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Exam Code: RNC-OB

Exam Name: NCC Inpatient Obstetric Nursing

Exam Type: Computer-based, multiple-choice questions

Number of Questions: 175 questions (150 scored, 25 unscored pretest questions)

Time Allotted: 3 hours

Passing Score: Scaled score of 700 (on a scale of 300-900)

- Maternal/Birthing Person Complications Affecting the Fetus and Newborn

- Hypertensive Disorders of Pregnancy

- Chronic

- Gestational

- Preeclampsia/Eclampsia

- Superimposed Preeclampsia

- HELLP syndrome

- Diabetes

- Preexisting (Type I and Type II)

- Gestational

- Diabetic Ketoacidosis

- Maternal/Birthing Person Cardiac Disease/Anomalies

- Infectious Diseases

- Sexually transmitted infections

- Chlamydia

- Gonorrhea

- Herpes

- HIV infection

- Human papilloma virus/Dysplasias

- Syphilis

- Viral infections (e.g. influenza, COVID)

- Bacterial infections (e.g. group B Streptococcus, UTI/Pyelonephritis)

- Hematologic Disorders

- Anemia

- Thrombocytopenia/Thrombophilia

- Hemolytic disease

- Disseminated intravascular coagulation (DIC)

- Rh incompatibility

- Sickle cell disease

- Respiratory Disorders

- Asthma

- Pulmonary edema

- Pulmonary embolism

- Liver Disorders

- Acute fatty liver

- Cholelithiasis

- Cholestasis

- Obesity -Bariatric surgery

- Connective Tissue Disorders

- Thyroid Disorders

- Hyperemesis Gravidarum

- Genetics

- Maternal/Birthing Person Psychosocial & Environmental Factors

- Mental Health Disorders

- Anxiety

- Depression

- ADHD

- Bipolar

- Schizophrenia

- Substance Use Disorder

- Alcohol

- Tobacco/Nicotine/Vaping

- Drugs

- Cocaine

- Subutex/Suboxone

- Over the counter/prescription

- Heroin

- Methadone

- Methamphetamine

- Marijuana

- Fentanyl

- Other Drugs/Substances

- Abuse/Intimate Partner Violence

- Environmental -Toxic waste

- Mercury

- Lead

- Preterm Labor

- Risk Factors

- Diagnostic Criteria

- Management

- Fetal Neuroprotection (Magnesium Sulfate)

- Antenatal Steroids

- Tocolysis

- Cerclage

- Fetal and neonatal complications

- Multiple Gestation

- Monozygotic and Dizygotic

- Dichorionic/Dichorionic

- Monochorionic/Dichorionic

- Monochorionic/Monoamniotic

- Associated Risks and Complications

- Placental Disorders

- Placental Abruption

- Placenta Previa

- Vasa Previa

- Placental Insufficiency

- Placenta Accreta Spectrum (PAS) Disorders

- Antenatal Testing

- Ultrasound

- Assessment of Fetal Growth

- Non-Stress Testing

- Biophysical and Modified Biophysical Profile

- Amniocentesis

- Percutaneous Umbilical Cord Sampling (PUBS)/ Cordocentesis

- Non-Invasive Prenatal Testing (NIPT) and AFP

- Umbilical Artery Doppler Flow Studies

- Electronic Fetal Monitoring

- NICHD Terminology

- Category I, II, III

- Baseline

- Variability

- Accelerations

- Decelerations

- Sinusoidal pattern

- Uterine activity (normal, tachysystole)

- Dysrhythmias

- Artifact

- Signal ambiguity

- Intrauterine Resuscitation

- Non-Electronic Monitoring

- Auscultation/Doppler

- Palpation

- Acid-Base Interpretation

- Cord blood gas evaluation

- Fetal stimulation

- Vibroacoustic

- Scalp

- Physiology of Labor

- Characteristics of True Labor

- Uteroplacental Physiology

- Maternal Physiology

- Assessment and Management of Labor

- General Assessment -Physical test (Initial/Ongoing) General Abdominal Vaginal

- Psychosocial

- Stages of Labor (First, Second, Third)

- Characteristics

- Nursing care and interventions

- Promotion of physiologic birth

- Labor Curves

- Labor dysfunction/dystocia (Prolonged, Precipitous)

- Maternal, fetal, and neonatal implications

- Obstetrical and Perioperative Procedures

- Version -Indications and contraindications -Complications -Nursing responsibilities

- Episiotomy -Indications and contraindications -Complications -Nursing responsibilities

- Forceps/vacuum extraction

- Indications and contraindications

- Complications

- Nursing responsibilities

- Cesarean birth

- Indications and contraindications

- Types

- Complications

- Post-anesthesia care

- Nursing responsibilitie

- Vaginal Birth after Cesarean Birth (TOLAC)

