Download NCC Neonatal Intensive Care Nursing RNC-NIC Exam Comprehensive Review Questions and more Exams Neonatology in PDF only on Docsity!
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 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.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have** **completed the Exam.
- This test has a time limit, The test will save and submit automatically** **when the time expires
- This is Exam which will assess your knowledge on the course Learning** Resources.
Good Luck!
📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Comprehensive Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - GIR - Answer>> 6-8mcg/kg/min caloric intake D10 Bolus - Answer>> 2mL/kg Fluid Volume Bolus - Answer>> 10mL/kg Term Parenteral Fluid Requirement - Answer>> 80mL/kg/day Enteral 100-150 mlk/kg/day Preterm Parenteral Fluid Requirement - Answer>> 120 Enteral 150-200ml/kig/day GIR Calculation - Answer>> (%dextrose x IV rate) / (6 x wt in kg) I/T ratio - Answer>> %Metas + Bands / %Metas + Bands + Segs I/T ratio greater than >0.2 to >.25 suggestive of infection
0.8 associated with shock Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Most common pathogens - Answer>> Currently, GBS E. coli Candidas - Answer>> -Diaper dermatitis presents with intense erythema and satellite lesions. -Congenital candidiasis presents with widespread erythematous maculopapular rash, and preterm infants may present with pneumonia. Congenital CMV infection - Answer>> congenital infection include: intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly, hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis, and optic atrophy. Endotracheal Measurement - Answer>> 6 + wt in kg Proper placement on an endotracheal tube is midway between the thoracic inlet and the carina. Polyethelane Wrap for Infant < 29 weeks - Answer>> Dry infants head only Place infant in bag, from neck down Remove bag once infant is in an NTE and humidified environment UAC Placement - Answer>> High Placement T6-T Low Placement L3-L Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com UVC Placement - Answer>> 1 to 2cm above the diaghragm Low Lying 2-4cm in the cord Chest Tube Placement - Answer>> Mid Clavicular line with distal chest tube hole inside the thoracic space lecithin/sphingomyelin (L/S) ratio - Answer>> An L/S ratio greater than 2:1 is considered to indicate fetal lung maturity. Anatomic events Five stages of lung development - Answer>> 1. Embryonic development (weeks 1 to 5). The endoderm-derived embryonic foregut provides a single lung bud that begins to divide ventrocaudally through the mesenchyme surrounding the foregut. The pulmonary vein develops and extends to join the lung bud. The trachea develops at the end of the embryonic period. There are three divisions on the right side and two on the left side that will eventually become the lobes of the lungs.
- Pseudoglandular period (weeks 6 to 16). All conducting airways are formed. Cartilage appears; main bronchi are formed; demarcation of major lobes occurs; formation of new bronchi is complete; capillary bed is formed with connecting bronchial blood supply; no connection made with terminal air sacs. The lung at this time undergoes 14 more generations of branching and the formation of the terminal bronchioles. The lung resembles an exocrine Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com IUGR Symmetric - Answer>> Lower weight, height, length, and head circumference for gestational age Results from intrauterine viral infection, chromosomal genetic abnormalities, long standing disease Prostaglandin E1 (alprostadil) - Answer>> Prevent premature closure of the PDA Side Effects: Apnea, hypotension, hyperthermia, bradycardia Indomethicin (NSAID - Answer>> 1. Hypoglycemia
- Platelet dysfunction
- Gastrointestinal perforation w/ steroids
- Renal effects, decreases urine output! Used if PDA fails to close to prevent pulmonary over circulation and PPHN Diuretics effects - Answer>> 1. Metabolic Alkalosis
- Ototoxicity
