Maternal Newborn RNC Exam Questions And Answers
A postpartum woman complains of excruciating and pressure in the perineal area. She is restless, her
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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 - ANS-Hematoma
Which neonate is at greatest risk for jaundice? - ANS-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 - ANSMagnesium sulfate bolus per physician order
Which of the following drugs is used to treat postpartum women who are experiencing heroine
withdraw? - ANS-Methadone
A high risk factor for chorioamnionitis is - ANS-Preterm labor
Metabolic acidemia umbilical blood gases - ANSThe major postpartum maternal risk factor from shoulder dystocia is - ANS-hemorrhage
A newborn should be evaluated if a newborn has not voided by - ANS-48 hours
The most common cause of sore nipples in immediate postpartum period is - ANS-Improper latch-on
and positioning
A vit-K injection is necessary because of which of the following physiological states present in the first
few days of life - ANS-Absence of normal flora in the gut
Magnesium sulfate is mainly excreted through the - ANS-Kidneys
A patient is examined and found to have a tender, red area in one breast that feels small and hard,
similar to a pea just under the skin.
The expected management for this patient is - ANS-Gentle massage to relieve the lump
When comparing the same volume of mature human milk and premature human milk, the mature milk
has - ANS-Protein
On physical examination, a nurse notes that there are white patches on the neonates mouth that bleed
when an attempt is made to remove them. The nurse should - ANS-review maternal hx for vaginal or
yeast infection
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? - ANS-800mL
The decreased ability of the preterm neonate to produce heat to maintain normal body temperature is
most related to - ANS-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
- ANS-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 - ANSpolycythemia
A postpartum mother that delivered at 38 weeks was on Bactrim for a urinary tract infection. What
should this newborn be monitored for? -
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