- Indications and contraindications

- Complications

- Nursing interventions /support

- Vaginal Breech deliveries

- Vaginal Twin Delivery

- Amnioinfusion

- Pain Management and Coping

- Non-pharmacologic methods

- Relaxation/Aromatherapy

- Breathing

- Positioning

- Coaching

- Hydrotherapy

- Peanut ball/Birthing ball

- TENS unit

- Pharmacological methods

- Systemic

- Nitrous Oxide

- Narcotics

- Sedatives

- Complications

-Regional

- Epidural

- Spinal

- Combined spinal & epidural

- Complications

- General Anesthesia

- Complications

- Nursing responsibilities

- Labor and Obstetric Complications (Nursing management/ intervention)

- Malposition or malpresentation

- Nursing interventions

- Shoulder dystocia

- Maternal/Fetal implications

- Uterine Rupture

- Problems associated with umbilical cord

- Velamentous cord insertion

- Prolapsed cord

- Problems associated with Amniotic Fluid

- Polyhydramnios

- Oligohydramnios

- Rupture of membranes

- Prelabor (preterm)

- Term

- Post term

- Prolonged

- Meconium

- Amniotic fluid embolism (Anaphylactoid syndrome of pregnancy)

- Suspected Chorioamnionitis/Chorioamnionitis

- Sepsis in the Intrapartum Period

- Prolonged Pregnancy

- Definition/risks

- Management

- Fetal and neonatal complications

- Perinatal Loss

- Associated risks and complications

- Management of peri-viability/compatibility with life

- Maternal Morbidity and Mortality

- Induction and Augmentation

- Induction of labor/Cervical Ripening

- Indications and contraindications

- Cervical Readiness (Bishop Score)

- Methods Prostaglandins Mechanical

- Balloon Catheter

- Oxytocin Infusion Amniotomy

-Nursing management and interventions

- Complications

- Recovery and Postpartum Physiology and Complications

- Physiological changes

- Reproductive system

- Other organ systems

- Nursing care of the postpartum patient

- Rh immune globulin

- Involution

- Pain Management

- Perineal test (e.g. Lacerations, REEDA)

- Wound care

- Postpartum Complications

- Infection

- Hemorrhage

- Tone

- Tissue

- Trauma

- Traction

- Management (Uterotonics, TXA, Massive

- Transfusion Protocol)

- Thromboembolic

- DVT

- Pulmonary Embolism

- Cardiomyopathy

- Other medical/obstetrical conditions II

- Family Dynamics, Social Determinants of Health, and Discharge Readiness

- Psychosocial/Cultural

- Parent Infant interactions

- Discharge planning and home care

- Contraception

- Patient education

- Self-care

- Warning signs

- Routine neonatal care

- Postpartum Depression Screening

- Bereavement/Grief

- Lactation and Infant Nutrition

- Lactation

- Physiology of lactation

- Nutritional needs during lactation

- Breast/chest feeding techniques

- Complications

- Contraindications to breast/chest feeding

- Care of the non-breast/chest feeding patient

- Infant Nutrition

- Feeding

- Problems/complications

- Newborn Physiology and Complications

- Adaptation to Extrauterine Life (Transition)

- Respiratory changes

- Cardiovascular changes

- Apgar scoring

- Delayed cord clamping

- Thermoregulation

- Skin to skin

- Newborn Assessment

- Physical

- Abnormal findings

- Common congenital anomalies

- Common skin lesions or rashes

- Neural tube defects/Chromosomal abnormalities

- Small for Gestational Age (SGA)

- Large for Gestational Age (LGA)

- Laboratory evaluation

- Thrombocytopenia

- WBC count

- Anemia

- Polycythemia

- ABO incompatibility

- Neurological

- Tone

- Reflexes

- Behavioral states

- Gestational age

- Late preterm infants

- Glucose homeostasis and fluid balance

- Screening (e.g. CHD, Metabolic, Hearing)

- Newborn Resuscitation

- Initial evaluation

- Personnel and equipment

- Indications and techniques

- Indications for transport

- Complications (Initial Assessment/Nursing Interventions)

- Respiratory and cardiovascular emergencies (e.g. Sudden Unexpected Postnatal Collapse)

- Hyperbilirubinemia

- Surgical Emergencies

- Infectious diseases

- Group B Streptococcus

- E-coli

- Hepatitis

- Varicella

- Cytometalovirus (CMV)

- Common sexually transmitted infections

- Birth injuries/trauma

- Cephalohematoma

- Caput succedaneum

- Fractures

- Nerve injury

- Subgaleal hemorrhage

- Infant affected by substance use disorder

- Substance-exposed neonate

- Fetal alcohol syndrome

- Infant of diabetic mother (IDM)

- Legal

- Professional

- Regulation

- Practice

- Staffing issues

- Legal liability

- Consent

- Documentation/medical records

- Negligence/malpractice

- Ethics

- Autonomy

- Beneficence

- Nonmaleficence

- Justice

- Patient Safety/Quality Improvement

- Communication

- Interprofessional practice

- Perinatal Core Measures

- Maternal Safety Bundles

- Evidence-based practice

- Research Terminology

- Reliability

- Validity

- Significance

- Levels of Evidence

- Research utilization

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