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Road trip to RNC-NIC 2 Questions and Answers 100% Solved
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Road trip to RNC-NIC 2
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Road trip to RNC-NIC 2Which statement about cord blood gases is correct?
A. There is no difference between venous and arterial cord blood gasses
B. The cord arterial pH is normally higher than venous pH
C. The cord arterial blood is the best indicator of the fetal metabolic condition before
delivery – answer C!
Rationale:
When evaluating cord blood gases, the arterial cord blood reveals the metabolic status
of the fetus before delivery and strongly correlates with perinatal asphyxia.
Reference(s):Barry, J., Deacon, J., Hernandez, C., Jones, D.: Acid-base homeostasis
and oxygenation. In Merenstein & Gardner's Handbook of Neonatal Intensive Care, 8th
ed. St. Louis, Elsevier, 2016, pp. 145-157.
Which of the following descriptions defines a cephalohematoma?
A. Pitting edema that extends across the suture lines. Caused by pressure generated
on the fetal skull by the cervix. Edema generally resolves within a few days.
B. Collection of blood between the periosteum and the skull and does not cross the
suture line. It may enlarge during 24hours after birth and may take several months to
resolve.
C. Premature closure of the cranial suture with palpable suture line. - answerB!
Rationale:
A cephalohematoma is a collection of blood between the periosteum and the skull that
does not cross the suture line. It may enlarge during the 24 hours after birth and may
take several months to resolve. These infants are at a higher risk for developing
hyperbilirubinemia
A caput succedaneum is caused from pressure on the fetal skull by the cervix during
labor. A common characteristic of a caput succedaneum is pitting edema that extends
across the suture lines. Edema generally resolves within a few days.
Craniosynostosis is the premature closure of the cranial sutures.
Reference(s):Cavaliere, T., Sansoucie, D.: Assessment of the newborn and infant. In
Kenner, C., Lott, J. (Eds.): Comprehensive Neonatal Nursing, 5th ed. New York,
Springer Publishing Inc., 2014, pp. 71-112.
When preparing for the delivery of a hydropic infant, the team should be prepared to
immediately:
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