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Practice questions and answers for the ncc registered nurse certified in neonatal intensive care nursing (rnc-nic) exam. It covers various topics related to neonatal intensive care, including fluid and electrolyte management, pre-ductal spo2 targets, resuscitation, and central venous catheter (uvc) placement. Designed to help nurses prepare for the rnc-nic exam by providing a comprehensive overview of key concepts and clinical scenarios.
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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]
180 minutes
**1. Read each question carefully.
📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Practice Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Pre-ductal SpO2 target 1 min - Answer>> 60-65% Pre-ductal SpO2 target 2 min - Answer>> 65-70% Pre-ductal SpO2 target 3 min - Answer>> 70-75% Pre-ductal SpO2 target 4 min - Answer>> 75-80% Pre-ductal SpO2 target 5 min - Answer>> 80-85% pre ductal SpO2 target: 10 min - Answer>> 85-95% < 30 sec - Answer>> chest compressions are initiated when HR < 60 after ____ sec of ventilation 3:1 ratio // 120 - Answer>> compression/ventilation ratio is ___ to + ___ events/ min re-evaluated every 60 sec epi - Answer>> given for HR < 60 after 30 sec of PPV Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com infants > 1000 g need dextrose ___ % gestational age - Answer>> amount of glucose stores dependent on ____ 4.5 - 6mg - Answer>> fluid & electrolytes: must initiate fluids immediately following birth// most infants initiate fluids at a glucose infusion rate (GIR) of _______ glucose/kg/min insensible water loss - Answer>> fluid & electrolytes: amount of fluid requirements is dependent on the risk for
goal of fluid therapy - Answer>> fluid & electrolytes: permit physiologic, adaptive fluid and electrolyte changes to occur water - Answer>> fluid & electrolytes: ____ is the most abundant component of the infant's body extracellular compartments - Answer>> fluid & electrolytes: early in gestation, 95% of total body weight is water; mostly in ____ intracellular compartments - Answer>> fluid & electrolytes: Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com by term, water is 75% of total body weight and has shifted to ____ increased body fat - Answer>> fluid & electrolytes: by term, water is 75% of total body weight and has shifted to intracellular compartments due to ____ 5-10% - Answer>> fluid & electrolytes: normal weight loss for term infant is ___ in the first week of life weight loss - Answer>> ___ is due to the physiologic contraction of extracellular fluid volumes occurring with diuresis placenta - Answer>> in utero, balance of water and electrolytes is controlled by the __ increases increases/ increasing - Answer>> fluid & electrolytes: at birth, renal blood flow (increases/decreases) as renal vascular resistance falls (increasing/decreasing) the glomerular filtration rate (GFR) ADH - antidiuretic hormone - Answer>> fluid & electrolytes: hormonal mechanisms Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com hypernatremia - Answer>> fluid & electrolytes: disorder of waste balance; excessive insensible water loss with insufficient fluid intake 3.5-5.5mEq/L - Answer>> normal range for K is ___ meq/l potassium - Answer>> major cation of intracellular function; helps with osmotic activity, critical to the proper functioning of nerve and muscle cells, particularly heart muscle cells* hypokalemia - Answer>> fluid & electrolytes: can affect muscle cells ( GI and heart) loss in urine vs inadequate intake; also loss from vomiting, NGT drainage, and metabolic alkalosis** hypokalemia - Answer>> clinical presentation of ___: cardiac arrhythmias, hypotonia, abd distention potentiates dig toxicity; rapid correction can lead to arrhythmias hyperkalemia - Answer>> ELBW have