RNC-MNN latest| COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(100% Correct solutions) GET IT 100% ACCURATE!!
Emily is a 28yo mother of 3 who delivered vaginally 4 hours ago. She reports she
is "bleeding a lot" and her perineal pad, changed 45 minutes ago, is fully
saturated. Palpation reveals a boggy uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD - ANSWER-c. massage her uterus until firm
Mei experienced premature rupture of membranes during her pregnancy and her
internal fetal monitors placed during labor. She later delivered by cesarean. 12
hours after delivery, her HR is 104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis - ANSWER-d. endometritis
,You are preparing to discharge Maria after delivering a healthy boy. You believe
Maria understands the discharge teaching instructions when she states:
a. it is acceptable to have bleeding nipples after breastfeeding for the first few
days
b. I should not worry if I have a large mass under my breasts
c. I will call my nurse-midwife if I saturate a pad in one hour
d. suicidal thoughts are okay because the baby blues are normal - ANSWER-c. I will
call my nurse-midwife if I saturate a pad in one hour
An infant born to a mother who abused drugs during pregnancy exhibited
withdrawal signs in the nursery that included fever and poor state control. After
stabilization and discharge, the caretaker called to report a return of withdrawal
symptoms. This pattern is consistent with maternal abuse of:
a. alcohol
b. cocaine
c. methadone - ANSWER-b. cocaine
Eve is 2 days postpartum. During palpation, where would you normally expect to
find her fundus?
,a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time - ANSWER-b. 2 fingers below umbilicus
Keisha delivered her third child about 24 hours ago. She begins to c/o severe
uterine cramping while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains - ANSWER-d. after pains
Three days after delivering her child, Gretchen calls the 24 hour hotline. She is
crying and states that her breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk - ANSWER-c. engorgement
, Tiffany delivered via cesarean 2 days ago. She is frustrated by constant
perspiration and urination. This is likely the result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor - ANSWER-c. the body's
removal of fluids accumulated during pregnancy
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding and find
that her uterus is displayed upward and to the right. This is probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising - ANSWER-c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states that at
her age she plans to get pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
(100% Correct solutions) GET IT 100% ACCURATE!!
Emily is a 28yo mother of 3 who delivered vaginally 4 hours ago. She reports she
is "bleeding a lot" and her perineal pad, changed 45 minutes ago, is fully
saturated. Palpation reveals a boggy uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD - ANSWER-c. massage her uterus until firm
Mei experienced premature rupture of membranes during her pregnancy and her
internal fetal monitors placed during labor. She later delivered by cesarean. 12
hours after delivery, her HR is 104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis - ANSWER-d. endometritis
,You are preparing to discharge Maria after delivering a healthy boy. You believe
Maria understands the discharge teaching instructions when she states:
a. it is acceptable to have bleeding nipples after breastfeeding for the first few
days
b. I should not worry if I have a large mass under my breasts
c. I will call my nurse-midwife if I saturate a pad in one hour
d. suicidal thoughts are okay because the baby blues are normal - ANSWER-c. I will
call my nurse-midwife if I saturate a pad in one hour
An infant born to a mother who abused drugs during pregnancy exhibited
withdrawal signs in the nursery that included fever and poor state control. After
stabilization and discharge, the caretaker called to report a return of withdrawal
symptoms. This pattern is consistent with maternal abuse of:
a. alcohol
b. cocaine
c. methadone - ANSWER-b. cocaine
Eve is 2 days postpartum. During palpation, where would you normally expect to
find her fundus?
,a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time - ANSWER-b. 2 fingers below umbilicus
Keisha delivered her third child about 24 hours ago. She begins to c/o severe
uterine cramping while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains - ANSWER-d. after pains
Three days after delivering her child, Gretchen calls the 24 hour hotline. She is
crying and states that her breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk - ANSWER-c. engorgement
, Tiffany delivered via cesarean 2 days ago. She is frustrated by constant
perspiration and urination. This is likely the result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor - ANSWER-c. the body's
removal of fluids accumulated during pregnancy
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding and find
that her uterus is displayed upward and to the right. This is probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising - ANSWER-c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states that at
her age she plans to get pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
