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Exam (elaborations)

RNC-NIC EXAM WITH COMPLETE SOLUTIONS (A+ GRADED)

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RNC-NIC EXAM WITH COMPLETE SOLUTIONS (A+ GRADED)...

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  • November 8, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • rnc nic
  • rnc nic exam
  • RNC-NIC
  • RNC-NIC
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RNC-NIC EXAM WITH COMPLETE SOLUTIONS
(A+ GRADED)


Treatment of gastroschisis or omphalocele - ANSWER Place in sterile owl bag

Cover defect with warm sterile moist dressings

Maintain NPO and gastric decompression

Maintain sidelying position



Bilious vomiting - ANSWER An obstruction distal to Ampulla of Vater



s/s of TEF/EA - ANSWER Copious oral secretions, drooling

Polyhydramnios

Small stomach on ultrasound

Coughing, choking, respiratory distress, or cyanosis

Recurrent pneumonia



Infants with EA or TEF should have an evaluation of which three systems? - ANSWER 1)
cardiac system

2) renal system

3) skeletal system



Treatment of TEF/EA (pre-op) - ANSWER Elevate HOB

Ventrol to drain

Minimize crying to decrease swallow air

No CPAP, intubate if need respiratory support

,Treatment of TEF/EA (post-op) - ANSWER Ventilate with low MAP

Avoid need to re-intubate & only by experienced practitioners

Suction length of ETT only



Pyloric stenosis - ANSWER Obstruction of pylorus caused by hypertrophy of pyloric
musculature

Associated with Apert's syndrome trisomy 18 and

trisomy 21



Pyloric stenosis incidence - ANSWER More common in white, full-term infants

Trisomy 21

Males 5:1



Pyloric stenosis treatment - ANSWER May resolve spontaneously before one year of life

Provide nutritional support

May need surgical repair



Duodenal stenosis atresia associated with - ANSWER Trisomy 21

CHD

Intestinal malrotation

TE abnormalities

Anorectal defects



Duodenal atresia stenosis s/s - ANSWER Polyhydramnios

Abdominal distention

No stools

Bilious vomiting within 24 hours

, "Double bubble" on xray - ANSWER Duodenal atresia



Malrotation - ANSWER Assortment of intestinal anomalies of rotation & retroperitoneal
fixation (occurs 6-10 weeks gestation)



Malrotation s/s - ANSWER Most have symptoms first week of life

Bileous vomiting

Abdominal distention

Abdominal pain

s/s shock /sepsis

Rectal bleeding



Meconion ileus - ANSWER Mechanical obstruction of distal ileum due to intraluminal
accumulation of thick meconium



Predominant cause cystic fibrosis



Meconium ileus s/s - ANSWER Abdominal distention of birth

Bilious vomiting

Failure to pass meconium in 12-24 hours

Abdominal x-ray shows "soap bubble" or ground glass appearance of distal intestine



Meconium ileus treatment - ANSWER Hypertonic contrast water soluble enema

(draws fluid into the intestine)

Works for 60% of patients

Surgical treatment

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