RNC MNN EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
While auscultating the heart sounds of a woman who is 18 weeks pregnant, the nurse
notes a splitting of the first heart sound as well as a systolic murmur. The nurses priority
action is:
A. Space immediately place the client on a Telemetry Monitor and assess for dysrhythmias.
B. Place the client on her right side and reassess
C. Reassure the client that this is an expected finding
CORRECT ANSWER
C. It is common for pregnant women to experience changes in heart sounds beginning at
12 weeks and persisting up to four weeks into the postpartum period. The most common
changes include a splitting of the first heart sound as well as a systolic murmur.
Question 2
Which of the following is accurate concerning the increase in blood volume experienced
during pregnancy?
Maternal blood volume begins to increase at approximately 20 weeks of pregnancy
The average blood volume increase is approximately 1600 ml for a Singleton.
Red blood cells increased by approximately 50% and plasma by approximately 20%.
CORRECT ANSWER
B. The average blood volume increase is approximately 1600 ml for a Singleton. Maternal
blood volume begins to increase at approximately 6 weeks of pregnancy. Red blood cells
increased by approximately 20% and plasma by approximately 50%.
1
, Question 3
The nurse is caring for a client who is 38 weeks pregnant. Which of the following would
assist the nurse and assessing heart sounds?
Anticipate the heart sounds will be shifted up and laterally and play stethoscope accordingly
Ask the client to Bear down while assessing heart sounds
Place the stethoscope slightly to the right of usual landmarks while assessing
CORRECT ANSWER
A. During the third trimester the uterus places pressure on the diaphragm and causes the
heart to move up and laterally
Question 4
Which of the following is considered a normal adaptive change concerning the
cardiovascular status during pregnancy?
The muscles of The myocardium enlarge 10 - 15% during the first trimester
There is a decrease in cardiac output as the pregnancy advances
Physiologic polycythemia occurs during pregnancy
CORRECT ANSWER
A. The muscles of The myocardium and large by 10 - 15% during the first trimester. There
is an increase in cardiac output due to the expanded blood volume a physiologic anemia
occurs due to the disproportionate increase in plasma volume
Question 5
Which of the following is true concerning acid-base balance during pregnancy?
The ph tends to be slightly lower.
The po2 tends to be slightly higher.
The pco2 tends to be slightly higher
CORRECT ANSWER
2
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
While auscultating the heart sounds of a woman who is 18 weeks pregnant, the nurse
notes a splitting of the first heart sound as well as a systolic murmur. The nurses priority
action is:
A. Space immediately place the client on a Telemetry Monitor and assess for dysrhythmias.
B. Place the client on her right side and reassess
C. Reassure the client that this is an expected finding
CORRECT ANSWER
C. It is common for pregnant women to experience changes in heart sounds beginning at
12 weeks and persisting up to four weeks into the postpartum period. The most common
changes include a splitting of the first heart sound as well as a systolic murmur.
Question 2
Which of the following is accurate concerning the increase in blood volume experienced
during pregnancy?
Maternal blood volume begins to increase at approximately 20 weeks of pregnancy
The average blood volume increase is approximately 1600 ml for a Singleton.
Red blood cells increased by approximately 50% and plasma by approximately 20%.
CORRECT ANSWER
B. The average blood volume increase is approximately 1600 ml for a Singleton. Maternal
blood volume begins to increase at approximately 6 weeks of pregnancy. Red blood cells
increased by approximately 20% and plasma by approximately 50%.
1
, Question 3
The nurse is caring for a client who is 38 weeks pregnant. Which of the following would
assist the nurse and assessing heart sounds?
Anticipate the heart sounds will be shifted up and laterally and play stethoscope accordingly
Ask the client to Bear down while assessing heart sounds
Place the stethoscope slightly to the right of usual landmarks while assessing
CORRECT ANSWER
A. During the third trimester the uterus places pressure on the diaphragm and causes the
heart to move up and laterally
Question 4
Which of the following is considered a normal adaptive change concerning the
cardiovascular status during pregnancy?
The muscles of The myocardium enlarge 10 - 15% during the first trimester
There is a decrease in cardiac output as the pregnancy advances
Physiologic polycythemia occurs during pregnancy
CORRECT ANSWER
A. The muscles of The myocardium and large by 10 - 15% during the first trimester. There
is an increase in cardiac output due to the expanded blood volume a physiologic anemia
occurs due to the disproportionate increase in plasma volume
Question 5
Which of the following is true concerning acid-base balance during pregnancy?
The ph tends to be slightly lower.
The po2 tends to be slightly higher.
The pco2 tends to be slightly higher
CORRECT ANSWER
2
