Page 1 of 340
RNC-MNN EXAM MATERNAL NEWBORN NURSING CERTIFICATION
EXAM TESTBANK COMPLETE 850 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
RNC-MNN EXAM 1
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
b. cocaine
Tachypnea, tachycardia, and poor feeding in a 12 hour old neonate, born to a mother with
diabetes mellitus, would be more consistent with the onset of:
a. congestive heart failure
b. hypoglycemia
c. respiratory distress syndrome
b. hypoglycemia
A postpartum woman has a BP of 150/92 at 6 hours. Later, the BP is 148/90. This finding most
likely:
a. diminished venous return
b. reflects postpartum peak in cardiac output
c. requires evaluation for postpartum preeclampsia
, Page 2 of 340
c. requires evaluation for postpartum preeclampsia
The let down reflex in the breastfeeding woman is responsible for
a. movement of the milk from ducts to the nipple
b. regulation of milk release to ensure milk is available at any given time
c. release of the milk to the alveoli
a. movement of the milk from ducts to the nipple
A woman plans not to breastfeed and asks about how to suppress lactation. She should be
advised that:
a. mechanical suppression occurs with the use of a supportive bra
b. medications can be prescribes to stop lactation
c. physiologically, lactation will not proceed without breastfeeding and no intervention is
needed
a. mechanical suppression occurs with the use of a supportive bra
Spinal blockade occurring with epidural anesthesia results in
a. hypotension
b. tachycardia
c. vertigo
a. hypotension
Synthesis of vitamin K in the neonate is dependent upon the presence of
a. amino acids derived from human or formula proteins
b. appropriate bacteria in the GI tract
c. passively acquired maternal antibodies
, Page 3 of 340
b. appropriate bacteria in the GI tract
A woman with a history of breast augmentation asks if she will be able to breastfeed her
baby. The factor that will most influence her ability to breastfeed is
a. time interval since the surgery
b. type of implant
c. type of incision
c. type of incision
Assessment for the presence of congenital viral infection would be indicated in which of the
following:
a. 38 weeks, LGA infant with RDS
b. late preterm with elevated indirect bilirubin
c. term, SGA with widespread petechiae
c. term, SGA with widespread petechiae
A woman has been treated with fractionated heparin during pregnancy for
thromboembolism. She wants to breastfeed. In the postpartum period, it would be expected
that she would
a. be changed to a low molecular weight heparin formulation
b. be switched to warfarin
c. continue with heparin therapy
c. continue with heparin therapy
An anatomic breast variation that has been linked with insufficient lactation relates to
a. inadequate glandular tissue
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b. lack of breast tissue elasticity
c. shape and size of nipple
a. inadequate glandular tissue
A woman is admitted to the postpartum unit following delivery of her infant on the route to
the hospital. The RN noted bruises on the woman's back and arms. To assess possible
intimate partner violence, the RN should
a. directly ask her if anyone has threatened her or physically harmed her
b. question her on how she obtained the bruises
c. review the patients chart for any indication of domestic violence
b. question her on how she obtained the bruises
The use of phototherapy reduces the risk of
a. bronze baby syndrome
b. exchange transfusion
c. skin moles
b. exchange transfusion
Uterine prolapse associated with childbirth is due to
a. atrophy of the uterine tissue
b. bulging of uterine tissue through the cervix
c. weakening of the pelvic tissue
c. weakening of the pelvic tissue
Eve is 2 days postpartum. During palpation, where would you normally expect to find her
fundus?
RNC-MNN EXAM MATERNAL NEWBORN NURSING CERTIFICATION
EXAM TESTBANK COMPLETE 850 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
RNC-MNN EXAM 1
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
b. cocaine
Tachypnea, tachycardia, and poor feeding in a 12 hour old neonate, born to a mother with
diabetes mellitus, would be more consistent with the onset of:
a. congestive heart failure
b. hypoglycemia
c. respiratory distress syndrome
b. hypoglycemia
A postpartum woman has a BP of 150/92 at 6 hours. Later, the BP is 148/90. This finding most
likely:
a. diminished venous return
b. reflects postpartum peak in cardiac output
c. requires evaluation for postpartum preeclampsia
, Page 2 of 340
c. requires evaluation for postpartum preeclampsia
The let down reflex in the breastfeeding woman is responsible for
a. movement of the milk from ducts to the nipple
b. regulation of milk release to ensure milk is available at any given time
c. release of the milk to the alveoli
a. movement of the milk from ducts to the nipple
A woman plans not to breastfeed and asks about how to suppress lactation. She should be
advised that:
a. mechanical suppression occurs with the use of a supportive bra
b. medications can be prescribes to stop lactation
c. physiologically, lactation will not proceed without breastfeeding and no intervention is
needed
a. mechanical suppression occurs with the use of a supportive bra
Spinal blockade occurring with epidural anesthesia results in
a. hypotension
b. tachycardia
c. vertigo
a. hypotension
Synthesis of vitamin K in the neonate is dependent upon the presence of
a. amino acids derived from human or formula proteins
b. appropriate bacteria in the GI tract
c. passively acquired maternal antibodies
, Page 3 of 340
b. appropriate bacteria in the GI tract
A woman with a history of breast augmentation asks if she will be able to breastfeed her
baby. The factor that will most influence her ability to breastfeed is
a. time interval since the surgery
b. type of implant
c. type of incision
c. type of incision
Assessment for the presence of congenital viral infection would be indicated in which of the
following:
a. 38 weeks, LGA infant with RDS
b. late preterm with elevated indirect bilirubin
c. term, SGA with widespread petechiae
c. term, SGA with widespread petechiae
A woman has been treated with fractionated heparin during pregnancy for
thromboembolism. She wants to breastfeed. In the postpartum period, it would be expected
that she would
a. be changed to a low molecular weight heparin formulation
b. be switched to warfarin
c. continue with heparin therapy
c. continue with heparin therapy
An anatomic breast variation that has been linked with insufficient lactation relates to
a. inadequate glandular tissue
, Page 4 of 340
b. lack of breast tissue elasticity
c. shape and size of nipple
a. inadequate glandular tissue
A woman is admitted to the postpartum unit following delivery of her infant on the route to
the hospital. The RN noted bruises on the woman's back and arms. To assess possible
intimate partner violence, the RN should
a. directly ask her if anyone has threatened her or physically harmed her
b. question her on how she obtained the bruises
c. review the patients chart for any indication of domestic violence
b. question her on how she obtained the bruises
The use of phototherapy reduces the risk of
a. bronze baby syndrome
b. exchange transfusion
c. skin moles
b. exchange transfusion
Uterine prolapse associated with childbirth is due to
a. atrophy of the uterine tissue
b. bulging of uterine tissue through the cervix
c. weakening of the pelvic tissue
c. weakening of the pelvic tissue
Eve is 2 days postpartum. During palpation, where would you normally expect to find her
fundus?
