MATERNAL NEWBORN NURSING RNC-MNN EXAM – MOST
TESTED 400 QUESTIONS & 2025 UPDATED STUDY GUIDE |
GUARANTEED PASS FOR MATERNAL NEWBORN NURSE
CERTIFICATION
THE RNC-MNN 2025 EXAM RESOURCE IS BUILT AROUND THE MOST
COMMONLY TESTED DOMAINS OF MATERNAL-NEWBORN NURSING,
INCLUDING EVIDENCE-BASED CARE OF MOTHERS AND INFANTS. IT PROVIDES A
COMPREHENSIVE REVIEW OF SCENARIOS THAT REFLECT NATIONAL
CERTIFICATION STANDARDS AND GUARANTEES A PASS THROUGH STRATEGIC
QUESTION DESIGN AND EXAM-LEVEL PRACTICE. PERFECT FOR NURSES SEEKING
CERTIFICATION SUCCESS.
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery - CORRECT ANSWER-a. avoid pregnancy for at least 8
weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She talks on her cell phone
whenever you are in the room and refuses to touch or hold her baby, even when he cries. You
overhear Joan tell someone that the baby is "ugly like his father." Joan is most likely experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression - CORRECT ANSWER-b. mal-attachment
Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
,b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags - CORRECT ANSWER-c.
apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at risk for thrombophlebitis,
and she asks you how she can prevent this from happening. You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - CORRECT ANSWER-b. ambulate frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but
refuses pain medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage - CORRECT ANSWER-d. offer her a non-
drug option such as a hot pack or massage
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-b. cocaine
Leukocytosis that occurs in normal postpartum adaptation can be differentiated from an infectious
process by the presence of:
a. a 30% increase in WBC count in a 6 hour period
b. a concominant increase in the sedimentation rate
c. any elevation in temperature - CORRECT ANSWER-b. a concominant increase in the sedimentation
rate
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 - CORRECT ANSWER-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
TESTED 400 QUESTIONS & 2025 UPDATED STUDY GUIDE |
GUARANTEED PASS FOR MATERNAL NEWBORN NURSE
CERTIFICATION
THE RNC-MNN 2025 EXAM RESOURCE IS BUILT AROUND THE MOST
COMMONLY TESTED DOMAINS OF MATERNAL-NEWBORN NURSING,
INCLUDING EVIDENCE-BASED CARE OF MOTHERS AND INFANTS. IT PROVIDES A
COMPREHENSIVE REVIEW OF SCENARIOS THAT REFLECT NATIONAL
CERTIFICATION STANDARDS AND GUARANTEES A PASS THROUGH STRATEGIC
QUESTION DESIGN AND EXAM-LEVEL PRACTICE. PERFECT FOR NURSES SEEKING
CERTIFICATION SUCCESS.
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery - CORRECT ANSWER-a. avoid pregnancy for at least 8
weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She talks on her cell phone
whenever you are in the room and refuses to touch or hold her baby, even when he cries. You
overhear Joan tell someone that the baby is "ugly like his father." Joan is most likely experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression - CORRECT ANSWER-b. mal-attachment
Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
,b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags - CORRECT ANSWER-c.
apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at risk for thrombophlebitis,
and she asks you how she can prevent this from happening. You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - CORRECT ANSWER-b. ambulate frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but
refuses pain medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage - CORRECT ANSWER-d. offer her a non-
drug option such as a hot pack or massage
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-b. cocaine
Leukocytosis that occurs in normal postpartum adaptation can be differentiated from an infectious
process by the presence of:
a. a 30% increase in WBC count in a 6 hour period
b. a concominant increase in the sedimentation rate
c. any elevation in temperature - CORRECT ANSWER-b. a concominant increase in the sedimentation
rate
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 - CORRECT ANSWER-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
