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RNC-NIC Exam COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 2026(GRADED A+) DETAILED ANSWERS!!

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RNC-NIC Exam COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 2026(GRADED A+) DETAILED ANSWERS!!

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2/23/26, 11:17 AM RNC-NIC Exam COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 2026(GRADED A+) DETAILED ANSWERS!! F…




RNC-NIC Exam COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS 2026(GRADED A+)
DETAILED ANSWERS!!

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Terms in this set (411)



amniocentesis needle puncture of the amniotic sac to withdraw
amniotic fluid for analysis
- screens for chromosomal abnormalities
- typically performed early in 2nd trimester (15-
20 wks), more accurate >20 wks d/t chromosomal
presence in fluid
- *also can be used later in pregnancy to assess
fetal lung maturity*
- often recommended for AMA


thrombocytopenia (maternal) - a generally benign maternal medical
complication that is due to hemodilution
(increased RBCs)
- may be associated with hypertensive conditions
r/t pregnancy
- may be associated with s/s of bleeding in the
infant


risks of maternal thrombocytopenia can result in:
- increased risk of bleeding in the mother,
especially during the delivery
- *bleeding in the infant (oozing from umbilical
cord, prolonged bleeding from heel sticks,
bruising, *petechiae

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,2/23/26, 11:17 AM RNC-NIC Exam COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 2026(GRADED A+) DETAILED ANSWERS!! F…



neonatal petechiae - must consider hyperbilirubinemia/jaundice
(breakdown of RBCs)
- also associated with maternal
thrombocytopenia


cytomegalovirus (CMV) - *most common intrauterine infection*
- transmitted by exposure to infected blood or
body fluids
- majority of infants asymptomatic at birth, but 5-
15% have later sequelae (most commonly hearing
and vision loss)


contraindication for breastfeeding - maternal HIV/AIDS infection
- *HIV/AIDS can be spread through
breastfeeding*


signs of HIV in newborn - poor weight gain
- *repeated fungal mouth infections* (thrush)
- enlarged lymph nodes
- enlarged liver/spleen
- neurologic problems
- multiple bacterial infections, including
pneumonia


chlamydia - *most common bacterial sexually transmitted
infection*
- treatment: erythromycin


signs/symptoms of neonatal - conjunctivitis in first few weeks
chlamydia - late-onset: pneumonia at 3-4 months
- otitis media
- gastroenteritis




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, 2/23/26, 11:17 AM RNC-NIC Exam COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 2026(GRADED A+) DETAILED ANSWERS!! F…



oligohydramnios - AF volume <1 L at 36 weeks, <800 mL at term
- can lead to pulmonary hypoplasia d/t amniotic
fluid's role in fetal pulmonary development
- *may be related to Potter sequence/renal
agenesis* because AF is largely made up of fetal
urine (no urine if the baby has no kidneys)
- *can lead to hypoplastic lungs*
- can also lead to IUGR and positional
deformities (baby can't move well)


Potter sequence (renal agenesis) - *Renal agenesis -> oligohydramnios -> severe
pulmonary hypoplasia*
- association of defects beginning w/ bilateral
renal agenesis d/t failure of the ureteric bud to
divide
- urine formation does not occur --> low or
absent amniotic fluid volumes
- fetal structures are compressed
- associated defects: abnormal genital dev., leg
deformities, GI defects, arthrohyposis, pulmonary
hypoplasia
- most infants will die within the first several
days; often d/t associated lung hypoplasia


hydramnios or polyhydramnios - AF volume >2L
- *may be due to GI obstructions (e.g.
esophageal atresia, duodenal to anal atresia)
d/t the baby being unable to swallow amniotic
fluid, so the AF keeps building up in utero *
- also can be d/t tight nuchal cord or neurologic
defects which may also obstruct or impair fetal
swallowing




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