RNC-MNN STUDY QUESTIONS AND
CORRECT VERIFIED ANSWERS
EveA2isA22A2daysA2postpartum.A2DuringA2palpation,A2whereA2wouldA2youA2normallyA2expec
tA2toA2findA2herA2fundus?
a.A2atA2theA2levelA2ofA2theA2umbilicus
b.A22A2fingersA2belowA2umbilicus
c.A25A2fingersA2belowA2umbilicus
d.A2non-palpableA2atA2thisA2timeA2-A2Ans--b.A22A2fingersA2belowA2umbilicus
KeishaA2deliveredA2herA2thirdA2childA2aboutA224A2hoursA2ago.A2SheA2beginsA2toA2c/
oA2severeA2uterineA2crampingA2whileA2breastfeeding.A2SheA2isA2experiencing:
a.A2exfoliationA2ofA2deadA2tissue
b.A2involutionA2ofA2uterus
c.A2sheddingA2ofA2theA2endometrium
d.A2afterA2painsA2-A2Ans--d.A2afterA2pains
ThreeA2daysA2afterA2deliveringA2herA2child,A2GretchenA2callsA2theA224A2hourA2hotline.A2She
A2isA2cryingA2andA2statesA2thatA2herA2breastsA2suddenlyA2becameA2"bigger"A2andA2"reallyA2
hurt."A2SheA2isA2experiencing:
a.A2colostrumA2production
b.A2aA2breastA2tumor
c.A2engorgement
d.A2overproductionA2ofA2milkA2-A2Ans--c.A2engorgement
TiffanyA2deliveredA2viaA2cesareanA22A2daysA2ago.A2SheA2isA2frustratedA2byA2constantA2per
spirationA2andA2urination.A2ThisA2isA2likelyA2theA2resultA2of:
a.A2changesA2inA2urineA2pHA2andA2aA2possibleA2UTI
b.A2drinkingA2tooA2muchA2fluidA2inA2theA2earlyA2postpartumA2period
c.A2theA2body'sA2removalA2ofA2fluidsA2accumulatedA2duringA2pregnancy
d.A2receivingA2excessiveA2amountsA2ofA2IVA2fluidsA2duringA2laborA2-A2Ans--
c.A2theA2body'sA2removalA2ofA2fluidsA2accumulatedA2duringA2pregnancy
WhileA2assessingA2Sierra,A2aA232yoA2motherA2ofA23,A2youA2noticeA2uterineA2bleedingA2and
A2findA2thatA2herA2uterusA2isA2displayedA2upwardA2andA2toA2theA2right.A2ThisA2isA2probablyA2
causeA2by:
a.A2retainedA2placentalA2fragments
b.A2ruptureA2ofA2theA2uterus
c.A2distentionA2ofA2theA2bladder
d.A2cervicalA2bruisingA2-A2Ans--c.A2distentionA2ofA2theA2bladder
,Olga,A2aA238yoA2patientA2whomA2youA2administeredA2theA2rubellaA2vaccine,A2statesA2thatA
2atA2herA2ageA2sheA2plansA2toA2getA2pregnantA2rightA2away.A2YouA2tellA2herA2sheA2should:
a.A2avoidA2pregnancyA2forA2atA2leastA28A2weeksA2afterA2receivingA2theA2MMRA2vaccine
b.A2getA2pregnantA2ASAPA2becauseA2ofA2herA2age
c.A2avoidA2gettingA2pregnantA2forA2atA2leastA2aA2yearA2afterA2receivingA2theA2MMRA2vaccin
e
d.A2abstainA2fromA2sexA2forA22A2weeksA2afterA2deliveryA2-A2Ans--
a.A2avoidA2pregnancyA2forA2atA2leastA28A2weeksA2afterA2receivingA2theA2MMRA2vaccine
JoanA2isA2aA217yoA2andA2justA2deliveredA2aA2healthyA2babyA2boyA26A2hoursA2ago.A2SheA2ta
lksA2onA2herA2cellA2phoneA2wheneverA2youA2areA2inA2theA2roomA2andA2refusesA2toA2touchA2
orA2holdA2herA2baby,A2evenA2whenA2heA2cries.A2YouA2overhearA2JoanA2tellA2someoneA2that
A2theA2babyA2isA2"uglyA2likeA2hisA2father."A2JoanA2isA2mostA2likelyA2experiencing:
a.A2exhaustion
b.A2mal-attachment
