RNC EXAM MATERNAL NEWBORN QUESTIONS &
ANSWERS
A postpartum woman complains of excruciating and pressure in the perineal area. She
is restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm at the
umbilicus with small to moderate rubra lochia. The nurse should suspect - Answer -
Hematoma
Which neonate is at greatest risk for jaundice? - Answer -Late Preterm
On admission to the postpartum unit, a 20 year old gravida 1, complains of a headache.
Her vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema in her legs
with a 4+ patellar reflexes and 2 beats of clonus. A dipstick for protein is 3+. These
findings are indicative of the need for - Answer -Magnesium sulfate bolus per physician
order
Which of the following drugs is used to treat postpartum women who are experiencing
heroine withdraw? - Answer -Methadone
A high risk factor for chorioamnionitis is - Answer -Preterm labor
Metabolic acidemia umbilical blood gases - Answer -
The major postpartum maternal risk factor from shoulder dystocia is - Answer -
hemorrhage
A newborn should be evaluated if a newborn has not voided by - Answer -48 hours
The most common cause of sore nipples in immediate postpartum period is - Answer -
Improper latch-on and positioning
A vit-K injection is necessary because of which of the following physiological states
present in the first few days of life - Answer -Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the - Answer -Kidneys
A patient is examined and found to have a tender, red area in one breast that feels
small and hard, similar to a pea just under the skin.
The expected management for this patient is - Answer -Gentle massage to relieve the
lump
When comparing the same volume of mature human milk and premature human milk,
the mature milk has - Answer -Protein
,On physical examination, a nurse notes that there are white patches on the neonates
mouth that bleed when an attempt is made to remove them. The nurse should - Answer
-review maternal hx for vaginal or yeast infection
At the one hour post-op circumcision check, the nurse notes bright red oozing of blood
from the surgical site. The nurse recognizes this is - Answer -Abnormal and requires
application of gentle pressure
Upon the admission physical exam of a male infant, the nurse notes that the meatus is
located on the ventral surface of the penis. This abnormality is known as - Answer -
Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average - Answer -
Cesarean
congenital varicella syndrome - Answer -Characterized by early death
A maternal contradiction to breastfeeding - Answer -HTLV-1 (human T-cell leukemia
virus, type 1)
Apgar score at one minute after birth, a newborn demonstrates the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue - Answer -9
The en face position takes place win what phase of initial attachment - Answer -
acquaintance
A formula-feeding mother asks if she can use well water to mix formula. What is the
appropriate response? - Answer -Needs to be tested to make sure it is safe to use
The nurse would advise the breastfeeding patient that a tight fitting bra - Answer -Can
cause duct obstruction leading to mastitis
The parents of a 2-day-old infant ask when their baby's cord will come off. The nurse
answers that the average cord separation time is - Answer -10-14 days
On regular rounds, the RN enters a patient room and finds the 33 year old G1
breastfeeding with good latch crying quietly. The best action for the RN would be to.. -
Answer -Reassure her and ask open ended questions
When looking at the fetal heart rate, the most important characteristic to determine the
absence of metabolic academia is - Answer -Presence of moderate variability
, When placing a neonate on an oxygen saturation monitor, the nurse should recognize
that a primary factor win obtaining an accurate reading is - Answer -Perfusion status of
the infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has
tachycardia. This is consistent with - Answer -Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the
production of - Answer -Catecholamines
A key principle for resuscitation is that - Answer -medications are not a substitute for
adequate ventilation
When checking for capillary refill in the newborn, the maximum return if the pink color is
how many seconds - Answer -3 seconds
Which neonatal reflex is considered a survival behavior - Answer -Sucking
On postpartum day two, a woman who is afebrile has a white blood count of 20,000.
This indicates - Answer -A normal physiologic response
To avoid a precipitous drop in intra-abdominal pressure, during catheterization of a
postpartum patients bladder, what is the maximum amount of urine that should be
removed at one time? - Answer -800mL
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to - Answer -Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse
should tell her that - Answer -Emotional tears are not present until approx. 3 months of
age
A newborn whose mother was a poorly controlled diabetic during the 3rd trimester is a
risk for - Answer -polycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract
infection. What should this newborn be monitored for? - Answer -Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by - Answer -Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved -
Answer -Unequal placenta sharing
A woman with a BMI of 18 gains 25 pounds during her pregnancy. This woman is at an
increased risk for a neonate with - Answer -low birthweight
ANSWERS
A postpartum woman complains of excruciating and pressure in the perineal area. She
is restless, her pulse is 120, and respirations are 26 per min. Her fundus is firm at the
umbilicus with small to moderate rubra lochia. The nurse should suspect - Answer -
Hematoma
Which neonate is at greatest risk for jaundice? - Answer -Late Preterm
On admission to the postpartum unit, a 20 year old gravida 1, complains of a headache.
