RNC-MNN (MATERNAL NEWBORN NURSING)
CERTIFICATION EXAM 2025/2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS WITH
RATIONALES |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|GUARANTEED PASS
A woman with type II diabetes is breastfeeding. She is on insulin therapy. To minimize
hypoglycemic episodes, she should be advised to
a. discuss using oral agents while breastfeeding with her MD
b. make sure she has a snack with each breastfeeding session
c. use a split dose insulin regimen
b. make sure she has a snack with each breastfeeding session
A woman is recovering from the birth of her child which was complicated by placental abruption
and postpartum hemorrhage. She is pale, clammy, hypotensive, and tachycardic. These findings
are consistent with
a. DIC
b. hereditary thrombophilia
c. Sheehan's syndrome
a. DIC
The hypoestrogenic state in the postpartum period is responsible for
a. a delay in the perineal healing
b. development of cervical edema
c. dyspareunia
c. dyspareunia
1|Page
,A finding noted during an initial newborn physical exam that warrants further follow up would
be the presence of
a. small area of midline swelling in the back
b. diastasis rectus of the abdominal musculature
c. small white inclusion cysts along the gum line
a. small area of midline swelling in the back
The RN would anticipate that a term newborn with a CV condition marked by right to left
shunting through the foramen ovale would appear
a. cyanotic
b. pink
c. very pale
a. cyanotic
The dilation of the ureters and renal pelvis that occurs during pregnancy reverts at what time?
a. between 2-8 weeks postpartum
b. does not occur until after uterine involution
c. never completely reverses but is nearly normal by 6 months postpartum
c. never completely reverses but is nearly normal by 6 months postpartum
Vitamin K preparation for neonatal prophylaxis should be
a. given with 4 hours
b. diluted prior to subQ administration
c. stored away from light
c. stored away from light
A newborn is ready for discharge following a course of phototherapy for ABO incompatibility.
Based on the history, the RN will convey the important of keeping the infant's scheduled follow
up appointment because of the increased risk of
a. dehydration
b. late onset hearing loss
c. rebound bilirubin levels
c. rebound bilirubin levels
2|Page
,A woman with unilateral mastitis can be advised that she can continue to breastfeed
a. if there is no abscess present
b. with the use of nipple shields on the affected breast
c. without restrictions
a. if there is no abscess present
A 2 hour old newborn appears generally pale with a dusky appearance to the nail beds and a
grayish appearance to the mucous membranes inside the mouth. The finding most indicative of
oxygen desaturation is the presence of
a. dusky nail beds
b. grayish mucous membranes
c. overall pale
b. grayish mucous membranes
The uterus of a postpartum woman is boggy and midline. Initial management should include
a. fundal massage
b. having her void
c. vaginal exam
a. fundal massage
On uterine assessment, the RN notices that the uterus is boggy and difficult to differentiate.
While she massages it with one hand, she places one hand just above the symphysis pubis in
order to
a. assess the bladder distention
b. minimize lochia flow
c. provide stability to the uterus
c. provide stability to the uterus
A 2 day old neonate born at 36 weeks develops jaundice and is breastfeeding poorly. In addition
to a moderate evaluation in the total serum bilirubin, lab results indicate O Rh positive blood
type with a maternal blood type A Rh positive. The RN would recognize that a major contributor
to the rising bilirubin level is most likely
a. increased enterohepatic shunting
3|Page
, b. ongoing hemolysis
c. presence of maternal hormones in the breast milk
b. ongoing hemolysis
An RN would provide pre-discharge education regarding the need to assess a neonate for
jaundice if the mom received drug therapy within a few weeks of birth using medications
classified as
a. anticoagulation
b. antihistamines
c. sulfonamides
c. sulfonamides
A predisposing factor to amniotic fluid embolism is
a. adolescent pregnancy
b. distocia
c. induction of labor
b. distocia
The newborn with documented polycythemia should be further assessed for jaundice based on
a. a genetic enzyme deficiency
b. an increased production of bilirubin
c. the presence of a systemic infection
b. an increased production of bilirubin
The increase in hematocrit that occurs in the 1st postpartum week is due to
a. decreased plasma volume
b. erythrocytosis
c. increased platelet aggregation
a. decreased plasma volume
Assessment of upper and lower extremity BP would be an appropriate initial response to a
finding of
a. bounding brachial pulses
