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Neonatal Intensive Care Nursing (RNC-NIC) Exam Review Questions and Answers, Exams of Neonatology

A comprehensive set of review questions and answers for the registered nurse certified in neonatal intensive care (rnc-nic) exam. It covers a wide range of topics related to neonatal care, including complications of hyperthermia, metabolic acidosis, respiratory distress, fetal development, and common infections. Designed to help nursing students and professionals prepare for the rnc-nic exam and enhance their knowledge of neonatal intensive care.

Typology: Exams

2024/2025

Available from 02/22/2025

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NCC National Certification Corporation 2024-2025
Registered Nurse Certified in Neonatal Intensive Care
Nursing NCC RNC-NIC Exam Review Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
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NCC National Certification Corporation 2024-

Registered Nurse Certified in Neonatal Intensive Care

Nursing NCC RNC-NIC Exam Review Questions and

Answers | 100% Pass Guaranteed | Graded A+ |

Administrator [COMPANY NAME] [Company address]

  1. within the first 12hrs after

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  1. Complications of hyperthermia -increased metabolic demands -increased oxygen requirements -apnea 2. Why might a HYPERthermic **infant be hypotensive?
  2. What are three complications of** increased insensible water **loss?
  3. What circumstances would war-** rant a baby being on an **elemental formula?
  4. Most common causes of metabol-** **ic acidosis in NICU population
  5. Common causes of metabolic al-** **kalosis
  6. How is PIP adjusted in** **accordance with PaCO2?
  7. What is the general indication** for HFOV? They are vasodilated in an attempt to dissipate heat HYPERnatremia, dehydration, evapo- rative heat loss Liver disease, short gut syndrome, dysmotility (such as gastroschisis), malabsorption, severe protein aller- gies Renal tubular acidosis/renal failure, lactic acidosis (tissue hypoxia, sepsis, neonatal cold stress) Vomiting, NG/OG suctioning, sodium bicarb use Elevated PaCO2 -> Increase PIP Low PaCO2 --> Decrease PIP
  1. Phosphoru 10. When does the ANATOMIC closure of the ductus arteriosus **occur?
  2. TTN (Transient tachypnea of** the newborn) Can take up to one month after birth -Respiratory distress caused by in- effective breathing at birth; delayed clearance of lung fluid -Tachypnea, grunting, shallow breath- ing, nasal flaring, respiratory acidosis -May need intubation and ventilation -Sunburst pattern with perihilar streak- iness on x-ray -Fluid in interlobar tissue
  3. Normal Urine output 1-4 ml/kg/hr 13. What are three effects of perinatal steroids on neonates? -Maturation of epithelial skin barrier and renal epithelial transport system When does FUNCTIONAL closure of the ductus arteriosus occur?
  1. Phosphoru -Lower incidence of insensible water loss & hypernatremia -Lower fluid requirements in first 7 days of life

What are some complications of cold stress? Apnea, low blood sugar, low blood pressure, seizures

  1. Radiant heat loss (Radiation) -Transfer of heat between two objects that do not touch each other #1 mode of heat loss for preemies in after first week of life -Ex - baby's bed is near a cold, closed window
  2. Evaporative heat loss Transfer of heat through water loss #1 mode of heat loss in preemies in first week of life ex - baby on wet blankets
  3. Convection heat loss Transfer of heat to colder air in environ- ment ex- infant in drafty area or cold room Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

Transfer of heat from a warm surface to a cold surface ex- baby placed on cold scale

  1. Cryptorchidism undescended testes
  2. First Pass Effect Hepatic bio-transformation may markedly alter drug availability by di- rectly metabolizing drugs absorbed from the GI tract before those drugs reach systemic circulation 25. How is PPHN diagnosed? (gold standard) Echocardiogram shows right to left shunting
  3. PROM Premature rupture of membranes (be- fore onset of labor) risk of cord prolapse
  4. PPROM Preterm premature rupture of mem- branes ROM occurring before onset of labor and before 37wks gestation
  5. Chorioamnionitis Inflammation of placental membranes; can lead to sepsis, pneumonia, and even meningitis in the newborn Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

29. How does maternal anemia affect baby? Bleeding - oozing from umbilical cord, prolonged bleeding from heelsticks, Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

36. Polyhydramnios paired -May be related to Potter Sequence (no kidneys = no urine) -Positional deformities Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

Amniotic fluid >2L Can be due to GI obstructions, tight nuchal, neurologic defects (anything that impairs swallowing of amniotic fluid)

37. What are the major side effects of prostaglandin? Apnea, fever, flushing

  1. Hydrops Fetalis Condition in which the fetus or new- born accumulates fluids, potentially causing profound edema and compro- mise to pulmonary function
  2. Pneumatosis Intestinalis THINK: NEC Gas-containing cysts invade the walls of the intestines due to the dissection of gas beneath the serosa and submu- cosa layers of the bowel also called intraluminal air or intramur- al gas Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com
  1. Gram + Cocci in pairs strep or staph
  2. Gram + cocci in clusters Staph
  3. Gram - clubshaped rods E. coli
  4. Gram - diploid Neisseria Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

45. What condition is associated with repeated fungal mouth infections? HIV/AIDs Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

  1. Four types of hypoxia Hypoxemic, anemic, circulatory, histo- logic
  2. Apoptosis programmed cell death 52. Normal PaO2 for preterm babies Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com

45-65mmHg (arterial) 30-40mmHg (capillary)

  1. Normal PaO2 for term babies 50-80mmHg (arterial) 40-50mmHg (capillary)
  2. Anemic hypoxia Not enough blood, leading to decrease in amount of O2 available to the tissues
  3. Histologic Hypoxia Inability of the tissue to receive oxy- gen from blood, resulting in decreased oxygen available to tissue (sepsis, cold stress)
  4. Hypoxemic hypoxia Not enough O2 in the blood, leading to decrease in amount of O available to the tissues
  5. Circulatory hypoxia Issues with effective circulation of blood to the tissues, leading to a de- crease in the amount of O available to the tissues (hypotension, bradycardia, PPHN) 58. What are common complications of a vacuum assisted delivery? 59. What are some common underly- ing causes of fetal tachycardia in utero? Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧 📧 Chat with us here: 📧 Hybridgrades101@gmail.com