RNC NIC 2026 HIGH RISK NEWBORN CARE
AND CLINICAL PRACTICE REVIEW
COMPLETE NOTES
◉ In examining the black newborn's eyes, a bright light directed
toward the lens reveals a red color that is reflected back to the
examiner. This finding is consistent with
a. an intact lens
b. opacity of the lens
c. retinal detachment
Answer: A-In examination of the eyes, a red color should be reflected
from the retina when a bright light is directed towrds the lens. This
indicates an intact lens.
◉ On physical examination of the hip, a sharp click is heard. This is
suggestive of
a. dislocation
b. fracture
c. normal variant
, Answer: A-hip dislocation should be suspected if a sharp click occurs
when the examiner abducts the neonate's legs into the frog position.
Soft clicks can be heard and are common but a sharp click indicates
hip dislocation. Clicks are not related to diagnosis of fractures.
◉ During a physical examination of a 34 week gestational age
neonate, the suck/swallow relfex is intact but the gag reflex cannot
be elicited. The nurse should recognize that this is due to
a. esophageal atresia
b. neurological impairment
c. prematurity
Answer: C-Neonatal reflexes appear in a systematic manner based
on maturation of the CNS. In a 34 week gestational age neonate,
suck/swallow reflex is intact but the gag reflex will not appear until
36 weeks gestation. Therefore, for this neonate, a lack of the gag
reflex is consistent with the stated gestational age.
◉ A preterm neonate who required resuscitation at birth is admitted
to the neonatal intensive care unit in stable condition. Recording of
the vital signs for this neonate should occur
a. every 30-60 minutes
b. once or twice during the transition
c. on admission and every 2 hours
AND CLINICAL PRACTICE REVIEW
COMPLETE NOTES
◉ In examining the black newborn's eyes, a bright light directed
toward the lens reveals a red color that is reflected back to the
examiner. This finding is consistent with
a. an intact lens
b. opacity of the lens
c. retinal detachment
Answer: A-In examination of the eyes, a red color should be reflected
from the retina when a bright light is directed towrds the lens. This
indicates an intact lens.
◉ On physical examination of the hip, a sharp click is heard. This is
suggestive of
a. dislocation
b. fracture
c. normal variant
, Answer: A-hip dislocation should be suspected if a sharp click occurs
when the examiner abducts the neonate's legs into the frog position.
Soft clicks can be heard and are common but a sharp click indicates
hip dislocation. Clicks are not related to diagnosis of fractures.
◉ During a physical examination of a 34 week gestational age
neonate, the suck/swallow relfex is intact but the gag reflex cannot
be elicited. The nurse should recognize that this is due to
a. esophageal atresia
b. neurological impairment
c. prematurity
Answer: C-Neonatal reflexes appear in a systematic manner based
on maturation of the CNS. In a 34 week gestational age neonate,
suck/swallow reflex is intact but the gag reflex will not appear until
36 weeks gestation. Therefore, for this neonate, a lack of the gag
reflex is consistent with the stated gestational age.
◉ A preterm neonate who required resuscitation at birth is admitted
to the neonatal intensive care unit in stable condition. Recording of
the vital signs for this neonate should occur
a. every 30-60 minutes
b. once or twice during the transition
c. on admission and every 2 hours
