1|Page
RNC-MNN EXAM QUESTIONS AND ANSWERS
2025
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
,2|Page
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
HELLP syndrome - ...ANSWER... ✔ ✔hemolysis,
elevated liver enzymes, low platelets (<100,000)
HELLP syndrome labs to determine syndrome class of
1,2,3 - ...ANSWER... ✔ ✔CBC, AST/ALT and LDH
(lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
Congenital torticollis in neonate appearance -
...ANSWER... ✔ ✔Asymmetrical face, head
positioned as if infant is looking over shoulder
,3|Page
Phenylketonuria - ...ANSWER... ✔ ✔A human
metabolic disease caused by a mutation in a gene
coding for a phenylalanine processing enzyme
(phenylalanine hydroxylase), which leads to
accumulation of phenylalanine and mental retardation if
not treated; inherited as an autosomal recessive
phenotype.
PKU diet restrictions - ...ANSWER... ✔ ✔Low protein,
no artificial sweeteners, limited breastfeeding
Desquamation post term infant - ...ANSWER... ✔
✔Peeling, cracking, dry skin
Calorie requirements neonate - ...ANSWER... ✔
✔100 kcal/kg/day (premature 120-150)
Absent moro reflex - ...ANSWER... ✔ ✔Indication of
bilirubin encephalopathy (kernicterus)
Change of lochia - ...ANSWER... ✔ ✔Rubra, serosa,
alba
, 4|Page
Closure of PDA - ...ANSWER... ✔ ✔(Pulmonary
ductus arteriosus) 24 hours. infants with transposition of
great 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
RNC-MNN EXAM QUESTIONS AND ANSWERS
2025
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
,2|Page
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
HELLP syndrome - ...ANSWER... ✔ ✔hemolysis,
elevated liver enzymes, low platelets (<100,000)
HELLP syndrome labs to determine syndrome class of
1,2,3 - ...ANSWER... ✔ ✔CBC, AST/ALT and LDH
(lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
Congenital torticollis in neonate appearance -
...ANSWER... ✔ ✔Asymmetrical face, head
positioned as if infant is looking over shoulder
,3|Page
Phenylketonuria - ...ANSWER... ✔ ✔A human
metabolic disease caused by a mutation in a gene
coding for a phenylalanine processing enzyme
(phenylalanine hydroxylase), which leads to
accumulation of phenylalanine and mental retardation if
not treated; inherited as an autosomal recessive
phenotype.
PKU diet restrictions - ...ANSWER... ✔ ✔Low protein,
no artificial sweeteners, limited breastfeeding
Desquamation post term infant - ...ANSWER... ✔
✔Peeling, cracking, dry skin
Calorie requirements neonate - ...ANSWER... ✔
✔100 kcal/kg/day (premature 120-150)
Absent moro reflex - ...ANSWER... ✔ ✔Indication of
bilirubin encephalopathy (kernicterus)
Change of lochia - ...ANSWER... ✔ ✔Rubra, serosa,
alba
, 4|Page
Closure of PDA - ...ANSWER... ✔ ✔(Pulmonary
ductus arteriosus) 24 hours. infants with transposition of
great 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
