RNC-NIC COMPREHENSIVE EXAM QUESTIONS
AND SOLUTIONS 2026
◉ A bedside immunoassay called AmniSure is performed. This test
identifies a glycoprotein abundant in amniotic fluid. This
glycoprotein is called: Answer: placenta α-microglobulin-1
◉ When electronic fetal monitoring is used, the best indicator of
fetal oxygenation status during labor is: Answer: moderate fetal
heart rate variability
◉ Early decelerations Answer: *safe* Begin prior to peak of the
contraction and end by the end of it. they are caused by head
compression. no need for intervention if variability is within normal
range (6-10) and the FHR is within normal range.
◉ Late decelerations Answer: They are a sign of decreased blood
flow to the placenta, which can lead to fetal acidemia
◉ Variable decelerations Answer: a type of fetal heart rate (FHR)
change that occurs when a baby's heart rate suddenly drops by at
least 15 beats per minute (bpm) and lasts at least 15 seconds
,They happen when the baby's umbilical cord is temporarily
compressed, which can reduce blood flow and prevent the baby
from getting enough oxygen and nutrients.
◉ The biophysical profile (BPP) is currently the primary method for
evaluating fetal well-being through the assessment of various
activities that are controlled by the central nervous system and are
sensitive to oxygenation. The five variables included in the BPP are:
Answer: fetal tone, fetal breathing, fetal movement, nonstress test,
and amniotic fluid volume
◉ An appropriate gestational age for glucose screening in women
who are at low risk for developing gestational diabetes in pregnancy
is: Answer: 24 to 28 weeks' gestation
◉ When women give birth sitting upright, which of the following
indicators show lower values in cord blood? Answer: PCO2
◉ A patient is experiencing preterm labor at 33 weeks' gestation.
She has a history of preterm labor and is currently showing regular
contractions. To ensure that she receives her two doses of steroids to
promote fetal lung maturity, a tocolytic medication is prescribed.
This medication, a calcium channel blocker, has been marketed to
treat hypertension, angina, and arrhythmia and does not commonly
have adverse effects on the fetus or neonate. The medication is:
Answer: nifedipine (Procardia)
,◉ A patient who is at 42 5/7 weeks' gestation has been pushing for
90 minutes and is near delivery. Her membranes spontaneously
ruptured 3 hours ago, and meconium was observed. The electronic
fetal monitor demonstrates minimal fetal heart rate baseline
variability. The most likely potential cause is: Answer: etal metabolic
acidosis
◉ When performing a biophysical profile (BPP), which of these fetal
variables should the nurse recognize as placing the fetus at high risk
and in need of either delivery or repeat BPPs no fewer than two
times per week? Answer: An amniotic fluid pocket measuring 1.5 cm
in two planes perpendicular to each other
Oligohydramnios, a decreased amount of amniotic fluid, is defined as
a single deepest pocket of <2 cm, or an amniotic fluid index of <5 cm.
Abnormalities in amniotic fluid volume often require further
evaluation and can significantly impact perinatal outcome.
◉ Elevated maternal serum α-fetoprotein is associated with:
Answer: neural tube defects
◉ A patient has chosen to receive a combined spinal-epidural for the
management of labor pain. The nurse should instruct the patient
that this type of analgesia: Answer: ncreases the risk of hypotension
, ◉ During resuscitation of a term newborn in the labor and delivery
department, a saturation probe is placed on the infant to assess the
need for supplemental oxygen. Which of the following describes the
appropriate site for placement and an acceptable saturation during
the first 10 minutes of life? Answer: Right hand—3-minute
saturation at 74%
The right arm is considered preductal, and saturation should be
monitored on the right upper extremity during delivery room
resuscitation because infants may have an increase in pulmonary
vascular resistance with right to left shunting. With right to left
shunting, saturations in the lower extremities may be lower than the
upper extremities depending on the insertion of the ductus
arteriosus to the aorta in relation to the subclavian arteries. The
right arm is always preductal. According to the American Academy
of Pediatrics and the neonatal resuscitation algorithm, the following
chart lists the target preductal saturation after birth:<T type A>1
minute 60-65%2 minutes 65-70%3 minutes 70-75%4 minutes 75-
80%5 minutes 80-85%10 minutes 85-90%
◉ Which statement about cord blood gases is correct? Answer: The
cord arterial blood is the best indicator of the fetal metabolic
condition before delivery
◉ Which hormone activates nonshivering thermogenesis? Answer:
Norepinephrine
AND SOLUTIONS 2026
◉ A bedside immunoassay called AmniSure is performed. This test
identifies a glycoprotein abundant in amniotic fluid. This
glycoprotein is called: Answer: placenta α-microglobulin-1
◉ When electronic fetal monitoring is used, the best indicator of
fetal oxygenation status during labor is: Answer: moderate fetal
heart rate variability
◉ Early decelerations Answer: *safe* Begin prior to peak of the
contraction and end by the end of it. they are caused by head
compression. no need for intervention if variability is within normal
range (6-10) and the FHR is within normal range.
