RNC-MNN case studies
RNC-MNN · Put your knowledge to work in context.
The Maternal Newborn Nursing Certification (RNC-MNN) is a specialty credential for registered nurses who care for women and newborns across the childbearing continuum - antepartum, labor and birth, postpartum, and the newborn period. Nurses typically pursue it after accumulating bedside experience in labor and delivery, mother-baby, antepartum, or newborn settings, and it signals that the nurse has met a national standard of specialty knowledge beyond licensure. The exam is multiple choice and samples broadly across five content areas: antepartum care, intrapartum care, postpartum care, newborn care, and professional practice and patient safety, with newborn and intrapartum content weighted most heavily. Questions test clinical judgment rather than isolated recall - expect fetal monitoring interpretation, medication safety, postpartum hemorrhage recognition, newborn transition and feeding, and prioritization scenarios. The RNC-MNN case studies are 5 cases and about 3,329 words.
1Rupture of Membranes at 34 Weeks with Group B Strep Unknown
A 29-year-old G2P1 at 34 weeks 2 days presents to triage reporting a gush of clear fluid two hours ago. She has had intermittent mild cramping but no regular contractions.
795 words, about 4 min2Second Stage with a Non-Reassuring Fetal Heart Rate Pattern
A 31-year-old G1P0 at 40 weeks 1 day is in the second stage of labor. She received an epidural 6 hours ago.
696 words, about 3 min3Postpartum Hypertension with Worsening Headache on Day 3
A 34-year-old G2P2 delivered vaginally 3 days ago after an uncomplicated pregnancy. She was discharged yesterday with BP 132/84.
608 words, about 3 min4Late-Preterm Newborn with Feeding Difficulty and Hypoglycemia Risk
A 36-week 4-day infant was born vaginally 18 hours ago to a mother with gestational diabetes managed with insulin. Birth weight is 2,650 g (appropriate for gestational age).
582 words, about 3 min5Medication Error Near-Miss During a Busy Shift
You are the charge nurse on a 24-bed postpartum unit at 1900. Two nurses called out sick, and the unit is staffed at 5 nurses for 22 patients, including 4 couplets with postpartum hemorrhage risk and 2 patients on magnesium sulfate.
648 words, about 3 min