RNC-MNN Test Prep
According to the March of Dimes, there may be four main routes to spontaneous
premature labor. They include all except which of the following?
a. infections or inflammation
b. maternal or fetal stress
c. diabetes
d. bleeding
c. diabetes
Diabetes is not a route considered. The fourth route is uterine stretching. Overdistention
of the uterus due to multiple gestation, or placental abnormalities can lead to the
release of chemicals that stimulate uterine contractions.
The presence of 10^5 or more bacterial colonies per milliliter of urine on two
consecutive, clean catch, midstream voided specimens is an indication of:
a. pyelonephritis
b. cystitis
c. thrombophlebitis
d. bacteriuria
d. bacteriuria
Bacteriuria is defined as the presence of 10^5 or more bacterial colonies per milliliter of
urine on two consecutive, clean catch, midstream voided specimens. Risk is associated
with sickle cell trait, lower socio-economic status, increased parity, and reduced
availability of medical care.
Which of the following is least likely to be a risk factor for postpartum
hemorrhage?
a. prolonged labor
b. induced or augmented labor
c. prior vaginal birth
d. difficult third stage of labor
c. prior vaginal birth
The least likely to be a risk factor for postpartum hemorrhage is prior vaginal birth. Prior
cesarean birth is a risk factor, however. Other risk factors include: multiparity,
coagulopathies, and uterine rupture (among others).
At what point postpartum does the infarcted superficial tissue over the placental
site slough off?
a. immediately after the placenta is delivered
b. 24 hours after delivery
c. 72 hours after delivery
d. 7-14 postpartum
,d. 7-14 postpartum
At this time, the woman may notice an episode of increased vaginal bleeding, which is
usually self-limited. Bleeding lasting more than 1 to 2 hours should be evaluated for late
postpartum hemorrhage.
During the first few days after birth, which of the following secretions causes
strong uterine contractions and a further reduction in size of the uterus?
a. progesterone
b. estrogen
c. prolactin
d. oxytocin
d. oxytocin
During the first few days after birth, oxytocin secretion causes uterine contractions,
especially after breastfeeding and in multiparas. Multiparity, multiple gestation,
polyhydramnios, and bladder distention can influence uterine size and the progression
of uterine involution.
The National Screening Committee timeline states that all babies should be
formally reviewed at the latest by what age?
a. 8 weeks
b. 6 weeks
c. 1 week
d. 2 weeks
a. 8 weeks
The developmental assessment of the baby at this point gives the practitioner an
opportunity to ensure that the baby's neurological development is progressing as would
be expected.
Transient tachypnea of the newborn is sometimes referred to as which of the
following?
a. wet lung syndrome
b. retained lung fluid
c. RDS type II
d. all of the above
d. all of the above
All of these choices are other names for transient tachypnea of the newborn (TTN). The
pathophysiology of TTN is excess fluid in the lungs, failure to clear normal fetal lung
fluid, or both.
Respiratory distress syndrome (RDS) is the major cause of respiratory distress in
the newborn. It accounts for approximately what percentage of all premature
infant deaths?
, a. 50-70%
b. 20-30%
c. 25-45%
d. 10-20%
a. 50-70%
RDS, also known as hyaline membrane disease, accounts for approximately 50-70% of
all premature infant deaths. RDS occurs in 60% of babies born at less than 28 to 34
weeks, and in less than 5% of those born after approximately 34 weeks.
Which of the following would NOT be an appropriate intervention for a preterm
newborn?
a. monitor vital signs every 2-4 hours
b. avoid touching the infant as much as possible
c. monitor weight daily
d. monitor intake and output along with electrolyte balance
b. avoid touching the infant as much as possible
This is not an appropriate intervention. The newborn should be provided with
appropriate stimulation, such as touch and cuddling.
Which of the following would indicate implied consent to a procedure?
a. the patient voluntarily submits to the procedure
b. the patient consents in writing
c. the patient orally consents
d. the patient consents orally and in writing
a. the patient voluntarily submits to the procedure
When a patient voluntarily submits to the procedure, this indicates implied consent.
Consenting in writing or orally is considered expressed consent.
Which of the following is a risk factor for a retained placenta?
a. previous uterine curettage
b. preeclampsia
c. nulliparity
d. all of the above
d. all of the above
Risk factors for a retained placenta include all of the first three choices along with
previous retained placenta, augmented labor, birth in a dorsal position, and use of
ergotamine. The primary risk associated with retained placenta is hemorrhage.
