Maternal Newborn RNC Exam with all Correct & 100%
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Graded A+
A postpartum woman complains of excruciating and pressure in the perineal area. She is
restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm at the umbilicus
with small to moderate rubra lochia. The nurse should suspect ✔Correct Answer-Hematoma
Which neonate is at greatest risk for jaundice? ✔Correct Answer-Late Preterm
On admission to the postpartum unit, a 20 year old gravida 1, complains of a headache. Her
vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema in her legs with a 4+ patellar
reflexes and 2 beats of clonus. A dipstick for protein is 3+. These findings are indicative of the
need for ✔Correct Answer-Magnesium sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women who are experiencing heroine
withdraw? ✔Correct Answer-Methadone
A high risk factor for chorioamnionitis is ✔Correct Answer-Preterm labor
Metabolic acidemia umbilical blood gases ✔Correct Answer-
The major postpartum maternal risk factor from shoulder dystocia is ✔Correct Answer-
hemorrhage
A newborn should be evaluated if a newborn has not voided by ✔Correct Answer-48 hours
The most common cause of sore nipples in immediate postpartum period is ✔Correct
Answer-Improper latch-on and positioning
A vit-K injection is necessary because of which of the following physiological states present in
the first few days of life ✔Correct Answer-Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the ✔Correct Answer-Kidneys
A patient is examined and found to have a tender, red area in one breast that feels small and
hard, similar to a pea just under the skin.
The expected management for this patient is ✔Correct Answer-Gentle massage to relieve the
lump
,When comparing the same volume of mature human milk and premature human milk, the
mature milk has ✔Correct Answer-Protein
On physical examination, a nurse notes that there are white patches on the neonates mouth
that bleed when an attempt is made to remove them. The nurse should ✔Correct Answer-
review maternal hx for vaginal or yeast infection
To avoid a precipitous drop in intra-abdominal pressure, during catheterization of a postpartum
patients bladder, what is the maximum amount of urine that should be removed at one time?
✔Correct Answer-800mL
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to ✔Correct Answer-Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse should tell
her that ✔Correct Answer-Emotional tears are not present until approx. 3 months of age
A newborn whose mother was a poorly controlled diabetic during the 3rd trimester is a risk for
✔Correct Answer-polycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract infection.
What should this newborn be monitored for? ✔Correct Answer-Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by ✔Correct Answer-Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved ✔Correct
Answer-Unequal placenta sharing
At the one hour post-op circumcision check, the nurse notes bright red oozing of blood from the
surgical site. The nurse recognizes this is ✔Correct Answer-Abnormal and requires application
of gentle pressure
Upon the admission physical exam of a male infant, the nurse notes that the meatus is located
on the ventral surface of the penis. This abnormality is known as ✔Correct Answer-
Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average ✔Correct
Answer-Cesarean
congenital varicella syndrome ✔Correct Answer-Characterized by early death
A maternal contradiction to breastfeeding ✔Correct Answer-HTLV-1 (human T-cell leukemia
virus, type 1)
, Apgar score at one minute after birth, a newborn demonstrates the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue ✔Correct Answer-9
The en face position takes place win what phase of initial attachment ✔Correct Answer-
acquaintance
A formula-feeding mother asks if she can use well water to mix formula. What is the appropriate
response? ✔Correct Answer-Needs to be tested to make sure it is safe to use
The nurse would advise the breastfeeding patient that a tight fitting bra ✔Correct Answer-Can
cause duct obstruction leading to mastitis
The parents of a 2-day-old infant ask when their baby's cord will come off. The nurse answers
that the average cord separation time is ✔Correct Answer-10-14 days
On regular rounds, the RN enters a patient room and finds the 33 year old G1 breastfeeding
with good latch crying quietly. The best action for the RN would be to.. ✔Correct Answer-
Reassure her and ask open ended questions
When looking at the fetal heart rate, the most important characteristic to determine the
absence of metabolic academia is ✔Correct Answer-Presence of moderate variability
When placing a neonate on an oxygen saturation monitor, the nurse should recognize that a
primary factor win obtaining an accurate reading is ✔Correct Answer-Perfusion status of the
infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has tachycardia.
