RNC-MNN Study Questions and Answers Rated A
Eve is 2 days postpartum. During palpation,
where would you normally expect to find her While assessing Sierra, a 32yo mother of 3, you
fundus? notice uterine bleeding and find that her uterus is
displayed upward and to the right. This is
a. at the level of the umbilicus probably cause by:
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus a. retained placental fragments
d. non-palpable at this time - ANSWER -b. b. rupture of the uterus
2 fingers below umbilicus c. distention of the bladder
d. cervical bruising - ANSWER -c. distention
of the bladder
Keisha delivered her third child about 24 hours
ago. She begins to c/o severe uterine cramping
while breastfeeding. She is experiencing: Olga, a 38yo patient whom you administered the
rubella vaccine, states that at her age she plans
a. exfoliation of dead tissue to get pregnant right away. You tell her she
b. involution of uterus should:
c. shedding of the endometrium
d. after pains - ANSWER -d. after pains a. avoid pregnancy for at least 8 weeks after
receiving the MMR vaccine
b. get pregnant ASAP because of her age
Three days after delivering her child, Gretchen c. avoid getting pregnant for at least a year after
calls the 24 hour hotline. She is crying and states receiving the MMR vaccine
that her breasts suddenly became "bigger" and d. abstain from sex for 2 weeks after delivery -
"really hurt." She is experiencing: ANSWER -a. avoid pregnancy for at least 8
weeks after receiving the MMR vaccine
a. colostrum production
b. a breast tumor
c. engorgement Joan is a 17yo and just delivered a healthy baby
d. overproduction of milk - ANSWER -c. boy 6 hours ago. She talks on her cell phone
engorgement 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
Tiffany delivered via cesarean 2 days ago. She is like his father." Joan is most likely experiencing:
frustrated by constant perspiration and urination.
This is likely the result of: a. exhaustion
b. mal-attachment
a. changes in urine pH and a possible UTI c. normal attachment
b. drinking too much fluid in the early postpartum d. postpartum depression - ANSWER -b.
period mal-attachment
c. the body's removal of fluids accumulated
during pregnancy
d. receiving excessive amounts of IV fluids Recommended advice for breastfeeding mothers
during labor - ANSWER -c. the body's include:
removal of fluids accumulated during pregnancy
a. avoid the use of a sports bra
, RNC-MNN Study Questions and Answers Rated A
b. wash the nipples with soap and water after uterus until firm
each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing Mei experienced premature rupture of
them with moist tea bags - ANSWER -c. membranes during her pregnancy and her
apply a warm compress to ease nipple pain internal fetal monitors placed during labor. She
later delivered by cesarean. 12 hours after
delivery, her HR is 104 and her lochia smells foul.
Samantha read in the discharge booklet that You suspect:
postpartum patients are at risk for
thrombophlebitis, and she asks you how she can a. endometriosis
prevent this from happening. You instruct her to: b. mastitis
c. uterine cancer
a. remain on strict bedrest d. endometritis - ANSWER -d. endometritis
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - ANSWER -b. You are preparing to discharge Maria after
ambulate frequently delivering a healthy boy. You believe Maria
understands the discharge teaching instructions
when she states:
Suzanne delivered vaginally 8 hours ago. She
has uterine cramping and rates her pain a "9" but a. it is acceptable to have bleeding nipples after
refuses pain medication. What is your best breastfeeding for the first few days
response regarding her pain? b. I should not worry if I have a large mass under
my breasts
a. tell her she should take the ibuprofen as c. I will call my nurse-midwife if I saturate a pad in
prescribed by her MD one hour
b. encourage her to fight the pain because it will d. suicidal thoughts are okay because the baby
make her stronger blues are normal - ANSWER -c. I will call
c. ask her to use the call button if she changes my nurse-midwife if I saturate a pad in one hour
her mind about taking pain medication
d. offer her a non-drug option such as a hot pack
or massage - ANSWER -d. offer her a non- An infant born to a mother who abused drugs
drug option such as a hot pack or massage during pregnancy exhibited withdrawal signs in
the nursery that included fever and poor state
control. After stabilization and discharge, the
Emily is a 28yo mother of 3 who delivered caretaker called to report a return of withdrawal
vaginally 4 hours ago. She reports she is symptoms. This pattern is consistent with
"bleeding a lot" and her perineal pad, changed maternal abuse of:
45 minutes ago, is fully saturated. Palpation
reveals a boggy uterus. Your first intervention is: a. alcohol
b. cocaine
a. start IV fluids c. methadone - ANSWER -b. cocaine