Her vital signs are: BP 140/88, HR 110, RR 18. She is has pitting edema in her legs
with a 4+ patellar reflexes and 2 beats of clonus. A dipstick for protein is 3+. These
findings are indicative of the need for - Answer -Magnesium sulfate bolus per physician
order
Which of the following drugs is used to treat postpartum women who are experiencing
heroine withdraw? - Answer -Methadone
A high risk factor for chorioamnionitis is - Answer -Preterm labor
Metabolic acidemia umbilical blood gases - Answer -
The major postpartum maternal risk factor from shoulder dystocia is - Answer -
hemorrhage
A newborn should be evaluated if a newborn has not voided by - Answer -48 hours
The most common cause of sore nipples in immediate postpartum period is - Answer -
Improper latch-on and positioning
A vit-K injection is necessary because of which of the following physiological states
present in the first few days of life - Answer -Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the - Answer -Kidneys
A patient is examined and found to have a tender, red area in one breast that feels
small and hard, similar to a pea just under the skin.
The expected management for this patient is - Answer -Gentle massage to relieve the
lump
When comparing the same volume of mature human milk and premature human milk,
the mature milk has - Answer -Protein
,On physical examination, a nurse notes that there are white patches on the neonates
mouth that bleed when an attempt is made to remove them. The nurse should - Answer
-review maternal hx for vaginal or yeast infection
At the one hour post-op circumcision check, the nurse notes bright red oozing of blood
from the surgical site. The nurse recognizes this is - Answer -Abnormal and requires
application of gentle pressure
Upon the admission physical exam of a male infant, the nurse notes that the meatus is
located on the ventral surface of the penis. This abnormality is known as - Answer -
Hypospadias
A predisposing factor for onset engorgement 24-48 hours later than average - Answer -
Cesarean
congenital varicella syndrome - Answer -Characterized by early death
A maternal contradiction to breastfeeding - Answer -HTLV-1 (human T-cell leukemia
virus, type 1)
Apgar score at one minute after birth, a newborn demonstrates the following:
Heart rate 110
Good cry, Active motion, Cough or sneeze
Body pink and extremities blue - Answer -9
The en face position takes place win what phase of initial attachment - Answer -
acquaintance
A formula-feeding mother asks if she can use well water to mix formula. What is the
appropriate response? - Answer -Needs to be tested to make sure it is safe to use
The nurse would advise the breastfeeding patient that a tight fitting bra - Answer -Can
cause duct obstruction leading to mastitis
The parents of a 2-day-old infant ask when their baby's cord will come off. The nurse
answers that the average cord separation time is - Answer -10-14 days
On regular rounds, the RN enters a patient room and finds the 33 year old G1
breastfeeding with good latch crying quietly. The best action for the RN would be to.. -
Answer -Reassure her and ask open ended questions
When looking at the fetal heart rate, the most important characteristic to determine the
absence of metabolic academia is - Answer -Presence of moderate variability
, When placing a neonate on an oxygen saturation monitor, the nurse should recognize
that a primary factor win obtaining an accurate reading is - Answer -Perfusion status of
the infant
A 36-hour postpartum insulin-dependent diabetic is diaphoretic, shaky, and has
tachycardia. This is consistent with - Answer -Hypoglycemia
With the onset of labor, reabsorption of fluid from the alveolar spaces is due to the
production of - Answer -Catecholamines
A key principle for resuscitation is that - Answer -medications are not a substitute for
adequate ventilation
When checking for capillary refill in the newborn, the maximum return if the pink color is
how many seconds - Answer -3 seconds
Which neonatal reflex is considered a survival behavior - Answer -Sucking
On postpartum day two, a woman who is afebrile has a white blood count of 20,000.
This indicates - Answer -A normal physiologic response
To avoid a precipitous drop in intra-abdominal pressure, during catheterization of a
postpartum patients bladder, what is the maximum amount of urine that should be
removed at one time? - Answer -800mL
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to - Answer -Limited subcutaneous tissue and brown fat
stores
A mother is concerned that her newborn does not have tears when crying. The nurse
should tell her that - Answer -Emotional tears are not present until approx. 3 months of
age
A newborn whose mother was a poorly controlled diabetic during the 3rd trimester is a
risk for - Answer -polycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract
infection. What should this newborn be monitored for? - Answer -Hyperbilirubinemia
Pro-coagulation factors II, VII, IX, X are activated by - Answer -Vitamin K
Twin to twin transfusion occurs in multiple gestations when which factor is involved -
Answer -Unequal placenta sharing
A woman with a BMI of 18 gains 25 pounds during her pregnancy. This woman is at an
increased risk for a neonate with - Answer -low birthweight
