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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 in Maternal Newborn Nursing RNC-MNN Exam Prep Study Guide Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Medication administered for meconium aspiration in neonate - Answer>> Beractant (survanta) Spina Bifida occulta - Answer>> Gap in spine, without spinal opening or sac protrusion Craniosynostosis - Answer>> Premature fusion of cranial sutures. Absence of fontanels, misshapen head that doesn't resolve in a few days, and hard raised ridge along affected sutures. Diaphragmatic hernia in neonate - Answer>> Scaphoid abdomen and decreased left breath sounds. Tx:immediate intubation and insertion of orogastric tube to help with ventilation and decompress stomach in order to maximize lung inflation Spo2 for neonate in transition period - Answer>> 1 min- 60-65% increase by 5% each min until 10min 85- 90% Café au lait spots - Answer>> Multiple flat irregular spots. Possibly indicates neurofibromatosis (genetic disease that affects skeletal/neuro development and cell proliferation involution of the uterus - Answer>> the uterus returns to its normal nonpregnant size Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com arteries, pda may need to be kept open TTN (transient tachypnea of the newborn) - Answer>> respiratory distress in a term infant related to to delayed absorbtion of fluid in lungs from delivery. Should not last more than 6hrs Lab indicates fetal lung maturity - Answer>> Lecithin- sphingomyelin (L/S) ratio of 2:1 they are components of Lin surfactant Cause of neonatal/congenital pneumonia - Answer>> Staphylococcus epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv) Risk for abo incompatibility - Answer>> Mom o, infant a or b puerperal infection - Answer>> infection of the reproductive tract at any time during the 6 weeks following birth Para - Answer>> delivery of a live/stillborn fetus
20wks nullipara - Answer>> a woman who has not given birth to a viable offspring, >20wks HCG - Answer>> human chorionic gonadotropin gestational sac - Answer>> can be seen 5-6 weeks transabdominally, 3-4 transvaginally Maternal Weight Gain - Answer>> Healthy weight BMI: 25 to 35 lb Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com 1st trimester: 3.5 to 5 lb 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 assisted reproductive technology (ART) - Answer>> any infertility treatment in which the egg is fertilized outside the womb Gamete intrafallopian transfer (GIFT) - Answer>> procedure in which the sperm and ovum are placed directly in a fallopian tube intracytoplasmic sperm injection - Answer>> fertilization accomplished by injecting a sperm cell directly into an egg invitro fertilization - Answer>> Fertilization occurs in a petri dish in a lab, and then the fertilized eggs are implanted into the female. zygote intrafallopian transfer (ZIFT) - Answer>> procedure in which an egg is fertilized in the laboratory and then placed in a fallopian tube. From there they travel to the uterus to implant amenorrhea - Answer>> absence of menstruation Surfactant - Answer>> any substance that interferes with the hydrogen bonding between water molecules Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com extensive peripheral edema, hepatic dysfunction & thrombocytopenia Disseminated Intravascular Coagulation (DIC) - Answer>> condition in which small blood clots develop throughout the bloodstream, blocking small blood vessels. The increased clotting depletes the platelets and clotting factors needed to control bleeding, causing excessive bleeding. Aldomet - Answer>> Methyldopa Antihypertensive Procardia - Answer>> nifedipine (calcium channel blocker) vasodilator that has minimal affect on cardiac conduction and heart rate Labetalol - Answer>> Trandate beta blocker, vasodilator, contraindicated in asthma and heart failure pts Hydralazine - Answer>> Apresoline, vasodilator, relaxes smooth muscle. Increases heart contractility, HR, and o2 consumption. Contraindicated in lupus pts Novolog - Answer>> insulin aspart; rapid acting; Onset:15m, Peak:30-90m, Duration:3-5h Humalog - Answer>> insulin lispro; rapid acting; Onset:15m, Peak30-90:, Duration:3-5h Humulin R, Novolin R - Answer>> Regular Insulin; Short acting; Onset:30-60m, Peak:2-4h, Duration:5-8h Humulin N, Novolin N - Answer>> NPH; intermediate acting; Onset:1-3h, Peak:8h, Duration:12-16h Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Mixing Insulin - Answer>> Rapid acting or Regular insulin (clear) can be mixed with NPH (cloudy). Air:cloudy-clear, then pullup clear-cloudy Lantus can NOT be mixed with other insulin. Lantus - Answer>> insulin glargine; long acting; Onset:1-1.5h, Peak:none, Duration:20-24h oligohydramnios - Answer>> <500 ml amniotic fluid Apgar scale - Answer>> appearance, pulse, grimace, activity, respiration 1,5,10min Reactive NST - Answer>> Acceleration > 15 bpm for 15 seconds in 20 minutes (<32wks, 10x10) brick dust urine - Answer>> normal if within 48hrs, urate deposits Coombs test - Answer>> a test for the presence of anti-Rh