b. place a catheter
c. massage her uterus until firm
d. call the MD - ANSWER -c. massage her Leukocytosis that occurs in normal postpartum
, RNC-MNN Study Questions and Answers Rated A
adaptation can be differentiated from an how to suppress lactation. She should be advised
infectious process by the presence of: that:
a. a 30% increase in WBC count in a 6 hour a. mechanical suppression occurs with the use of
period a supportive bra
b. a concominant increase in the sedimentation b. medications can be prescribes to stop lactation
rate c. physiologically, lactation will not proceed
c. any elevation in temperature - without breastfeeding and no intervention is
ANSWER -b. a concominant increase in needed - ANSWER -a. mechanical
the sedimentation rate suppression occurs with the use of a supportive
bra
Tachypnea, tachycardia, and poor feeding in a
12 hour old neonate, born to a mother with Spinal blockade occurring with epidural
diabetes mellitus, would be more consistent with anesthesia results in
the onset of:
a. hypotension
a. congestive heart failure b. tachycardia
b. hypoglycemia c. vertigo - ANSWER -a. hypotension
c. respiratory distress syndrome -
ANSWER -b. hypoglycemia
Synthesis of vitamin K in the neonate is
dependent upon the presence of
A postpartum woman has a BP of 150/92 at 6
hours. Later, the BP is 148/90. This finding most a. amino acids derived from human or formula
likely: proteins
b. appropriate bacteria in the GI tract
a. diminished venous return c. passively acquired maternal antibodies -
b. reflects postpartum peak in cardiac output ANSWER -b. appropriate bacteria in the GI
c. requires evaluation for postpartum tract
preeclampsia - ANSWER -c. requires
evaluation for postpartum preeclampsia
A woman with a history of breast augmentation
asks if she will be able to breastfeed her baby.
The let down reflex in the breastfeeding woman The factor that will most influence her ability to
is responsible for breastfeed is
a. movement of the milk from ducts to the nipple a. time interval since the surgery
b. regulation of milk release to ensure milk is b. type of implant
available at any given time c. type of incision - ANSWER -c. type of
c. release of the milk to the alveoli - incision
ANSWER -a. movement of the milk from
ducts to the nipple
Assessment for the presence of congenital viral
infection would be indicated in which of the
A woman plans not to breastfeed and asks about following:
, RNC-MNN Study Questions and Answers Rated A
b. exchange transfusion
a. 38 weeks, LGA infant with RDS c. skin moles - ANSWER -b. exchange
b. late preterm with elevated indirect bilirubin transfusion
c. term, SGA with widespread petechiae -
ANSWER -c. term, SGA with widespread
petechiae Uterine prolapse associated with childbirth is due
to
A woman has been treated with fractionated a. atrophy of the uterine tissue
heparin during pregnancy for thromboembolism. b. bulging of uterine tissue through the cervix
She wants to breastfeed. In the postpartum c. weakening of the pelvic tissue -
period, it would be expected that she would ANSWER -c. weakening of the pelvic tissue
a. be changed to a low molecular weight heparin
formulation A new mother verbalizes her concern about the
b. be switched to warfarin presence of stork bites nevus on her infant's
c. continue with heparin therapy - eyelid. The RN's response will be based on the
ANSWER -c. continue with heparin therapy knowledge that
a. further growth and facial involvement is likely
An anatomic breast variation that has been overtime
linked with insufficient lactation relates to b. the location of the birth mark carries a risk of
eye involvement
a. inadequate glandular tissue c. this type of vascular lesions tend to disappear
b. lack of breast tissue elasticity by the age of one - ANSWER -c. this type of
c. shape and size of nipple - ANSWER -a. vascular lesions tend to disappear by the age of
inadequate glandular tissue one
A woman is admitted to the postpartum unit The recommended antibiotic treatment for
following delivery of her infant on the route to the postpartum endometritis is
hospital. The RN noted bruises on the woman's
back and arms. To assess possible intimate a. a broad spectrum antibiotic
partner violence, the RN should b. based on endometrial culture
c. selected based on provider's preference -
a. directly ask her if anyone has threatened her ANSWER -a. a broad spectrum antibiotic
or physically harmed her
b. question her on how she obtained the bruises
c. review the patients chart for any indication of It is difficult to determine the extent of blood loss
domestic violence - ANSWER -b. question with a vaginal hematoma because
her on how she obtained the bruises
a. blood is retained in the tissue
b. blood loss is mistaken as part of the normal
The use of phototherapy reduces the risk of postpartum course
c. symptoms don't correlate to the amount of
a. bronze baby syndrome blood loss - ANSWER -a. blood is retained
