Maternal Newborn RNC Exam Questions And
100% Correct Answers
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 - Answer
Hematoma
Which neonate is at greatest risk for jaundice? - Answer Late Preterm
Admitted to the postpartum unit, this 20 year old gravida 1, complains of a headache.
Her vital signs are: BP 140/88, HR 110, RR 18. She has pitting edema in her legs with a
4+ patellar reflexes and 2 beats of clonus. A dipstick for protein is 3+. These findings
indicate a need for - Answer Magnesium sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women that are experiencing
heroine withdraw? - Answer Methadone
A high risk factor for chorioamnionitis is - Answer Preterm labor
Metabolic acidemia umbilical blood gases - Answer
The major postpartum maternal risk factor from shoulder dystocia is - Answer
hemorrhage
A newborn should be evaluated if a newborn has not voided by - Answer 48 hours
The most common cause of sore nipples in immediate postpartum period is - 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 - Answer Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the - Answer Kidneys
A client is admitted to the clinic and is diagnosed with one tender, red area in one breast
that feels small and hard, about the size of a pea just under the skin.
The most likely management for this client is - Response Gentle massage to relieve the
lump
Comparison of mature human milk and premature human milk reveals that for an
identical volume, mature human milk contains - Response 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 - Answer
review maternal hx for vaginal or yeast infection
To prevent 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? - Answer 800mL
The impaired ability of the preterm neonate to generate heat, to maintain normal body
temperature is most related to - Answer Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse
should reassure her that - 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 - 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? - Answer Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by - Answer Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved -
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 - Answer Abnormal and requires
application of gentle pressure
Following the delivery, during the admission physical examination, the nurse notes that
the meatus of a male newborn is located on the ventral surface of the penis. This is an
example of - Answer Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average - Answer
Cesarean
congenital varicella syndrome - Answer Characterized by early death
A maternal contradiction to breastfeeding - Answer HTLV-1 (human T-cell leukemia
virus, type 1)
Apgar score at one minute after birth, a new born reveals the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue - Answer 9
, The en face position occurs win what phase of initial attachment - Answer acquaintance
A formula-feeding mother asks the nurse whether she can use well water to mix formula.
What is the best response? - Answer Needs to be tested to make sure it is safe to use
The nurse would instruct the breastfeeding patient that a tight fitting bra - 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 - 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. -
Answer Reassure her and ask open ended questions
Fetal heart rate characteristic that is most indicative of the absence of metabolic
academia - Answer Presence of moderate variability
When implementing an oxygen saturation monitor on a neonate, the nurse should know
that the single most important factor in getting an accurate reading is related to the -
Answer Perfusion status of the infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has
tachycardia. This is consistent with - Answer Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the
production of - Answer Catecholamines
The essential principle for resuscitation is that - Answer medications are not a
substitute for adequate ventilation
100% Correct Answers
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 - Answer
Hematoma
Which neonate is at greatest risk for jaundice? - Answer Late Preterm
Admitted to the postpartum unit, this 20 year old gravida 1, complains of a headache.
Her vital signs are: BP 140/88, HR 110, RR 18. She has pitting edema in her legs with a
4+ patellar reflexes and 2 beats of clonus. A dipstick for protein is 3+. These findings
indicate a need for - Answer Magnesium sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women that are experiencing
heroine withdraw? - Answer Methadone
A high risk factor for chorioamnionitis is - Answer Preterm labor
Metabolic acidemia umbilical blood gases - Answer
The major postpartum maternal risk factor from shoulder dystocia is - Answer
hemorrhage
A newborn should be evaluated if a newborn has not voided by - Answer 48 hours
The most common cause of sore nipples in immediate postpartum period is - 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 - Answer Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the - Answer Kidneys
A client is admitted to the clinic and is diagnosed with one tender, red area in one breast
that feels small and hard, about the size of a pea just under the skin.
The most likely management for this client is - Response Gentle massage to relieve the
lump
Comparison of mature human milk and premature human milk reveals that for an
identical volume, mature human milk contains - Response 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 - Answer
review maternal hx for vaginal or yeast infection
To prevent 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? - Answer 800mL
The impaired ability of the preterm neonate to generate heat, to maintain normal body
temperature is most related to - Answer Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse
should reassure her that - 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 - 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? - Answer Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by - Answer Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved -
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 - Answer Abnormal and requires
application of gentle pressure
Following the delivery, during the admission physical examination, the nurse notes that
the meatus of a male newborn is located on the ventral surface of the penis. This is an
example of - Answer Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average - Answer
Cesarean
congenital varicella syndrome - Answer Characterized by early death
A maternal contradiction to breastfeeding - Answer HTLV-1 (human T-cell leukemia
virus, type 1)
Apgar score at one minute after birth, a new born reveals the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue - Answer 9
, The en face position occurs win what phase of initial attachment - Answer acquaintance
A formula-feeding mother asks the nurse whether she can use well water to mix formula.
What is the best response? - Answer Needs to be tested to make sure it is safe to use
The nurse would instruct the breastfeeding patient that a tight fitting bra - 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 - 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. -
Answer Reassure her and ask open ended questions
Fetal heart rate characteristic that is most indicative of the absence of metabolic
academia - Answer Presence of moderate variability
When implementing an oxygen saturation monitor on a neonate, the nurse should know
that the single most important factor in getting an accurate reading is related to the -
Answer Perfusion status of the infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has
tachycardia. This is consistent with - Answer Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the
production of - Answer Catecholamines
The essential principle for resuscitation is that - Answer medications are not a
substitute for adequate ventilation
