RNC-LRN study plan
RNC-LRN · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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
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
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
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