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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
Instructions:
**1. Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you** **have completed the Exam.
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📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in MNN Maternal Newborn RNC Nursing Certification Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - 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>> 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 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 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 Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com 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- 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 Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com 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 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 Congenital Muscular Torticollis - Answer>> often known as wryneck, condition where a newborn presents with a shortened and tightened sternocleidomastoid muscle. It is managed by positioning and exercise The milk ejection reflex (let-down) occurs when there is a release of - Answer>> Oxytocin from the posterior pituitary A recommended analgesic for women with hypertension and a platelet count of 80,000 is - Answer>> Acetaminophen 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>> No change in car is required A postpartum mother seropositive for cytomegalovirus (CMV) delivers a baby at 40 weeks. What is the Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com recommendation regarding breastfeeding? - Answer>> Breastfeed after delivery without treatment or restrictions Following delivery the insulin requirement for most diabetic breastfeeding women is - Answer>> decreased During the initial assessment of a newborn, the nurse palpates the femoral pulses and notes that they are decreased bilateral. This indicated which of the following? - Answer>> Coarctation of the aorta and requires follow up Nutritional requirements for the breastfeeding patient should increase by how many kcal? - Answer>> 500 kcal The fetus of a pregnant woman who acquires a fifth disease (Parvovirus) during pregnancy is at risk for - Answer>> Hydrops The hallmark of HELLP syndrome is - Answer>> Hemolysis (microangiopathic hemolytic anemia) Four hours after delivery, a woman's funds is three fingers above the umbilicus and deviated to the right. Her funds is boggy but firm with massage. She has moderate rubra lochia. The most appropriate action is - Answer>> Assist the woman to the bathroom to void Can women breastfeed with an active herpes lesion? - Answer>> Yes, as long as the lesion is covered during breastfeeding. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com A neonate can be assumed to be an advanced gestational age if neuromuscular development demonstrates increased - Answer>> Hip flexion and adduction What essential oil can be used to help a postpartum woman urinate? - Answer>> Peppermint Maternal blood volume increases during pregnancy, peaking at what percent above pre-pregnancy levels? - Answer>> 50% A predisposing factor to development of transient tachypnea of the newborn - Answer>> cesarean birth Following delivery, an insulin dependent diabetic will have have her insulin dose reduced because - Answer>> The anti-insulin effect ceases after placental separation The normal 5 to 10 percent weight loss that occurs in the term newborn is primarily due to - Answer>> Fluid shifts Which test should be obtained to distinguish swallowed maternal blood from neonatal blood - Answer>> The APT test which uses alkali denaturation of hemoglobin to determine if the blood present in a stool or Emesis Antiretroviral therapy should be recommended to all HIV-infected pregnant women regardless of whether symptomatic to reduce - Answer>> Rate of perinatal transmission Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Of the following, the most common environmental triggers for patent ductus arteriosis is - Answer>> Amphetamines The current recommended method of umbilical cord care for the prevention of omphalitis - Answer>> Keeping the cord clean and dry Immediately after delivery, the fundus is usually located - Answer>> At the umbilicus or 1-2 finger breadths below Breastfeeding in the woman with diabetes is - Answer>> recommended Infants from a mother with lupus need to be assessed for - Answer>> Congenital heart block A woman 6 hours postpartum has elevated blood pressures and is going to be stated on an antihypertensive. She also has a history of asthma. The nurse should know the IV antihypertensive that is contraindicated would be - Answer>> Labetalol A woman who is 14 hours postpartum and has a history of asthma, is noted to have uterine atony. The patient's vital signs are BP 150/90, pulse 100 and respirations
- Her temperature is 99.4. The nurse would expect the appropriate medication to be - Answer>> Oxytocin Rectal potency of the newborn is best confirmed by - Answer>> Passage of meconium Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Recommended treatment of the 36 week gestation patient with diagnosed HELLP syndrome is - Answer>> Prompt Delivery Can women breastfeed with an active herpes lesion? - Answer>> Yes, nut they should cover the lesions while breastfeeding Immediately following an emergency cesarean delivery for placental abruption, a woman begins to exhibit epistaxis and bleeding from her IV site. This clinical presentation is suggestive of - Answer>> Disseminated Intravascular Coagulation (DIC) Disseminated Intravascular Coagulation (DIC) - Answer>> In disseminated intravascular coagulation, abnormal clumps of thickened blood (clots) form inside blood vessels. These abnormal clots use up the blood's clotting factors, which can lead to massive bleeding in other places. At 48 hours of age, a 39 week gestation male has failed to pass meconium - Answer>> Hirschsprung disease hereditary defect causing absence of enteric nervous system Compared to unfractionated heparin, the half-life of low-molecular weight heparin is - Answer>> longer Prenatal nuchal translucency is a screening test for - Answer>> Aneuploidy- Abnormal number of chromosomes. Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com A normal blood finding in the term neonate on day one of life is - Answer>> a hemoglobin level of 18 g/dL A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic fluid was scored as normal. The expected management is - Answer>> repeat the test in 24 hours Balloon catheters (Bakari balloon) are used to manage postpartum hemorrhage by - Answer>> Providing uterine tamponade The greatest risk for maternal transmission of HIV is - Answer>> Intrapartum The best treatment for breast engorgement is - Answer>> breastfeeding the infant frequently Elemental formulas are indicated for infants with - Answer>> with malabsorption Proteins against viral or bacterial infection of the intestinal tract in the breastfeeding infant is due to the presence of large amounts of which immunoglobulin in the breastmilk? - Answer>> IgA IgA - Answer>> A woman is 12 hours postpartum after a 36 hour labor. She has little interest in her newborn. The nurse should
