RNC-MNN MATERNAL NEWBORN NURSING
CERTIFICATION QUESTIONS
Calculate a due date if the patient's LMP was 4/1/2017 according to Naegele's rule -
Answer -Add one year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: - Answer -
Edema, proteinuria, and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant women are in
what state? - Answer -Compensated respiratory alkalosis
What medication is given to mothers to increase surfactant and decrease the chance of
RDS in the premature infant? - Answer -Antenatal steroids (betamethasone or
dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? - Answer
-Magnesium sulfate
Uterine ___________ results from a decrease in myometrial cells right after delivery. -
Answer -Involution
Most placentas should deliver within how many minutes after delivery of the infant? -
Answer -30 minutes
What is the normal dosage of methargen given IM? - Answer -0.2 mg
A simple noninvasive technique that can be taught to pregnant women to assess fetal
well-being is known as: - Answer -Fetal kick counts
A BPP or biophysical profile of less than ___________ is considered abnormal and
suggests further monitoring, testing, or intervention. - Answer -6 points
The most common reason for sore nipples when breast-feeding is what issue? -
Answer -Incorrect latch
How often should the prudent nurse assess vital signs and uterine checks in the first
hour after delivery? - Answer -Every 15 minutes for the first hour postpartum
Insulin requirements increase or decrease after delivery? - Answer -Decrease
,Normal fetal heart rate range for a term infant is: - Answer -110 to 160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - Answer -Low lactic level
The first type of Lokia noted right after delivery is known as: - Answer -Rubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any time
during her pregnancy? - Answer -True, all trimesters are appropriate to give the flu
vaccine
Early decelerations are usually associated with: - Answer -Fetal head compression
The antidote for magnesium sulfate is: - Answer -Calcium gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - Answer -Port Wine Stain birthmarks
What is the name of the manual assessment done by nurses to determine fetal lie and
or presentation? - Answer -Leopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: - Answer -
Cord compression
Late decelerations within a fetal heart tracing are associated with what issue: - Answer
-Utero placenta insufficiency
Absent variability is known as a tracing that is visually __________. - Answer -
Undetectable and appears as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine can
increase both maternal and fetal heart rates. - Answer -True
The four essential components to describe uterine activity: - Answer -Frequency,
duration, intensity, and resting tone
The umbilical cord normally has three vessels: - Answer -Two arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the arteries
return from the fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - Answer -40-60%
, The sensation to begin, bearing down or actively begin pushing in an effort to deliver the
event is known as: - Answer -Fergusons reflex
Breast-feeding should be initiated within what time frame? - Answer -The first hour of
birth
True or false: when an infant makes clicking or smacking noises during feeding this is a
reassuring sign of a proper latch. - Answer -False
When teaching to the new mother regarding introduction of bottles and formula, it
should be delayed at how many weeks after delivery to maximize milk supply and
overall breast-feeding success? - Answer -3-4 weeks
Signs of adequate milk supply and transfer include: - Answer -Audible, swallow, and
drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and contractions, what
position is the infant most commonly in? - Answer -Occiput Posterior
During what phase of labor would be reflected, if the patient has increased in
contraction, strength and intensity, and has bouts of nausea and vomiting? - Answer -
Most likely active phase
Immediate perineal care to relieve discomfort after delivery can include what measures?
- Answer -Ice pack, analgesia, pericare, sitz bath, and soft seating
A newly delivered patient arrives to the Postpartum unit. What initial steps need to be
done to assess her physical status? - Answer -Vital signs, level of consciousness,
fundal and lochia status, pain level, perineal or incisional area
What percentage of eclamptic seizures happen in the postpartum period? - Answer -
25%
What is the correct order of lochia? - Answer -Rubra, Serosa, Alba
Sudden bleeding during pregnancy associated with pain is known as? - Answer -
Abruption
Translate the following notation on a patient's prenatal record: G4P2 - Answer -She has
been pregnant four times and has given birth to two live foreign children
What is important to know with spontaneous rupture of membranes? - Answer -Color,
amount, time, and if there is an odor
CERTIFICATION QUESTIONS
Calculate a due date if the patient's LMP was 4/1/2017 according to Naegele's rule -
Answer -Add one year 2018,
Subtract three months January,
Add seven days:
January 8, 2018
The classic triad of symptoms of pregnancy induced hypertension are: - Answer -
Edema, proteinuria, and elevated blood pressure
When considering maternal arterial blood gases, it is known that pregnant women are in
what state? - Answer -Compensated respiratory alkalosis
What medication is given to mothers to increase surfactant and decrease the chance of
RDS in the premature infant? - Answer -Antenatal steroids (betamethasone or
dexamethasone)
The most commonly used to drug to treat preterm labor in the United States? - Answer
-Magnesium sulfate
Uterine ___________ results from a decrease in myometrial cells right after delivery. -
Answer -Involution
Most placentas should deliver within how many minutes after delivery of the infant? -
Answer -30 minutes
What is the normal dosage of methargen given IM? - Answer -0.2 mg
A simple noninvasive technique that can be taught to pregnant women to assess fetal
well-being is known as: - Answer -Fetal kick counts
A BPP or biophysical profile of less than ___________ is considered abnormal and
suggests further monitoring, testing, or intervention. - Answer -6 points
The most common reason for sore nipples when breast-feeding is what issue? -
Answer -Incorrect latch
How often should the prudent nurse assess vital signs and uterine checks in the first
hour after delivery? - Answer -Every 15 minutes for the first hour postpartum
Insulin requirements increase or decrease after delivery? - Answer -Decrease
,Normal fetal heart rate range for a term infant is: - Answer -110 to 160 bpm
Which one of the following is not part of HELLP syndrome?
