NCC National Certification Corporation
NCC Registered Nurse Certified in Neonatal Intensive
Care Nursing RNC- NIC Exam
Course Title and Number: NCC Registered Nurse Certified in
Neonatal Intensive Care Nursing RNC-NIC 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
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NCC National Certification
Corporation 2024-2025 NCC Registered Nurse Certified
in Neonatal Intensive Care Nursing RNC-NIC Watson
and Robynre Review Exam Questions and Answers |
100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
A patient who is G2P2 at 33 weeks' gestation arrives at
the triage unit complaining of regular uterine
contractions. Her pregnancy history includes a preterm
delivery at 34 weeks. Prior to examining her, the nurse
performs electronic fetal monitoring and obtains a
complete history. The patient reports no bleeding and
no rupture of membranes. She has had no vaginal
examinations or sexual activity for more than 24 hours.
The biochemical marker useful in this situation for
predicting pre-term birth is:
a. cervical ferritin
b. fetal fibronectin
c. corticotropin-releasing hormone
d. placental alpha-microglobulin-1 - Answer>> b. fetal
fibronectin
fetal fibronectin (fFN) is uncommonly present in
cervicovaginal secretion in the late second and early
third trimesters. fFN is an extracellular glycoprotein and
is thought to act as an adhesive between the fetal
membrane and uterine wall and can be disrupted by
inflammation. A preterm birth within 2 weeks is
probable after a positive test result. Cervical ferritin is
not a biomarker but an
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inflammatory marker whose
presence provides support for
the theory that infection is a mediator for preterm birth.
Maternal plasma concentrations of corticotropin-
releasing hormone are elevated in both term and
preterm pregnancies. It appears to be a component of
the common pathway of labor regardless of gestation.
Placental alpha-microglobulin-1 is a protein found in
amniotic fluid that is a biomarker for rupture of
membranes.
A patient comes to the triage unit at 32 weeks'
gestation concerned because she has been "leaking
fluid" from her vagina for the past hour. She says she
has felt no contractions and reports normal fetal
activity. A bedside immunoassay called AmniSure is
performed. The test identifies a glycoprotein abundant
in amniotic fluid. This glycoprotein is called:
a. prolactin
b. alpha-fetoprotein
c. fetal fibronectin
d. placenta alpha-microglobulin-1 - Answer>> d.
placenta alpha-microglobulin-1
Premature rupture of membranes is one of the most
common complications of pregnancy resulting in a
newborn's admission to the NICU. A bedside
immunoassay test, AmniSure ROM, is simple, easy to
perform, rapid (5-10 minutes), and minimally invasive.
This test identifies a placental glycoprotein that is
abundant in amniotic fluid but present in lower
concentrations in maternal blood and cervicovaginal
secretions. Prolactin is responsible for priming the
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breast tissue in preparation for
lactation. Alpha-fetoprotein is
assessed to indentify neural tube defects (high) and
Down's Syndrome (low). Fetal Fibronectin is an
extracellular glycoprotein that is thought to act as an
adhesive between the fetal membranes and uterine
wall and is a biomarker for predicting preterm birth.
When electric fetal monitoring is used, the BEST
indicator of fetal oxygenation status during labor is:
a. fetal heart rate baseline within the normal range
b. moderate fetal heart rate variability
c. absence of decelerations of the fetal heart rate
d. presence of accelerations in the fetal heart rate -
Answer>> b. moderate fetal heart rate variability
Moderate fetal heart rate (FHR) variability is strongly
associated with an arterial umbilical cord pH higher
than 7.15. Normal FHR variability provides reassurance
about fetal status and the absence of metabolic
acidemia. FHR variability is the sign most predictive of
fetal well-being. The most important single FHR
characteristic variability. FHR baseline is 110 to 160
bpm regardless of gestational age. Decelerations are a
reflection of head compression, umbilical cord
compression, or a transient interruption of in oxygen
transfer. Accelerations are highly predictive of the
absence of fetal metabolic acidemia and form the basis
of the nonstress test. They occur in association with
fetal movement.
The biophysical profile (BPP) is currently the primary
method for evaluating fetal well-being through the
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