c.A2normalA2attachment
d.A2postpartumA2depressionA2-A2Ans--b.A2mal-attachment
RecommendedA2adviceA2forA2breastfeedingA2mothersA2include:
a.A2avoidA2theA2useA2ofA2aA2sportsA2bra
b.A2washA2theA2nipplesA2withA2soapA2andA2waterA2afterA2eachA2feeding
c.A2applyA2aA2warmA2compressA2toA2easeA2nippleA2pain
d.A2"conditioning"A2theA2nipplesA2byA2gentlyA2rubbingA2themA2withA2moistA2teaA2bagsA2-
A2Ans--c.A2applyA2aA2warmA2compressA2toA2easeA2nippleA2pain
SamanthaA2readA2inA2theA2dischargeA2bookletA2thatA2postpartumA2patientsA2areA2atA2riskA2
forA2thrombophlebitis,A2andA2sheA2asksA2youA2howA2sheA2canA2preventA2thisA2fromA2happ
ening.A2YouA2instructA2herA2to:
a.A2remainA2onA2strictA2bedrest
b.A2ambulateA2frequently
c.A2crossA2herA2legsA2whileA2sitting
d.A2avoidA2elevatingA2herA2legsA2-A2Ans--b.A2ambulateA2frequently
SuzanneA2deliveredA2vaginallyA28A2hoursA2ago.A2SheA2hasA2uterineA2crampingA2andA2rate
sA2herA2painA2aA2"9"A2butA2refusesA2painA2medication.A2WhatA2isA2yourA2bestA2responseA2r
egardingA2herA2pain?
a.A2tellA2herA2sheA2shouldA2takeA2theA2ibuprofenA2asA2prescribedA2byA2herA2MD
b.A2encourageA2herA2toA2fightA2theA2painA2becauseA2itA2willA2makeA2herA2stronger
c.A2askA2herA2toA2useA2theA2callA2buttonA2ifA2sheA2changesA2herA2mindA2aboutA2takingA2pai
nA2medication
,d.A2offerA2herA2aA2non-drugA2optionA2suchA2asA2aA2hotA2packA2orA2massageA2-A2Ans--
d.A2offerA2herA2aA2non-drugA2optionA2suchA2asA2aA2hotA2packA2orA2massage
EmilyA2isA2aA228yoA2motherA2ofA23A2whoA2deliveredA2vaginallyA24A2hoursA2ago.A2SheA2repo
rtsA2sheA2isA2"bleedingA2aA2lot"A2andA2herA2perinealA2pad,A2changedA245A2minutesA2ago,A2i
sA2fullyA2saturated.A2PalpationA2revealsA2aA2boggyA2uterus.A2YourA2firstA2interventionA2is:
a.A2startA2IVA2fluids
b.A2placeA2aA2catheter
c.A2massageA2herA2uterusA2untilA2firm
d.A2callA2theA2MDA2-A2Ans--c.A2massageA2herA2uterusA2untilA2firm
MeiA2experiencedA2prematureA2ruptureA2ofA2membranesA2duringA2herA2pregnancyA2andA2
herA2internalA2fetalA2monitorsA2placedA2duringA2labor.A2SheA2laterA2deliveredA2byA2cesarea
n.A212A2hoursA2afterA2delivery,A2herA2HRA2isA2104A2andA2herA2lochiaA2smellsA2foul.A2YouA2s
uspect:
a.A2endometriosis
b.A2mastitis
c.A2uterineA2cancer
d.A2endometritisA2-A2Ans--d.A2endometritis
YouA2areA2preparingA2toA2dischargeA2MariaA2afterA2deliveringA2aA2healthyA2boy.A2YouA2beli
eveA2MariaA2understandsA2theA2dischargeA2teachingA2instructionsA2whenA2sheA2states:
a.A2itA2isA2acceptableA2toA2haveA2bleedingA2nipplesA2afterA2breastfeedingA2forA2theA2firstA2f
ewA2days
b.A2IA2shouldA2notA2worryA2ifA2IA2haveA2aA2largeA2massA2underA2myA2breasts
c.A2IA2willA2callA2myA2nurse-midwifeA2ifA2IA2saturateA2aA2padA2inA2oneA2hour
d.A2suicidalA2thoughtsA2areA2okayA2becauseA2theA2babyA2bluesA2areA2normalA2-A2Ans--
