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Rush University
(Chicago, Illinois)
NCC National Certification Corporation
NCC Registered Nurse Certified in Maternal
Newborn Nursing RNC-MNN Exam
Course Title and Number: NCC Registered Nurse Certified in Maternal Newborn Nursing RNC-MNN Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified NCC Certification Maternal Newborn Nursing For RNC-MNN Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - A woman with a BMI of 18 gains 25 lbs during her pregnancy. This pregnancy is at increased risk for a. cesarean delivery b. Delivery of low birthweight delivery c. preeclampsia - Answer>> b During pregnancy, which of the following cardiovascular parameters increases by 60% a. blood volume b. plasma volume c. red cell mass - Answer>> b When pregnancy, a woman with epilepsy has a higher risk of seizures a. during labor through 24 hours postpartum b. from 72 hours to 1 week pp c. in the third trimester - Answer>> a The risk of developing diabetes in women with a history of gestational diabetes is a. increased only if there are also multiple diabetes risk factors b. increased with onset within 10-15 years in about 50% of those women c. the same as women who do not have gest. diabetes - Answer>> b Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com A woman is diagnosed with oligohydramnios during her pregnancy. the fetus/newborn should be evaluated for a. diabetes insipidus b. klippel-feil syndrome c. polycystic kidney disease - Answer>> c A fetus at 36 weeks receives a BBP score of 6. the expectated management is a. immediate delivery b. repeat in 24 hrs c. schedule the next test in one week - Answer>> b In evaluating the patient census for staff assignments, the pp nurse is told that a pateint in the high risk unit may be delivered and transferred to pp after delivery. A L/S ratio was performed with result of 2:0 the nurse would expect the following to occur? a. A PG (phosphatidyglycerol) test needs to be performed b. the lungs are mature, and delivery will occur c. the lungs are still immature, and the L/S will be repeated in 1 week - Answer>> b Which of the following is a limitation of an alpha- fetaprotein (AFP) test? a. closed neural tube defects are not detected b. it will not detect down syndrome c. its best sensitivity is at 20 weeks - Answer>> a A postpartum woman's prenatal history shows a quad screen with a maternal serum (MSAFP) lower than normal and higher than HCG and Inhibin A. The nurse can expect the diagnosis of the newborn? a. neural tube defect b. Trisomy 21 Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com c. Underestimated gestational age - Answer>> b An umbilical gas ( artery) reveals the following ph: 7.27, PC02: 50mm Hg; HC03: 23 meq/Ll base excessl - 3.6. this represents a. normal value b. metabolic acidosis c. respiratory acidosis - Answer>> a Umbical blood gas values are used to? a. determine etiology of any immediate complication b. direct neonatal resuscitation efforts c. establish the metabolic status of the fetus - Answer>> c Ultrasound for antepartum testing uses high frequency sound waves to produce an image that varies based on the a. amount of fetus moves b. density of the structure under the transducer c. strength of the reflected energy - Answer>> b In evaluating a cord blood gas, if the pH is low, what other blood gas parameter is used to determine if the acidosis is respiratory or metabolic? a. PC b. HCO c. Po2 - Answer>> a Breech presentation increases risk for a. cord prolapse b. fetal clavicle fracture c. shoulder dystocia - Answer>> a Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com When assessing a woman who is 1 day pp, the nurse would expect her fundus to be palpated a. at umbilicus b. 1cm above umbilicus c. 1cm below umbilicus - Answer>> c Within the first 2 days after birth, progesterone levels fall causing what acid base change? a. Increased PaCO b. Decreased PCO c. Decreased PaO2 - Answer>> a Compared to the value seen in the 3rd trimester, the catabolic process of involution causes an increase in which of the following values pp? a.BUN b. creatinine clearance c. proteinuria - Answer>> a A pp patient on her 2nd day is concerned that she has been urinating large amounts and frequently. Her output is 3000ml, the appropriate response by the nurse a.contact her care provider for an antibiotic order b. explain that this is a normal physilogic response to delivery c. obtain a clean catch urine - Answer>> b Forceps delivery can result in what complication in the newborn? a.blood clots b.craniosynotosis c.nerve injuries - Answer>> c Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com To avoid a precipitous drop in intra-abdominal pressure during catheterization of a postpartum patint's bladder, what is the maximum amount