| # | Name | Origin | Meaning | Gender | |
|---|---|---|---|---|---|
| 241 | Olympia | Italian | From Olympus. | F | |
| 242 | Oria | Italian | Golden. | F | |
| 243 | Oriana | Italian | Golden. | F | |
| 244 | Ottavia | Italian | Born eighth. | F | |
| 245 | Paola | Italian | Little. | F | |
| 246 | Patrizia | Italian | Noble. | F | |
| 247 | Pia | Italian | Pious. | F | |
| 248 | Pietra | Italian | Rock. | F | |
| 249 | Pippa | Italian | Lover of horses. | F | |
| 250 | Rachele | Italian | Lamb. | F | |
| 251 | Regina | Italian | Queen. | F | |
| 252 | Renata | Italian | Rebirth. | F | |
| 253 | Ricadonna | Italian | Ruling lady. | F | |
| 254 | Ricarda | Italian | Ruling lady. | F | |
| 255 | Roma | Italian | From Rome. | F | |
| 256 | Romia | Italian | From Rome. | F | |
| 257 | Rosa | Italian | Rose. | F | |
| 258 | Rosalia | Italian | Rose. | F | |
| 259 | Rosalie | Italian | Rose. | F | |
| 260 | Rosetta | Italian | Rose. | F | |