c.A2IA2willA2callA2myA2nurse-midwifeA2ifA2IA2saturateA2aA2padA2inA2oneA2hour
AnA2infantA2bornA2toA2aA2motherA2whoA2abusedA2drugsA2duringA2pregnancyA2exhibitedA2wi
thdrawalA2signsA2inA2theA2nurseryA2thatA2includedA2feverA2andA2poorA2stateA2control.A2Afte
rA2stabilizationA2andA2discharge,A2theA2caretakerA2calledA2toA2reportA2aA2returnA2ofA2withdr
awalA2symptoms.A2ThisA2patternA2isA2consistentA2withA2maternalA2abuseA2of:
a.A2alcohol
b.A2cocaine
c.A2methadoneA2-A2Ans--b.A2cocaine
LeukocytosisA2thatA2occursA2inA2normalA2postpartumA2adaptationA2canA2beA2differentiated
A2fromA2anA2infectiousA2processA2byA2theA2presenceA2of:
a.A2aA230%A2increaseA2inA2WBCA2countA2inA2aA26A2hourA2period
b.A2aA2concominantA2increaseA2inA2theA2sedimentationA2rate
, c.A2anyA2elevationA2inA2temperatureA2-A2Ans--
b.A2aA2concominantA2increaseA2inA2theA2sedimentationA2rate
Tachypnea,A2tachycardia,A2andA2poorA2feedingA2inA2aA212A2hourA2oldA2neonate,A2bornA2to
A2aA2motherA2withA2diabetesA2mellitus,A2wouldA2beA2moreA2consistentA2withA2theA2onsetA2o
f:
a.A2congestiveA2heartA2failure
b.A2hypoglycemia
c.A2respiratoryA2distressA2syndromeA2-A2Ans--b.A2hypoglycemia
AA2postpartumA2womanA2hasA2aA2BPA2ofA2150/92A2atA26A2hours.A2Later,A2theA2BPA2isA2148
/90.A2ThisA2findingA2mostA2likely:
a.A2diminishedA2venousA2return
b.A2reflectsA2postpartumA2peakA2inA2cardiacA2output
c.A2requiresA2evaluationA2forA2postpartumA2preeclampsiaA2-A2Ans--
c.A2requiresA2evaluationA2forA2postpartumA2preeclampsia
TheA2letA2downA2reflexA2inA2theA2breastfeedingA2womanA2isA2responsibleA2for
a.A2movementA2ofA2theA2milkA2fromA2ductsA2toA2theA2nipple
b.A2regulationA2ofA2milkA2releaseA2toA2ensureA2milkA2isA2availableA2atA2anyA2givenA2time
c.A2releaseA2ofA2theA2milkA2toA2theA2alveoliA2-A2Ans--
a.A2movementA2ofA2theA2milkA2fromA2ductsA2toA2theA2nipple
AA2womanA2plansA2notA2toA2breastfeedA2andA2asksA2aboutA2howA2toA2suppressA2lactation.
A2SheA2shouldA2beA2advisedA2that:
a.A2mechanicalA2suppressionA2occursA2withA2theA2useA2ofA2aA2supportiveA2bra
b.A2medicationsA2canA2beA2prescribesA2toA2stopA2lactation
c.A2physiologically,A2lactationA2willA2notA2proceedA2withoutA2breastfeedingA2andA2noA2inter
ventionA2isA2neededA2-A2Ans--
a.A2mechanicalA2suppressionA2occursA2withA2theA2useA2ofA2aA2supportiveA2bra
SpinalA2blockadeA2occurringA2withA2epiduralA2anesthesiaA2resultsA2in
a.A2hypotension
b.A2tachycardia
c.A2vertigoA2-A2Ans--a.A2hypotension
SynthesisA2ofA2vitaminA2KA2inA2theA2neonateA2isA2dependentA2uponA2theA2presenceA2of
a.A2aminoA2acidsA2derivedA2fromA2humanA2orA2formulaA2proteins
b.A2appropriateA2bacteriaA2inA2theA2GIA2tract
CORRECT VERIFIED ANSWERS
EveA2isA22A2daysA2postpartum.A2DuringA2palpation,A2whereA2wouldA2youA2normallyA2expec
tA2toA2findA2herA2fundus?