of urine that should be removed at one time? a.700 ml b. 800ml c. 900 ml - Answer>> b A woman is 12 hours pp and has a wbc of 25,000 this indicates a.an expected range b.dehydration and a need to force c.infection and a need for an antibiotic order - Answer>> a During pp, the low levels of placental lactogen, estrogen, cortisol, growth hormone, and insulinase result in a.diuresis b.increased angiotensin II c. lower glucose levels - Answer>> c 2 hours after delivery an examination of the uterine fundus finds it deviated from midline. The nurse should have the woman a. flex her legs and reassess b.further evaluated for infection c. void to empty the bladder - Answer>> c When assessing a new pp patient, the nurse would expect her blood pressure to be a. consistent w baseline blood pressure during pregnancy b. increased from the work of labor c.lower than normal - Answer>> a Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com c. Adminster 300 mg of Rhogam now and check Kleihauer-Betke at 6 weeks - Answer>> b A pp woman is given RH immune globin (Rhogam) at two days pp. the nurse would alert the woman to what possible side effects. a. increased lochia for a few hours following administration b. soreness at the site of injection site c.given at the same time. - Answer>> b a pp woman has an order for Rh immune globulin and rubella vaccine the nurse knows that the rubella vaccine should be. a. adminstered at the pp office visit b. delayed until 24 hrs after the Rh immune globulin is administered c. given at same time - Answer>> c The unsensitized Rh-negative mother whose baby is Rh positive should a. have the father's blood type determined b. receive 300 mcg of Rho (D) by 72 hrs of birth c. require no further treatment - Answer>> b after pains are due to a. hormonal shifts that affect the muscle b. physiologic stress from the birth process c. uterine contractions during involution - Answer>> c A pp woman who is not breastfeeding states that her mother recommends she bind her breast to prevent painful engorgement. The nurse would advise the patient that binding Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com a. and an order for a diuretic will shorten the engorgement b. and restriction of fluids for 2 days is recommended c.may lead to more leaking - Answer>> c The American Academy of Pediatrics recommend 400 IU of vitamin D supplement for all infants beginning at what age? a. 2 months b. 4 months c. soon after birth - Answer>> c. The lactation initiation stage is dependent on a. a cascade of hormonal changes b. early nursing or milk removal c. prolactin - Answer>> a A new breastfeeding mother wants to begin a reduction diet to lose weight. The min number of kcal a lactating woman should consume per day is a. 1800 b. c.2200 - Answer>> a While in the hospital the mother of a breastfeeding term newborn is observed to have flat nipples and is having difficulty getting baby to latch on properly. The nurse should recommend a. nipple rolling b. nursing w a nipple shield c. wearing breast shells btw feedings - Answer>> c. a pt reports painful nipples. the nurse knows that a. a lack of nipple preparation can result in pain b. nursing too long can cause pain Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com b. weakness in the uterine musculature - Answer>> ab Clinical signs of hemorrhage such as b/p 90/70 pule 118, tachypnea can be seen when the blood loss reaches a. 900 b. 1200 c. 1800 - Answer>> b THe most common pp infection is a. endometritis b. mastitis c.UTI - Answer>> a A pp patient had documented prenatal exposure to parovovirus. a serologic test shows pre-existing IgG antibodies the patient is concerned about the infection. Her hx indicates that which of the following recommendations would be appropriate? a. breastfeeding may expose the newborn b. recurrence is unlikely c. she should have the test repeated in 3 weeks - Answer>> b A woman 4 hours pp reports sudden, excrutiating vulvar pain and severe rectal pressure. the patient is likely exhibiting symptoms of a. Bartholin gland cyst b. vulvar edema c. vulvar hematoma - Answer>> c Following a cesarean birth, the insulin infusion of a diabetic woman should be a. decreased by 50% until eating is resumed Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com b. maintained at her pre-delivery level the first 24 hours c. stopped and sq insulin restarted - Answer>> a A pt is admitted to pp unit w a hx of pre-eclampsia during labor. what percent of eclampsia cases will occur during the pp period. a. 10% b. 20% c. 30% - Answer>> c A pt has a 2 hr glucose tolerance (GTT)result of 140. the nurse would expect which of the following recommendations for the pt to obtain the best assessment of her current risk of diabetes? a. annual fasting blood sugars b. two hr GTT at 6 wks and