RNC-MNN UPDATED ACTUAL Exam
Questions and CORRECT Answers
Medication administered for meconium aspiration in neonate - CORRECT ANSWER-
✔✔Beractant (survanta)
Spina Bifida occulta - CORRECT ANSWER- ✔✔Gap in spine, without spinal opening or sac
protrusion
Craniosynostosis - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- ✔✔1 min- 60-65% increase by
5% each min until 10min 85-90%
Café au lait spots - CORRECT ANSWER- ✔✔Multiple flat irregular spots. Possibly
indicates neurofibromatosis (genetic disease that affects skeletal/neuro development and cell
proliferation
involution of the uterus - CORRECT ANSWER- ✔✔the uterus returns to its normal
nonpregnant size
HELLP syndrome - CORRECT ANSWER- ✔✔hemolysis, elevated liver enzymes, low
platelets (<100,000)
HELLP syndrome labs to determine syndrome class of 1,2,3 - CORRECT ANSWER-
✔✔CBC, AST/ALT and LDH (lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
,Congenital torticollis in neonate appearance - CORRECT ANSWER- ✔✔Asymmetrical face,
head positioned as if infant is looking over shoulder
Phenylketonuria - CORRECT 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 - CORRECT ANSWER- ✔✔Low protein, no artificial sweeteners,
limited breastfeeding
Desquamation post term infant - CORRECT ANSWER- ✔✔Peeling, cracking, dry skin
Calorie requirements neonate - CORRECT ANSWER- ✔✔100 kcal/kg/day (premature 120-
150)
Absent moro reflex - CORRECT ANSWER- ✔✔Indication of bilirubin encephalopathy
(kernicterus)
Change of lochia - CORRECT ANSWER- ✔✔Rubra, serosa, alba
Closure of PDA - CORRECT 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) - CORRECT 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 - CORRECT ANSWER- ✔✔Lecithin-sphingomyelin (L/S)
ratio of 2:1 they are components of Lin surfactant
Cause of neonatal/congenital pneumonia - CORRECT ANSWER- ✔✔Staphylococcus
epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv)
, Risk for abo incompatibility - CORRECT ANSWER- ✔✔Mom o, infant a or b
puerperal infection - CORRECT ANSWER- ✔✔infection of the reproductive tract at any
time during the 6 weeks following birth
Para - CORRECT ANSWER- ✔✔delivery of a live/stillborn fetus >20wks
nullipara - CORRECT ANSWER- ✔✔a woman who has not given birth to a viable offspring,
>20wks
HCG - CORRECT ANSWER- ✔✔human chorionic gonadotropin
gestational sac - CORRECT ANSWER- ✔✔can be seen 5-6 weeks transabdominally, 3-4
transvaginally
Maternal Weight Gain - CORRECT ANSWER- ✔✔Healthy weight BMI: 25 to 35 lb
1st trimester: 3.5 to 5 lb
2nd & 3rd trimesters: 1 lb/week
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
assisted reproductive technology (ART) - CORRECT ANSWER- ✔✔any infertility treatment
in which the egg is fertilized outside the womb
Questions and CORRECT Answers
Medication administered for meconium aspiration in neonate - CORRECT ANSWER-
✔✔Beractant (survanta)
Spina Bifida occulta - CORRECT ANSWER- ✔✔Gap in spine, without spinal opening or sac
protrusion
Craniosynostosis - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- ✔✔1 min- 60-65% increase by
5% each min until 10min 85-90%
Café au lait spots - CORRECT ANSWER- ✔✔Multiple flat irregular spots. Possibly
indicates neurofibromatosis (genetic disease that affects skeletal/neuro development and cell
proliferation
involution of the uterus - CORRECT ANSWER- ✔✔the uterus returns to its normal
nonpregnant size
HELLP syndrome - CORRECT ANSWER- ✔✔hemolysis, elevated liver enzymes, low
platelets (<100,000)
HELLP syndrome labs to determine syndrome class of 1,2,3 - CORRECT ANSWER-
✔✔CBC, AST/ALT and LDH (lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
,Congenital torticollis in neonate appearance - CORRECT ANSWER- ✔✔Asymmetrical face,
head positioned as if infant is looking over shoulder
Phenylketonuria - CORRECT 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 - CORRECT ANSWER- ✔✔Low protein, no artificial sweeteners,
limited breastfeeding
Desquamation post term infant - CORRECT ANSWER- ✔✔Peeling, cracking, dry skin
Calorie requirements neonate - CORRECT ANSWER- ✔✔100 kcal/kg/day (premature 120-
150)
Absent moro reflex - CORRECT ANSWER- ✔✔Indication of bilirubin encephalopathy
(kernicterus)
Change of lochia - CORRECT ANSWER- ✔✔Rubra, serosa, alba
Closure of PDA - CORRECT 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) - CORRECT 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 - CORRECT ANSWER- ✔✔Lecithin-sphingomyelin (L/S)
ratio of 2:1 they are components of Lin surfactant
Cause of neonatal/congenital pneumonia - CORRECT ANSWER- ✔✔Staphylococcus
epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv)
, Risk for abo incompatibility - CORRECT ANSWER- ✔✔Mom o, infant a or b
puerperal infection - CORRECT ANSWER- ✔✔infection of the reproductive tract at any
time during the 6 weeks following birth
Para - CORRECT ANSWER- ✔✔delivery of a live/stillborn fetus >20wks
nullipara - CORRECT ANSWER- ✔✔a woman who has not given birth to a viable offspring,
>20wks
HCG - CORRECT ANSWER- ✔✔human chorionic gonadotropin
gestational sac - CORRECT ANSWER- ✔✔can be seen 5-6 weeks transabdominally, 3-4
transvaginally
Maternal Weight Gain - CORRECT ANSWER- ✔✔Healthy weight BMI: 25 to 35 lb
1st trimester: 3.5 to 5 lb
2nd & 3rd trimesters: 1 lb/week
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
assisted reproductive technology (ART) - CORRECT ANSWER- ✔✔any infertility treatment
in which the egg is fertilized outside the womb