intensified osmotic shifts and inadequate correction of K hemorrhage and bruising causes endogenous release of K low dose dopamine, insulin infusion, exchange tranfusions clinical risk of cardiac arrest Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com calcium - Answer>> fluid & electrolytes: central role in many physiologic processes, vital for normal cardiac function; __ supply ceases at birth--uses stored and dietary 8.5-10.2 mg/dl - Answer>> normal calcium values hypocalcemia - Answer>> fluid & electrolytes: seen in preterm birth, infants of diabetics, perinatal asphyxia, and maternal use of anticonvulsants hypocalcemia - Answer>> fluid & electrolytes: presents as jitters, twitching to seizures corrected with infusion- complications from rapid infusion hypercalcemia - Answer>> fluid & electrolytes: seen with hyperparathyroidism and phosphate depletion presents as hypotonia, poor feeding and bradycardia 1.5-2.5 mg/dl - Answer>> normal serum magnesium range magnesium - Answer>> fluid & electrolytes: important in hemoglobin formation, wound healing, and host defenses hypermagnesemia - Answer>> fluid & electrolytes: from maternal administration for preeclampsia, status asthmaticus, enemas, renal failure Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com blood glucose - Answer>> after cord clamping, ____ falls for 1st 2 hours, then normalizes by 3-4 hours hypoglycemia - Answer>> inadequate production or supplies r/t prematurity, IUGR, delayed feeds or fluid restriction, perinatal stress, hypoxia hyperglycemia - Answer>> incidence greatest in infants < 750 grams typically 24hrs - dol 3 etiology related to stress, extreme prematurity, IUGR, anesthesia, lipid infusions infant of DM mother trophic feeds - Answer>> defined as <24 m/kg/day of human milk or premature formula trophic feeds - Answer>> begins the development of gut mucosa and stimulates intestinal activity trophic feeds - Answer>> recommended to start within 48 hr of birth and continue for dol 1- 32-34 weeks - Answer>> suck/swallow/ breathe usually is at what gestation range transitional milk - Answer>> breast milk transitions from day 5- Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com mature milk - Answer>> milk that is 4 weeks post delivery 34-36 weeks gestation - Answer>> feeding at breast will not occur until the baby is ___ weeks gestation and has a coordinated SSB respiratory distress - Answer>> #1 reason for infant admission to nicu cardiac output - Answer>> oxygen transport to the tissue is r/t ___ and oxygen content of the blood bound to hemoglobin; fully saturated at PO2 80-100mm hypoxia - Answer>> when inadequate amount of O2 is being delivered anemia - Answer>> not enough red blood cells to carry the oxygen hypoxemia - Answer>> amount of oxygen in the arterial blood is low, caused by extrapulmonary or intrapulmonary shunts; blood bypasses adequately ventilated alveoli intrapulmonary shunt - Answer>> ventilation - perfusion mismatch atelectasis extrapulmonary shunt - Answer>> congenital heart disease pulm artery htn Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com low platelet count - Answer>> what is HELLP syndrome? pre-eclampsia - Answer>> ___ can progress into HELLP syndrome and typically occurs in 3rd trimester. around 28 weeks. s/s: HA, nausea, vomiting, fatigue, upper right abdominal pain. dx : blood pressure, urine tests, peripheral blood smear and liver enzyme blood test, and test platelets infant is delivered (34 weeks) - Answer>> HELLP syndrome will not subside until when? CMV - Answer>> viral genome double-stranded DNA of the herpes virus family herpesviridae CMV - Answer>> most common congenital VIRAL infection CMV - Answer>> viral infection found in saliva, urine, blood, breastmilk, seminal and cervical fluids CMV - Answer>> viral infection that is detrimental to fetus if mom contracts this virus in 1st trimester.
