RNC-MNN Study Questions with all Correct & 100%
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Graded A+ (Just Released)
Eve is 2 days postpartum. During palpation, where would you normally expect to find her
fundus?
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time ✔Correct Answer-b. 2 fingers below umbilicus
Keisha delivered her third child about 24 hours ago. She begins to c/o severe uterine cramping
while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains ✔Correct Answer-d. after pains
Three days after delivering her child, Gretchen calls the 24 hour hotline. She is crying and states
that her breasts suddenly became "bigger" and "really hurt." She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk ✔Correct Answer-c. engorgement
Tiffany delivered via cesarean 2 days ago. She is frustrated by constant perspiration and
urination. This is likely the result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor ✔Correct Answer-c. the body's
removal of fluids accumulated during pregnancy
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding and find that her uterus
is displayed upward and to the right. This is probably cause by:
a. retained placental fragments
,b. rupture of the uterus
c. distention of the bladder
d. cervical bruising ✔Correct Answer-c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states that at her age she
plans to get pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery ✔Correct Answer-a. avoid pregnancy for at least
8 weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She talks on her cell phone
whenever you are in the room and refuses to touch or hold her baby, even when he cries. You
overhear Joan tell someone that the baby is "ugly like his father." Joan is most likely
experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression ✔Correct Answer-b. mal-attachment
Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags ✔Correct Answer-c.
apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at risk for
thrombophlebitis, and she asks you how she can prevent this from happening. You instruct her
to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs ✔Correct Answer-b. ambulate frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but
refuses pain medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
,b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage ✔Correct Answer-d. offer her a
non-drug option such as a hot pack or massage
Emily is a 28yo mother of 3 who delivered vaginally 4 hours ago. She reports she is "bleeding a
lot" and her perineal pad, changed 45 minutes ago, is fully saturated. Palpation reveals a boggy
uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD ✔Correct Answer-c. massage her uterus until firm
Mei experienced premature rupture of membranes during her pregnancy and her internal fetal
monitors placed during labor. She later delivered by cesarean. 12 hours after delivery, her HR is
104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis ✔Correct Answer-d. endometritis
You are preparing to discharge Maria after delivering a healthy boy. You believe Maria
understands the discharge teaching instructions when she states:
a. it is acceptable to have bleeding nipples after breastfeeding for the first few days
b. I should not worry if I have a large mass under my breasts
c. I will call my nurse-midwife if I saturate a pad in one hour
d. suicidal thoughts are okay because the baby blues are normal ✔Correct Answer-c. I will call
my nurse-midwife if I saturate a pad in one hour
An infant born to a mother who abused drugs during pregnancy exhibited withdrawal signs in
the nursery that included fever and poor state control. After stabilization and discharge, the
caretaker called to report a return of withdrawal symptoms. This pattern is consistent with
maternal abuse of:
a. alcohol
b. cocaine
c. methadone ✔Correct Answer-b. cocaine
Leukocytosis that occurs in normal postpartum adaptation can be differentiated from an
infectious process by the presence of:
, a. a 30% increase in WBC count in a 6 hour period
b. a concominant increase in the sedimentation rate
c. any elevation in temperature ✔Correct Answer-b. a concominant increase in the
sedimentation rate
Tachypnea, tachycardia, and poor feeding in a 12 hour old neonate, born to a mother with
diabetes mellitus, would be more consistent with the onset of:
a. congestive heart failure
b. hypoglycemia
c. respiratory distress syndrome ✔Correct Answer-b. hypoglycemia
A postpartum woman has a BP of 150/92 at 6 hours. Later, the BP is 148/90. This finding most
likely:
a. diminished venous return
b. reflects postpartum peak in cardiac output
c. requires evaluation for postpartum preeclampsia ✔Correct Answer-c. requires evaluation
for postpartum preeclampsia
The let down reflex in the breastfeeding woman is responsible for
a. movement of the milk from ducts to the nipple
b. regulation of milk release to ensure milk is available at any given time
c. release of the milk to the alveoli ✔Correct Answer-a. movement of the milk from ducts to
the nipple
A woman plans not to breastfeed and asks about how to suppress lactation. She should be
advised that:
a. mechanical suppression occurs with the use of a supportive bra
b. medications can be prescribes to stop lactation
c. physiologically, lactation will not proceed without breastfeeding and no intervention is
needed ✔Correct Answer-a. mechanical suppression occurs with the use of a supportive bra
Spinal blockade occurring with epidural anesthesia results in
a. hypotension
b. tachycardia
c. vertigo ✔Correct Answer-a. hypotension
Synthesis of vitamin K in the neonate is dependent upon the presence of
a. amino acids derived from human or formula proteins
Verified Answers |Actual Complete Update |Already
Graded A+ (Just Released)
Eve is 2 days postpartum. During palpation, where would you normally expect to find her
fundus?
