1|Page | © copyright 2024/2025 | Grade A+
RNC-NIC Questions and Answers
(Rated 100%)
What risks are present in infants born to mothers who receive no or little
prenatal care?
✓ LBW
✓ premature birth
✓ Maternal iron-deficiency anemia
✓ Increased neonatal mortality
Describe the fetal response to mothers with diabetes
✓ Because glucose crosses the placenta, the baby's BG increases as the
mom's does. Insulin does not cross the placenta and the fetal pancreas
does not produce it until 20 weeks. So, before insulin production, the
increased BG leads to restricted growth. Once the insulin is produced, it
produces rapidly to respond to the high BG, and these high levels
trigger rapid fetal growth—> hepatosplenomegaly, cardiomegaly,
increased head size
What is commonly seen in IDM immediately after birth? Why?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Hypoglycemia
✓ The sudden withdrawal from maternal glucose + continued production
of insulin
What conditions does an IDM present with?
✓ Birth trauma r/t cephalopelvic disproportion
✓ Hypoglycemia
✓ RDS because inc insulin inhibits surfactant production
✓ Polycythemia & hyperviscosity bc inc insulin & BG inc metabolic rate
and oxygen consumption
✓ Iron deficiency bc polycythemia leaches iron
✓ Hyperbilirubinemia from inc rbc destruction
✓ CV & congenital malformations
✓ Electrolyte disturbances (low Ca and Mg)
What is pre-eclampsia?
✓ Inc BP, proteinuria, edema that occurs around 20 week's gestation
What's the initial tx for pre-eclampsia?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Mag sulfate to prevent maternal sz
✓ If severe—premature delivery
What complications occur to fetus with a mother suffering from pre-
eclampsia? Why?
✓ IUGR— longstanding HTN causes uteroplacental vascular insufficiency
which impairs transfer of nutrients and oxygen which causes IUGR and
inc mortality
What is the purpose of amniotic fluid and how is it produced? When?
✓ To cushion fetus and allow normal development of lungs
✓ Produced mainly by fetus' excretion of urine and fluids excreted by
respiratory tract & oral/nasal cavity
✓ Around 20 week's
What is oligohydramnios? What conditions are associated with it?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Decreased AF
✓ UT anomalies like obstructive uropathy, renal agenesis, polycystic
kidneys
✓ Pulmonary hypoplasia
✓ Pressure deformities
✓ Compression of umbilical cord & hypoxia
✓ Mecon staining (remember hypoxia causes release of mecon in utero)
✓ Post-term gestation
✓ Leaking AF, prolonged or premature ROM
What is polyhydramnios & what is it associated with?
Master01 | October, 2024/2025 | Latest update
RNC-NIC Questions and Answers
(Rated 100%)
What risks are present in infants born to mothers who receive no or little
prenatal care?
✓ LBW
✓ premature birth
✓ Maternal iron-deficiency anemia
✓ Increased neonatal mortality
Describe the fetal response to mothers with diabetes
✓ Because glucose crosses the placenta, the baby's BG increases as the
mom's does. Insulin does not cross the placenta and the fetal pancreas
does not produce it until 20 weeks. So, before insulin production, the
increased BG leads to restricted growth. Once the insulin is produced, it
produces rapidly to respond to the high BG, and these high levels
trigger rapid fetal growth—> hepatosplenomegaly, cardiomegaly,
increased head size
What is commonly seen in IDM immediately after birth? Why?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Hypoglycemia
✓ The sudden withdrawal from maternal glucose + continued production
of insulin
What conditions does an IDM present with?
✓ Birth trauma r/t cephalopelvic disproportion
✓ Hypoglycemia
✓ RDS because inc insulin inhibits surfactant production
✓ Polycythemia & hyperviscosity bc inc insulin & BG inc metabolic rate
and oxygen consumption
✓ Iron deficiency bc polycythemia leaches iron
✓ Hyperbilirubinemia from inc rbc destruction
✓ CV & congenital malformations
✓ Electrolyte disturbances (low Ca and Mg)
What is pre-eclampsia?
✓ Inc BP, proteinuria, edema that occurs around 20 week's gestation
What's the initial tx for pre-eclampsia?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Mag sulfate to prevent maternal sz
✓ If severe—premature delivery
What complications occur to fetus with a mother suffering from pre-
eclampsia? Why?
✓ IUGR— longstanding HTN causes uteroplacental vascular insufficiency
which impairs transfer of nutrients and oxygen which causes IUGR and
inc mortality
What is the purpose of amniotic fluid and how is it produced? When?
✓ To cushion fetus and allow normal development of lungs
✓ Produced mainly by fetus' excretion of urine and fluids excreted by
respiratory tract & oral/nasal cavity
✓ Around 20 week's
What is oligohydramnios? What conditions are associated with it?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Decreased AF
✓ UT anomalies like obstructive uropathy, renal agenesis, polycystic
kidneys
✓ Pulmonary hypoplasia
✓ Pressure deformities
✓ Compression of umbilical cord & hypoxia
✓ Mecon staining (remember hypoxia causes release of mecon in utero)
✓ Post-term gestation
✓ Leaking AF, prolonged or premature ROM
What is polyhydramnios & what is it associated with?
Master01 | October, 2024/2025 | Latest update
