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University of Pennsylvania
(Pennsylvania)
NCC National Certification Corporation
NCC Registered Nurse Certified in Neonatal
Intensive Care Nursing RNC-NIC Exam
Course Title and Number: NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
**1. Read each question carefully.
- Answer all questions.
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- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have** **completed the Exam.
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📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Complete Review Prep Questions and Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Neonates born to mothers with uncontrolled asthma are at increased risk for a. acidosis b. apnea c. low birth weight - Answer>> C-Neonates born to women with asthma that is not under control are at increased risk for prematurity and low birth weight. If asthma is controlled, neonatal outcomes are similar to those neonates born to mothers WITHOU asthma. Pregnancy outcomes of women with renal disease most relates to a. etiology of renal disease b. degree of renal insufficiency c. length of time since onset of the disease - Answer>> B- regardless of etiology of the renal disease in pregnancy, the two factors that most influence pregnancy outcomes is the degree of renal insufficiency and the presence of hypertension. Untreated maternal thyrotoxicosis can lead to Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Common manifestations of neonates who were exposed to cocaine in utero include a. apnea and lethargy b. neonatal abstinence syndrome c. touch aversion and overstimulation - Answer>> C- Exposure to cocaine in utero leaves infants with a wide variety of problems. Teratogenicity has had some association with cocaine exposure but its direct link has not not been confirmed. Neonates are hypertonic, irritable and easily overstimulated by sensory input or direct contact. To avoid any stimulation, the neonate may totally shut down going into a deep sleep or alternatively the infant may cry incessantly. There is no specific pattern of withdrawal as there is with neonatal abstinence syndrome and heroin exposure. The primary route of the transmission of neonatal systemic lupus erythematosus is a. familial tendency b. multifactorial inheritance c. placental transfer of antibodies - Answer>> C-Neonates born to mothers with systemic lupus erythematosus can demonstrate various symptoms, known as neonatal systemic lupus erythematosus. These include rash, thrombocytopenia and cardiac abnormalities, specificallly congenital heart block. The attributed antecedent for neonatal disease is placental transfer of anti-bodies from mother to fetus. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com In a 34 week gestational age neonate, the expected muscle development would indicate a a. complete Moro reflex b. poor grasp reflex c. weak sucking reflex - Answer>> A-At 34 weeks of gestation, the examination of muscle tone development would include: strong synchronized sucking reflex, a strong grasp reflex, complete Moro reflex and good extension with no tendency to adduction. A physical finding consistent with prematurity is a. abundant lanuga b. accelerated plantar creasing c. stippled areola with raised edges - Answer>> A-External criteria of determination of gestational age involve a wide variety of physical parameters including: presence of edema, skin texture, color and opacity, presence of lanugo, plantar creases, nipple formation and amount of breast tissue, ear form and firmness and appearance of genitalia. Based on the options provided in the question, the abundant lanugo is consistent with prematurity. As the infant achieves a greater gestational age, lanugo diminishes. Plantar creases are not prominent in the premature infant and becomes more pronounced with increasing gestational age. The nipples of premature infants are usually flat with no definition. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com c. square window angle measurement - Answer>> A- Neuromuscular criteria can be a good indicator of gestational age. Those findings that indicate advanced gestational age include increased hip flexion and adduction, decreased square angle, flexed response to arm recoil, increasing resistance with scarf sign maneuver and a low popliteal angle. In examining the black newborn's eyes, a bright light directed toward the lens reveals a red color that is reflected back to the examiner. This finding is consistent with a. an intact lens b. opacity of the lens c. retinal detachment - Answer>> A-In examination of the eyes, a red color should be reflected from the retina when a bright light is directed towrds the lens. This indicates an intact lens. On physical examination of the hip, a sharp click is heard. This is suggestive of a. dislocation b. fracture c. normal variant - Answer>> A-hip dislocation should be suspected if a sharp click occurs when the examiner abducts the neonate's legs into the frog position. Soft clicks can be heard and are common but a sharp click indicates hip dislocation. Clicks are not related to diagnosis of fractures. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com During a physical examination of a 34 week gestational age neonate, the suck/swallow relfex is intact but the gag reflex cannot be elicited. The nurse should recognize that this is due to a. esophageal atresia b. neurological impairment c. prematurity - Answer>> C-Neonatal reflexes appear in a systematic manner based on maturation of the CNS. In a 34 week gestational age neonate, suck/swallow reflex is intact but the gag reflex will not appear until 36 weeks gestation. Therefore, for this neonate, a lack of the gag reflex is consistent with the stated gestational age. A preterm neonate who required resuscitation at birth is admitted to the neonatal intensive care unit in stable condition. Recording of the vital signs for this neonate should occur a. every 30-60 minutes b. once or twice during the transition c. on admission and every 2 hours - Answer>> B-If a neonate is stable when admitted and remains stable, vital signs should be recorded once or twice during the transition and then at least every eight hours. If the neonate is unstable (increased heart rate or respiratory distress), vital signs need to be recorded more frequently, at least every 30-60 minutes until stabilization occurs. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com A 2500 gm neonate with birth asphyixia develops hypocalcemia. this is most likely a result of increased a. calcitonin b. 1,25 dihydroxyvitamin D resisitance c. parathyroid hormone - Answer>> A-Hypocalcemia occurs in three primary categories of infants: those with birth asphyxia, those born to diabetic mothers and those who have very low birth weight. In birth asphyxiated infants, this occurs due to increased calcitonin levels. In IDMs, it is due to functional hypothyroidism and in very low birth weight infants, 1 25 dihydroxyvitamin D is usually the cause. A neonate is oliguric. A 10ml/kg body weight test dose of crystalloid is given. Oliguria persists and furosemide is given. If the problem is post renal, the urine output will a. decrease b. increase c. remain unchanged - Answer>> A-When the nature of oliguria is unclear in the neonate, a test dose of crystalloid will assist in the determination. Following the crystalloid administration, the urine output will decrease if the problem is postrenal. Prolonged hypertension can be a result of what resuscitative effort? a. High dose epinephrine administration b. Rapid volume overload Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com c. Repeated Sodium Bicarbonate administration - Answer>> A- Prolonged hypertension can occur with high dose epinephrine administration. Rapid volume expansion may lead to a brief hypertensive episode but will more likely result in intraventricular hemorrhage. Repeated sodium bicarbonate can cause volume overload. To prevent potential complications during endotracheal intubation, a measure that can be instituted is to a. keep the total insertion time to one minute b. provide free flow oxygen during intubation c. use a tube size of less than 3.0 - Answer>> B-Thers is a host of complication that can occur with endotracheal intubation and they include hypoxia, tube malposition, apnea, bradycardia or trauma including subglottic stenosis. To prevent such complications, administration of free flow oxygen should be an integral part of any intubation. Intubation should be done quickly and if it takes more than 20 seconds, the procedure should be stopped to allow the infant to recover. Tube size is based on the neonate's weight and using the smallest tube may be inappropriate depending on the total weight of the infant. ecmo increased risk of what - Answer>> bleeding TORCH - Answer>> group of congenital infections that are passed from mother to child at some time during Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com L/S ratio - Answer>> lecithin/sphingomyelin ratio -marker of fetal lung maturity -2:1= fetal lungs are mature tylenol dose for neonates - Answer>> 10-15 mg/kg q 6h infant abductor characteristics - Answer>> -women older than 30 -overweight -low self-esteem -no prior criminal record -have visited the nursery before -trying to replace a child they have lost or not able to conceive increased risks for SIDS - Answer>> -born to teen mom -living in poverty -soft bedding/mattress -multiple birth babies -absence of prenatal care -co sleeping