factor antibodies in the blood (this is often given to pregnant women that are Rh- to see if they will mount an immune response against the blood of their fetus) L/S ratio - Answer>> The lecithin-sphingomyelin ratio (components of surfactant) is a test for assessing fetal lung maturity. An L/S ratio of 2:1 or more indicates a relatively low risk of infant respiratory distress syndrome, and an L/S ratio of less than 1.5 is associated with a high risk of infant respiratory distress syndrome. (from amniotic fliud) Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com narrow palpabrel fissures, hypertelorism, short sternum, ptosis, clenched hands, absent radius, webbed 2nd/3rd toes, rocker-bottom feet 50% die in first week of life Only 8% survive beyond 1 yo Micrognathia - Answer>> abnormally small chin Hypertelorism - Answer>> widely spaced eyes Omphalocoele - Answer>> Abdominal closure prior to retraction of intestines Arthrogryposis - Answer>> Born with joint contractures, don't move as normal and may be stuck in one position Trisomy 13 (Patau Syndrome) - Answer>> Some of the characteristics of Patau syndrome may include: small skull (microcephaly) an abnormal opening in the skull malformations of part of the brain structural defects of the eyes cleft lip or cleft palate additional toes or fingers (polydactyly) congenital heart disorders, such as ventricular septal defect neural tube defect, where the spinal cord, meninges and blood vessels protrude through a gap in the vertebrae (myelomeningocele) malformations of the sex organs survival beyond the neonatal period is uncommon. Fat soluble vitamins - Answer>> A, D, E, K Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Protein requirements for infant - Answer>> 2-2.5kcal/kg/day preterm:3.5-4kcal/kg/day pathologic jaundice - Answer>> -blood/antigen incompatibility -appears in first 24-36 hrs of life, lasts longer than a week -direct/conj bili >12; increase >5/day -Coombs POSITIVE = suspect hemolytic disease of newborn due to ABO incompatibility or underlying liver disease -administer rhogam prenatally or post-natal exchange transfusion to prevent Fetal scalp stimulation - Answer>> Evaluates fetal response to tactile stimulation via vaginal examination & scratching of fetal scalp Accelerations on fetal tracing after scalp stimulation should be seen. no acceleration indicated fetal acidosis Fetal bradycardia - Answer>> possible sign of heart block or placental abruption FHR variability - Answer>> minimal: </= 5 moderate: 6- marked: 25 FHR decelerations - Answer>> early in response to fetal head compression; late due to uteroplacental insufficiency; variable due to cord compression; prolonged when rate has been down for 2-10 minutes & is 15 beats below baseline Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com fetal macrosomia - Answer>> birth weight greater then 4000g (8.9 lbs), Infants of gestational diabetes or diabetic mother, Occurs when an infant weighs over 9 lbs. We see this as a result of elevated blood glucose levels that stimulate excessive production of fetal insulin, a powerful growth hormone. Time placental site takes to heal - Answer>> 6-7 wks Tay-Sachs disease - Answer>> A human genetic disease caused by a recessive allele that leads to the accumulation of certain lipids in the brain. Seizures, blindness, and degeneration of motor and mental performance usually become manifest a few months after birth. Drug that increases spontaneous abortion - Answer>> Meth due to vasoconstriction Methlydopa - Answer>> Aldomet, should be avoided in pp htn can cause depression and psychosis Loop diuretics - Answer>> Inhibit reabsorption of sodium and chloride, lasix/ furosemide Thiazides - Answer>> Diuretic prototype: block Na+/Cl− transporter in distal convoluted tubule; used in HTN, CHF, chronic stone formers. Tox: K+ wasting; increased serum lipids, uric acid, and glucose Potassium sparing diuretics - Answer>> Spironolactone (Aldactone), weaker than other diuretics spinal headache - Answer>> Cerebral spinal fluid leakage at puncture site. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Worse when woman is upright and may disappear when lying flat. Guillian-Barre Syndrome (GBS) - Answer>> Acute inflammatory condition involving the spinal nerve roots, peripheral nerves and possibly cranial nerve. Reye's syndrome - Answer>> Syndrome which is an acute encephalopathy (inflammation of the brain). Usually follows a viral illness & linked to intake of aspirin. Use acetaminophen (not aspirin) to reduce fever with child with a communicable disease (virus) to prevent this. Direct bilirubin - Answer>> Conjugated with glucuronic acid, water soluble, increase with blockage of bile ducts, hepatitis, or other liver damage including drug reaction. Indirect bilirubin - Answer>> Unconjugated, water insoluble, increase with anemias, such as hemolytic disorders, and transfusion reactions. Reasons for physiologic jaundice in newborn - Answer>> -larger RBCs with a shorter life span than adults leads to increased rate of RBCs destruction -low levels of liver enzymes to convert bilirubin to its water soluble form -increased reabsorption of bili from immature GI tract -happens after 24hr mark Height of phototherapy lights - Answer>> 15-20cm Kernicterus - Answer>> Bilirubin encephalopathy, a form of brain damage resulting from unconjugated bilirubin entering the brain. Characterized by lethargy, Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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100bpm slowly d/c compressions and ventilation <60bpm intubate and continue ventilation, administer epinephrine
