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:
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2. Answer all questions.
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NCC National Certification
Corporation 2024-2025 Registered Nurse Certified in
Neonatal Intensive Care Nursing NCC RNC-NIC Final
Exam Review Questions and Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What risks are present in infants born to mothers who
receive no or little prenatal care? - Answer>> LBW
premature birth
Maternal iron-deficiency anemia
Increased neonatal mortality
Describe the fetal response to mothers with diabetes -
Answer>> Because glucose crosses the placenta, the
baby's BG increases as the mom's does. Insulin does
not cross the placenta and the fetal pancreas does not
produce it until 20 weeks. So, before insulin production,
the increased BG leads to restricted growth. Once the
insulin is produced, it produces rapidly to respond to
the high BG, and these high levels trigger rapid fetal
growth—> hepatosplenomegaly, cardiomegaly,
increased head size
What is commonly seen in IDM immediately after birth?
Why? - Answer>> Hypoglycemia
The sudden withdrawal from maternal glucose +
continued production of insulin
What conditions does an IDM present with? -
Answer>> Birth trauma r/t cephalopelvic disproportion
Hypoglycemia
RDS because inc insulin inhibits surfactant production
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Polycythemia & hyperviscosity
bc inc insulin & BG inc metabolic
rate and oxygen consumption
Iron deficiency bc polycythemia leaches iron
Hyperbilirubinemia from inc rbc destruction
CV & congenital malformations
Electrolyte disturbances (low Ca and Mg)
What is pre-eclampsia? - Answer>> Inc BP,
proteinuria, edema that occurs around 20 week's
gestation
What's the initial tx for pre-eclampsia? - Answer>>
Mag sulfate to prevent maternal sz
If severe—premature delivery
What complications occur to fetus with a mother
suffering from pre-eclampsia? Why? - Answer>> IUGR
— longstanding HTN causes uteroplacental vascular
insufficiency which impairs transfer of nutrients and
oxygen which causes IUGR and inc mortality
What is the purpose of amniotic fluid and how is it
produced? When? - Answer>> To cushion fetus and
allow normal development of lungs
Produced mainly by fetus' excretion of urine and fluids
excreted by respiratory tract & oral/nasal cavity
Around 20 week's
What is oligohydramnios? What conditions are
associated with it? - Answer>> Decreased AF
UT anomalies like obstructive uropathy, renal agenesis,
polycystic kidneys
Pulmonary hypoplasia
Pressure deformities
Compression of umbilical cord & hypoxia
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Mecon staining (remember
hypoxia causes release of mecon
in utero)
Post-term gestation
Leaking AF, prolonged or premature ROM
What is polyhydramnios & what is it associated with? -
Answer>> Increased AF
What is the biochemical marker useful in predicting
preterm birth? - Answer>> Fibronectins
What is the best indicator of fetal oxygenation status
during labor as seen on electric fetal monitoring? -
Answer>> Variability
What are the five parts of the biophysical profile? -
Answer>> Fetal tone, breathing, movement; no stress
test, amniotic fluid volume
When should one have a glucose screening during
pregnancy if they're at low risk for developing GD? -
Answer>> 24-28 weeks
When women give birth sitting upright, what shows
lower values in cord blood? - Answer>> PCO2
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