trisomy 18 - Answer>> edward's syndrome; second-most common autosomal trisomy; seen with clenched fists differentail cyanosis can occur with - Answer>> PDA (murmur) opening tetralogy of fallot components - Answer>> -right ventricular hypertrophy Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com -pulmonary stenosis -VSD -overriding aorta amniotic band syndrome - Answer>> multiple fibrous strands of amnion that develop in utero that may entangle fetal parts to cause amputations or malformations of the fetus -can affect face or chest -no genetic risk ->30 % will cause club foot deformity transient tachypnea of newborn - Answer>> -occurs shortly after delivery -full term babies -RR >60/min lasts less than 24 hours -increased risk born via c section vaginal delivery lungs - Answer>> lungs are better drained of amniotic fluid via squeezing of chest wall complete breech presentation - Answer>> buttocks and feet present, fetal hips and knees are flexed, lower legs crossed placenta abruption - Answer>> premature separation of the placenta from the wall of the uterus -depriving fetus of oxygen and nutrients Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com gut priming - Answer>> giving enteral nutrition in sub nutritional qualities in order to stimulate the GI tract to function better -done at 3rd day of life and is only indicated in babies less than 1000 g vitamin a - Answer>> helps with lung maturity and supplementation with this can help prevent bronchopulmonary dysplasia hypoxia - Answer>> decrease of oxygen concentration at the tissue level hypoxemia - Answer>> decrease in oxygen concentration within the blood lasix and calcium - Answer>> calcium excretion is increased when a person receives lasix therapeutic dose for tegetrol - Answer>> -should be drawn prior to giving the dose -4-12 mg/L half life of dopamine - Answer>> 2 mins habituation - Answer>> repeated exposure to some type of stimuli eventually fails to elicit a response -get used to it concept autonomic response to stress - Answer>> -occur involuntary Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com -flushing, pallor, or cyanosis -vital sign changes: increased hr, bp, rr or decrease in o2 sat -visceral responses: nausea, vomiting, diarrhea, or constipation transposition of the great vessels - Answer>> include superior or inferior vena cava, pulmonary artery or veins or aorta -involves a swap between the locations of the vessels and can result in poorly oxygenated blood or poor delivery of blood to the body 2 congenital heart defects that are cyanotic - Answer>> - tetralogy of fallot -transposition of the great vessels when should surfactant be given - Answer>> within an hour after birth s/s of meconium aspiration syndrome - Answer>> -labored or rapid breathing -retractions -grunting malrotation occurs with - Answer>> volvulus the most common cause of ambiguous genitalia in females
- Answer>> congenital adrenal hyperplasia Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com -testing must be diagnosed within first 2-3 weeks following birth early onset GBS will most likely cause - Answer>> sepsis PKU (phenylketonuria) - Answer>> metabolic disorder in which the body is not able to break down some of the amino acids in proteins -this leads to poor brain development and intellectual disabilities risk of having a child with down syndrome - Answer>> does not increase the chances of that any future children will also have down syndrome -occurs in 1 in 100 pregnancies di george syndrome - Answer>> mutation on chromsome 22 direct billi - Answer>> amount of billi that is not bound to protein that passes from the liver to the small intestines indirect billi - Answer>> billirubin that is bound to albumin total billi - Answer>> measure of both direct and indirect billi combined late congenital syphillis will reveal symptoms - Answer>> after a child is at least 2 years old Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com maintaining high serum magnesium - Answer>> can help reduce the incidence of neurological development delay galactosemia - Answer>> infant is deficient in enzyme that breaks down galactose -no breast feeding polyhydraminos is associated with - Answer>> esophageal atresia beneficence - Answer>> Doing good or causing good to be done; kindly action nonmaleficnece - Answer>> do no harm infants of diabetic mothers lab results - Answer>> - hypoglycemia -hypocalcemia -hypomagnesemia -hyperinsulemia systemic and pulmonary pressures during fetal circulation - Answer>> The fetus has increased systemic pressure and decreased pulmonary pressure targeted O2 sat at 5 mins of life - Answer>> 80-85% Fetal glucose concentrations are ______ of maternal glucose concentrations - Answer>> 70-80% Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
