RNC-NIC: Infectious Disease UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What is the single most important way to prevent HAIs? - CORRECT ANSWER - hand
hygiene
What is vertical transmission? What are some examples - CORRECT ANSWER --
transmission of infection from mother to baby
-ex: intrauterine acquisition with intact/ruptured membranes, postpartum acquisition via
breastmilk
What is horizontal transmission in the NICU? - CORRECT ANSWER - transmission of
infection from staff, family, visitors, or contaminated environment
What is early onset sepsis? - CORRECT ANSWER - sepsis presenting at <72 hours caused
by maternal intrapartum transmission of organism
What is late onset sepsis? - CORRECT ANSWER - sepsis presenting at >72hours caused
by pathogens acquired postnatally
What are the 2 most common causative organisms of early onset sepsis? - CORRECT
ANSWER - 1. GBS
2. E. coli
What criteria causes us to suspect chorioamnionitis? - CORRECT ANSWER - -single
maternal temperature >102.2F
-maternal temperature 100.4-102F in combination with one or more of the following:
leukocytosis, purulent cervical drainage, fetal tachycardia
, When does transmission of the causative organism for EOS in term infants usually occur? -
CORRECT ANSWER - at the time of labor
What are some risk factors for EOS in term neonates? - CORRECT ANSWER --
gestational age
-maternal intraamniotic infection
-ROM >18 hrs
-maternal GBS colonization
-appropriate intrapartum antibiotic therapy
What medications are first line for empirical therapy for EOS in term infants? - CORRECT
ANSWER - amp and gent
When does transmission of the causative organism for EOS in preterm neonates usually occur? -
CORRECT ANSWER - before the onset of labor
What are the risk factors for EOS in preterm infants? - CORRECT ANSWER --
gestational age
-birth weight
-PROM and PPROM
-preterm labor
-maternal intrapartum fever
-administration of intrapartum antibiotics
What are the most common causative organisms for EOS in preterm infants? - CORRECT
ANSWER - 1. E. coli
2. GBS
What are some risk factors for late onset sepsis? - CORRECT ANSWER - -prematurity
-invasive devices and procedures
ACTUAL Exam Questions and CORRECT
Answers
What is the single most important way to prevent HAIs? - CORRECT ANSWER - hand
hygiene
What is vertical transmission? What are some examples - CORRECT ANSWER --
transmission of infection from mother to baby
-ex: intrauterine acquisition with intact/ruptured membranes, postpartum acquisition via
breastmilk
What is horizontal transmission in the NICU? - CORRECT ANSWER - transmission of
infection from staff, family, visitors, or contaminated environment
What is early onset sepsis? - CORRECT ANSWER - sepsis presenting at <72 hours caused
by maternal intrapartum transmission of organism
What is late onset sepsis? - CORRECT ANSWER - sepsis presenting at >72hours caused
by pathogens acquired postnatally
What are the 2 most common causative organisms of early onset sepsis? - CORRECT
ANSWER - 1. GBS
2. E. coli
What criteria causes us to suspect chorioamnionitis? - CORRECT ANSWER - -single
maternal temperature >102.2F
-maternal temperature 100.4-102F in combination with one or more of the following:
leukocytosis, purulent cervical drainage, fetal tachycardia
, When does transmission of the causative organism for EOS in term infants usually occur? -
CORRECT ANSWER - at the time of labor
What are some risk factors for EOS in term neonates? - CORRECT ANSWER --
gestational age
-maternal intraamniotic infection
-ROM >18 hrs
-maternal GBS colonization
-appropriate intrapartum antibiotic therapy
What medications are first line for empirical therapy for EOS in term infants? - CORRECT
ANSWER - amp and gent
When does transmission of the causative organism for EOS in preterm neonates usually occur? -
CORRECT ANSWER - before the onset of labor
What are the risk factors for EOS in preterm infants? - CORRECT ANSWER --
gestational age
-birth weight
-PROM and PPROM
-preterm labor
-maternal intrapartum fever
-administration of intrapartum antibiotics
What are the most common causative organisms for EOS in preterm infants? - CORRECT
ANSWER - 1. E. coli
2. GBS
What are some risk factors for late onset sepsis? - CORRECT ANSWER - -prematurity
-invasive devices and procedures
