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RNC-MNN Maternal Newborn Nursing Exam 2026/2027 – Complete Exam Prep Practice Questions & Answers PDF

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Prepare for the RNC-MNN Maternal Newborn Nursing Certification Exam with a comprehensive exam-prep resource featuring practice questions and answers covering pregnancy and birth risk factors, maternal postpartum assessment and management, maternal education, newborn assessment and management, postpartum complications, newborn complications, and other core maternal-newborn nursing concepts. This is the latest release for the 2026/2027 academic year and is designed to support focused study, revision, and comprehensive RNC-MNN certification exam preparation.

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RNC-MNN | Complete Exam Prep | Practice Questions & Answers

Medication administered for meconium aspiration in Beractant (survanta)
neonate



Spina Bifida occulta Gap in spine, without spinal opening or sac protrusion




Craniosynostosis Premature fusion of cranial sutures. Absence of fontanels, misshapen head that
doesn't resolve in a few days, and hard raised ridge along affected sutures.



Diaphragmatic hernia in neonate Scaphoid abdomen and decreased left breath sounds. Tx:immediate intubation and
insertion of orogastric tube to help with ventilation and decompress stomach in
order to maximize lung inflation


Spo2 for neonate in transition period 1 min- 60-65% increase by 5% each min until 10min 85-90%




Café au lait spots Multiple flat irregular spots. Possibly indicates neurofibromatosis (genetic disease
that affects skeletal/neuro development and cell proliferation



involution of the uterus the uterus returns to its normal nonpregnant size




HELLP syndrome hemolysis, elevated liver enzymes, low platelets (<100,000)




HELLP syndrome labs to determine syndrome class of CBC, AST/ALT and LDH (lactate dehydrogenase)
1,2,3 Hemolysis, elevated liver enzymes, low platelets



Congenital torticollis in neonate appearance Asymmetrical face, head positioned as if infant is looking over shoulder




Phenylketonuria A human metabolic disease caused by a mutation in a gene coding for a
phenylalanine processing enzyme (phenylalanine hydroxylase), which leads to
accumulation of phenylalanine and mental retardation if not treated; inherited as an
autosomal recessive phenotype.


PKU diet restrictions Low protein, no artificial sweeteners, limited breastfeeding




Desquamation post term infant Peeling, cracking, dry skin




Calorie requirements neonate 100 kcal/kg/day (premature 120-150)




Absent moro reflex Indication of bilirubin encephalopathy (kernicterus)




stuvia 2026-2027

, RNC-MNN | Complete Exam Prep | Practice Questions & Answers
Change of lochia Rubra, serosa, alba




Closure of PDA (Pulmonary ductus arteriosus) 24 hours. infants with transposition of great arteries,
pda may need to be kept open



TTN (transient tachypnea of the newborn) respiratory distress in a term infant related to to delayed absorbtion of fluid in lungs
from delivery. Should not last more than 6hrs



Lab indicates fetal lung maturity Lecithin-sphingomyelin (L/S) ratio of 2:1 they are components of Lin surfactant




Cause of neonatal/congenital pneumonia Staphylococcus epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral
(hsv, hiv)



Risk for abo incompatibility Mom o, infant a or b




puerperal infection infection of the reproductive tract at any time during the 6 weeks following birth




Para delivery of a live/stillborn fetus >20wks




nullipara a woman who has not given birth to a viable offspring, >20wks




HCG human chorionic gonadotropin




gestational sac can be seen 5-6 weeks transabdominally, 3-4 transvaginally




Maternal Weight Gain Healthy weight BMI: 25 to 35 lb
1st trimester: 3.5 to 5 lb
2nd & 3rd trimesters: 1 lb/week

BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week

BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week


assisted reproductive technology (ART) any infertility treatment in which the egg is fertilized outside the womb




stuvia 2026-2027

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