Full Course Description

Maternal Newborn Nursing Certification Exam Prep Course: Your Guide to Passing the RNC-MNN® Exam

In this certification exam prep course, expert Kim Murphy, MS, APRN-CNP, WHNP-BC, RNC-MNN, RNC-OB, C-EFM will equip you with all the clinical and professional issues covered according to the current exam blueprint, so you will pass the first time. Plus, you'll gain valuable test-taking strategies and tips - including an exclusive practice exam - that are certain to aid in your quest for success on the Maternal Newborn certification exam!

Program Information

Objectives

  • Demonstrate knowledge of physiological, psychological and sociocultural factors that affect the childbearing family with emphasis on the postpartal/neonatal period (birth to six weeks)
  • Recognize antepartal and intrapartal factors affecting the family in the postpartum/neonatal period 
  • Assess the physical status of the mother and neonate
  • Assess the psychological and sociocultural status of the childbearing family • Analyze data to identify nursing and educational needs of the childbearing family
  • Develop and implement an individualized plan for the childbearing family
  • Evaluate outcomes and modify the plan as necessary
  • Incorporate knowledge of current standards of practice, research and professional issues into the nursing management of the childbearing family

Outline

Module 1: NCC Exam Overview Part 1: 0:00-31:34

  • Overview of the Exam Process
  • Test Taking Tips
  • Study Resources

Module 2: Pregnancy, Birth Risk Factors and Complications 31:34-04:12:00

  • Antenatal Factors
  • Intrapartum Factors 

Module 3: Maternal Postpartum Assessment, Management and Education 04:12:01-05:13:00

  • Physiologic Changes and Physical Assessment (including Laboratory Values)
  • Nursing Care Lactation Psychosocial and Ethical Issues 
  • Newborn Feeding and Nutrition 

Module 4: Maternal Postpartum Complications 05:13:01  -End of Part 1

  • Hematologic 
  • Cardiovascular 
  • Infection 
  • Diabetes 
  • Mood and substance use disorders 

Module 5: Newborn Assessment and Management Part 2: 0:00 – 02:10:16

  • Transition to Extrauterine Life
  • Physical Assessment and Gestational Age Assessment (including Laboratory Values) 
  • Newborn Care and Family Education 
  • Resuscitation and Stabilization 
     

Module 6: Newborn Complications 02:10:18-05:47:29

  • Cardiovascular and Respiratory 
  • Neurological and Gastrointestinal 
  • Hematologic
  • Infectious disease 
  • Genetic, Metabolic and Endocrine

Module 7: Aspects of Professional Practice – 05:47:30 -End of Part 2

  • Ethics
  • Documentation
     

Target Audience

  • Nurses
  • Nurse Practitioners

Copyright : 02/20/2024

Breastfeeding Success: Latch Secrets, Alternative Feeding Methods & Medication Safety

Over 80% of mothers say they want to breastfeed their babies – but by the time they leave the hospital almost 20% of those babies have already been given formula. Can we change that metric? Why do babies seem to refuse the breast, and what help can we offer?

Parents can feel confused, frustrated, and overwhelmed. They report that information has not been consistent amongst the nurses helping them. How can we change that? What can we do to help hit the reset button for babies who are neurologically disorganized and fighting the breast?

Begin your journey towards IBCLC certification with over 5 CE hours towards the 90 Lactation Education hours needed for the exam, based on the IBLCE Core Competencies!

Program Information

Objectives

  1. Apply the BASICS of breastfeeding assessment to deepen latch.
  2. Evaluate positioning for breastfeeding couplets based on infant preference and need.
  3. Analyze the hierarchy of pharmacokinetics to evaluate the safety of medications during breastfeeding.
  4. Determine available antidepressants for use during the postpartum and their safety for breastfeeding couplets.
  5. Appraise new research suggesting the role of insulin in milk production.
  6. Investigate D-MER and proposed role of oxytocin and dopamine in its etiology and severity.
  7. Apply an understanding of states of infant consciousness to feeding rhythms.
  8. Design a care plan utilizing feeding alternatives for babies struggling with latch in the first days postpartum.

Outline

Breastfeeding Latch, Suck & Positioning

  • What is a good latch?
    • The best position is the one that works
    • Studies show families want hands-on, practical help with latch and positioning
    • Physiologic breastfeeding (also called Baby-Led) encourages babies and moms to follow their instincts
  • Steps to an effective feed
  • BASICS can help staff and families assess and improve latch 
    • B = Belly to Belly
    • A = Alignment
    • S = Space
    • I = In Close
    • C = Cheeks and Chin
    • S = Sucking and Swallowing
  • What about babies who “fight the breast”?
    • Assist with positional stability and teach the parent WHY the baby does what they do
    • Maternal and infant conditions can affect latch and positioning
  • Babies come with a history
    • The role of birth, stimulation, medications
    • Gestational age
    • Neurologic disorganization

Self-Efficacy

  • Pathways to self-efficacy
    • Performance accomplishment
    • Vicarious experiences
    • Verbal persuasion 
  • Distressed behavior
    • Babies who have been repeatedly pushed forcefully to the breast can learn it’s a place of discomfort, not comfort
    • Feed in an alternate way
    • Re-establish trust
  • Back to the breast: Make it feel safe
    • STS or not: “How do we fit together?”
    • Mother keeps calm, follows infant lead
    • Use your expertise only when needed
  • GLOW authors suggest
    • On days 2-3 share info about feeding cues and latch
    • Supports lactogenesis II and the making of milk
    • Supply will “take off like a rocket”

Alternative Feeding Methods

  • What is normal weight loss?
  • Start with hand expression 
  • Choose a safe way to get the milk into the baby – Global Media video
  • Safe use of nipple shields
  • Safe use of paced bottle feeding
  • Push the reset button
  • Teach parents about infant states of consciousness

Medication Safety

  • Considerations for availability
    • Molecular weight
    • Lipid solubility
    • Excretion of drugs including half life
    • Oral bioavailability
    • Timing in lactation
  • Translating the theory into real life
    • Hale’s Lactation Risk Categories
    • Antidepressants
    • Cannabis
    • Cigarettes
    • Alcohol
    • SARS-COV2 vaccines and therapies
    • Hormonal contraceptives
  • Resources
    • Infant Risk Center
    • PLLR labeling
    • References in print

Anatomy and Physiology Update

  • 4-18 Ductal openings (previously thought 15-20)
  • The ducts branch closer to the nipple – the lactiferous sinuses do not exist 
  • Ducts can be just below the skin surface, making them easily compressible
  • Most glandular tissue is found within 30 mm (~1.2 inches) of the nipple
  • Montgomery Glands are now called Areolar Glands
  • Lactogenesis I (Secretory Differentiation)
  • Lactogenesis II (Secretory Activation)
  • Protracted nipples
  • Inverted nipples (Grade 1 – 3)
  • Baseline prolactin levels
  • The role of insulin 
  • Is oxytocin always our friend?
  • New research on Dysphoric Milk Ejection Reflex 

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Doulas
  • Midwives
  • Clinical Nurse Specialists
  • Lactation Consultants
  • Childbirth Educators

Copyright : 08/30/2022