- Decreased calcium absorption in bones Theophylline - Answer>> Bronchodilator. Opens airways. Short half life, caffeine preferred treatment due to longer half life and more tolerable side effect profile. Digoxin - Answer>> Enhances contractility Inhibits Na + K+ ATP Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Reduces HR, CI'd if HR < Hypokalemia increases drug concentration Most frequent disorder associated with downsyndrome - Answer>> Deudonal Atresia Double Bubble May see VSD, AV Canal, Tetralogy of Fallot Upper GI Gold Standard for - Answer>> Malrotation Position for gastroschesis - Answer>> Lateral (side lying) to prevent occlusion of the mesenteric arteries that supply blood to the bowel. Tie bag to the axilla. VACTERAL, associated with what two disorders? - Answer>> TEF/EA vertebral defects anal atresia cardiac anomalies trachoesophageal fistula radial defects renal and limb anomalies Hirschbrung Disease - Answer>> Starts in distal rectum Clinical sign : failure to pass meconium within first 24- hours May be associated with bilious emesis and a distended abdomen Associated with CF Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com S/s - abdominal distention, bilious vomiting, failure to pass meconium 12-24 hours X-ray shows soap bubble or ground glass appearance of distal intestine Treatment: Hypertonic contrast water soluble enema Nephron develops at how many weeks Best indicator of GFR on lab is? - Answer>> Develops at 34 weeks Creatinine Clearance Bruit auscultation over liver - Answer>> Arteriovenous malformation VCUG - Answer>> Evaluate function and flow of kidneys Abnormal finding in infants = Vesicoureteral reflux Urine backflows from the bladder into the upper urinary tract Midgut volvulus - Answer>> Twisting and spiraling of entire gut around the superior mesenteric artery Vascular compromise, necrosis, perforation Upper GI study - Answer>> Evaluates structure and function of upper gi system containing:
- the esophagus
- the stomach Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Water soluble contrast solution is swallowed series of x rays under fluoroscopy Complications: vomiting, reflux, aspiration Do NOT do an upper GI series on TEF/EA Hydrops Fetalis - Answer>> Abnormal fluid in two or more fetal compartments such as peritoneum, pericardium, skin, pleura Caused by massive hemolysis , sensitized mother's antibody crosses the placenta and attaches to fetal red blood cells Perform thoracentesis, pericentisis TEF most common type, interventions - Answer>> Type Turner Syndrome - Answer>> Infants with Turner syndrome can present with cardiovascular anomalies, short stature, low-set ears, excess nuchal skin, a broad chest with widely spaced nipples, peripheral lymphedema, and ovarian dysgenesis. Common defects are coarctation of the aorta and bicuspid aortic valve. About 30% of infants with Turner syndrome will have a coarctation of the aorta. Supraventricular Tachycardia - Answer>> HR > Vagal Maneuvers:
- Stimulate a gag
- Suction at nasopharnx
- Apply crushed ice to nose and forhead Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com
- upslanting palepbral fissures
- Brushfield spots
- small earts
- Protruding tongue, short narrow palate
- Simian crease (line across hand)
- Excess skin on back of neck *Duodenal atresia/umbilical hernia Trisomy 18 (edwards syndrome) - Answer>> Rocker bottom feet w/ protrusion of calcaneus Prominent occiput Clenched fists w/overlapping fingers third and fourth fingers(camptodactyly) Congenital heart disease Horseshoe kidneys Umbilical hernia Trisomy 13 (patua syndrome) - Answer>> 1. microcephaly
- CNS malformations
- coloboma of the iris
- postaxial polydactyly Turner Syndrome - Answer>> A chromosomal disorder in females in which either an X chromosome is missing
- Short webbed neck
- downslanted palpebral fissures
- micrognathia
- low set posterriorly rotated ears
- broad thorax Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com
CHARGE association - Answer>> - Colobomas (ocular tissue defects)
- Heart defects (
- Atresia of nasal choanae
- Retardation
- Genital anomalies
- Ear anomlies 22q11 deletion syndromes (DiGorge) - Answer>> 1. Downslanting eyes
- short philthrum
- micrognathia
- fish mouth Persistent hypocalcemia. Evaluate serum calcium and PTH Absence of thymus, T cell abnormalities Obtain a FISH chromosomal analysis Tetralogy of Fallot (Cyanotic Heart) - Answer>> Large VSD, right ventricular hypertrophy, right ventricular outflow tract obstruction (pulmonary stenosis), overriding aorta of the ventricular septum Severity of cyanosis depends on degree of right ventricular outflow tract obstruction Boot shaped heart Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com A bedside immunoassay called AmniSure is performed. This test identifies a glycoprotein abundant in amniotic fluid. This glycoprotein is called: - Answer>> placenta α- microglobulin-1 (PAMG-1 protein) Biophysical Profile BPP - Answer>> fetal tone, fetal breathing, fetal movement, nonstress test, and amniotic fluid volume. Gestational age for testing