a.A2atA2theA2levelA2ofA2theA2umbilicus
b.A22A2fingersA2belowA2umbilicus
c.A25A2fingersA2belowA2umbilicus
d.A2non-palpableA2atA2thisA2timeA2-A2Ans--b.A22A2fingersA2belowA2umbilicus
KeishaA2deliveredA2herA2thirdA2childA2aboutA224A2hoursA2ago.A2SheA2beginsA2toA2c/
oA2severeA2uterineA2crampingA2whileA2breastfeeding.A2SheA2isA2experiencing:
a.A2exfoliationA2ofA2deadA2tissue
b.A2involutionA2ofA2uterus
c.A2sheddingA2ofA2theA2endometrium
d.A2afterA2painsA2-A2Ans--d.A2afterA2pains
ThreeA2daysA2afterA2deliveringA2herA2child,A2GretchenA2callsA2theA224A2hourA2hotline.A2She
A2isA2cryingA2andA2statesA2thatA2herA2breastsA2suddenlyA2becameA2"bigger"A2andA2"reallyA2
hurt."A2SheA2isA2experiencing:
a.A2colostrumA2production
b.A2aA2breastA2tumor
c.A2engorgement
d.A2overproductionA2ofA2milkA2-A2Ans--c.A2engorgement
TiffanyA2deliveredA2viaA2cesareanA22A2daysA2ago.A2SheA2isA2frustratedA2byA2constantA2per
spirationA2andA2urination.A2ThisA2isA2likelyA2theA2resultA2of:
a.A2changesA2inA2urineA2pHA2andA2aA2possibleA2UTI
b.A2drinkingA2tooA2muchA2fluidA2inA2theA2earlyA2postpartumA2period
c.A2theA2body'sA2removalA2ofA2fluidsA2accumulatedA2duringA2pregnancy
d.A2receivingA2excessiveA2amountsA2ofA2IVA2fluidsA2duringA2laborA2-A2Ans--
c.A2theA2body'sA2removalA2ofA2fluidsA2accumulatedA2duringA2pregnancy
WhileA2assessingA2Sierra,A2aA232yoA2motherA2ofA23,A2youA2noticeA2uterineA2bleedingA2and
A2findA2thatA2herA2uterusA2isA2displayedA2upwardA2andA2toA2theA2right.A2ThisA2isA2probablyA2
causeA2by:
a.A2retainedA2placentalA2fragments
b.A2ruptureA2ofA2theA2uterus
c.A2distentionA2ofA2theA2bladder
d.A2cervicalA2bruisingA2-A2Ans--c.A2distentionA2ofA2theA2bladder
,Olga,A2aA238yoA2patientA2whomA2youA2administeredA2theA2rubellaA2vaccine,A2statesA2thatA
2atA2herA2ageA2sheA2plansA2toA2getA2pregnantA2rightA2away.A2YouA2tellA2herA2sheA2should:
a.A2avoidA2pregnancyA2forA2atA2leastA28A2weeksA2afterA2receivingA2theA2MMRA2vaccine
b.A2getA2pregnantA2ASAPA2becauseA2ofA2herA2age
c.A2avoidA2gettingA2pregnantA2forA2atA2leastA2aA2yearA2afterA2receivingA2theA2MMRA2vaccin
e
d.A2abstainA2fromA2sexA2forA22A2weeksA2afterA2deliveryA2-A2Ans--
a.A2avoidA2pregnancyA2forA2atA2leastA28A2weeksA2afterA2receivingA2theA2MMRA2vaccine
JoanA2isA2aA217yoA2andA2justA2deliveredA2aA2healthyA2babyA2boyA26A2hoursA2ago.A2SheA2ta
lksA2onA2herA2cellA2phoneA2wheneverA2youA2areA2inA2theA2roomA2andA2refusesA2toA2touchA2
orA2holdA2herA2baby,A2evenA2whenA2heA2cries.A2YouA2overhearA2JoanA2tellA2someoneA2that
A2theA2babyA2isA2"uglyA2likeA2hisA2father."A2JoanA2isA2mostA2likelyA2experiencing:
a.A2exhaustion
b.A2mal-attachment
c.A2normalA2attachment
d.A2postpartumA2depressionA2-A2Ans--b.A2mal-attachment