Hemolysis of red blood cells
Low lactic level
Low platelets - Answer -Low lactic level
The first type of Lokia noted right after delivery is known as: - Answer -Rubra
True or false: it is recommended to give a pregnant woman a flu vaccine at any time
during her pregnancy? - Answer -True, all trimesters are appropriate to give the flu
vaccine
Early decelerations are usually associated with: - Answer -Fetal head compression
The antidote for magnesium sulfate is: - Answer -Calcium gluconate
Signs of neonatal withdrawal include all except:
High pitched cry
Irritability
Port Wine Stain birthmarks - Answer -Port Wine Stain birthmarks
What is the name of the manual assessment done by nurses to determine fetal lie and
or presentation? - Answer -Leopold's maneuver
Variable decelerations within a fetal heart rate tracing are most indicative of: - Answer -
Cord compression
Late decelerations within a fetal heart tracing are associated with what issue: - Answer
-Utero placenta insufficiency
Absent variability is known as a tracing that is visually __________. - Answer -
Undetectable and appears as a tracing without any fluctuation
True or false: beta-synthomimetic drugs, such as terbutaline and epinephrine can
increase both maternal and fetal heart rates. - Answer -True
The four essential components to describe uterine activity: - Answer -Frequency,
duration, intensity, and resting tone
The umbilical cord normally has three vessels: - Answer -Two arteries and one vein.
The vein carries the oxygen rich blood from the placenta to the fetus, and the arteries
return from the fetus carrying deoxygenated blood.
During labor, oxygen consumption increases by ______% - Answer -40-60%
, The sensation to begin, bearing down or actively begin pushing in an effort to deliver the
event is known as: - Answer -Fergusons reflex
Breast-feeding should be initiated within what time frame? - Answer -The first hour of
birth
True or false: when an infant makes clicking or smacking noises during feeding this is a
reassuring sign of a proper latch. - Answer -False
When teaching to the new mother regarding introduction of bottles and formula, it
should be delayed at how many weeks after delivery to maximize milk supply and
overall breast-feeding success? - Answer -3-4 weeks
Signs of adequate milk supply and transfer include: - Answer -Audible, swallow, and
drawing in of areola
Adequate weight gain of 4 to 6 ounces per week
Six wet diapers, every 24 hours after day four
If a patient complains of back pain and discomfort during labor and contractions, what
position is the infant most commonly in? - Answer -Occiput Posterior
During what phase of labor would be reflected, if the patient has increased in
contraction, strength and intensity, and has bouts of nausea and vomiting? - Answer -
Most likely active phase
Immediate perineal care to relieve discomfort after delivery can include what measures?
- Answer -Ice pack, analgesia, pericare, sitz bath, and soft seating
A newly delivered patient arrives to the Postpartum unit. What initial steps need to be
done to assess her physical status? - Answer -Vital signs, level of consciousness,
fundal and lochia status, pain level, perineal or incisional area
What percentage of eclamptic seizures happen in the postpartum period? - Answer -
25%
What is the correct order of lochia? - Answer -Rubra, Serosa, Alba
Sudden bleeding during pregnancy associated with pain is known as? - Answer -
Abruption
Translate the following notation on a patient's prenatal record: G4P2 - Answer -She has
been pregnant four times and has given birth to two live foreign children
What is important to know with spontaneous rupture of membranes? - Answer -Color,
amount, time, and if there is an odor
