RNC NIC EXAM LATEST UPDATED
Correct ETT location (answer T1-T2)
Level of clavicles
Correct UVC placement: ANSWER T 8-9
0.5-1 cm above the diaphragm.
Please tip in inf. Vena cava
Correct UAC placement: Low-L3-4.
Below the renal arteries
High-T6-10
Correct PICC placement (answer T3-5)
Lower one-third of s. Vena cava
Normalweight loss of premature infants is 10-15%.
How muh kcal/kg per day does a healthy term infant require for proper growth?
- Answer: 100-120 kcal/kg/day.
Calculate GIR using the formula: ml/kg/day x %dextrose = 1.44.
,Normal GIR - ANSWER 4-6 ml/kg/min initially, may go as high as 12.
Anomalies connected with esophageal atresia - answer SGA.
VATER SYND.
-vertebral
-Imperf Anus
- Renal dysplasia.
Is there an increased chance of mec plugs? - ANSWER: premature.
-IDM
-small left colon.
- Cystic Fibrosis
Signs of pyloric stenosis - ANSWER Distended stomach on x-ray with little or
no gas below the duodenum.
Can palpate "olive"?
Present at 2 to 3 weeks of life with bile-colored vomiting.
Normal axillary temperature range: 36.5 to 37.4°C.
TTN vs RDS - ANSWER: Typically requires less than 40% FI O2.
Improves quickly.
,Larger lung volume
Natural diuresis occurs at ___________ hours of age when the condition
improves - ANSWER 48-72 hours.
Prolonged rupture of membranes - ANSWER > 18 hours
A difference in PaO2 of ________ or more indicates ductal shunting.
ANSWER: 15%
The goal of PPHN is to maintain a PaO2 level of ________ or more than 50.
Signs and symptoms of MAS: ANSWER Chest hyperinflated on x-ray
Low PaO2 with O2 administered
Air leaks.
Prone to PPHN
Treatment of micrognathia: ANSWER Prone positioning
Oral airway placement.
Trach in rare occurrences.
Typically, mandibular growth "catches up" about 6 to 12 months.
Surgery if a significant compromise
, Micrognathia is connected with Pierre Robin syndrome.
Trisomy 18.
Trisomy 21
Cri-du-chat Syndrome
Causes of pulmonary hemorrhage: ANSWER Prematurity
Erythroblastosis
intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnostic and PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage: ANSWER Vent and apply PEEP to
reduce bleeding.
Transfused PRBCs as required.
Treat clotting disorders.
Assess and treat PDA.
Correct ETT location (answer T1-T2)
Level of clavicles
Correct UVC placement: ANSWER T 8-9
0.5-1 cm above the diaphragm.
Please tip in inf. Vena cava
Correct UAC placement: Low-L3-4.
Below the renal arteries
High-T6-10
Correct PICC placement (answer T3-5)
Lower one-third of s. Vena cava
Normalweight loss of premature infants is 10-15%.
How muh kcal/kg per day does a healthy term infant require for proper growth?
- Answer: 100-120 kcal/kg/day.
Calculate GIR using the formula: ml/kg/day x %dextrose = 1.44.
,Normal GIR - ANSWER 4-6 ml/kg/min initially, may go as high as 12.
Anomalies connected with esophageal atresia - answer SGA.
VATER SYND.
-vertebral
-Imperf Anus
- Renal dysplasia.
Is there an increased chance of mec plugs? - ANSWER: premature.
-IDM
-small left colon.
- Cystic Fibrosis
Signs of pyloric stenosis - ANSWER Distended stomach on x-ray with little or
no gas below the duodenum.
Can palpate "olive"?
Present at 2 to 3 weeks of life with bile-colored vomiting.
Normal axillary temperature range: 36.5 to 37.4°C.
TTN vs RDS - ANSWER: Typically requires less than 40% FI O2.
Improves quickly.
,Larger lung volume
Natural diuresis occurs at ___________ hours of age when the condition
improves - ANSWER 48-72 hours.
Prolonged rupture of membranes - ANSWER > 18 hours
A difference in PaO2 of ________ or more indicates ductal shunting.
ANSWER: 15%
The goal of PPHN is to maintain a PaO2 level of ________ or more than 50.
Signs and symptoms of MAS: ANSWER Chest hyperinflated on x-ray
Low PaO2 with O2 administered
Air leaks.
Prone to PPHN
Treatment of micrognathia: ANSWER Prone positioning
Oral airway placement.
Trach in rare occurrences.
Typically, mandibular growth "catches up" about 6 to 12 months.
Surgery if a significant compromise
, Micrognathia is connected with Pierre Robin syndrome.
Trisomy 18.
Trisomy 21
Cri-du-chat Syndrome
Causes of pulmonary hemorrhage: ANSWER Prematurity
Erythroblastosis
intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnostic and PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage: ANSWER Vent and apply PEEP to
reduce bleeding.
Transfused PRBCs as required.
Treat clotting disorders.
Assess and treat PDA.
