Practice Tests Test Prep Answered 2022-2023.

Summary NCC Maternal Newborn Nursing (RNC-MNN) Practice Tests & Test Prep Answered 2022-2023.Eve is 2 days postpartum. During palpation, where would you normally expect to find her fundus?

• at the level of the umbilicus
• 2 fingers below umbilicus
• 5 fingers below umbilicus
• non-palpable at this time - correct answerb. 2 fingers below umbilicus

Keisha delivered her third child about 24 hours ago. She begins to c/o severe uterine cramping while

breastfeeding. She is experiencing:

• exfoliation of dead tissue
• involution of uterus
• shedding of the endometrium
• after pains - correct answerd. after pains

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:

• colostrum production
• a breast tumor
• engorgement
• overproduction of milk - correct answerc. engorgement

Tiffany delivered via cesarean 2 days ago. She is frustrated by constant perspiration and urination. This is

likely the result of:

• changes in urine pH and a possible UTI
• drinking too much fluid in the early postpartum period 1 / 4

• the body's removal of fluids accumulated during pregnancy
• receiving excessive amounts of IV fluids during labor - correct answerc. the body's removal of fluids

accumulated during pregnancy 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:

• retained placental fragments
• rupture of the uterus
• distention of the bladder
• cervical bruising - correct answerc. distention of the bladder

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:

• avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
• get pregnant ASAP because of her age
• avoid getting pregnant for at least a year after receiving the MMR vaccine
• abstain from sex for 2 weeks after delivery - correct answera. avoid pregnancy for at least 8 weeks

after receiving the MMR vaccine 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:

• exhaustion
• mal-attachment
• normal attachment
• postpartum depression - correct answerb. mal-attachment

Recommended advice for breastfeeding mothers include: 2 / 4

• avoid the use of a sports bra
• wash the nipples with soap and water after each feeding
• apply a warm compress to ease nipple pain
• "conditioning" the nipples by gently rubbing them with moist tea bags - correct answerc. apply a

warm compress to ease nipple pain 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:

• remain on strict bedrest
• ambulate frequently
• cross her legs while sitting
• avoid elevating her legs - correct answerb. ambulate frequently

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?

• tell her she should take the ibuprofen as prescribed by her MD
• encourage her to fight the pain because it will make her stronger
• ask her to use the call button if she changes her mind about taking pain medication
• offer her a non-drug option such as a hot pack or massage - correct answerd. offer her a non-drug

option such as a hot pack or massage 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:

• start IV fluids
• place a catheter
• massage her uterus until firm 3 / 4

• call the MD - correct answerc. massage her uterus until firm

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:

• endometriosis
• mastitis
• uterine cancer
• endometritis - correct answerd. endometritis

You are preparing to discharge Maria after delivering a healthy boy. You believe Maria understands the

discharge teaching instructions when she states:

• it is acceptable to have bleeding nipples after breastfeeding for the first few days
• I should not worry if I have a large mass under my breasts
• I will call my nurse-midwife if I saturate a pad in one hour
• suicidal thoughts are okay because the baby blues are normal - correct answerc. I will call my nurse-

midwife if I saturate a pad in one hour An infant born to a mother who abused drugs during pregnancy exhibited withdrawal signs in the nursery that included fever and poor state control. After stabilization and discharge, the caretaker called to report a return of withdrawal symptoms. This pattern is consistent with maternal abuse of:

• alcohol
• cocaine
• methadone - correct answerb. cocaine

Leukocytosis that occurs in normal postpartum adaptation can be differentiated from an infectious

process by the presence of:

• / 4