Eve is 2 days postpartum. During palpation,
where would you normally expect to find her While assessing Sierra, a 32yo mother of 3, you
fundus? notice uterine bleeding and find that her uterus is
displayed upward and to the right. This is
a. at the level of the umbilicus probably cause by:
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus a. retained placental fragments
d. non-palpable at this time - ANSWER -b. b. rupture of the uterus
2 fingers below umbilicus c. distention of the bladder
d. cervical bruising - ANSWER -c. distention
of the bladder
Keisha delivered her third child about 24 hours
ago. She begins to c/o severe uterine cramping
while breastfeeding. She is experiencing: Olga, a 38yo patient whom you administered the
rubella vaccine, states that at her age she plans
a. exfoliation of dead tissue to get pregnant right away. You tell her she
b. involution of uterus should:
c. shedding of the endometrium
d. after pains - ANSWER -d. after pains a. avoid pregnancy for at least 8 weeks after
receiving the MMR vaccine
b. get pregnant ASAP because of her age
Three days after delivering her child, Gretchen c. avoid getting pregnant for at least a year after
calls the 24 hour hotline. She is crying and states receiving the MMR vaccine
that her breasts suddenly became "bigger" and d. abstain from sex for 2 weeks after delivery -
"really hurt." She is experiencing: ANSWER -a. avoid pregnancy for at least 8
weeks after receiving the MMR vaccine
a. colostrum production
b. a breast tumor
c. engorgement Joan is a 17yo and just delivered a healthy baby
d. overproduction of milk - ANSWER -c. boy 6 hours ago. She talks on her cell phone
engorgement 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
Tiffany delivered via cesarean 2 days ago. She is like his father." Joan is most likely experiencing:
frustrated by constant perspiration and urination.
This is likely the result of: a. exhaustion
b. mal-attachment
a. changes in urine pH and a possible UTI c. normal attachment
b. drinking too much fluid in the early postpartum d. postpartum depression - ANSWER -b.
period mal-attachment
c. the body's removal of fluids accumulated
during pregnancy
d. receiving excessive amounts of IV fluids Recommended advice for breastfeeding mothers
during labor - ANSWER -c. the body's include:
removal of fluids accumulated during pregnancy
a. avoid the use of a sports bra
, RNC-MNN Study Questions and Answers Rated A
b. wash the nipples with soap and water after uterus until firm
each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing Mei experienced premature rupture of
them with moist tea bags - ANSWER -c. membranes during her pregnancy and her
apply a warm compress to ease nipple pain internal fetal monitors placed during labor. She
later delivered by cesarean. 12 hours after
delivery, her HR is 104 and her lochia smells foul.
Samantha read in the discharge booklet that You suspect:
postpartum patients are at risk for
thrombophlebitis, and she asks you how she can a. endometriosis
prevent this from happening. You instruct her to: b. mastitis
c. uterine cancer
a. remain on strict bedrest d. endometritis - ANSWER -d. endometritis
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - ANSWER -b. You are preparing to discharge Maria after
ambulate frequently delivering a healthy boy. You believe Maria
understands the discharge teaching instructions
when she states:
Suzanne delivered vaginally 8 hours ago. She
has uterine cramping and rates her pain a "9" but a. it is acceptable to have bleeding nipples after
refuses pain medication. What is your best breastfeeding for the first few days
response regarding her pain? b. I should not worry if I have a large mass under
my breasts
a. tell her she should take the ibuprofen as c. I will call my nurse-midwife if I saturate a pad in
prescribed by her MD one hour
b. encourage her to fight the pain because it will d. suicidal thoughts are okay because the baby
make her stronger blues are normal - ANSWER -c. I will call
c. ask her to use the call button if she changes my nurse-midwife if I saturate a pad in one hour
her mind about taking pain medication
d. offer her a non-drug option such as a hot pack
or massage - ANSWER -d. offer her a non- An infant born to a mother who abused drugs
drug option such as a hot pack or massage during pregnancy exhibited withdrawal signs in
the nursery that included fever and poor state
control. After stabilization and discharge, the
Emily is a 28yo mother of 3 who delivered caretaker called to report a return of withdrawal
vaginally 4 hours ago. She reports she is symptoms. This pattern is consistent with
"bleeding a lot" and her perineal pad, changed maternal abuse of:
45 minutes ago, is fully saturated. Palpation
reveals a boggy uterus. Your first intervention is: a. alcohol
b. cocaine
a. start IV fluids c. methadone - ANSWER -b. cocaine
b. place a catheter
