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RNC-MNN exam 2025, maternal newborn
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According to the March of Dimes, there may be four main routes to spontaneous premature
labor. They include all except which of the following?
a. infections or inflammation
b. maternal or fetal stress
c. diabetes
d. bleeding - ANS :c. diabetes
Diabetes is not a route considered. The fourth route is uterine stretching. Overdistention of
the uterus due to multiple gestation, or placental abnormalities can lead to the release of
chemicals that stimulate uterine contractions.
One of the most important causes of bleeding syndrome in an otherwise healthy newborn is
hemorrhagic disease caused by deficiency of
a. vitamin A
b. vitamin B12
c. vitamin D
TEST BANK 1
, RNC-MNN exam 2025, maternal newborn
nursing, RNC exam
d. vitamin K - ANS :d. vitamin K
During the first week of life, newborns are at risk for bleeding disorders because of an
immature liver that is unable to produce several coagulation factors and a sterile
gastrointestinal tract that has not begun producing vitamin K.
A small lower jaw in a newborn may be an indication of which of the following pathologies?
a. facial nerve injury
b. Pierre Robin syndrome
c. teratogenic injury
d. esophageal atresia - ANS :b. Pierre Robin syndrome
A small lower jaw (micrognathia) can be indicative of Pierre Robin syndrome. It can also
indicate Treacher Collins syndrome or De Lange syndrome.
Postpartum infection still accounts for significant rates of postpartum maternal morbidity and
mortality. One type covers reproductive system infections. These are called
a. endometritis
b. mastitis
c. UTI
d. puerperal infections - ANS :d. puerperal infections
TEST BANK 2
, RNC-MNN exam 2025, maternal newborn
nursing, RNC exam
This is a bacterial infection that arises in the general tract after delivery. A woman is
considered to have a puerperal infection if she has a fever of 38C (100.4F) or higher after the
first 24 hours following delivery and the fever is maintained for at least 2 days within the first
10 days postpartum.
A newborn's most important reflexes include all of the following EXCEPT
a. Moro
b. rooting
c. crying
d. sucking - ANS :c. crying
Practitioners look for unequal movement when assessing the reflexes of a newborn. Unequal
movements could be a sign of an abnormality of the nerves. A newborn's most important
reflexes are the Moro, rooting, and sucking reflexes. Crying is not an important reflex in
assessing a newborn.
Failure to diurese in the immediate postpartum period can lead to pulmonary edema and
subsequent cardiac problems. This is seen more commonly in women with a history of
a. preeclampsia
b. diabetes
c. urinary tract infections
d. thyroid deficiency - ANS :a. preeclampsia
TEST BANK 3
, RNC-MNN exam 2025, maternal newborn
nursing, RNC exam
Diuresis in the first 2 to 5 days helps to decrease the extracellular fluid and results in a weight
loos of 3 kg.
The fetal monitoring test which is a series of five assessments of fetal wellbeing is which of
the following?
a. contraction stress test
b. Doppler ultrasound of umbilical artery
c. nonstress test
d. biophysical profile - ANS :d. biophysical profile
The biophysical profile (BPP) is a series of five assessments of fetal wellbeing, each of which is
given a score of 0 (absent) or 2 (present). The parameters include a reactive nonstress test,
the presence of fetal breathing movements, the presence of fetal movement of the body or
limbs, the finding of fetal tone, and an adequate amount of amniotic fluid volume.
Nodules or plaques on the fetal surface of the placenta area associated with all of the
following EXCEPT
a. infection
b. oligohydramnios
c. exposure to meconium
d. renal agenesis - ANS :c. exposure to meconium
TEST BANK 4