every 3 yrs if normal c. two hr GTT at 6 weeks and then annually if normal - Answer>> b on pp day 2 , a woman exhibits signs of sleep disturbances, irritabiltiy, agitation, and confusion.. the nurse would suspect a. pp psychosis b. ptsd c. sepsis - Answer>> a The process that triggers the metabolism of brown fat in the neonate occurs for what purpose? a. nutritional supplement b. o2 stimulation when levels fall below 90 c. thermoregulation - Answer>> c At birth the most potent stimulus for constriction of the ductus arteriosis is an increase in a. Co Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com c. tachypnea - Answer>> b A critical finding of hyperthermia is a.hypoglycemia b. shivering c. tachycardia - Answer>> c Which of the following temp of a term newborn is considered normal a. 36. C b. 37 C c. 38 C - Answer>> b. Gavage feedings are frequently needed to meet the nutritional needs of preterm infants bc a. lactose enzyme activity is not adequate b. suck, swallow, and breathing reflexes are uncoordinated c. hyperbilirubinemia is likely - Answer>> b Surfactant production for an infant with RDS is inhibited b/c of a. prematurity b. infection c. hypoglycemia - Answer>> a Which statement is not true about RDS a. It is characterized by atelectasis b. it may be induced by hypothermia in a preterm infant c. with adequate supportive care, it is self-resolving in approx 72 hrs. - Answer>> c The best indicator an infants need for oxygen is a. resp rate b. skin color Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com c. arterial Pa02 - Answer>> c What problem may the LGA infant experience a. PDA b. facial nerve damage c. poor suck swallow, breathing coordination - Answer>> b Why is hyperbilirubinemia of special concern in preterm infants. a. immature liver function b. poor vascular system c. immature endocrine function - Answer>> a To assess the fontanelles, the newborn should be in what position a. lying flat on its back b. sitting position c. turned to one side - Answer>> b The nurse notes hair on the ears of a newborn. she knows that this is seen in babies born to mothers who are a. diabetic b. drug addicted c. post dates - Answer>> a When providing cord care to a newborn, which of the following should be used. a. alcohol b. betadine c. sterile water - Answer>> a A neonate born to a mother whose HBsAg status is unknown should have Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com A newborn observed to have hepatomegaly, cardiac gallop, tachypnea, tachycardia, cyanosis, diaphoresis, and feeding problems most likely has a. CHF b.tetralogy of fallot c. ventricular septal defect - Answer>> b A few hours after administering the eye prophylaxis to the newborn, the nurse notes edema and a greenish yellow discharge. This is most likely a reaction to a. erythromycin b silver nitrate c. tetracycline - Answer>> b A newborn is noted to have cyanosis when quiet but is pink when crying. this is most likely due to a. choanal atresia b. pneumothorax c. tetrology of fallot - Answer>> a Which of the following newborn diagnoses is a result of delayed re-absorption of fetal lung fluid production. a. pneumothorax b. respiratory distress syndrome c. transient tachypnea of the newborn - Answer>> b Newborns delivered by what method are more likely to develop ttn of the newborn a. c/s b. induction c. vacuum - Answer>> a a newborn is delivered w meconium staining who is responsive should be managed how a. always suction a the perineum Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com b. no suction if baby is active and does not require resuscitation c. suction only after the airway has been inspected - Answer>> b at birth the newborn is noted to have absent breath sounds on the left with heart sounds shifted to the right. the abd is noted to be scaphoid and ventilation is difficult. the most likely diagnosis is a. congential pneumothorax b. diaphragmatic hernia c. transposition of the great vessels - Answer>> b Which of the following is chacteristic of jitterness and not of seizures? a. eye deviations b. motion can elicit c.tachycardia - Answer>> b Phototherapy via a fiber optic blanket is ordered for a newborn who is 30 hours old. The mother should be instructed to do which of the following? a. apply lotion to the skin during tx to prevent drying b. increase fluids intake to 25% above daily normal c. no change in care is required - Answer>> c In a 12 hour newborn, the nurse notes a tremor in which the amplitude and rate of the alternating mvmt is equal. this is characteristic of a. cold stess b jitteriness c. seizure - Answer>> c A woman delivers a newborn with spina bifida. She questions what her chances is that another baby would have a similar problem. The nurse knows that the risk Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