📧 Hybridgrades101@gmail.com Ganciclovir - Answer>> if symptomatic with CMV treat with? rubella - Answer>> transmitted through direct or droplet contact 80% chance infant will have defects if contracted in 1st trimester rubella - Answer>> s/s cataracts, glaucoma, retinopathy, hearing loss, IUGR, **blueberry muffin" purpura Toxoplasmosis - Answer>> caused by intracellular protozoan parasite- toxoplasma gondii toxoplasmosis - Answer>> maternally acquired from consumption of poorly cooked meat or infected cat feces highest risk to infant when primary acute infection occurs during pregnancy esp in 1st trimester toxoplasmosis - Answer>> s/s: fever, rash, petechia, purpura, seizures dx- ELISA assay treatment: antiparasitic regimen for a year syphilis - Answer>> caused by Treponema pallidum, a thin, motile spirochete maternally acquired through sexual contact that is vertical transmission to infant across placenta or direct contact with lesions at birth Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com vertical transmission during delivery when purulent infection of the mucus membranes is present can also be an ascending infection when a scalp probe is used bc itll break the skin GBS - Answer>> caused by gram + diplococcus encapuslated bacterium, s. agalctiae risk factors : less than 37 week delivery, prolonged ROM, mother not treated at delivery (x2 doses pen) early onset of GBS - Answer>> generalized sepsis, pneumonia, meningitis are s/s of which GBS blood of CSF confirmed infection occurring less than 7 DOL tx- amp and gent late onset GBS - Answer>> bacteremia and meningitis are s/s of which GBS, also fever, poor feeding, lethargy, difficulty breathing, inconsolability invasive bacterial infection occurring DOL 7- common causes - e-coli, GBS, staph, strep pneumonia GBS staphylococcus - Answer>> gram positive organisms e.coli h-flu - Answer>> gram negative organisms amniotic bands - Answer>> severity depends on the degree of entanglement, timing of development, and affected body part Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com tx- dependent of affected body part. could be surgery if constriction is severe polyhydraminos - Answer>> AFI > 20-24 cm of amniotic fluids measured in all 4 quadrants WITHOUT fetal parts common with GDM, fetal anomolies, and twins tx is amnioreduction oligohydramnios - Answer>> AFI < 4-5 cm of amniotic fluid common in postdates can cause decreased surfactant production leading to RDS PROM - Answer>> when membranes rupture before 37 weeks with PROM to onset of labor, 80-90% will deliver within a week chorioamnionitis - Answer>> dx- maternal intrapartum temp is > 39.0 or maternal intrapartum temp is 38.0 - 38.9 C AND one additional clinical factor of leukocytosis, purulent cervical discharge, fetal tachycardia tx- ABx therapy- amp and gent or clindamycin if C/S at risk of PPH and contributes to 20-40% of neonatal sepsis BPP - Answer>> evaluates condition of fetus (breathing, movement, muscle tone, volume of amniotic fluid, fetal HR or nonstress test) score- 10 is max, 8-10 is good less than 4 is bad bad* Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com GBS screen - Answer>> routing testing - does culture on mom. performed at 36-38 weeks, swab sample from vagina and rectum if + then mom is tx with penicillin during labor if positive one time ever- then you will be treated no matter what for other pregnancies due to risk cord gas - Answer>> reflects oxygenation and acid/base status of newborn at the time of the delivery as wall as functioning of the placenta. umbilical artery gas - fetal condition vein gas- placental function variability - Answer>> best predictor of fetal oxygenation baseline variability - Answer>> fluctuations in baseline FHR that are irregular in amplitude and frequency absent, minimal, moderate, marked, sinusoidal pattern late decel - Answer>> gradual decrease in FHR, onset of the decel occurs after the peak of the contraction and the nadir of the contraction occurs after the contraction variable decel - Answer>> abrupt decrease in fhr > 15 bpm measured from the most recently determined baseline rate, lasts > 15 sec but < 2 min prolonged decel - Answer>> decel lasts > 2 min but < 10 min Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com tachycardia - Answer>> fetal HR > 160 (typically 170-220) caused by maternal infection #1, maternal meds, in utero hypoxia, fetal anemia, chromosomal anomolies bradycardia - Answer>> FHR below 100 caused by distress, fetal head compression, cord compression, hypoxia footling breech - Answer>> one or both of babys feet pointed down frank breech - Answer>> butt aimed at birth canal with legs sticking straight up in front of body with feet by head transverse lie presentation - Answer>> baby is horizontal Maternal hemorrhage/ PP Hem - Answer>> blood loss > than or = to 1000ml at birth or blood loss accompanied by hypovolemia within 24 hr of birth most common cause is uterine atony - soft/weak uterus after birth placental abruption - Answer>> occurs when the placenta partially or completely separates from the inner wall of the uterus before delivery. This can decrease or block the baby's supply of oxygen and nutrients and cause heavy bleeding in the mother. placental abruption - Answer>> often occurs suddenly, could be unknown why, but possible cause is abd trauma or Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