NCC CERTIFICATION IN MATERNAL NEWBORN NURSING (RNC-MNN)
EXAM 2024-2025. COMPLETE QUESTIONS AND CORRECT ANSWERS.
Mastitis is characterized by all but which of the following?
- Correct Answer->> cool to touch
Details: Mastitis is an infection of the breast surrounding the ducts that is characterized by
fullness, pain, warmth (not coolness), and hardness of the breast. It is crucial to differentiate
infection from engorgement. Mastitis needs to be treated with antibiotics and the patient is usually
encouraged to continue breastfeeding.
Which of the following is least likely to be a risk factor for postpartum depression?
- Correct Answer->> older maternal age
Details: A young maternal age rather than older maternal age is more likely to be a risk factor for
postpartum depression. Other risk factors include: prenatal depression, low self-esteem, stress of
child care, and life stress in general.
Your teaching to a postpartum woman who gave birth yesterday would include all but which of the
following?
- Correct Answer->> instruction that chills may be experienced for a few days but that they are of
no importance
Details: You would instead instruct the new mother to report any signs of chills, fever, increased
lochia, or depressed feeling to her healthcare provider. You might also demonstrate newborn care
skills as necessary; and instruct the client to avoid heavy lifting for at least 3 weeks.
Which of the following is least likely to be a risk factor for postpartum hemorrhage?
- Correct Answer->> slow labor
Details: Rapid labor rather than slow labor is a risk factor for postpartum hemorrhage. Other risk
factors include a history of postpartum hemorrhage, episiotomy (especially mediolateral),
chorioamnionitis, and operative delivery.
At birth, the posterior fontanel of the infant measures
- Correct Answer->> less than 0.5 cm
Details: Fontanels are often referred to as soft spots. They are the wide space at the intersections
of the sutures. The posterior fontanel is less than 0.5 cm at birth. The anterior fontanel is 4-6 cm
at birth.
An incubator or isolette warms the infant by which of the following?
- Correct Answer->> convection
Details: An incubator or isolette warms the infant by convection. A radiant warmer is an open bed
with radiant heat panels placed above the infant so that convective and evaporative heat losses
are increased. Once an infant's temperature is normalized, the infant is placed in an open crib with
hats and blankets providing thermal support.
The newborn's general body response to sudden stimulus that is a combination of full extension
and abduction of limbs is which of the following reflexes?
-- Correct Answer->> Moro reflex
Details: The Moro reflex is also called the startle reflex. It is the newborn's general body response
to sudden stimulus that is a combination of full extension and abduction of limbs. The Moro reflex
, is one of many reflexes that are seen at birth. It normally disappears after 3 or 4 month
Which of the following statements about mastitis in postpartum women is least accurate?
- Correct Answer->> mastitis may occur as early as the first postpartum day
According to the March of Dimes, there may be four main routes to spontaneous premature labor.
They include all except which of the following?
-Correct Answer->> diabetes
Details: 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:
- Correct Answer->> 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?
- Correct Answer->> prior vaginal birth
Details: 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?
- Correct Answer->> 7-14 postpartum
Details: 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?
- Correct Answer->> oxytocin
Details: 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?
- Correct Answer->> 8 weeks
Details: 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?
- Correct Answer->> all of the above
EXAM 2024-2025. COMPLETE QUESTIONS AND CORRECT ANSWERS.
Mastitis is characterized by all but which of the following?
- Correct Answer->> cool to touch
Details: Mastitis is an infection of the breast surrounding the ducts that is characterized by
fullness, pain, warmth (not coolness), and hardness of the breast. It is crucial to differentiate
infection from engorgement. Mastitis needs to be treated with antibiotics and the patient is usually
encouraged to continue breastfeeding.
Which of the following is least likely to be a risk factor for postpartum depression?
- Correct Answer->> older maternal age
Details: A young maternal age rather than older maternal age is more likely to be a risk factor for
postpartum depression. Other risk factors include: prenatal depression, low self-esteem, stress of
child care, and life stress in general.
Your teaching to a postpartum woman who gave birth yesterday would include all but which of the
following?
- Correct Answer->> instruction that chills may be experienced for a few days but that they are of
no importance
Details: You would instead instruct the new mother to report any signs of chills, fever, increased
lochia, or depressed feeling to her healthcare provider. You might also demonstrate newborn care
skills as necessary; and instruct the client to avoid heavy lifting for at least 3 weeks.
Which of the following is least likely to be a risk factor for postpartum hemorrhage?
- Correct Answer->> slow labor
Details: Rapid labor rather than slow labor is a risk factor for postpartum hemorrhage. Other risk
factors include a history of postpartum hemorrhage, episiotomy (especially mediolateral),
chorioamnionitis, and operative delivery.
At birth, the posterior fontanel of the infant measures
- Correct Answer->> less than 0.5 cm
Details: Fontanels are often referred to as soft spots. They are the wide space at the intersections
of the sutures. The posterior fontanel is less than 0.5 cm at birth. The anterior fontanel is 4-6 cm
at birth.
An incubator or isolette warms the infant by which of the following?
- Correct Answer->> convection
Details: An incubator or isolette warms the infant by convection. A radiant warmer is an open bed
with radiant heat panels placed above the infant so that convective and evaporative heat losses
are increased. Once an infant's temperature is normalized, the infant is placed in an open crib with
hats and blankets providing thermal support.
The newborn's general body response to sudden stimulus that is a combination of full extension
and abduction of limbs is which of the following reflexes?
-- Correct Answer->> Moro reflex
Details: The Moro reflex is also called the startle reflex. It is the newborn's general body response
to sudden stimulus that is a combination of full extension and abduction of limbs. The Moro reflex
, is one of many reflexes that are seen at birth. It normally disappears after 3 or 4 month
Which of the following statements about mastitis in postpartum women is least accurate?
- Correct Answer->> mastitis may occur as early as the first postpartum day
According to the March of Dimes, there may be four main routes to spontaneous premature labor.
They include all except which of the following?
-Correct Answer->> diabetes
Details: 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:
- Correct Answer->> 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?
- Correct Answer->> prior vaginal birth
Details: 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?
- Correct Answer->> 7-14 postpartum
Details: 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?
- Correct Answer->> oxytocin
Details: 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?
- Correct Answer->> 8 weeks
Details: 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?
- Correct Answer->> all of the above
