RNC MNN MATERNAL NEWBORN
NURSING CERTIFICATION EXAM END OF
COURSE STUDY GUIDE LATEST UPDATED
ACTUAL TESTED QUESTIONS AND
CORRECT ANSWERS
⩥ Spina Bifida occulta.
Answer: Gap in spine, without spinal opening or sac protrusion
⩥ Craniosynostosis.
Answer: 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.
Answer: 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.
Answer: 1 min- 60-65% increase by 5% each min until 10min 85-90%
,⩥ Café au lait spots.
Answer: Multiple flat irregular spots. Possibly indicates
neurofibromatosis (genetic disease that affects skeletal/neuro
development and cell proliferation
⩥ involution of the uterus.
Answer: the uterus returns to its normal nonpregnant size
⩥ HELLP syndrome.
Answer: hemolysis, elevated liver enzymes, low platelets (<100,000)
⩥ HELLP syndrome labs to determine syndrome class of 1,2,3.
Answer: CBC, AST/ALT and LDH (lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
⩥ Congenital torticollis in neonate appearance.
Answer: Asymmetrical face, head positioned as if infant is looking over
shoulder
⩥ Phenylketonuria.
Answer: 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.
Answer: Low protein, no artificial sweeteners, limited breastfeeding
⩥ Desquamation post term infant.
Answer: Peeling, cracking, dry skin
⩥ Calorie requirements neonate.
Answer: 100 kcal/kg/day (premature 120-150)
⩥ Absent moro reflex.
Answer: Indication of bilirubin encephalopathy (kernicterus)
⩥ Change of lochia.
Answer: Rubra, serosa, alba
⩥ Closure of PDA.
Answer: (Pulmonary ductus arteriosus) 24 hours. infants with
transposition of great arteries, pda may need to be kept open
⩥ TTN (transient tachypnea of the newborn).
, Answer: 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.
Answer: Lecithin-sphingomyelin (L/S) ratio of 2:1 they are components
of Lin surfactant
⩥ Cause of neonatal/congenital pneumonia.
Answer: Staphylococcus epidermidis, group b strep, E. coli, ureaplasma
urealyticum. Or viral (hsv, hiv)
⩥ Risk for abo incompatibility.
Answer: Mom o, infant a or b
⩥ puerperal infection.
Answer: infection of the reproductive tract at any time during the 6
weeks following birth
⩥ Para.
Answer: delivery of a live/stillborn fetus >20wks
⩥ nullipara.
NURSING CERTIFICATION EXAM END OF
COURSE STUDY GUIDE LATEST UPDATED
ACTUAL TESTED QUESTIONS AND
CORRECT ANSWERS
⩥ Spina Bifida occulta.
Answer: Gap in spine, without spinal opening or sac protrusion
⩥ Craniosynostosis.
Answer: 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.
Answer: 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.
Answer: 1 min- 60-65% increase by 5% each min until 10min 85-90%
,⩥ Café au lait spots.
Answer: Multiple flat irregular spots. Possibly indicates
neurofibromatosis (genetic disease that affects skeletal/neuro
development and cell proliferation
⩥ involution of the uterus.
Answer: the uterus returns to its normal nonpregnant size
⩥ HELLP syndrome.
Answer: hemolysis, elevated liver enzymes, low platelets (<100,000)
⩥ HELLP syndrome labs to determine syndrome class of 1,2,3.
Answer: CBC, AST/ALT and LDH (lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
⩥ Congenital torticollis in neonate appearance.
Answer: Asymmetrical face, head positioned as if infant is looking over
shoulder
⩥ Phenylketonuria.
Answer: 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.
Answer: Low protein, no artificial sweeteners, limited breastfeeding
⩥ Desquamation post term infant.
Answer: Peeling, cracking, dry skin
⩥ Calorie requirements neonate.
Answer: 100 kcal/kg/day (premature 120-150)
⩥ Absent moro reflex.
Answer: Indication of bilirubin encephalopathy (kernicterus)
⩥ Change of lochia.
Answer: Rubra, serosa, alba
⩥ Closure of PDA.
Answer: (Pulmonary ductus arteriosus) 24 hours. infants with
transposition of great arteries, pda may need to be kept open
⩥ TTN (transient tachypnea of the newborn).
, Answer: 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.
Answer: Lecithin-sphingomyelin (L/S) ratio of 2:1 they are components
of Lin surfactant
⩥ Cause of neonatal/congenital pneumonia.
Answer: Staphylococcus epidermidis, group b strep, E. coli, ureaplasma
urealyticum. Or viral (hsv, hiv)
⩥ Risk for abo incompatibility.
Answer: Mom o, infant a or b
⩥ puerperal infection.
Answer: infection of the reproductive tract at any time during the 6
weeks following birth
⩥ Para.
Answer: delivery of a live/stillborn fetus >20wks
⩥ nullipara.