diabetes - Answer>> 24 to 28 weeks' gestation. A late deceleration is a reflex fetal response to - Answer>> transient hypoxemia during uterine contractions. Amnioinfusion - Answer>> Amnioinfusion is a method in which isotonic fluid is instilled into the amniotic cavity in order to correct fetal heart rate changes thought to be caused by compression of the umbilical cord [variable decelerations]. Amnioinfusion is used to attempt to resolve variable fetal heart rate decelerations by correcting umbilical cord compression as a result of oligohydramnios. When amnioinfusion is used during labor to treat recurrent severe variable decelerations, it has been proven to reduce the incidence of cesarean deliveries. Amnioinfusion may assist with oligohydramnios (amniotic fluid index <5 cm) Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Variable Decelerations - Answer>> Compression of the umbilical cord, could be caused by oligohydraminos Magnesium and Nifidepine - Answer>> Magnesium an anticonvulsant used for pre-eclampsia, substitutes for calcium Nifidepine, CCB, allows the movement of calcium into the smooth muscle of the uterus. Contraction of smooth muscle depends on the availability of calcium Moderate Variability - Answer>> The 2008 National Institute of Child Health and Human Development consensus report states that moderate variability reliably predicts the absence of fetal metabolic acidemia at the time it is observed. oligohydramnios - Answer>> Oligohydramnios, a decreased amount of amniotic fluid, is defined as a single deepest pocket of <2 cm, or an amniotic fluid index of < cm. Normal Transition to Extra Uterine Life - Answer>> During normal transition from fetal to extrauterine life, the pulmonary vascular resistance decreases largely in part to air entry into the lung and increase in pulmonary blood flow. Systematic vascular resistance increases with the removal of the placenta. Persistent pulmonary hypertension continues to have the increase in pulmonary vascular resistance with constriction of the pulmonary Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com The Kleihauer-Betke test - Answer>> identifies fetal cells in the maternal blood. Although the Kelihauer-Betke test can be useful in determining whether the mother needs RhIgG, it will not determine the infant's condition at the time of delivery. High Resolution Ultrasonography - Answer>> High- resolution ultrasonography is useful for determining ascites, pericardial and pleural effusion, and other conditions in the baby before delivery. The test gives the resuscitation team the ability to anticipate what degree of resuscitation may be needed. Correct positon of endotracheal tube - Answer>> midway between the trachea and carina Chest Compression and Ventilation Resuscitation - Answer>> 90 Compressions a minute, 1/3 of the diameter 30 breathes a minute Symmetric IUGR - Answer>> Symmetrical intrauterine growth restriction (IUGR) begins early in gestation and is most often caused by intrauterine infection or genetic abnormalities. TTN Radiographic findings - Answer>> Infants with transient tachypnea of the newborn have chest radiographic findings that include perihilar streaking, overexpansion, haziness, increased vascular markings, and fluid in the fissure, which traps air in the alveoli. This air Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com trapping results in an increase in the anteroposterior diameter of the chest, leaving the infant with a barrel-shaped chest. Transposition of the great vessels - Answer>> Transposition of the great vessels occurs when the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. Marked cyanosis is a presenting feature of transposition because the aorta carries deoxygenated blood from the right ventricle to the systemic circulation. Gastroinsetinal defect associated with down syndrome - Answer>> duodenal atresia. Ventral Septal Defect murmur type - Answer>> Harsh Holosystolic Murmur heard over Apex patent ductus arteriosus (PDA) location and murmur type - Answer>> In healthy term infants the ductus arteriosus normally closes in the first 24 to 48 hours of life. The murmur associated with a patent ductus arteriosus (PDA) is systolic and is best heard over the upper left sternal border and sometimes radiates to the axilla. Shunting of PDA - Answer>> In a newborn a patent ductus arteriosus causes right to left shunting resulting in additional blood flow to the aorta. This causes peripheral pulses to feel full and bounding. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
