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NCC National Certification
Corporation 2024-2025 NCC Registered Nurse Certified
in Maternal Newborn RNC-MNN Nursing Certification
Review Questions with Correct Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
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 -
Answer>> C. it is common for pregnant women to
experience changes in heart sounds beginning at 12
weeks and persisting up to four weeks into the
postpartum period. The most common changes include
a splitting of the first heart sound as well as a systolic
murmur.
Which of the following is accurate concerning the
increase in blood volume experienced during
pregnancy?
Maternal blood volume begins to increase at
approximately 20 weeks of pregnancy
The average blood volume increase is approximately
1600 ml for a Singleton.
Red blood cells increased by approximately 50% and
plasma by approximately 20%. - Answer>> B. The
average blood volume increase is approximately 1600
ml for a Singleton. Maternal blood volume begins to
increase at approximately 6 weeks of pregnancy. Red
blood cells increased by
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approximately 20% and plasma
by approximately 50%.
The nurse is caring for a client who is 38 weeks
pregnant. Which of the following would assist the nurse
and assessing heart sounds?
Anticipate the heart sounds will be shifted up and
laterally and play stethoscope accordingly
ask the client to Bear down while assessing heart
sounds
place the stethoscope slightly to the right of usual
landmarks while assessing - Answer>> a. during the
third trimester the uterus places pressure on the
diaphragm and causes the heart to move up and
laterally
which of the following is considered a normal adaptive
change concerning the cardiovascular status during
pregnancy?
The muscles of The myocardium enlarge 10 - 15%
during the first trimester
there is a decrease in cardiac output as the pregnancy
advances
physiologic polycythemia occurs during pregnancy -
Answer>> a. The muscles of The myocardium and
large by 10 - 15% during the first trimester. There is an
increase in cardiac output due to the expanded blood
volume a physiologic anemia occurs due to the
disproportionate increase in plasma volume
which of the following is true concerning acid-base
balance during pregnancy?
The pH tends to be slightly lower.
The po2 tends to be slightly higher.
The pco2 tends to be slightly higher - Answer>> C.
During pregnancy, there is a slight increase in PH and
CO2 with a corresponding decrease and po2. It is
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