Free RNC-OB Practice Test Questions

A 28-year-old primigravida at 40 weeks' gestation is in active labor. She expresses interest in non-pharmacologic methods to manage her labor pain. The nurse suggests using a birthing ball to aid in which of the following ways?

A 28-year-old woman with a history of one previous cesarean delivery is admitted to the labor and delivery unit at 39 weeks' gestation with a desire to attempt a Vaginal Birth After Cesarean (VBAC). Her previous cesarean was due to breech presentation, and she has no other significant medical or obstetric history. Which of the following factors would most likely increase the risk of uterine rupture during her trial of labor?

A 32-year-old pregnant woman at 31 weeks' gestation presents to the emergency department with acute right upper quadrant pain, nausea, and vomiting. Her blood tests show elevated liver enzymes, low platelets, and hemolysis. Which of the following is the most appropriate initial management step for this patient?

A 32-year-old woman in labor at 40 weeks' gestation is experiencing arrest of descent during the second stage of labor. The fetal head is confirmed to be in the occiput posterior position. Which of the following is the most appropriate initial management to address this malposition?

A 30-year-old pregnant woman at 35 weeks gestation presents to the emergency room with a sudden gush of clear fluid from her vagina. She denies any contractions or pain. Upon examination, the healthcare provider confirms a spontaneous rupture of membranes (PROM). What is the primary nursing intervention to minimize the risk of infection for this patient?

A 36-year-old pregnant woman at 38 weeks of gestation presents to the labor and delivery unit with recurrent variable decelerations noted on fetal heart monitoring. The provider decides to perform an amnioinfusion. What is the primary indication for amnioinfusion in this scenario?

A 29-year-old woman, 6 hours postpartum after a vaginal delivery, begins to experience significant vaginal bleeding with uterine atony. The nurse initiates fundal massage, but the uterus remains boggy. Her blood pressure is 88/54 mmHg, and heart rate is 126 bpm. Which of the following medications is the most appropriate to administer next to manage this postpartum hemorrhage?

A 30-year-old breastfeeding mother presents to the clinic with complaints of severe breast pain and swelling, as well as systemic symptoms of fever and chills. Upon examination, her left breast appears erythematous and tender to touch. Which of the following is the most appropriate management for this patient?

A full-term newborn is delivered and does not immediately cry or breathe spontaneously. The infant is floppy, pale, and has a heart rate of 80 beats per minute. Which initial step in resuscitation should be performed next according to the Neonatal Resuscitation Program guidelines?

A 28-year-old woman who has experienced a stillbirth at 32 weeks gestation comes to the clinic seeking guidance on how to cope with her recent loss. She expresses feelings of guilt and isolation as well as difficulty in communicating with her partner about their shared grief. As her healthcare provider, what is the most appropriate initial approach to support her through this experience?

A 34-year-old pregnant woman at 38 weeks gestation is admitted to the maternity ward with labor pains. She has a previous history of postpartum hemorrhage. The healthcare team is discussing preventive measures to reduce the risk of hemorrhage after delivery. Which of the following interventions is most effective in preventing postpartum hemorrhage?

A 28-year-old woman at 38 weeks of gestation is admitted to the labor and delivery unit for planned induction of labor due to a diagnosis of cholestasis of pregnancy. Which of the following is the most appropriate initial management step to relieve pruritus and improve liver function tests for this patient?

A 32-year-old woman at 36 weeks gestation with a history of severe anxiety and panic attacks is admitted for delivery. She expresses significant anxiety about managing her pain during labor and is concerned about possible panic attacks. Which of the following approaches would be the most effective in improving her patient safety and communication during labor and delivery?

A 27-year-old pregnant woman at 37 weeks gestation presents to the maternity unit with concerns about decreased fetal movement over the past 24 hours. An ultrasound is performed, and the amniotic fluid index (AFI) is determined to be 4 cm. In the absence of labor, which of the following interventions should be prioritized to address the oligohydramnios and ensure fetal well-being?