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RNC-NIC & Neo CCRN Flash Questions and Answers
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RNC-NIC & Neo CCRN Flash
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RNC-NIC & Neo CCRN FlashWhat are manifestations of anemia in pregnancy? - answer1. Feelings of fatigue and
weakness 2. Tachycardia 3. Pallor 4. Shortness of breath
What is the #1 cause of maternal morbidity and mortality in the US - answer
Hypertension in pregnancy
What are components of gestational hypertension? - answer1. Diagnosed after 20 wks
gestation 2. BP>=140/90 x2 q4-6hrs within a 1 wk period 3. No proteinuria
What is the pathophysiology of preeclampsia? - answer Persistent state of
vasoconstriction with endothelial cell damage
What is HELLP syndrome? - answer hemolysis, elevated liver enzymes, low platelet
count
What is polyhydramnios? – answer AFI > 20-24cm of amniotic fluid
What is a complication of polyhydramnios? - answer Prolapsed cord
What is oligohydramnios? – answer AFI <4-5 cm amniotic fluid
What is a complication of oligohydramnios? - answer respiratory distress syndrome due
to decreased surfactant production
What does the biophysical profile evaluate? - answer1. Fetal breathing movements 2.
Gross body movement 3. Fetal tone 4. Amniotic fluid volume 5. Non-stress test
What are indications for a non stress test? - answer1. IUGR
2. Diabetes
3. Hypertension
4. Post-term
5. Multiples
6. Oligohydramnios
What are indications for amniocentesis? - answer1. Genetic testing
2. Fetal lung testing
3. Diagnosis of fetal infection
4. Treatment of polyhydramnios
5. Paternal testing
What does a Quad screen test for? - answer1. Alpha-fetoprotein
,2. Human chorionic gonadotropin (hCG)
3. Estriol
4. Inhibit A
When is GBS screening performed? - answer Between 36 and 38 wks of pregnancy
When should cord gases be obtained? - answer1. Fetal compromise
2. Low 5-minute Apgar score
3. Severe IUGR
4. Abnormal EFM within 1 hour of birth
5. High risk maternal
6. Intrapartum temp > 100.4F
7. Multiples or preterm <34 wks
8. Mod/thick meconium
9. VE/forceps, dystocia
10. Vaginal birth w/malpresentation
In a cord gas, what does the umbilical artery reflect? - answer Fetal condition
In a cord gas, what does the umbilical vein reflect? - answer Placental function
What is the best predictability of fetal oxygenation? - answer Variability
What can lead to fetal tachycardia? - answer1. Maternal infection
2. Maternal medications
3. In utero hypoxia
4. Fetal anemia
5. Chromosomal anomalies
What can lead to fetal bradycardia? - answer1. Fetal distress
2. Fetal head compression
3. Umbilical cord compression
4. Hypoxia
What is the leading cause of morbidity and mortality in childbirth? - answerMaternal
hemorrhage
What is the definition of maternal hemorrhage? - answerBlood loss >1000 ml at birth or
blood loss accompanied with hypovolemia within 24 hours of birth
What are causes of maternal hemorrhage? - answer1. Uterine atony (most common)
2. Genital tract lacerations
3. Retained placenta
4. Coagulation disorders
5. Infection
, What is placental abruption? - answerPartial or complete separation of the placenta
from the uterine wall before delivery
What are symptoms of placental abruption? - answer1. Previous abruption 2. Chronic
Hypertension 3. Smoking 4. Cocaine 5. Premature rupture of the membranes
What is placenta previa? - answerA partial or complete covering of the cervix by the
placenta
What are risk factors for placenta previa? - answer1. Scarring of the uterus
2. Previous placenta previa
3. Multiples
4. Advanced maternal age
5. Cigarette use
6. Cocaine use
What is considered a late preterm? - answer34 0/7 - 36 6/7 wks
What are large for gestational age infants at risk for? - answer1. Birth trauma
2. Hypoglycemia
3 Polycythemia
4. Hyperbilirubinemia
5. Shoulder dystocia
What can large (>3 cm) or multiple cafe au lait spots indicate? -
answerNeurofibromatosis
Where should the ears be aligned? - answerWith the outer canthus of the eye
Where is the point of maximum impulse auscultated? - answerAt left 3rd or 4th
intercostal space
What are the blood vessels of the umbilical cord? - answer2 arteries and 1 vein
What is hypospadias? - answerUrethral meatus is is located on the ventral surface of
the penis
What is a hydrocele? - answerExcessive fluid in the scrotum that resolves within 1 yr of
life
What can an asymmetrical Moro reflex indicate? - answerBrachial plexus injury
What is the tonic neck reflex? - answerExtension of the upper extremity in the same
direction of the head with flexion of the opposite extremity
How should the warmer be set for resuscitation? - answerServo control 36.5 degrees C
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