Johns Hopkins University
(Maryland)
NCC National Certification Corporation
NCC Low Risk Neonatal Nursing RNC- LRN Exam
Course Title and Number: NCC Low Risk Neonatal Nursing
RNC-LRN 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.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
Good Luck!
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NCC National Certification
Corporation 2024-2025 NCC Low Risk Neonatal Nursing
RNC-LRN Exam Review Questions and Answers | 100%
Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Normal skin assessment - Answer>> Acrocyanosis
with decreased peripheral pulses, facial bruising and/or
petechiae
Normal head assessment - Answer>> Large in relation
to body size, cranial molding, caput succedaneum
Normal newborn lung assessment - Answer>> RR 40-
60/min, coarse rales, prolonged expiration phase
Normal newborn heart assessment - Answer>> HR
120-160, may peak up to 180 bpm when stimulated,
loud S2, split S2, soft systolic murmur (L —> R shunt
from PDA)
Normal newborn GI tract assessment - Answer>>
Bowel sounds will likely appear within 15 minutes of
birth, meconium passage within 24 hrs of birth
Normal newborn kidneys - Answer>> Urine passage
within 24 hrs of birth
Normal newborn limb assessment - Answer>>
Positional oddities from intrauterine positioning (e.g.,
legs up in frank breech position)
Newborn S/S of Hypoglycemia - Answer>> Apnea,
Pallor, Jittery, Irritability, Weak high-pitched cry,
Hypothermia, Labile temps,
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Lethargy, Poor feeding, Vomiting,
Cyanosis, Seizures
Causes of Hypoglycemia - Answer>> (Other than
delayed feeding): IUGR or prematurity, Inborn errors of
metabolism or glycogen storage disease, Hypothermia
or polycythemia, Adrenal hemorrhage, CHF,
Hyperinsulinism
HELLP Syndrome - Answer>> May be associated with
PIH; symptoms: hemolysis, elevated liver enzymes, low
platelet count; the client is at risk for hemorrhage,
pulmonary edema, and hepatic rupture
Gestational Hypertension - Answer>> Transient
elevation of blood pressure occurring for the first time
after mid-pregnancy without proteinuria or other signs
of preeclampsia (postpartum period: ends by 12 weeks:
Gest HTN. beyond 12 weeks: Chronic HTN).
GBS (group B strep) - Answer>> Group B
streptococcus (GBS) is a type of bacterial infection that
can be found in a pregnant woman's vagina or rectum.
This bacteria is normally found in the vagina and/or
rectum of about 25% of all healthy, adult women.
Women who test positive for GBS are said to be
colonized
The 30-week-gestation fetus of a primagravid mother
has been diagnosed in utero with an omphalocele.
Which of the following procedures should the nurse
anticipate? - Answer>> Karyotyping via
amniocentesis; Omphalocele and gastroschisis are both
commonly associated with accompanying defects or
chromosomal abnormalities. An amniocentesis will
likely be performed and karyotyping done to identify
any chromosomal abnormalities.
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A 38-week-gestation newborn is
vigorous at birth. The infant is dried, wrapped in warm
blankets and placed on the mother's chest. At 6
minutes of life, the infant still appears cyanotic.
According to recommended practice guidelines, which
of the following should the nurse perform FIRST? -
Answer>> Check the infant's pulse oximeter reading
Feedback
Recommended practice guidelines for neonatal
resuscitation utilize pulse oximeter readings to
determine if an infant is within acceptable saturation
range for minutes of life. Use of 100% oxygen is
discouraged.
A 39-week-gestation newborn male weighing 3.3 kg
(7.3 lbs.) is admitted to the newborn nursery following
a cesarean section. How many kilocalories (kcal) should
this infant consume to meet the average daily
requirement? - Answer>> 330 kcal/day
Feedback
Term newborns require approximately 100 kcal/kg/day.
Premature infants require approximately 120-150
kcal/kg/day.
A nurse is developing a teaching plan for the family of
an infant being discharged home with a gastrostomy
tube (G-tube). Which of the following steps should be
taken FIRST? - Answer>> Assess the family's current
knowledge base
Feedback
Assessment is the first step in the nursing process. In
order to facilitate learning, the learner's knowledge and
skills should be assessed before a teaching plan is
formed.
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