RecommendedA2adviceA2forA2breastfeedingA2mothersA2include:
a.A2avoidA2theA2useA2ofA2aA2sportsA2bra
b.A2washA2theA2nipplesA2withA2soapA2andA2waterA2afterA2eachA2feeding
c.A2applyA2aA2warmA2compressA2toA2easeA2nippleA2pain
d.A2"conditioning"A2theA2nipplesA2byA2gentlyA2rubbingA2themA2withA2moistA2teaA2bagsA2-
A2Ans--c.A2applyA2aA2warmA2compressA2toA2easeA2nippleA2pain
SamanthaA2readA2inA2theA2dischargeA2bookletA2thatA2postpartumA2patientsA2areA2atA2riskA2
forA2thrombophlebitis,A2andA2sheA2asksA2youA2howA2sheA2canA2preventA2thisA2fromA2happ
ening.A2YouA2instructA2herA2to:
a.A2remainA2onA2strictA2bedrest
b.A2ambulateA2frequently
c.A2crossA2herA2legsA2whileA2sitting
d.A2avoidA2elevatingA2herA2legsA2-A2Ans--b.A2ambulateA2frequently
SuzanneA2deliveredA2vaginallyA28A2hoursA2ago.A2SheA2hasA2uterineA2crampingA2andA2rate
sA2herA2painA2aA2"9"A2butA2refusesA2painA2medication.A2WhatA2isA2yourA2bestA2responseA2r
egardingA2herA2pain?
a.A2tellA2herA2sheA2shouldA2takeA2theA2ibuprofenA2asA2prescribedA2byA2herA2MD
b.A2encourageA2herA2toA2fightA2theA2painA2becauseA2itA2willA2makeA2herA2stronger
c.A2askA2herA2toA2useA2theA2callA2buttonA2ifA2sheA2changesA2herA2mindA2aboutA2takingA2pai
nA2medication
,d.A2offerA2herA2aA2non-drugA2optionA2suchA2asA2aA2hotA2packA2orA2massageA2-A2Ans--
d.A2offerA2herA2aA2non-drugA2optionA2suchA2asA2aA2hotA2packA2orA2massage
EmilyA2isA2aA228yoA2motherA2ofA23A2whoA2deliveredA2vaginallyA24A2hoursA2ago.A2SheA2repo
rtsA2sheA2isA2"bleedingA2aA2lot"A2andA2herA2perinealA2pad,A2changedA245A2minutesA2ago,A2i
sA2fullyA2saturated.A2PalpationA2revealsA2aA2boggyA2uterus.A2YourA2firstA2interventionA2is:
a.A2startA2IVA2fluids
b.A2placeA2aA2catheter
c.A2massageA2herA2uterusA2untilA2firm
d.A2callA2theA2MDA2-A2Ans--c.A2massageA2herA2uterusA2untilA2firm
MeiA2experiencedA2prematureA2ruptureA2ofA2membranesA2duringA2herA2pregnancyA2andA2
herA2internalA2fetalA2monitorsA2placedA2duringA2labor.A2SheA2laterA2deliveredA2byA2cesarea
n.A212A2hoursA2afterA2delivery,A2herA2HRA2isA2104A2andA2herA2lochiaA2smellsA2foul.A2YouA2s
uspect:
a.A2endometriosis
b.A2mastitis
c.A2uterineA2cancer
d.A2endometritisA2-A2Ans--d.A2endometritis
YouA2areA2preparingA2toA2dischargeA2MariaA2afterA2deliveringA2aA2healthyA2boy.A2YouA2beli
eveA2MariaA2understandsA2theA2dischargeA2teachingA2instructionsA2whenA2sheA2states:
a.A2itA2isA2acceptableA2toA2haveA2bleedingA2nipplesA2afterA2breastfeedingA2forA2theA2firstA2f
ewA2days
b.A2IA2shouldA2notA2worryA2ifA2IA2haveA2aA2largeA2massA2underA2myA2breasts
c.A2IA2willA2callA2myA2nurse-midwifeA2ifA2IA2saturateA2aA2padA2inA2oneA2hour
