CCRN NEONATAL EXAM PRACTICE-STRUCTURED WITH
QUESTIONS AND ANSWERS <RELEASE OF 2026>
-A MASTERPIECE ASSURING NOTHING BUT EXCELLENCE!!-
QUESTION 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
– ANSWERb. 2 fingers below umbilicus
QUESTION 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
– ANSWERd. after pains
QUESTION 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
- ANSWERc. engorgement
QUESTION 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
- ANSWERc. the body's removal of fluids accumulated during pregnancy
QUESTION 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
- ANSWERc. distention of the bladder
QUESTION 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
- ANSWERa. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
, QUESTION 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
- ANSWERb. mal-attachment
QUESTION 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
- ANSWERc. apply a warm compress to ease nipple pain
QUESTION 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
- ANSWERb. ambulate frequently
, QUESTION 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
- ANSWERd. offer her a non-drug option such as a hot pack or massage
QUESTION 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
- ANSWERc. massage her uterus until firm
QUESTION 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
- ANSWERd. endometritis
QUESTIONS AND ANSWERS <RELEASE OF 2026>
-A MASTERPIECE ASSURING NOTHING BUT EXCELLENCE!!-
QUESTION 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
– ANSWERb. 2 fingers below umbilicus
QUESTION 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
– ANSWERd. after pains
QUESTION 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
- ANSWERc. engorgement
QUESTION 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
- ANSWERc. the body's removal of fluids accumulated during pregnancy
QUESTION 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
- ANSWERc. distention of the bladder
QUESTION 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
- ANSWERa. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
, QUESTION 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
- ANSWERb. mal-attachment
QUESTION 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
- ANSWERc. apply a warm compress to ease nipple pain
QUESTION 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
- ANSWERb. ambulate frequently
, QUESTION 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
- ANSWERd. offer her a non-drug option such as a hot pack or massage
QUESTION 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
- ANSWERc. massage her uterus until firm
QUESTION 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
- ANSWERd. endometritis
