RNC test questions and answers

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RNC test questions a. 1st trimester evaluation of the crown-rump length b. 2nd trimester of the bi-parietal (BPD), femur length and and abdominal circumference c. 3rd trimester biophysical profi... le Correct Answer: a Failure to elicit a reactive pattern with a nonstress test after 40 minutes of fetal monitoring warrants a. further evaluation b. increased testing time c. retest after giving orange juice Correct Answer: a In a 30 week GA fetus who has never had a NST before, the test is considered reactive when a. accelerations accompany the marks made by the mother noted in a 20 minute period b. accelerations peak at 10 bpm above the baseline with a duration of 10 seconds within 20 minutes c. at least 2 fetal heart accelerations occur in 20 minutes Correct Answer: b A negative contraction stress test is characterized by a. accelerations with onset of contractions b. no late or significant variable decelerations c. presence of moderate variability in between contractions Correct Answer: b At 32 weeks, a prenatal patient reported decreased fetal movement. A non-stress test is reported as non-reactive. Which of the following is appropriate for this patient? a. admission to the labor unit for an expedited delivery b. Biophysical profile c. keeping a fetal movement record and return in 24 hours Correct Answer: b A low level of alpha fetoprotein is indicative of a. Down syndrome b. maternal fetal hemorrhage c. neural tube defects Correct Answer: a A woman, who is a gravida 4 para 1212 has had 4 pregnancies with one a. two term, one preterm, and 2 living children b. two abortions, one living child and two preterm c. two preterm, one abortion and two living children c Correct Answer: c A potential fetal complication that occurs with cordocentesis (percutaneous umbilical blood sampling) 2% of the time is a. cardiac dysrhythmias b. fetal loss c. profound persistent bradycardia Correct Answer: b A patient who does not want chromosome testing but would like to know the risk of her delivering a newborn with a neural tube defect (NTD), should have what test ordered that is specific for NTD? a. Maternal serum alpha fetal protein (MSAFP) b. Nuchal translucency c. Triple Screen Correct Answer: a Quad screening compared to alphafetoprotein testing can better detect a. metabolic disorders b. open neural tube defects c. trisomies Correct Answer: c A fetal heart rate change that can be seen after administration of butorphanol (stadol) is a. bradycardia b. marked variability c. Sinusoidal – appearing Correct Answer: c A woman at term is in labor and exhibits significant variable decelerations on an electronic fetal monitor. An amnioinfusion is ordered with the goal of a. improving placental circulation b. maximizing fetal oxygenation c. relieving umbilical cord compression Correct Answer: c A baroreceptor response is seen in what type of deceleration? a. early b. late c. early Correct Answer: c Decelerations are determined to be prolonged based on their a. amplitude b. duration c. etiology Correct Answer: b Baroreceptors respond mainly to changes in a. blood pressure b. hormonal changes c. oxygen and carbon dioxide levels Correct Answer: a A woman is 7 cm dilated and on the electronic fetal monitor. Fetal heart rate activity mirrors the contraction intensity and begins and ends in concert with the contraction. This is consistent with a/n a. early b. late deceleration c. variable deceleration Correct Answer: a Stimulation of the sympathetic nervous system causes the fetal heart rate to a. decrease b. increase c. remain the same Correct Answer: b Which statement describes normal uterine activity? a. Frequency of 1 1/2 to 2 minutes b. Intensity of 90 mmHg early in labor c. Resting tone less than 20-25 mmHg Correct Answer: c c Correct Answer: using the NICHD definitions, spontaneous occurrence of greater than 5 contractions in 10 minutes, averaged over a 30 minute window is called a. hyperstimulation b. hypertonus c. tachysystole The most common side effect of prostaglandin administration is a. Maternal fever b. Nausea and vomiting c. Tachysystole Correct Answer: c When fetal heart tones are heard above the umbilicus abd the fetal head is palpated in the upper part of the uterus, this is consistent with a. breech presentation b. brow presentation [Show More]

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