RNC NIC 2026 NEONATAL INTENSIVE CARE
NURSING ASSESSMENT STUDY GUIDE
◉ Pregnancy outcomes of women with renal disease most relates to
a. etiology of renal disease
b. degree of renal insufficiency
c. length of time since onset of the disease
Answer: B-regardless of etiology of the renal disease in pregnancy,
the two factors that most influence pregnancy outcomes is the
degree of renal insufficiency and the presence of hypertension.
◉ Untreated maternal thyrotoxicosis can lead to
a. congenital anomalies
b. neonatal hypothyroidism
c. preterm delivery
Answer: C-If a woman with hypothyroidism or thyrotoxicosis is not
treated during pregnancy, there is a high incidence of preterm
delivery, low birth weight and still births. Congenital anomalies are
not common. Hypothyroidism may result in the neonate due to the
thyroid medications not the maternal disease.
, ◉ Unregulated glucose control in a woman with diabetes early in
pregnancy can predispose the fetus to
a. chromosomal damage
b. embryonic growth delays
c. teratogenic effects
Answer: C-Preconception counseling and early prenatal care are
essential for women with diabetes when contemplating childbirth.
Uncontrolled glucose levels early in pregnancy can lead to
organogenesis and the development of congenital anomalies.
◉ Infants with fetal alchohol syndrome demonstrate tremors,
irritability and hypertonus due to
a. central nervous system injury
b. interferance with protein synthesis
c. withdrawal from alcohol
Answer: C-Infants born with fetal alcohol syndrome usually presents
with tremors, irritability, and hypertonus. These symptoms are
primarily due to alcohol withdrawal.
◉ Common manifestations of neonates who were exposed to
cocaine in utero include
NURSING ASSESSMENT STUDY GUIDE
◉ Pregnancy outcomes of women with renal disease most relates to
a. etiology of renal disease
b. degree of renal insufficiency
c. length of time since onset of the disease
Answer: B-regardless of etiology of the renal disease in pregnancy,
the two factors that most influence pregnancy outcomes is the
degree of renal insufficiency and the presence of hypertension.
◉ Untreated maternal thyrotoxicosis can lead to
a. congenital anomalies
b. neonatal hypothyroidism
c. preterm delivery
Answer: C-If a woman with hypothyroidism or thyrotoxicosis is not
treated during pregnancy, there is a high incidence of preterm
delivery, low birth weight and still births. Congenital anomalies are
not common. Hypothyroidism may result in the neonate due to the
thyroid medications not the maternal disease.
, ◉ Unregulated glucose control in a woman with diabetes early in
pregnancy can predispose the fetus to
a. chromosomal damage
b. embryonic growth delays
c. teratogenic effects
Answer: C-Preconception counseling and early prenatal care are
essential for women with diabetes when contemplating childbirth.
Uncontrolled glucose levels early in pregnancy can lead to
organogenesis and the development of congenital anomalies.
◉ Infants with fetal alchohol syndrome demonstrate tremors,
irritability and hypertonus due to
a. central nervous system injury
b. interferance with protein synthesis
c. withdrawal from alcohol
Answer: C-Infants born with fetal alcohol syndrome usually presents
with tremors, irritability, and hypertonus. These symptoms are
primarily due to alcohol withdrawal.
◉ Common manifestations of neonates who were exposed to
cocaine in utero include
