Maternal newborn RNC 1 Exam 2026/2027 | Actual Questions
and Answers Latest Updated 2026/2027 (Graded A+)
•
Maternal weight gain
i. - ✔✔Healthy weight BMI: 25 to 35 lb
ii. 1st trimester: 3.5 to 5 lb
iii. 2nd & 3rd trimesters: 1 lb/week
•
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
•
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
•
McDonald's rule
- ✔✔take the tape measurer from the symphysis pubis to the top of the fundus. the
measurement should match the number of weeks you are, within 2-4 wks after 24 wks
gestation
•
Nutrition in pregnancy
i. - ✔✔-energy and nutrient needs are high during pregnancy, additional 300-450 calories/day
ii. -a balanced diet that includes an *extra serving from each food group* can usually meet a
woman's increased needs
iii. -a balanced diet and appropriate weight gain can help keep mother and baby healthy
•
foods to avoid while pregnant
i. - ✔✔- raw eggs
ii. - unpasteurized milk + cheese
iii. - soft cheese (feta, brie, Camembert, queso fresco)
•
- unwashed fruits / veggies
- raw fish / shellfish
•
- shark, swordfish, king mackerel, tilefish
•
-processed meats
, •
Presumptive signs of pregnancy
- ✔✔changes that might make a woman think she is pregnant. such as amenorrhea, fatigue,
nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged Montgomery
glands), quickening(slight fluttering movements of the fetus felt by the women, usually
between 16-20 wks of gestation).
•
Probable signs of pregnancy
- ✔✔(examiners objective findings) Positive pregnancy test, enlarge abdomen uterus,
Gooddells sign (softeing of cervix), chadwick (discoloration of cervix), hegars sign
(compressability of lower uterine segment), skin hyperpigmentation
•
Diagnostic signs of pregnancy
i. - ✔✔Fetal heartbeat
ii. Fetal movement
iii. Visualization of the fetus
•
Naegele's Rule
- ✔✔add 7 days to LMP, subtract 3 months, add 1 year
•
Trimesters of pregnancy
i. - ✔✔- 1st trimester: week 1-12
ii. - 2nd trimester: week 13-27
iii. - 3rd trimester: week 28-40
•
Teratogens
i. - ✔✔agents, such as chemicals and viruses, that can reach the embryo or fetus during
prenatal development and cause harm
ii. Fetus is most vulnerable during organogenisis, 1st 8wks
•
1st trimester labs and dx studies
i. - ✔✔Blood type and Rh
ii. CBC Genetic screening
iii. Rubella titer
iv. PPD (TB screen)
v. Urine- glucose, protein, albumin, nitrates, WBCs
vi. Urine C&S
vii. Pap smear
and Answers Latest Updated 2026/2027 (Graded A+)
•
Maternal weight gain
i. - ✔✔Healthy weight BMI: 25 to 35 lb
ii. 1st trimester: 3.5 to 5 lb
iii. 2nd & 3rd trimesters: 1 lb/week
•
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
•
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
•
McDonald's rule
- ✔✔take the tape measurer from the symphysis pubis to the top of the fundus. the
measurement should match the number of weeks you are, within 2-4 wks after 24 wks
gestation
•
Nutrition in pregnancy
i. - ✔✔-energy and nutrient needs are high during pregnancy, additional 300-450 calories/day
ii. -a balanced diet that includes an *extra serving from each food group* can usually meet a
woman's increased needs
iii. -a balanced diet and appropriate weight gain can help keep mother and baby healthy
•
foods to avoid while pregnant
i. - ✔✔- raw eggs
ii. - unpasteurized milk + cheese
iii. - soft cheese (feta, brie, Camembert, queso fresco)
•
- unwashed fruits / veggies
- raw fish / shellfish
•
- shark, swordfish, king mackerel, tilefish
•
-processed meats
, •
Presumptive signs of pregnancy
- ✔✔changes that might make a woman think she is pregnant. such as amenorrhea, fatigue,
nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged Montgomery
glands), quickening(slight fluttering movements of the fetus felt by the women, usually
between 16-20 wks of gestation).
•
Probable signs of pregnancy
- ✔✔(examiners objective findings) Positive pregnancy test, enlarge abdomen uterus,
Gooddells sign (softeing of cervix), chadwick (discoloration of cervix), hegars sign
(compressability of lower uterine segment), skin hyperpigmentation
•
Diagnostic signs of pregnancy
i. - ✔✔Fetal heartbeat
ii. Fetal movement
iii. Visualization of the fetus
•
Naegele's Rule
- ✔✔add 7 days to LMP, subtract 3 months, add 1 year
•
Trimesters of pregnancy
i. - ✔✔- 1st trimester: week 1-12
ii. - 2nd trimester: week 13-27
iii. - 3rd trimester: week 28-40
•
Teratogens
i. - ✔✔agents, such as chemicals and viruses, that can reach the embryo or fetus during
prenatal development and cause harm
ii. Fetus is most vulnerable during organogenisis, 1st 8wks
•
1st trimester labs and dx studies
i. - ✔✔Blood type and Rh
ii. CBC Genetic screening
iii. Rubella titer
iv. PPD (TB screen)
v. Urine- glucose, protein, albumin, nitrates, WBCs
vi. Urine C&S
vii. Pap smear