Immediately postpartum, the lochia consists primarily of which of the following?
a. exudate
b. leukocytes
According to the March of Dimes, there may be four main routes to spontaneous
premature labor. They include all except which of the following?
a. infections or inflammation
b. maternal or fetal stress
c. diabetes
d. bleeding
c. diabetes
Diabetes is not a route considered. The fourth route is uterine stretching. Overdistention
of the uterus due to multiple gestation, or placental abnormalities can lead to the
release of chemicals that stimulate uterine contractions.
The presence of 10^5 or more bacterial colonies per milliliter of urine on two
consecutive, clean catch, midstream voided specimens is an indication of:
a. pyelonephritis
b. cystitis
c. thrombophlebitis
d. bacteriuria
d. bacteriuria
Bacteriuria is defined as the presence of 10^5 or more bacterial colonies per milliliter of
urine on two consecutive, clean catch, midstream voided specimens. Risk is associated
with sickle cell trait, lower socio-economic status, increased parity, and reduced
availability of medical care.
Which of the following is least likely to be a risk factor for postpartum
hemorrhage?
a. prolonged labor
b. induced or augmented labor
c. prior vaginal birth
d. difficult third stage of labor
c. prior vaginal birth
The least likely to be a risk factor for postpartum hemorrhage is prior vaginal birth. Prior
cesarean birth is a risk factor, however. Other risk factors include: multiparity,
coagulopathies, and uterine rupture (among others).
At what point postpartum does the infarcted superficial tissue over the placental
site slough off?
a. immediately after the placenta is delivered
b. 24 hours after delivery
c. 72 hours after delivery
d. 7-14 postpartum
,d. 7-14 postpartum
At this time, the woman may notice an episode of increased vaginal bleeding, which is
usually self-limited. Bleeding lasting more than 1 to 2 hours should be evaluated for late
postpartum hemorrhage.
During the first few days after birth, which of the following secretions causes
strong uterine contractions and a further reduction in size of the uterus?
a. progesterone
b. estrogen
c. prolactin
d. oxytocin
d. oxytocin
During the first few days after birth, oxytocin secretion causes uterine contractions,
especially after breastfeeding and in multiparas. Multiparity, multiple gestation,
polyhydramnios, and bladder distention can influence uterine size and the progression
of uterine involution.
The National Screening Committee timeline states that all babies should be
formally reviewed at the latest by what age?
a. 8 weeks
b. 6 weeks
c. 1 week
d. 2 weeks
a. 8 weeks
The developmental assessment of the baby at this point gives the practitioner an
opportunity to ensure that the baby's neurological development is progressing as would
be expected.
Transient tachypnea of the newborn is sometimes referred to as which of the
following?
a. wet lung syndrome
b. retained lung fluid
c. RDS type II
d. all of the above
d. all of the above
All of these choices are other names for transient tachypnea of the newborn (TTN). The
pathophysiology of TTN is excess fluid in the lungs, failure to clear normal fetal lung
fluid, or both.
Respiratory distress syndrome (RDS) is the major cause of respiratory distress in
the newborn. It accounts for approximately what percentage of all premature
infant deaths?
, a. 50-70%
b. 20-30%
c. 25-45%
d. 10-20%
a. 50-70%
RDS, also known as hyaline membrane disease, accounts for approximately 50-70% of
all premature infant deaths. RDS occurs in 60% of babies born at less than 28 to 34
weeks, and in less than 5% of those born after approximately 34 weeks.
Which of the following would NOT be an appropriate intervention for a preterm
newborn?
a. monitor vital signs every 2-4 hours
b. avoid touching the infant as much as possible
c. monitor weight daily
d. monitor intake and output along with electrolyte balance
b. avoid touching the infant as much as possible
This is not an appropriate intervention. The newborn should be provided with
appropriate stimulation, such as touch and cuddling.
Which of the following would indicate implied consent to a procedure?
a. the patient voluntarily submits to the procedure
b. the patient consents in writing
c. the patient orally consents
d. the patient consents orally and in writing
a. the patient voluntarily submits to the procedure
When a patient voluntarily submits to the procedure, this indicates implied consent.
Consenting in writing or orally is considered expressed consent.
Which of the following is a risk factor for a retained placenta?
a. previous uterine curettage
b. preeclampsia
c. nulliparity
d. all of the above
d. all of the above
Risk factors for a retained placenta include all of the first three choices along with
previous retained placenta, augmented labor, birth in a dorsal position, and use of
ergotamine. The primary risk associated with retained placenta is hemorrhage.
Immediately postpartum, the lochia consists primarily of which of the following?
a. exudate
b. leukocytes