4|Page
CERTIFICATION EXAM 2025/2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS WITH
RATIONALES |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|GUARANTEED PASS
A woman with type II diabetes is breastfeeding. She is on insulin therapy. To minimize
hypoglycemic episodes, she should be advised to
a. discuss using oral agents while breastfeeding with her MD
b. make sure she has a snack with each breastfeeding session
c. use a split dose insulin regimen
b. make sure she has a snack with each breastfeeding session
A woman is recovering from the birth of her child which was complicated by placental abruption
and postpartum hemorrhage. She is pale, clammy, hypotensive, and tachycardic. These findings
are consistent with
a. DIC
b. hereditary thrombophilia
c. Sheehan's syndrome
a. DIC
The hypoestrogenic state in the postpartum period is responsible for
a. a delay in the perineal healing
b. development of cervical edema
c. dyspareunia
c. dyspareunia
1|Page
,A finding noted during an initial newborn physical exam that warrants further follow up would
be the presence of
a. small area of midline swelling in the back
b. diastasis rectus of the abdominal musculature
c. small white inclusion cysts along the gum line
a. small area of midline swelling in the back
The RN would anticipate that a term newborn with a CV condition marked by right to left
shunting through the foramen ovale would appear
a. cyanotic
b. pink
c. very pale
a. cyanotic
The dilation of the ureters and renal pelvis that occurs during pregnancy reverts at what time?
a. between 2-8 weeks postpartum
b. does not occur until after uterine involution
c. never completely reverses but is nearly normal by 6 months postpartum
c. never completely reverses but is nearly normal by 6 months postpartum
Vitamin K preparation for neonatal prophylaxis should be
a. given with 4 hours
b. diluted prior to subQ administration
c. stored away from light
c. stored away from light
A newborn is ready for discharge following a course of phototherapy for ABO incompatibility.
Based on the history, the RN will convey the important of keeping the infant's scheduled follow
up appointment because of the increased risk of
a. dehydration
b. late onset hearing loss
c. rebound bilirubin levels
c. rebound bilirubin levels
2|Page
,A woman with unilateral mastitis can be advised that she can continue to breastfeed
a. if there is no abscess present
b. with the use of nipple shields on the affected breast
c. without restrictions
a. if there is no abscess present
A 2 hour old newborn appears generally pale with a dusky appearance to the nail beds and a
grayish appearance to the mucous membranes inside the mouth. The finding most indicative of
oxygen desaturation is the presence of
a. dusky nail beds
b. grayish mucous membranes
c. overall pale
b. grayish mucous membranes
The uterus of a postpartum woman is boggy and midline. Initial management should include
a. fundal massage
b. having her void
c. vaginal exam
a. fundal massage
On uterine assessment, the RN notices that the uterus is boggy and difficult to differentiate.
While she massages it with one hand, she places one hand just above the symphysis pubis in
order to
a. assess the bladder distention
b. minimize lochia flow
c. provide stability to the uterus
c. provide stability to the uterus
A 2 day old neonate born at 36 weeks develops jaundice and is breastfeeding poorly. In addition
to a moderate evaluation in the total serum bilirubin, lab results indicate O Rh positive blood
type with a maternal blood type A Rh positive. The RN would recognize that a major contributor
to the rising bilirubin level is most likely
a. increased enterohepatic shunting
3|Page
, b. ongoing hemolysis
c. presence of maternal hormones in the breast milk
b. ongoing hemolysis
An RN would provide pre-discharge education regarding the need to assess a neonate for
jaundice if the mom received drug therapy within a few weeks of birth using medications
classified as
a. anticoagulation
b. antihistamines
c. sulfonamides
c. sulfonamides
A predisposing factor to amniotic fluid embolism is
a. adolescent pregnancy
b. distocia
c. induction of labor
b. distocia
The newborn with documented polycythemia should be further assessed for jaundice based on
a. a genetic enzyme deficiency
b. an increased production of bilirubin
c. the presence of a systemic infection
b. an increased production of bilirubin
The increase in hematocrit that occurs in the 1st postpartum week is due to
a. decreased plasma volume
b. erythrocytosis
c. increased platelet aggregation
a. decreased plasma volume
Assessment of upper and lower extremity BP would be an appropriate initial response to a
finding of
a. bounding brachial pulses
4|Page