d.A2suicidalA2thoughtsA2areA2okayA2becauseA2theA2babyA2bluesA2areA2normalA2-A2Ans--
c.A2IA2willA2callA2myA2nurse-midwifeA2ifA2IA2saturateA2aA2padA2inA2oneA2hour
AnA2infantA2bornA2toA2aA2motherA2whoA2abusedA2drugsA2duringA2pregnancyA2exhibitedA2wi
thdrawalA2signsA2inA2theA2nurseryA2thatA2includedA2feverA2andA2poorA2stateA2control.A2Afte
rA2stabilizationA2andA2discharge,A2theA2caretakerA2calledA2toA2reportA2aA2returnA2ofA2withdr
awalA2symptoms.A2ThisA2patternA2isA2consistentA2withA2maternalA2abuseA2of:
a.A2alcohol
b.A2cocaine
c.A2methadoneA2-A2Ans--b.A2cocaine
LeukocytosisA2thatA2occursA2inA2normalA2postpartumA2adaptationA2canA2beA2differentiated
A2fromA2anA2infectiousA2processA2byA2theA2presenceA2of:
a.A2aA230%A2increaseA2inA2WBCA2countA2inA2aA26A2hourA2period
b.A2aA2concominantA2increaseA2inA2theA2sedimentationA2rate
, c.A2anyA2elevationA2inA2temperatureA2-A2Ans--
b.A2aA2concominantA2increaseA2inA2theA2sedimentationA2rate
Tachypnea,A2tachycardia,A2andA2poorA2feedingA2inA2aA212A2hourA2oldA2neonate,A2bornA2to
A2aA2motherA2withA2diabetesA2mellitus,A2wouldA2beA2moreA2consistentA2withA2theA2onsetA2o
f:
a.A2congestiveA2heartA2failure
b.A2hypoglycemia
c.A2respiratoryA2distressA2syndromeA2-A2Ans--b.A2hypoglycemia
AA2postpartumA2womanA2hasA2aA2BPA2ofA2150/92A2atA26A2hours.A2Later,A2theA2BPA2isA2148
/90.A2ThisA2findingA2mostA2likely:
a.A2diminishedA2venousA2return
b.A2reflectsA2postpartumA2peakA2inA2cardiacA2output
c.A2requiresA2evaluationA2forA2postpartumA2preeclampsiaA2-A2Ans--
c.A2requiresA2evaluationA2forA2postpartumA2preeclampsia
TheA2letA2downA2reflexA2inA2theA2breastfeedingA2womanA2isA2responsibleA2for
a.A2movementA2ofA2theA2milkA2fromA2ductsA2toA2theA2nipple
b.A2regulationA2ofA2milkA2releaseA2toA2ensureA2milkA2isA2availableA2atA2anyA2givenA2time
c.A2releaseA2ofA2theA2milkA2toA2theA2alveoliA2-A2Ans--
a.A2movementA2ofA2theA2milkA2fromA2ductsA2toA2theA2nipple
AA2womanA2plansA2notA2toA2breastfeedA2andA2asksA2aboutA2howA2toA2suppressA2lactation.
A2SheA2shouldA2beA2advisedA2that:
a.A2mechanicalA2suppressionA2occursA2withA2theA2useA2ofA2aA2supportiveA2bra
b.A2medicationsA2canA2beA2prescribesA2toA2stopA2lactation
c.A2physiologically,A2lactationA2willA2notA2proceedA2withoutA2breastfeedingA2andA2noA2inter
ventionA2isA2neededA2-A2Ans--
a.A2mechanicalA2suppressionA2occursA2withA2theA2useA2ofA2aA2supportiveA2bra
SpinalA2blockadeA2occurringA2withA2epiduralA2anesthesiaA2resultsA2in
a.A2hypotension
b.A2tachycardia
c.A2vertigoA2-A2Ans--a.A2hypotension
SynthesisA2ofA2vitaminA2KA2inA2theA2neonateA2isA2dependentA2uponA2theA2presenceA2of
a.A2aminoA2acidsA2derivedA2fromA2humanA2orA2formulaA2proteins
b.A2appropriateA2bacteriaA2inA2theA2GIA2tract
