RNC-MNN
Eve is 2 days postpartum. During palpa-
tion, where would you normally expect to
find her fundus?
b. 2 fingers below umbilicus
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
Keisha delivered her third child about 24
hours ago. She begins to c/o severe uter-
ine cramping while breastfeeding. She is
experiencing:
d. after pains
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
Three days after delivering her child,
Gretchen calls the 24 hour hotline. She
is crying and states that her breasts sud-
denly became "bigger" and "really hurt."
She is experiencing:
c. engorgement
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
Tiffany delivered via cesarean 2 days
ago. She is frustrated by constant per-
spiration and urination. This is likely the
result of:
c. the body's removal of fluids accumulat-
a. changes in urine pH and a possible
ed during pregnancy
UTI
b. drinking too much fluid in the early
postpartum period
c. the body's removal of fluids accumu-
lated during pregnancy
, RNC-MNN
d. receiving excessive amounts of IV flu-
ids during labor
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:
c. distention of the bladder
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
Olga, a 38yo patient whom you adminis-
tered 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
a. avoid pregnancy for at least 8 weeks
after receiving the MMR vaccine
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
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 expe- b. mal-attachment
riencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
, RNC-MNN
Recommended advice for breastfeeding
mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water c. apply a warm compress to ease nipple
after each feeding pain
c. apply a warm compress to ease nipple
pain
d. "conditioning" the nipples by gently
rubbing them with moist tea bags
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:
b. ambulate frequently
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
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
d. offer her a non-drug option such as a
as prescribed by her MD
hot pack or massage
b. encourage her to fight the pain be-
cause 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
Emily is a 28yo mother of 3 who deliv-
ered vaginally 4 hours ago. She reports
she is "bleeding a lot" and her perineal
, RNC-MNN
pad, changed 45 minutes ago, is ful-
ly saturated. Palpation reveals a boggy
uterus. Your first intervention is:
c. massage her uterus until firm
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
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: d. endometritis
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
You are preparing to discharge Maria af-
ter delivering a healthy boy. You believe
Maria understands the discharge teach-
ing instructions when she states:
a. it is acceptable to have bleeding nip-
ples after breastfeeding for the first few c. I will call my nurse-midwife if I saturate
days a pad in one hour
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
An infant born to a mother who abused
drugs during pregnancy exhibited with-
drawal signs in the nursery that included
fever and poor state control. After sta-
bilization and discharge, the caretaker
Eve is 2 days postpartum. During palpa-
tion, where would you normally expect to
find her fundus?
b. 2 fingers below umbilicus
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
Keisha delivered her third child about 24
hours ago. She begins to c/o severe uter-
ine cramping while breastfeeding. She is
experiencing:
d. after pains
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
Three days after delivering her child,
Gretchen calls the 24 hour hotline. She
is crying and states that her breasts sud-
denly became "bigger" and "really hurt."
She is experiencing:
c. engorgement
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
Tiffany delivered via cesarean 2 days
ago. She is frustrated by constant per-
spiration and urination. This is likely the
result of:
c. the body's removal of fluids accumulat-
a. changes in urine pH and a possible
ed during pregnancy
UTI
b. drinking too much fluid in the early
postpartum period
c. the body's removal of fluids accumu-
lated during pregnancy
, RNC-MNN
d. receiving excessive amounts of IV flu-
ids during labor
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:
c. distention of the bladder
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
Olga, a 38yo patient whom you adminis-
tered 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
a. avoid pregnancy for at least 8 weeks
after receiving the MMR vaccine
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
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 expe- b. mal-attachment
riencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
, RNC-MNN
Recommended advice for breastfeeding
mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water c. apply a warm compress to ease nipple
after each feeding pain
c. apply a warm compress to ease nipple
pain
d. "conditioning" the nipples by gently
rubbing them with moist tea bags
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:
b. ambulate frequently
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
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
d. offer her a non-drug option such as a
as prescribed by her MD
hot pack or massage
b. encourage her to fight the pain be-
cause 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
Emily is a 28yo mother of 3 who deliv-
ered vaginally 4 hours ago. She reports
she is "bleeding a lot" and her perineal
, RNC-MNN
pad, changed 45 minutes ago, is ful-
ly saturated. Palpation reveals a boggy
uterus. Your first intervention is:
c. massage her uterus until firm
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
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: d. endometritis
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
You are preparing to discharge Maria af-
ter delivering a healthy boy. You believe
Maria understands the discharge teach-
ing instructions when she states:
a. it is acceptable to have bleeding nip-
ples after breastfeeding for the first few c. I will call my nurse-midwife if I saturate
days a pad in one hour
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
An infant born to a mother who abused
drugs during pregnancy exhibited with-
drawal signs in the nursery that included
fever and poor state control. After sta-
bilization and discharge, the caretaker