c. massage her uterus until firm
d. call the MD - ANSWER -c. massage her Leukocytosis that occurs in normal postpartum
, RNC-MNN Study Questions and Answers Rated A
adaptation can be differentiated from an how to suppress lactation. She should be advised
infectious process by the presence of: that:
a. a 30% increase in WBC count in a 6 hour a. mechanical suppression occurs with the use of
period a supportive bra
b. a concominant increase in the sedimentation b. medications can be prescribes to stop lactation
rate c. physiologically, lactation will not proceed
c. any elevation in temperature - without breastfeeding and no intervention is
ANSWER -b. a concominant increase in needed - ANSWER -a. mechanical
the sedimentation rate suppression occurs with the use of a supportive
bra
Tachypnea, tachycardia, and poor feeding in a
12 hour old neonate, born to a mother with Spinal blockade occurring with epidural
diabetes mellitus, would be more consistent with anesthesia results in
the onset of:
a. hypotension
a. congestive heart failure b. tachycardia
b. hypoglycemia c. vertigo - ANSWER -a. hypotension
c. respiratory distress syndrome -
ANSWER -b. hypoglycemia
Synthesis of vitamin K in the neonate is
dependent upon the presence of
A postpartum woman has a BP of 150/92 at 6
hours. Later, the BP is 148/90. This finding most a. amino acids derived from human or formula
likely: proteins
b. appropriate bacteria in the GI tract
a. diminished venous return c. passively acquired maternal antibodies -
b. reflects postpartum peak in cardiac output ANSWER -b. appropriate bacteria in the GI
c. requires evaluation for postpartum tract
preeclampsia - ANSWER -c. requires
evaluation for postpartum preeclampsia
A woman with a history of breast augmentation
asks if she will be able to breastfeed her baby.
The let down reflex in the breastfeeding woman The factor that will most influence her ability to
is responsible for breastfeed is
a. movement of the milk from ducts to the nipple a. time interval since the surgery
b. regulation of milk release to ensure milk is b. type of implant
available at any given time c. type of incision - ANSWER -c. type of
c. release of the milk to the alveoli - incision
ANSWER -a. movement of the milk from
ducts to the nipple
Assessment for the presence of congenital viral
infection would be indicated in which of the
A woman plans not to breastfeed and asks about following:
, RNC-MNN Study Questions and Answers Rated A
b. exchange transfusion
a. 38 weeks, LGA infant with RDS c. skin moles - ANSWER -b. exchange
b. late preterm with elevated indirect bilirubin transfusion
c. term, SGA with widespread petechiae -
ANSWER -c. term, SGA with widespread
petechiae Uterine prolapse associated with childbirth is due
to
A woman has been treated with fractionated a. atrophy of the uterine tissue
heparin during pregnancy for thromboembolism. b. bulging of uterine tissue through the cervix
She wants to breastfeed. In the postpartum c. weakening of the pelvic tissue -
period, it would be expected that she would ANSWER -c. weakening of the pelvic tissue
a. be changed to a low molecular weight heparin
formulation A new mother verbalizes her concern about the
b. be switched to warfarin presence of stork bites nevus on her infant's
c. continue with heparin therapy - eyelid. The RN's response will be based on the
ANSWER -c. continue with heparin therapy knowledge that
a. further growth and facial involvement is likely
An anatomic breast variation that has been overtime
linked with insufficient lactation relates to b. the location of the birth mark carries a risk of
eye involvement
a. inadequate glandular tissue c. this type of vascular lesions tend to disappear
b. lack of breast tissue elasticity by the age of one - ANSWER -c. this type of
c. shape and size of nipple - ANSWER -a. vascular lesions tend to disappear by the age of
inadequate glandular tissue one
A woman is admitted to the postpartum unit The recommended antibiotic treatment for
following delivery of her infant on the route to the postpartum endometritis is
hospital. The RN noted bruises on the woman's
back and arms. To assess possible intimate a. a broad spectrum antibiotic
partner violence, the RN should b. based on endometrial culture
c. selected based on provider's preference -
a. directly ask her if anyone has threatened her ANSWER -a. a broad spectrum antibiotic
or physically harmed her
b. question her on how she obtained the bruises
c. review the patients chart for any indication of It is difficult to determine the extent of blood loss
domestic violence - ANSWER -b. question with a vaginal hematoma because
her on how she obtained the bruises
a. blood is retained in the tissue
b. blood loss is mistaken as part of the normal
The use of phototherapy reduces the risk of postpartum course
c. symptoms don't correlate to the amount of
a. bronze baby syndrome blood loss - ANSWER -a. blood is retained
