RNC-LRN study materials
RNC-LRN study resources

RNC-LRN study plan

RNC-LRN · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Assessment and Physiologic Adaptation of the Newborn

  • Diagram the three stages of newborn transition (first period of reactivity, period of decreased responsiveness, second period of reactivity) from memory, noting expected timing and nursing priorities in each

  • Name all five Apgar components and correctly score three written delivery vignettes

  • Perform a head-to-toe newborn assessment in sequence, stating two normal findings and two common variants for each of eight body systems

  • Differentiate preterm, late-preterm, term, and post-term physical and neuromuscular characteristics using a gestational-age assessment framework

Your checkpoint

A one-page 'normal vs. variant' findings table covering eight body systems, plus a self-scored 25-question Domain 1 quiz with a score of 80% or better

Week 2

Assessment and Physiologic Adaptation of the Newborn & General Care and Management of the Newborn (thermoregulation, hygiene, skin, cord, circumcision, procedures, screening)

  • Interpret newborn vital sign ranges by age in hours and state the escalation threshold for each parameter

  • Explain the four mechanisms of heat loss and match at least two nursing interventions to each mechanism

  • Describe the physiologic adaptation sequence for thermoregulation, glucose homeostasis, and oxygenation in the first 24 hours and list the corresponding monitoring priorities

  • Identify expected newborn neurobehavioral states and primitive reflexes, including which abnormal findings warrant reporting

Your checkpoint

A written 15-item case-based question set on adaptation and thermoregulation, self-graded to 80% or better, with a one-paragraph rationale for each missed item

Week 3

General Care and Management of the Newborn (thermoregulation, hygiene, skin, cord, circumcision, procedures, screening)

  • Sequence the steps, site, dose, and rationale for the newborn medication and procedure set: vitamin K, erythromycin ophthalmic ointment, hepatitis B vaccine, and heel stick blood collection

  • Compare circumcision methods and list the post-procedure assessment findings and parent teaching points for each

  • Explain the timing, specimen requirements, and follow-up pathway for newborn metabolic screening, pulse oximetry screening, and hearing screening

  • Distinguish common benign newborn skin findings from findings requiring evaluation, and state appropriate skin and cord care for each

Your checkpoint

A two-page procedural checklist for five common newborn procedures, including a rationale column for every step, cross-checked against two current references

Week 4

Common Complications and Conditions in the Low-Risk Newborn (hyperbilirubinemia, hypoglycemia, sepsis risk, respiratory distress, weight loss, feeding intolerance)

  • Classify jaundice as physiologic versus pathologic using onset, peak timing, and rate of rise, and list the risk factors for severe hyperbilirubinemia

  • Interpret a bilirubin result against hour-of-life risk categories and state the corresponding nursing action and phototherapy support measures

  • Identify which newborns require glucose screening and outline feeding-first management plus the reassessment interval for a low value

  • Recognize the clinical signs of hypoglycemia in a newborn and explain why signs are nonspecific

Your checkpoint

A 25-question mixed quiz on hyperbilirubinemia and hypoglycemia scored at 80% or better, plus a one-page clinical decision summary written in your own words

Week 5

Common Complications and Conditions in the Low-Risk Newborn (hyperbilirubinemia, hypoglycemia, sepsis risk, respiratory distress, weight loss, feeding intolerance)

  • Differentiate early-onset from late-onset sepsis by risk factors, timing, and presenting signs, and describe the nurse's immediate response to a suspected case

  • Contrast transient tachypnea of the newborn, respiratory distress syndrome, and meconium aspiration by onset, presentation, and initial management

  • Calculate percentage weight loss from birth weight and classify the result as expected, borderline, or excessive with a feeding plan

  • Distinguish normal regurgitation from feeding intolerance and list the red-flag findings that require escalation

Your checkpoint

Five written case vignettes, each with a triage decision, the supporting findings, and a one-sentence rationale, self-scored against an answer key you build from references

Week 6

Nutrition and Feeding (breastfeeding, formula feeding, feeding progression, lactation support)

  • Evaluate a feeding session for latch, suck-swallow-breathe coordination, and hunger/satiety cues, and document the findings in objective terms

  • Calculate daily caloric and volume needs and the volume per feeding for three infants of different weights, showing all work

  • Compare breastfeeding and formula-feeding guidance on frequency, expected output, and signs of adequate intake

  • Select evidence-based strategies for engorgement, nipple pain, perceived low supply, and supplementation decisions

Your checkpoint

A feeding care plan for three scenarios (exclusively breastfed, formula-fed, and mixed) with all calculations shown and independently re-checked for math accuracy

Week 7

Antepartum, Intrapartum, and Maternal-Fetal Factors Affecting the Newborn & Family-Centered Care, Education, and Discharge Planning

  • Link at least eight maternal conditions (for example gestational diabetes, preeclampsia, group B streptococcus colonization, chorioamnionitis, preterm premature rupture of membranes, and substance use) to the expected newborn effects and monitoring

  • Interpret intrapartum factors including an abnormal fetal heart rate pattern, meconium-stained fluid, prolonged rupture of membranes, operative delivery, and maternal magnesium sulfate, and state the newborn implication of each

  • Design a discharge teaching plan that uses teach-back for feeding, jaundice surveillance, safe sleep, and when to call the provider

  • Apply family-centered principles to rooming-in, bonding, and communication across language and cultural differences

Your checkpoint

A maternal-fetal factor to newborn risk to nursing action table with at least 10 completed rows, plus a one-page teach-back discharge script

Week 8

Family-Centered Care, Education, and Discharge Planning & Professional Practice, Patient Safety, and Quality Improvement

  • Identify at least six newborn patient-safety and quality practices, including two-patient identification, safe sleep, fall and abduction prevention, medication safety, handoff communication, and error reporting

  • Describe how quality improvement measures such as hospital-acquired condition rates apply to low-risk newborn care

  • Complete a timed 100-question comprehensive practice exam and tabulate misses by domain

  • Build a prioritized remediation plan targeting your three weakest domains

Your checkpoint

A comprehensive practice exam scored at 75% or better, plus a written error log of your 15 highest-priority missed items with a corrective action for each

Milestones

Week 2: Score 80% or better on the Domain 1 case set and recite the four heat-loss mechanisms with a matched intervention for each, without notes

Week 4: Score 80% or better on the hyperbilirubinemia and hypoglycemia quiz, and correctly classify five jaundice vignettes as physiologic or pathologic with justification

Week 6: Complete all three feeding calculations with zero errors, and demonstrate an objective feeding assessment on paper with at least six documented cues

Week 8: Score 75% or better on the timed 100-question comprehensive exam with no single domain below 65%, and finalize the prioritized remediation log