- Answer>> Preform a psychological assessment after a nap Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com congenital absence of part of the esophagus. Food cannot pass from the baby's mouth to the stomach In preforming a gestational age examination, the infant's hand is flexed on the forearm between the thumb and the index finger of the examiner. This maneuver demonstrates - Answer>> Square window Sign Square window sign - Answer>> By gentle flexing the newborn's hand toward the ventral arm until resistance is felt. The angle formed at the wrist is measured. 90 degrees =immature newborn, 0 degree = 40-42 wks term A woman is diagnosed with oligohydramnios during her pregnancy. The fetus/newborn should be evaluated for
- Answer>> Polycystic kidney disease A giant nevus is the most concerning of the genital pigmented nevi because it - Answer>> is a risk of malignant transformation After a massive hemorrhage of 2000cc blood loss, a woman presents to the clinic on day 5 postpartum verbalizing her milk has not come in - Answer>> Sheehan's syndrome Sheehan's syndrome - Answer>> Hypopituitarism caused by uterine hemorrhage during childbirth. The pituitary gland is unable to function due to blood loss. Sx: amenorrhea, fatigue, unable to breast-feed baby, anxiety, decreased BP, Hair loss Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com Tx: Hormone therapy Tests: CT scan of pituitary gland, check pituitary hormone levels A 36 hours old breastfeeding infant has nursed 8 times in the last 24 hours on one breast each feeding. The infant demonstrated rhythmic sucking with audible swallowing during feedings. The infant has had 2 wet diapers and 2 moderate-sized free bowel movements. This assessment that the infant is - Answer>> Feeding well and as expected for this age In evaluation of developmental dysplasia of the hips - Answer>> The Ortolani maneuvers determine if the femoral head is dislocated laterally A GBS positive mother received two doses of antibiotics during labor. Four hours after delivery, the newborn is cyanotic with fluctuating temperatures and labored respirations. Blood cultures are drawn and sent to the lab. The nurse knows that blood cultures... - Answer>> May show false negative results due to the mother receiving antibiotics Common manifestations of neonates who were exposed to barbiturates in utero include - Answer>> Disturbed sleep A hispanic woman just delivered her newborn. She states she is going to breastfeed nut is asking the nurse for formula. The nurse needs to realize that in some cultures - Answer>> Colostrum is considered "bad" After delivery, a newborn exhibits limp left lower arm and hand. The birth was complicated by shoulder Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com One cardiopulmonary adaptation in the newborn after delivery is increased - Answer>> Systemic vascular resistance Glucose-6-phosphate dehydrogenase (G6PD) is - Answer>> Transmitted as a X-linked recessive gene The hormone that is responsible for postpartum constipation is - Answer>> Progesterone What maternal blood type increases the neonates risk of developing ABO blood incompatibilty - Answer>> O The maximum recommended time that the lactational amenorrhea method (LAM) may be used postpartum for child spacing is - Answer>> 6 months Since the newborns immune system is immature at birth, when does the production of IGA approximately begin after birth? - Answer>> 2 weeks The infant of a mother with untreated Chlamydia infection during pregnancy is at risk to develop - Answer>> opthalmia neonatorum-a severe eye infection A breastfeeding mother develops redness on her right breast accompanied by fever, chills, and headache. In addition to antibiotic therapy, an appropriate intervention would be - Answer>> Continue to breastfeed on the affected breast to empty it In a 12-hour-old newborn, the nurse notes a tremor in which the amplitude and rate of the alternating movement are equal. This is characteristic of - Answer>> Jitteriness Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
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📧 Hybridgrades101@gmail.com When considering thermoregulation in the newborn, the loss of the heat to moving air at the skin surface is called - Answer>> convection A neonate is born with a cavernous hemangioma. The parents are concerned about the cosmetic effect of this skin disorder. The nurse should advise that - Answer>> Involution will occur around 1 year of age Which of the following women are at highest risk of hematoma? - Answer>> G1 with forceps delivery A Rh negative mother will receive Rhogam injection before discharge from postpartum if - Answer>> The mother's indirect Coombs is negative and the infant's direct Coombs is negative Appropriate teaching about breast engorgement for non-breastfeeding mother is to - Answer>> Wear 24 hour support bra for comfort The cranial sutures in the neonate are normally - Answer>> mobile The correct position for cardiac compressions during neonatal resuscitation - Answer>> Find the right position for chest compressions by drawing an imaginary line between the nipples to find the middle of the breastbone. Place 2 fingers just below that line on the breastbone and push down hard on the breastbone 1½ inches toward the backbone. A postpartum patient is concerned about loosing her "baby fat." She is breastfeeding and knows that increased calories are important but thinks the Need Writing 📧Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed📧
