well-being indicators: Amniotic fluid volume, fetal movements, and growth assessments.
  • Diagnostic tools: Use of Doppler ultrasound and other technologies for fetal assessment.

17%

Labor and Birth

  • Stages of labor: Characteristics and management of each stage.
  • Obstetric emergencies: Recognition and response to situations like shoulder dystocia, cord prolapse, and uterine rupture.
  • Delivery techniques: Vaginal delivery, cesarean section, and operative vaginal delivery methods.
  • Pain management: Pharmacologic and non-pharmacologic strategies during labor.
  • Labor support: Providing physical and emotional support to the laboring individual.

36%

Recovery, Postpartum, and Newborn Care

  • Postpartum maternal assessment: Monitoring for hemorrhage, infection, and other complications.
  • Newborn care: Initial assessment, thermoregulation, and identification of common neonatal issues.
  • Breastfeeding support: Assisting with initiation and addressing challenges.
  • Family education: Providing information on postpartum care, newborn care, and family planning.

16%

Professional Issues

  • Legal considerations: Understanding consent, documentation, and patient rights.
  • Ethical practice: Navigating dilemmas related to patient autonomy, confidentiality, and cultural sensitivity.
  • Cultural competence: Providing care that respects diverse backgrounds and beliefs.
  • Interprofessional collaboration: Working effectively within a healthcare team to ensure optimal patient outcomes.

3%

RNC-OB Resources

The BoardCerts RNC-OB question bank is expertly crafted to align with the official exam blueprint, helping each individual concentrate on the most relevant topics for success.

In addition, the exam candidate handbook lists the following resources as additional possible material to support preparation:

  • Core Curriculum for Maternal-Newborn Nursing, Elsevier
  • Williams Obstetrics, McGraw-Hill
  • Old’s Maternal Newborn Nursing & Women's Health Across the Life Span, Pearson
  • Gabbe’s Obstetrics: Normal and Problem Pregnancies, Elsevier
  • Varney's Midwifery, Jones & Bartlett
  • Handbook of Neonatal Intensive Care, Elsevier
  • Comprehensive Gynecology, Elsevier
  • Neonatal Resuscitation Textbook, AHA.AAP
  • Maternity and Women's Health, Elsevier
  • Fetal Heart Monitoring Principles and Practices, AWHONN
  • Mosby’s Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, Mosby
  • NCC Monograph: Fetal Assessment and Safe Labor Management, NCC
  • Ricci, Essentials of Maternity and Pediatric Nursing, Wolters Kluwer
  • AWHONN’s Perinatal Nursing, Wolters Kluwer
  • Physical Assessment of the Newborn, Springer

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