RNC-MNN – Study Questions – Maternal-Newborn
Nursing – 2025/2026
b. 2 fingers below umbilicus - ANS✔✔ Eve is 2 days postpartum. During palpation, where would
you normally expect to find her fundus?
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
d. after pains - ANS✔✔ Keisha delivered her third child about 24 hours ago. She begins to c/o
severe uterine cramping while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
c. engorgement - ANS✔✔ Three days after delivering her child, Gretchen calls the 24 hour
hotline. She is crying and states that her breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
,c. the body's removal of fluids accumulated during pregnancy - ANS✔✔ Tiffany delivered via
cesarean 2 days ago. She is frustrated by constant perspiration and urination. This is likely the
result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor
c. distention of the bladder - ANS✔✔ While assessing Sierra, a 32yo mother of 3, you notice
uterine bleeding and find that her uterus is displayed upward and to the right. This is probably
cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine - ANS✔✔ Olga, a 38yo
patient whom you administered the rubella vaccine, states that at her age she plans to get
pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery
,b. mal-attachment - ANS✔✔ Joan is a 17yo and just delivered a healthy baby boy 6 hours ago.
She talks on her cell phone 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 like his father."
Joan is most likely experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
c. apply a warm compress to ease nipple pain - ANS✔✔ Recommended advice for breastfeeding
mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags
b. ambulate frequently - ANS✔✔ Samantha read in the discharge booklet that postpartum
patients are at risk for thrombophlebitis, and she asks you how she can prevent this from
happening. You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
, d. offer her a non-drug option such as a hot pack or massage - ANS✔✔ Suzanne delivered
vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but refuses pain
medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage
c. massage her uterus until firm - ANS✔✔ Emily is a 28yo mother of 3 who delivered vaginally 4
hours ago. She reports she is "bleeding a lot" and her perineal pad, changed 45 minutes ago, is
fully saturated. Palpation reveals a boggy uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
d. endometritis - ANS✔✔ Mei experienced premature rupture of membranes during her
pregnancy and her internal fetal monitors placed during labor. She later delivered by cesarean.
12 hours after delivery, her HR is 104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
Nursing – 2025/2026
b. 2 fingers below umbilicus - ANS✔✔ Eve is 2 days postpartum. During palpation, where would
you normally expect to find her fundus?
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
d. after pains - ANS✔✔ Keisha delivered her third child about 24 hours ago. She begins to c/o
severe uterine cramping while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
c. engorgement - ANS✔✔ Three days after delivering her child, Gretchen calls the 24 hour
hotline. She is crying and states that her breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
,c. the body's removal of fluids accumulated during pregnancy - ANS✔✔ Tiffany delivered via
cesarean 2 days ago. She is frustrated by constant perspiration and urination. This is likely the
result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor
c. distention of the bladder - ANS✔✔ While assessing Sierra, a 32yo mother of 3, you notice
uterine bleeding and find that her uterus is displayed upward and to the right. This is probably
cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine - ANS✔✔ Olga, a 38yo
patient whom you administered the rubella vaccine, states that at her age she plans to get
pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery
,b. mal-attachment - ANS✔✔ Joan is a 17yo and just delivered a healthy baby boy 6 hours ago.
She talks on her cell phone 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 like his father."
Joan is most likely experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
c. apply a warm compress to ease nipple pain - ANS✔✔ Recommended advice for breastfeeding
mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags
b. ambulate frequently - ANS✔✔ Samantha read in the discharge booklet that postpartum
patients are at risk for thrombophlebitis, and she asks you how she can prevent this from
happening. You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
, d. offer her a non-drug option such as a hot pack or massage - ANS✔✔ Suzanne delivered
vaginally 8 hours ago. She has uterine cramping and rates her pain a "9" but refuses pain
medication. What is your best response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain medication
d. offer her a non-drug option such as a hot pack or massage
c. massage her uterus until firm - ANS✔✔ Emily is a 28yo mother of 3 who delivered vaginally 4
hours ago. She reports she is "bleeding a lot" and her perineal pad, changed 45 minutes ago, is
fully saturated. Palpation reveals a boggy uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
d. endometritis - ANS✔✔ Mei experienced premature rupture of membranes during her
pregnancy and her internal fetal monitors placed during labor. She later delivered by cesarean.
12 hours after delivery, her HR is 104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
