RNC-MNN Test Prep (Solution) Questions And Answers With Rationale

RNC-MNN Test Prep According to the March of Dimes, there may be four main routes to spontaneous premature labor. They include all except which of the following? a. infections or inflammation b. maternal or fetal stress c. diabetes d. bleeding c. diabetes Diabetes is not a route considered. The fourth route is uterine stretching. Overdistention of the uterus due to multiple gestation, or placental abnormalities can lead to the release of chemicals that stimulate uterine contractions. The presence of 10^5 or more bacterial colonies per milliliter of urine on two consecutive, clean catch, midstream voided specimens is an indication of: a. pyelonephritis b. cystitis c. thrombophlebitis d. bacteriuria d. bacteriuria Bacteriuria is defined as the presence of 10^5 or more bacterial colonies per milliliter of urine on two consecutive, clean catch, midstream voided specimens. Risk is associated with sickle cell trait, lower socio-economic status, increased parity, and reduced availability of medical care. Which of the following is least likely to be a risk factor for postpartum hemorrhage? a. prolonged labor b. induced or augmented labor c. prior vaginal birth d. difficult third stage of labor c. prior vaginal birth The least likely to be a risk factor for postpartum hemorrhage is prior vaginal birth. Prior cesarean birth is a risk factor, however. Other risk factors include: multiparity, coagulopathies, and uterine rupture (among others). At what point postpartum does the infarcted superficial tissue over the placental site slough off? a. immediately after the placenta is delivered b. 24 hours after delivery c. 72 hours after delivery d. 7-14 postpartum d. 7-14 postpartum At this time, the woman may notice an episode of increased vaginal bleeding, which is usually self-limited. Bleeding lasting more than 1 to 2 hours should be evaluated for late postpartum hemorrhage. During the first few days after birth, which of the following secretions causes strong uterine contractions and a further reduction in size of the uterus? a. progesterone b. estrogen c. prolactin d. oxytocin d. oxytocin During the first few days after birth, oxytocin secretion causes uterine contractions, especially after breastfeeding and in multiparas. Multiparity, multiple gestation, polyhydramnios, and bladder distention can influence uterine size and the progression of uterine involution. The National Screening Committee timeline states that all babies should be formally reviewed at the latest by what age? a. 8 weeks b. 6 weeks c. 1 week d. 2 weeks a. 8 weeks The developmental assessment of the baby at this point gives the practitioner an opportunity to ensure that the baby's neurological development is progressing as would be expected. Transient tachypnea of the newborn is sometimes referred to as which of the following? a. wet lung syndrome b. retained lung fluid c. RDS type II d. all of the above d. all of the above All of these choices are other names for transient tachypnea of the newborn (TTN). The pathophysiology of TTN is excess fluid in the lungs, failure to clear normal fetal lung fluid, or both. Respiratory distress syndrome (RDS) is the major cause of respiratory distress in the newborn. It accounts for approximately what percentage of all premature infant deaths?