RNC MNN

Medication administered for meconium aspiration in neonate correct answer: Beractant (survanta) Spina Bifida occulta correct answer: Gap in spine, without spinal opening or sac protrusion Craniosynostosis correct 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 correct answer: Scaphoid abdomen and decreased left breath sounds. Tx:immedia...

A maternal factor that predisposes the neonate to prematurity is correct answer: Asthma When fetal growth is aberrant in body weight and organ growth but the head growth is normal, a likely cause would be correct answer: Maternal nutirtional deficiency Delivery via vacuum extraction predisposes the neonate to what complication? correct answer: Jaundice During delivery, the fee is places persistent pressure on the fetal head, this will most likely result in correct answer: Caput succ...

While auscultating the heart sounds of a woman who is 18 weeks pregnant, the nurse notes a splitting of the first heart sound as well as a systolic murmur. The nurses priority action is: a. Space immediately place the client on a Telemetry Monitor and assess for dysrhythmias. B. Place the client on her right side and reassess C. Reassure the client that this is an expected finding correct answer: C. it is common for pregnant women to experience changes in heart sounds beginning at 12 weeks a...

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 correct answer: 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. T...

How many kcal per day for term newborns? correct answer: 100 kcal/kg/day Premies 120-150 kcal/kg/day A neonate has received 8 hours of phototherapy. What is alarming? correct answer: An absent Moro reflex, which can indicate kernicterus, also known as bilirubin encephalopathy, a rare but life threatening condition. Congenital Pneumonia correct answer: Most cases caused by Staph. epidermidis, GBS, E. Coli and ureaplasma urealyticum. May also be caused by HSV and HIV. spina bifida occ...

What hormones decrease postpartum? correct answer: estrogen and progesterone What is uterine involution? correct answer: -the process of uterus returning to its nonpregnant size and condition What are the normal blood losses for delivery? correct answer: -<500 ml for vaginal -<1000 ml for c-section How much should a mother be voiding for the first week postpartum per day? correct answer: - 1000-2000 ml per day What are the assessment requirements immediately postpartum? co...

Neonates born to women with severe asthma are at increased risk for correct answer: low birth weight The relationship intrauterine growth restriction and small for gestational is best described in which of the following ways? correct answer: Intrauterine growth restriction and small for gestational age are not synonymous Induction of labor with oxytocin places the neonate at risk correct answer: hyperbilirubinemia During delivery when the biparietal diameter becomes compressed, the n...

Exam(Elaborations) RNC-MNN Study Questions with complete solutions 2023

Eve is 2 days postpartum. During palpation, where would you normally expect to find her fundus? a. at the level of the umbilicus b. 2 fingers below umbilicus c. 5 fingers below umbilicus d. non-palpable at this time correct answer: b. 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: a. exfoliation of dead tissue b. involution of uterus c. shedding of the endometrium d...

#1 cause of maternal mortality in the U.S. correct answer: Cardiovascular disease (15.5%) Why is maternal mortality worsening correct answer: Women are older/fatter/poorer. Lack of PNC => increase in LBW, PTL, maternal death risks of obesity in pregnancy correct answer: LGA, stillbirth, GH, HTN, Diabetes, Thromboembolic disease, birth defects Maternal morbidity correct answer: Physical and psychological conditions that result from or are aggravated by pregnancy Rate of materna...