Polycythemia - Answer>> A disorder characterized by an abnormal increase in the number of red blood cells in the blood avg length of newborn - Answer>> 45-55 cm (18- in) avg head circumference - Answer>> 32-38 cm (13- in) usually 2cm more than chest circ Avg chest circumference - Answer>> 30-36 cm (12- in) normal blood pressure of newborn - Answer>> 56- 77/33- hypertension newborn - Answer>> >90- bounding pulses in newborn indicates - Answer>> too much blood coming from the aorta- PDA, aortic insufficiency, shunts One umbilical artery - Answer>> indicates GI/GU congenital anomilies One umbilical vein - Answer>> carries O2 & nutrient rich blood; most blood shunted past liver to inferior vena cava by ductus venosus Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Ductus areteriosus - Answer>> connects the pulmonary artery with the aorta allowing blood to bypass the lungs nevus simplex - Answer>> stork bite/salmon patch Harlequin sign - Answer>> A rare color change that occurs between the longitudinal halves of the newborn's body, such that the dependent half is noticeably pinker than the superior half when the newborn is placed on one side; it is of no pathologic significance. Café au lait spots - Answer>> Light-brown birthmarks. more than 3 could be neurofibromatosis type 1 (usually will have freckles on armpit and inguinal area) Cutis marmorata - Answer>> transient mottling in the trunk and extremities in response to cooler room temperatures erythema toxicum - Answer>> newborn rash neonatal pustular melanosis - Answer>> The original lesion is a vesiculopustule, which may be present at birth. This small blister quickly ruptures and leaves a typical collarette of superficial scale processes cradle cap - Answer>> seborrheic dermatitis crown-rump length (CRL) - Answer>> Measurement of the longest axis of an embryo to determine gestational age, done at 7-12 wks Flumazenil - Answer>> Benzodiazepine antagonist Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com coarctation of the aorta - Answer>> narrowing of the descending portion of the aorta, resulting in a limited flow of blood to the lower part of the body. Presents in newborn after 48hrs due to the closure of ductus arteriosus. Tetrology of Fallot - Answer>> DROP (Defect- septal, Right ventricular hypertrophy, Overriding aorta, Pulmonary stenosis) Pulmonary stenosis - Answer>> a narrowing of the pulmonary valve or pulmonary artery that results in obstruction of blood flow from the ventricles Indocin (indomethacin) - Answer>> NSAID, can be used to close PDA in newborn Hirschsprung disease - Answer>> absent ganglion cells in part of the bowel. absent enervation and peristalsis. leads to distention and megacolon. associated with down syndrome. volvulus - Answer>> twisting of the intestine on itself Gastroschisis vs Omphalocele - Answer>> GS - malformation of anterior abdominal wall, intestines exposed O - herniation of bowel into umbilical cord - intestines covered by peritoneum and amnion Vacteral Syndrome in newborn - Answer>> Vertebral defect Anal atresia Cardiac defects Tracheoesophageal fistula Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Esophageal fistula Renal anomalies Limb anomalies talipes equinovarus - Answer>> congenital deformity of one or both feet in which the foot is pulled downward and laterally to the side; also called clubfoot Barlow test - Answer>> Test for a hip that is dislocatable but not dislocated in infants. With infant supine and hip and knees flexed, push posteriorly in line with the shaft of femur. An unstable femoral head will dislocate posteriorly from acetabulum. Ortolani test - Answer>> To detect hip dislocation or subluxation; Slowly abduct the thigh while maintaining axial pressure; With fingertips on the greater trochanter, exert a lever movement in the opposite direction so that your fingertips press the head of the femur back toward the acetabulum center. If the head of the femur slips back into the acetabulum with a palpable clunk when pressure is exerted, suspect hip subluxation or dislocation. Erb's Palsy - Answer>> a paralysis of the arm that most often occurs as an infant's head and neck are pulled toward the side at the same time as the shoulders pass through the birth canal. startle reflex abnormal, but grasp reflex intact. damage to upper portion of brachial plexus. Klumpke's palsy - Answer>> lower brachial plexus injury resulting in claw hand deformity; usually improves btwn 3-6 months. grasp reflex absent. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
