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Exam (elaborations)

Maternal Newborn Nursing Certification (RNC-MNN) Questions with Accurate Answers

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________ score is way to determine cervical readiness for induction. correct answer Bishop ___________ and ____________ levels fall after birth and then rise to normal within 48 hours. correct answer Magnesium and calcium A 33-week preterm infant born to a mother with PROM that resulted in maternal fever. The clinical presentation of respiratory distress with hypotension, temperature instability, and early jaundice appear as symptoms of _________________ __________________. correct answer Bacterial meningitis A BPP or biophysical profile of less than ___________ is considered abnormal and suggests further monitoring, testing, or intervention. correct answer 6 points A daycare worker states she is 8 weeks pregnant and one of the children she cares for has been diagnosed with HFM Disease. What titers should the nurse anticipate being drawn? correct answer Parvo A late preterm male infant is admitted with severe cyanosis and a loud murmur. The nurse suspects the infant has: correct answer Transposition of the great vessels - the most common cause of cyanosis in newborns A neonate is receiving intravenous vancomycin. When should the nurse draw the serum peak level? correct answer 30 minutes to 1 hour after vancomycin dose administered

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Maternal Newborn Nursing Certification (RNC-
MNN) Questions with Accurate Answers
________ score is way to determine cervical readiness for induction. correct
answer Bishop


___________ and ____________ levels fall after birth and then rise to normal
within 48 hours. correct answer Magnesium and calcium


A 33-week preterm infant born to a mother with PROM that resulted in maternal
fever. The clinical presentation of respiratory distress with hypotension,
temperature instability, and early jaundice appear as symptoms of
_________________ __________________. correct answer Bacterial meningitis


A BPP or biophysical profile of less than ___________ is considered abnormal and
suggests further monitoring, testing, or intervention. correct answer 6 points


A daycare worker states she is 8 weeks pregnant and one of the children she
cares for has been diagnosed with HFM Disease. What titers should the nurse
anticipate being drawn? correct answer Parvo


A late preterm male infant is admitted with severe cyanosis and a loud murmur.
The nurse suspects the infant has: correct answer Transposition of the great
vessels - the most common cause of cyanosis in newborns


A neonate is receiving intravenous vancomycin. When should the nurse draw the
serum peak level? correct answer 30 minutes to 1 hour after vancomycin dose
administered

,A newly delivered patient arrives to the Postpartum unit. What initial steps need
to be done to assess her physical status? correct answer Vital signs, level of
consciousness, fundal and lochia status, pain level, perineal or incisional area


A patient at 38 weeks calls to the OB Triage area and states her baby is not
moving. What should the instructions be to the patient? correct answer Come in
for an evaluation ASAP


A patient who has just delivered her sixth infant is more or less at risk for PP
Hemorrhage? correct answer More risk with increased parity


A patient's birth plan indicates they have a history of bleeding disorders in the
family and are expecting a son. What is important to include in this nursing care
plan? correct answer Report to the pediatrician the family history and suggest
possible counseling and lab work prior to the circumcision. Also report to OB
about the careful use of vacuum or forceps.


A positive Galeazzi sign, Ortolani maneuver, or Barlow maneuver is a sign of:
correct answer Hip dysplasia


A simple noninvasive technique that can be taught to pregnant women to assess
fetal well-being is known as: correct answer Fetal kick counts


A term infant is being resuscitated. The nurse notes weak peripheral pulses,
pallor, and diminished muscle tone after 6 minutes of resuscitation efforts. The
nurse would prepare: correct answer Normal saline as a volume expander


A term infant weighing more than 4000 grams is classified as LGA. Associated risks
include: correct answer Birth trauma, hypoglycemia, hypocalcemia,

,hyperbilirubinemia, meconium aspiration, intrauterine infection, and
polycythemia


A thin, smaller than normal umbilical cord for an infant indicates: correct answer
Intrauterine growth restriction


Absent variability is known as a tracing that is visually __________. correct
answer Undetectable and appears as a tracing without any fluctuation


Adolescent parents experience different conflicts after the birth of an infant that
is typically characterized by: correct answer High anxiety


All healthy newborns are screened after 24 hours of life or prior to discharge for
congenital cardiac heart disease (CCHD). An infant passed when: correct answer
Pulse ox is greater than 95% in either extremity with a less than or equal to 3%
difference between the upper and lower extremity


An abnormal finding that impairs the full range of motion of the neck is: correct
answer Torticollis - asymptomatic shortening of the sternocleidomastoid muscle


An infant appears to be sucking without a pacifier, has a horizontal deviation of
the eyes, and is drooling. These are signs of what type of seizure? correct answer
Subtle seizures


An infant condition where human milk cannot be given? correct answer Infants
with galactosemia cannot digest any milk wit lactose; requires use of lactose free
formula.

, An infant is to receive 40mg of a drug. The available concentration is 100mg/1mL.
How much should be given? correct answer 0.4mL


An infant with a high magnesium level shortly after birth would appear
_____________. correct answer Hypotonic


Other symptoms include: respiratory depression, apnea, lethargy, poor suck,
hypotonia, and may have gastric distention.


An infant with sever Tetralogy of Fallot would present shortly after birth with
__________________ _________________. correct answer Severe cyanosis


An omphalocele differs from gastroschisis in that the herniation is: correct answer
An omphalocele is caused by an opening (defect) in the middle of the abdominal
wall at the bellybutton (umbilicus). The skin, muscle, and fibrous tissue are
missing. The intestines spill (herniate) out through the opening and are covered
by a thin sac. The umbilical cord is in the center of the defect.


Gastroschisis also is an abnormal opening of the abdominal wall. In gastroschisis,
the opening is near the bellybutton (usually to the right) but not directly over it,
like in omphalocele. Like in omphalocele, the opening allows the intestines to spill
out but unlike omphalocele, the intestines are not covered by a thin sac.


And planning for contraception what type of patients are generally recommended
to use IUDs? correct answer Those who have multiple partners, history of pelvic
inflammatory disease, or STDs


Apnea during the first 48 hours of life may be due to: correct answer Infection

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