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RNC-NIC Exam Study Guide Newest 2024/25 with complete solution $10.99   Add to cart

Exam (elaborations)

RNC-NIC Exam Study Guide Newest 2024/25 with complete solution

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RNC-NIC Exam Study Guide Newest 2024/25 with complete solution

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  • August 11, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RNC-NIC
  • RNC-NIC
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RNC-NIC Exam Study Guide Newest
2024/25 with complete solution
Correct ETT placement - T1-T2 ii ii ii ii ii ii ii



level of claviclesii ii




Correct UVC placement - T 8-9
ii ii ii ii ii ii ii ii



0.5-1 cm above diaphragm
ii ii ii



Tip in inf. vena cava
ii ii ii ii




Correct UAC placement - Low-L3-4
ii ii ii ii ii ii ii



Below renal arteries ii ii




High-T6-10

Correct PICC placement - T3-5
ii ii ii ii ii ii ii



Lower 1/3 of s. Vena cava ii ii ii ii ii




ii Normal weight loss of preterm infant - 10-15%
ii ii ii ii ii ii ii ii ii




Healthy term infant requires how many kcal/kg/day for normal growth? - 100-120
ii ii ii ii ii ii ii ii ii ii ii ii ii ii



kcal/kg/day
ii




ii Formula to calculate GIR - ml/kg/day x %dextrose ➗1.44ii ii ii ii ii ii ii ii ii ii




ii Normal GIR - 4-6 ml/kg/min initially May go as high as 12
ii ii ii ii ii ii ii ii ii ii ii ii ii




Anomalies associated with esophageal atresia - SGA
ii ii ii ii ii ii ii ii ii



VATER synd. ii ii



-vertebral
ii



-imperf anus
ii ii



-renal dysplasia
ii ii




Increased risk of mec plug? - -premature
ii ii ii ii ii ii ii ii ii



-IDM
-small left colon ii ii



-cystic fibrosis ii




Signs of pyloric stenosis - Distended stomach on x-ray with little or no gas below
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii



duodenum
ii



Can palpate "olive"
ii ii



Present at 2 to 3 weeks of life with Bile stained vomiting
ii ii ii ii ii ii ii ii ii ii ii




ii Normal temp range axillary - 36.5 to 37.4°C
ii ii ii ii ii ii ii ii ii

, TTN vs RDS - Usually requires less than 40% FI O2
ii ii ii ii ii ii ii ii ii ii ii ii ii



Improves quicker ii



Larger lung volumes ii ii




Natural diuresis occurs at_____________ hours of age as condition improves - 48-72
ii ii ii ii ii ii ii ii ii ii ii ii ii ii



hours
ii




ii Prolonged rupture of membranes - Greater than 18 hours ii ii ii ii ii ii ii ii ii ii




ii Difference in PaO2 of________ or greater documents ductal shunting - 15%ii ii ii ii ii ii ii ii ii ii ii ii




ii With PPHN goal is to keep PaO2 ________or > - 50
ii ii ii ii ii ii ii ii ii ii ii ii




Signs and symptoms of MAS - Chest hyperinflated on x-ray
ii ii ii ii ii ii ii ii ii ii ii ii



Low PaO2 with O2 given
ii ii ii ii



Air leaks
ii



Prone to PPHN ii ii




Treatment of micrognathia - Prone positioning
ii ii ii ii ii ii ii ii ii



Oral airway placement
ii ii



Trach in rare cases ii ii ii



Generally mandibular growth "catches up" by 6 to 12 months ii ii ii ii ii ii ii ii ii



Surgery if significant compromise ii ii ii




Micrognathia associated with - Pierre Robin syndrome
ii ii ii ii ii ii ii ii ii



Trisomy 18 ii



Trisomy 21 ii



Cri-du-chat syndrome ii




Causes of pulmonary hemorrhage - Prematurity
ii ii ii ii ii ii ii ii



Erythroblastosis
Intracranial hemorrhage ii



Asphyxia
Aspiration
Heart diagnosis, PDA ii ii



Sepsis
Hypothermia
Surfactant replacement ii




Treatment of pulmonary hemorrhage - Vent and use PEEP to decrease bleeding
ii ii ii ii ii ii ii ii ii ii ii ii ii ii



Transfused PRBC's as needed ii ii ii



Treat clotting problems
ii ii



Assess and treat PDA ii ii ii



Treat underlying disease processes
ii ii ii

, Apneic event - Cessation of respiration for 20 seconds, or less if accompanied by
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii



cyanosis, pallor, decreased tone, bradycardia
ii ii ii ii ii




Causes pulmonary hypoplasia - 1) conditions that limit lung growth (CCAM, DH)
ii ii ii ii ii ii ii ii ii ii ii ii ii ii



2) oligohydramnios (thoracic compression)
ii ii ii



3) associated congenital malformations (Potters, phrenic nerve absence)
ii ii ii ii ii ii ii




ii Normal blood gas results - ph 7.35-7.45 ii ii ii ii ii ii ii ii




PaCO2 35-45 ii




PaO2 50-80 ii




HCO3 22-26 ii




BE -2 to +2 ii ii ii




Vent Setting VT (tidal volume) - -Primary factor affecting oxygenation and ventilation
ii ii ii ii ii ii ii ii ii ii ii ii ii ii



-should be 4-5 ml/kg ii ii ii




Vent Settings
ii ii



-To increase ventilation - Increase rate
ii ii ii ii ii ii ii




Vent settings
ii ii



-to increase oxygenation - Increase FiO2, PEEP, or VT
ii ii ii ii ii ii ii ii ii ii




Inclusion criteria for ECMO - 1) GA > 34 weeks
ii ii ii ii ii ii ii ii ii ii ii ii



2) BE > 2000 grams
ii ii ii ii



3) reversible lung disease
ii ii ii



4) no lethal anomalies or brain injuries
ii ii ii ii ii ii



5) IVH Gr 2 or <
ii ii ii ii ii



6) no significant bleeding issues
ii ii ii ii




Vent Setting Rate - Set rate at 30-40/minute for respiratory failure
ii ii ii ii ii ii ii ii ii ii ii ii ii



Set rate at 20-30/minute for no respiratory failure
ii ii ii ii ii ii ii



Adjust to maintain PCO2 40-50 ii ii ii ii



Rate >40/minute can lead to air trapping
ii ii ii ii ii ii




Vent setting PIP - Determines VT and affects PaO2
ii ii ii ii ii ii ii ii ii ii ii



Determined by weight, GA, lung compliance, & airway resistance ii ii ii ii ii ii ii ii



20 is appropriate for most preterm infants
ii ii ii ii ii ii



Look at chest wall movement ii ii ii ii




Vent Setting PEEP - Physiologic PEEP is about 2cm
ii ii ii ii ii ii ii ii ii ii ii



Usually set at 4-7cm ii ii ii



>7 can cause air leaks
ii ii ii ii

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