Exam (elaborations)
RNC-MNN QUESTIONS WITH CORRECT ANSWERS
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Exam of 14 pages for the course RNC-NIC at RNC-NIC (RNC-MNN)
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RNC-MNNMedication administered for meconium aspiration in neonate - answer Beractant
(servant)
Spina Bifida occulta - answer Gap in spine, without spinal opening or sac protrusion
Craniosynostosis - answer Premature fusion of cranial sutures. Absence of fontanels,
misshapen head that doesn't resolve in a few days, and hard raised ridge along affected
sutures.
Diaphragmatic hernia in neonate - answer Scaphoid abdomen and decreased left
breath sounds. TX: immediate intubation and insertion of orogastric tube to help with
ventilation and decompress stomach in order to maximize lung inflation
Spo2 for neonate in transition period - answer1 min- 60-65% increase by 5% each min
until 10min 85-90%
Café au lait spots - answer Multiple flat irregular spots. Possibly indicates
neurofibromatosis (genetic disease that affects skeletal/neuro development and cell
proliferation
involution of the uterus - answer the uterus returns to its normal nonpregnant size
HELLP syndrome - answerhemolysis, elevated liver enzymes, low platelets (<100,000)
HELLP syndrome labs to determine syndrome class of 1,2,3 - answerCBC, AST/ALT
and LDH (lactate dehydrogenase)
Hemolysis, elevated liver enzymes, low platelets
Congenital torticollis in neonate appearance - answerAsymmetrical face, head
positioned as if infant is looking over shoulder
Phenylketonuria - answerA human metabolic disease caused by a mutation in a gene
coding for a phenylalanine processing enzyme (phenylalanine hydroxylase), which
leads to accumulation of phenylalanine and mental retardation if not treated; inherited
as an autosomal recessive phenotype.
PKU diet restrictions - answerLow protein, no artificial sweeteners, limited breastfeeding
Desquamation post term infant - answerPeeling, cracking, dry skin
Calorie requirements neonate - answer100 kcal/kg/day (premature 120-150)
, Absent moro reflex - answerIndication of bilirubin encephalopathy (kernicterus)
Change of lochia - answerRubra, serosa, alba
Closure of PDA - answer(Pulmonary ductus arteriosus) 24 hours. infants with
transposition of great arteries, pda may need to be kept open
TTN (transient tachypnea of the newborn) - answerrespiratory distress in a term infant
related to to delayed absorbtion of fluid in lungs from delivery. Should not last more than
6hrs
Lab indicates fetal lung maturity - answerLecithin-sphingomyelin (L/S) ratio of 2:1 they
are components of Lin surfactant
Cause of neonatal/congenital pneumonia - answerStaphylococcus epidermidis, group b
strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv)
Risk for abo incompatibility - answerMom o, infant a or b
puerperal infection - answerinfection of the reproductive tract at any time during the 6
weeks following birth
Para - answerdelivery of a live/stillborn fetus >20wks
nullipara - answera woman who has not given birth to a viable offspring, >20wks
HCG - answerhuman chorionic gonadotropin
gestational sac - answercan be seen 5-6 weeks transabdominally, 3-4 transvaginally
Maternal Weight Gain - answerHealthy weight BMI: 25 to 35 lb
1st trimester: 3.5 to 5 lb
2nd & 3rd trimesters: 1 lb/week
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
assisted reproductive technology (ART) - answerany infertility treatment in which the
egg is fertilized outside the womb
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