This is consistent with ✔Correct Answer-Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the production
of ✔Correct Answer-Catecholamines
A key principle for resuscitation is that ✔Correct Answer-medications are not a substitute for
adequate ventilation
When checking for capillary refill in the newborn, the maximum return if the pink color is how
many seconds ✔Correct Answer-3 seconds
Which neonatal reflex is considered a survival behavior ✔Correct Answer-Sucking
Verified Answers |Actual Complete Update |Already
Graded A+
A postpartum woman complains of excruciating and pressure in the perineal area. She is
restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm at the umbilicus
with small to moderate rubra lochia. The nurse should suspect ✔Correct Answer-Hematoma
Which neonate is at greatest risk for jaundice? ✔Correct Answer-Late Preterm
On admission to the postpartum unit, a 20 year old gravida 1, complains of a headache. Her
vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema in her legs with a 4+ patellar
reflexes and 2 beats of clonus. A dipstick for protein is 3+. These findings are indicative of the
need for ✔Correct Answer-Magnesium sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women who are experiencing heroine
withdraw? ✔Correct Answer-Methadone
A high risk factor for chorioamnionitis is ✔Correct Answer-Preterm labor
Metabolic acidemia umbilical blood gases ✔Correct Answer-
The major postpartum maternal risk factor from shoulder dystocia is ✔Correct Answer-
hemorrhage
A newborn should be evaluated if a newborn has not voided by ✔Correct Answer-48 hours
The most common cause of sore nipples in immediate postpartum period is ✔Correct
Answer-Improper latch-on and positioning
A vit-K injection is necessary because of which of the following physiological states present in
the first few days of life ✔Correct Answer-Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the ✔Correct Answer-Kidneys
A patient is examined and found to have a tender, red area in one breast that feels small and
hard, similar to a pea just under the skin.
The expected management for this patient is ✔Correct Answer-Gentle massage to relieve the
lump
,When comparing the same volume of mature human milk and premature human milk, the
mature milk has ✔Correct Answer-Protein
On physical examination, a nurse notes that there are white patches on the neonates mouth
that bleed when an attempt is made to remove them. The nurse should ✔Correct Answer-
review maternal hx for vaginal or yeast infection
To avoid a precipitous drop in intra-abdominal pressure, during catheterization of a postpartum
patients bladder, what is the maximum amount of urine that should be removed at one time?
✔Correct Answer-800mL
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to ✔Correct Answer-Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse should tell
her that ✔Correct Answer-Emotional tears are not present until approx. 3 months of age
A newborn whose mother was a poorly controlled diabetic during the 3rd trimester is a risk for
✔Correct Answer-polycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract infection.
What should this newborn be monitored for? ✔Correct Answer-Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by ✔Correct Answer-Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved ✔Correct
Answer-Unequal placenta sharing
At the one hour post-op circumcision check, the nurse notes bright red oozing of blood from the
surgical site. The nurse recognizes this is ✔Correct Answer-Abnormal and requires application
of gentle pressure
Upon the admission physical exam of a male infant, the nurse notes that the meatus is located
on the ventral surface of the penis. This abnormality is known as ✔Correct Answer-
Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average ✔Correct
Answer-Cesarean
congenital varicella syndrome ✔Correct Answer-Characterized by early death
A maternal contradiction to breastfeeding ✔Correct Answer-HTLV-1 (human T-cell leukemia
virus, type 1)
, Apgar score at one minute after birth, a newborn demonstrates the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue ✔Correct Answer-9
The en face position takes place win what phase of initial attachment ✔Correct Answer-
acquaintance
A formula-feeding mother asks if she can use well water to mix formula. What is the appropriate
response? ✔Correct Answer-Needs to be tested to make sure it is safe to use
The nurse would advise the breastfeeding patient that a tight fitting bra ✔Correct Answer-Can
cause duct obstruction leading to mastitis
The parents of a 2-day-old infant ask when their baby's cord will come off. The nurse answers
that the average cord separation time is ✔Correct Answer-10-14 days
On regular rounds, the RN enters a patient room and finds the 33 year old G1 breastfeeding
with good latch crying quietly. The best action for the RN would be to.. ✔Correct Answer-
Reassure her and ask open ended questions
When looking at the fetal heart rate, the most important characteristic to determine the
absence of metabolic academia is ✔Correct Answer-Presence of moderate variability
When placing a neonate on an oxygen saturation monitor, the nurse should recognize that a
primary factor win obtaining an accurate reading is ✔Correct Answer-Perfusion status of the
infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has tachycardia.
This is consistent with ✔Correct Answer-Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the production
of ✔Correct Answer-Catecholamines
A key principle for resuscitation is that ✔Correct Answer-medications are not a substitute for
adequate ventilation
When checking for capillary refill in the newborn, the maximum return if the pink color is how
many seconds ✔Correct Answer-3 seconds
Which neonatal reflex is considered a survival behavior ✔Correct Answer-Sucking