◉ Late decelerations Answer: They are a sign of decreased blood
flow to the placenta, which can lead to fetal acidemia
◉ Variable decelerations Answer: a type of fetal heart rate (FHR)
change that occurs when a baby's heart rate suddenly drops by at
least 15 beats per minute (bpm) and lasts at least 15 seconds
,They happen when the baby's umbilical cord is temporarily
compressed, which can reduce blood flow and prevent the baby
from getting enough oxygen and nutrients.
◉ The biophysical profile (BPP) is currently the primary method for
evaluating fetal well-being through the assessment of various
activities that are controlled by the central nervous system and are
sensitive to oxygenation. The five variables included in the BPP are:
Answer: fetal tone, fetal breathing, fetal movement, nonstress test,
and amniotic fluid volume
◉ An appropriate gestational age for glucose screening in women
who are at low risk for developing gestational diabetes in pregnancy
is: Answer: 24 to 28 weeks' gestation
◉ When women give birth sitting upright, which of the following
indicators show lower values in cord blood? Answer: PCO2
◉ A patient is experiencing preterm labor at 33 weeks' gestation.
She has a history of preterm labor and is currently showing regular
contractions. To ensure that she receives her two doses of steroids to
promote fetal lung maturity, a tocolytic medication is prescribed.
This medication, a calcium channel blocker, has been marketed to
treat hypertension, angina, and arrhythmia and does not commonly
have adverse effects on the fetus or neonate. The medication is:
Answer: nifedipine (Procardia)
,◉ A patient who is at 42 5/7 weeks' gestation has been pushing for
90 minutes and is near delivery. Her membranes spontaneously
ruptured 3 hours ago, and meconium was observed. The electronic
fetal monitor demonstrates minimal fetal heart rate baseline
variability. The most likely potential cause is: Answer: etal metabolic
acidosis
◉ When performing a biophysical profile (BPP), which of these fetal
variables should the nurse recognize as placing the fetus at high risk
and in need of either delivery or repeat BPPs no fewer than two
times per week? Answer: An amniotic fluid pocket measuring 1.5 cm
in two planes perpendicular to each other
Oligohydramnios, a decreased amount of amniotic fluid, is defined as
a single deepest pocket of <2 cm, or an amniotic fluid index of <5 cm.
Abnormalities in amniotic fluid volume often require further
evaluation and can significantly impact perinatal outcome.
◉ Elevated maternal serum α-fetoprotein is associated with:
Answer: neural tube defects
◉ A patient has chosen to receive a combined spinal-epidural for the
management of labor pain. The nurse should instruct the patient
that this type of analgesia: Answer: ncreases the risk of hypotension
, ◉ During resuscitation of a term newborn in the labor and delivery
department, a saturation probe is placed on the infant to assess the
need for supplemental oxygen. Which of the following describes the
appropriate site for placement and an acceptable saturation during
the first 10 minutes of life? Answer: Right hand—3-minute
saturation at 74%
The right arm is considered preductal, and saturation should be
monitored on the right upper extremity during delivery room
resuscitation because infants may have an increase in pulmonary
vascular resistance with right to left shunting. With right to left
shunting, saturations in the lower extremities may be lower than the
upper extremities depending on the insertion of the ductus
arteriosus to the aorta in relation to the subclavian arteries. The
right arm is always preductal. According to the American Academy
of Pediatrics and the neonatal resuscitation algorithm, the following
chart lists the target preductal saturation after birth:<T type A>1
minute 60-65%2 minutes 65-70%3 minutes 70-75%4 minutes 75-
80%5 minutes 80-85%10 minutes 85-90%
◉ Which statement about cord blood gases is correct? Answer: The
cord arterial blood is the best indicator of the fetal metabolic
condition before delivery
◉ Which hormone activates nonshivering thermogenesis? Answer:
Norepinephrine
