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RNC-NIC REVIEW QUESTIONS
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RNC-NIC REVIEW QUESTIONS
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RNC-NIC REVIEW QUESTIONSNeonates born to mothers with uncontrolled asthma are at increased risk for
a. acidosis
b. apnea
c. low birth weight - Answers -C-Neonates born to women with asthma that is not under
control are at increased risk for prematurity and low birth weight. If asthma is controlled,
neonatal outcomes are similar to those neonates born to mothers WITHOU asthma.
Pregnancy outcomes of women with renal disease most relates to
a. etiology of renal disease
b. degree of renal insufficiency
c. length of time since onset of the disease - Answers -B-regardless of etiology of the
renal disease in pregnancy, the two factors that most influence pregnancy outcomes is
the degree of renal insufficiency and the presence of hypertension.
Untreated maternal thyrotoxicosis can lead to
a. congenital anomalies
b. neonatal hypothyroidism
c. preterm delivery - Answers -C-If a woman with hypothyroidism or thyrotoxicosis is not
treated during pregnancy, there is a high incidence of preterm delivery, low birth weight
and still births. Congenital anomalies are not common. Hypothyroidism may result in the
neonate due to the thyroid medications not the maternal disease.
Unregulated glucose control in a woman with diabetes early in pregnancy can
predispose the fetus to
a. chromosomal damage
b. embryonic growth delays
c. teratogenic effects - Answers -C-Preconception counseling and early prenatal care
are essential for women with diabetes when contemplating childbirth. Uncontrolled
glucose levels early in pregnancy can lead to organogenesis and the development of
congenital anomalies.
Infants with fetal alchohol syndrome demonstrate tremors, irritability and hypertonus
due to
a. central nervous system injury
b. interferance with protein synthesis
c. withdrawal from alcohol - Answers -C-Infants born with fetal alcohol syndrome usually
presents with tremors, irritability, and hypertonus. These symptoms are primarily due to
alcohol withdrawal.
, Common manifestations of neonates who were exposed to cocaine in utero include
a. apnea and lethargy
b. neonatal abstinence syndrome
c. touch aversion and overstimulation - Answers -C-Exposure to cocaine in utero leaves
infants with a wide variety of problems. Teratogenicity has had some association with
cocaine exposure but its direct link has not not been confirmed. Neonates are
hypertonic, irritable and easily overstimulated by sensory input or direct contact. To
avoid any stimulation, the neonate may totally shut down going into a deep sleep or
alternatively the infant may cry incessantly. There is no specific pattern of withdrawal as
there is with neonatal abstinence syndrome and heroin exposure.
The primary route of the transmission of neonatal systemic lupus erythematosus is
a. familial tendency
b. multifactorial inheritance
c. placental transfer of antibodies - Answers -C-Neonates born to mothers with systemic
lupus erythematosus can demonstrate various symptoms, known as neonatal systemic
lupus erythematosus. These include rash, thrombocytopenia and cardiac abnormalities,
specificallly congenital heart block. The attributed antecedent for neonatal disease is
placental transfer of anti-bodies from mother to fetus.
In a 34 week gestational age neonate, the expected muscle development would indicate
a
a. complete Moro reflex
b. poor grasp reflex
c. weak sucking reflex - Answers -A-At 34 weeks of gestation, the examination of
muscle tone development would include: strong synchronized sucking reflex, a strong
grasp reflex, complete Moro reflex and good extension with no tendency to adduction.
The best intervention to differentiate peripheral from central cyanosis in a 12 hour old
neonate is to
a. check hematocrit
b. check the core temperature
c. warm the infant - Answers -C- It is essential to differentiate between central and
peripheral cyanosis in the neonate because central cyanosis can portend major cardiac
or respiratory disease. Peripheral cyanosis generally occurs in the neonate and is
transient during the first 48 hours of life. One way to differentiate is to warm the infant
and see if the cyanosi improves. If it does, this is not central cyanosis. Location of
cyanosis is also a cue. In peripheral cyanosis, it usually occurs in the extremities and
central cyanosis is more generalized.
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