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time ✔Correct Answer-b. 2 fingers below umbilicus
Keisha delivered her third child about 24 hours ago. She begins to c/o severe uterine cramping
while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains ✔Correct Answer-d. after pains
Three days after delivering her child, Gretchen calls the 24 hour hotline. She is crying and states
that her breasts suddenly became "bigger" and "really hurt." She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk ✔Correct Answer-c. engorgement
Tiffany delivered via cesarean 2 days ago. She is frustrated by constant perspiration and
urination. This is likely the result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor ✔Correct Answer-c. the body's
removal of fluids accumulated during pregnancy
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding and find that her uterus
is displayed upward and to the right. This is probably cause by:
a. retained placental fragments
,b. rupture of the uterus
c. distention of the bladder
d. cervical bruising ✔Correct Answer-c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states that at her age she
plans to get pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery ✔Correct Answer-a. avoid pregnancy for at least
8 weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She talks on her cell phone
whenever you are in the room and refuses to touch or hold her baby, even when he cries. You
overhear Joan tell someone that the baby is "ugly like his father." Joan is most likely
experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression ✔Correct Answer-b. mal-attachment
Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags ✔Correct Answer-c.
apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at risk for
thrombophlebitis, and she asks you how she can prevent this from happening. You instruct her
to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs ✔Correct Answer-b. ambulate frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but
refuses pain medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
,b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage ✔Correct Answer-d. offer her a
non-drug option such as a hot pack or massage
Emily is a 28yo mother of 3 who delivered vaginally 4 hours ago. She reports she is "bleeding a
lot" and her perineal pad, changed 45 minutes ago, is fully saturated. Palpation reveals a boggy
uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD ✔Correct Answer-c. massage her uterus until firm
Mei experienced premature rupture of membranes during her pregnancy and her internal fetal
monitors placed during labor. She later delivered by cesarean. 12 hours after delivery, her HR is
104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis ✔Correct Answer-d. endometritis
You are preparing to discharge Maria after delivering a healthy boy. You believe Maria
understands the discharge teaching instructions when she states:
a. it is acceptable to have bleeding nipples after breastfeeding for the first few days
b. I should not worry if I have a large mass under my breasts
c. I will call my nurse-midwife if I saturate a pad in one hour
d. suicidal thoughts are okay because the baby blues are normal ✔Correct Answer-c. I will call
my nurse-midwife if I saturate a pad in one hour
An infant born to a mother who abused drugs during pregnancy exhibited withdrawal signs in
the nursery that included fever and poor state control. After stabilization and discharge, the
caretaker called to report a return of withdrawal symptoms. This pattern is consistent with
maternal abuse of:
a. alcohol
b. cocaine
c. methadone ✔Correct Answer-b. cocaine
Leukocytosis that occurs in normal postpartum adaptation can be differentiated from an
infectious process by the presence of:
, a. a 30% increase in WBC count in a 6 hour period
b. a concominant increase in the sedimentation rate
c. any elevation in temperature ✔Correct Answer-b. a concominant increase in the
sedimentation rate
Tachypnea, tachycardia, and poor feeding in a 12 hour old neonate, born to a mother with
diabetes mellitus, would be more consistent with the onset of:
a. congestive heart failure
b. hypoglycemia
c. respiratory distress syndrome ✔Correct Answer-b. hypoglycemia
A postpartum woman has a BP of 150/92 at 6 hours. Later, the BP is 148/90. This finding most
likely:
a. diminished venous return
b. reflects postpartum peak in cardiac output
c. requires evaluation for postpartum preeclampsia ✔Correct Answer-c. requires evaluation
for postpartum preeclampsia
The let down reflex in the breastfeeding woman is responsible for
a. movement of the milk from ducts to the nipple
b. regulation of milk release to ensure milk is available at any given time
c. release of the milk to the alveoli ✔Correct Answer-a. movement of the milk from ducts to
the nipple
A woman plans not to breastfeed and asks about how to suppress lactation. She should be
advised that:
a. mechanical suppression occurs with the use of a supportive bra
b. medications can be prescribes to stop lactation
c. physiologically, lactation will not proceed without breastfeeding and no intervention is
needed ✔Correct Answer-a. mechanical suppression occurs with the use of a supportive bra
Spinal blockade occurring with epidural anesthesia results in
a. hypotension
b. tachycardia
c. vertigo ✔Correct Answer-a. hypotension
Synthesis of vitamin K in the neonate is dependent upon the presence of
a. amino acids derived from human or formula proteins
