RNC-NIC PRACTICE EXAMINATION
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ anemia in pregnancy.
Answer: cause preterm delivery, low birth weight
◍ HELLP.
Answer: hemolysis, elevated liver enzymes, low platelet
◍ GIR.
Answer: 6-8mcg/kg/min caloric intake
◍ D10 Bolus.
Answer: 2mL/kg
◍ CMV.
Answer: found in saliva, urine, blood, breastmilk, seminal, and cervical
fluidsmost severe when it occurs in 1st semester
◍ Fluid Volume Bolus.
Answer: 10mL/kg
◍ Term Parenteral Fluid Requirement.
Answer: 80mL/kg/dayEnteral 100-150 mlk/kg/day
◍ hep b.
Answer: found in secretions, including breast milk
◍ Preterm Parenteral Fluid Requirement.
Answer: 120Enteral 150-200ml/kig/day
◍ polyhydramnios.
Answer: afi >20-24gestational diabetes, fetal anomalies, and twins. can
, cause prolapsed cord
◍ GIR Calculation.
Answer: (%dextrose x IV rate) / (6 x wt in kg)
◍ I/T ratio.
Answer: %Metas + Bands / %Metas + Bands + Segs I/T ratio greater than
>0.2 to >.25 suggestive of infection>0.8 associated with shock
◍ Absolute Neutrophil COUNT.
Answer: WBC x (%) Segmented neutrophils + band neutrophils +
metamyelocytesExample. 15,000 x 35 segs + 15 bands + 3 metas (turns into
percent)15,000 x .53 = 7950ANC <1800 suggestive of infectionNormal
Range
◍ oligohydramnios.
Answer: aft <4-5can cause resp failure, decreased surfactant
◍ chorioamnioitis.
Answer: maternal temp >39 or between 38-38.9 with leukocytosis, purulent
cervical discharge or fetal tachycardia
◍ Mature WBCs.
Answer: Poly, Segs, Neutrophils
◍ bpp.
Answer: fetal breathing, gross body movements, tone, AFI, nst8-10
normal<4 fail
◍ quad screen testing.
Answer: 15-18 weeks up to 22indicator of downs, neural tube defects, t18,
abd wall defects
◍ cord blood gas.
Answer: artery=fetalvein=placenta
◍ Immature WBCs.
Answer: Meta, Bands, Stabs
,◍ late decel.
Answer: gradual decrease in fhr, onset occurs after the peak of the
contraction and the nadir of the contraction occurs after the contraction
◍ variable decel.
Answer: abrupt decrease of fhr >15 and lasts >15 sec but <2min
◍ prolonged decel.
Answer: decel lasts 2-10 min
◍ fetal tachycardia.
Answer: >160caused by maternal infection, meds, in utero hypoxia, fetal
anemia, chromosomal anomalies
◍ fetal bradycardia.
Answer: <100caused by fetal distress, head compression, cord compression,
hypoxia
◍ Platelet Range.
Answer: 150-400kThrombocytopenia (< 100,000/mm 3 ): possible
association with bacterial sepsis or viral infection, but usual onset does not
occur until 1 to 3 days after infection onset (late indicator). May also occur
with maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as trisomies
13, 18, and 21, Turner's syndrome, and hemolytic disease.
◍ CRP level.
Answer: CRP level usually <1.6 for the first two days of lifeElevated cord
blood CRP levels are associated with chorioamnionitis with prolonged
rupture of membranes.
◍ placental abruption newborn complications.
Answer: growth restriction, decreased o2, premature birth, stillbirth
◍ Most common pathogens.
Answer: Currently, GBSE. coli
, ◍ Candidas.
Answer: -Diaper dermatitis presents with intense erythema and satellite
lesions. -Congenital candidiasis presents with widespread erythematous
maculopapular rash, and preterm infants may present with pneumonia.
◍ late preterm risks.
Answer: temp instability, difficulty feeding, hyperbilirubinemia, resp
distress, sepsis
◍ sga risks.
Answer: perinatal asphyxia, hypothermia, hypoglycemia, polycythemia
◍ Congenital CMV infection.
Answer: congenital infection include: intrauterine growth restriction,
hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly,
hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis, and
optic atrophy.
◍ lga risks.
Answer: birth trauma, hypoglycemia, polycythemia, hyperbili, shoulder
dystocia
◍ ballard score.
Answer: gest ageneuromuscular: posture, square window, arm recoil,
popliteal angle, scarf sigh, heel to earphysical: skin, lanugo, plantar surface,
breasts, eye and ear, genitalia
◍ symmetrical iugr causes.
Answer: intrauterine infections, congenital malformation, chromosomal
disorder
◍ asymmetrical iugr causes.
Answer: poor placental perfusion or nutritional deficits, maternal
malnutrition, pre e, chronic fetal distress
◍ Endotracheal Measurement.
Answer: 6 + wt in kg Proper placement on an endotracheal tube is midway
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ anemia in pregnancy.
Answer: cause preterm delivery, low birth weight
◍ HELLP.
Answer: hemolysis, elevated liver enzymes, low platelet
◍ GIR.
Answer: 6-8mcg/kg/min caloric intake
◍ D10 Bolus.
Answer: 2mL/kg
◍ CMV.
Answer: found in saliva, urine, blood, breastmilk, seminal, and cervical
fluidsmost severe when it occurs in 1st semester
◍ Fluid Volume Bolus.
Answer: 10mL/kg
◍ Term Parenteral Fluid Requirement.
Answer: 80mL/kg/dayEnteral 100-150 mlk/kg/day
◍ hep b.
Answer: found in secretions, including breast milk
◍ Preterm Parenteral Fluid Requirement.
Answer: 120Enteral 150-200ml/kig/day
◍ polyhydramnios.
Answer: afi >20-24gestational diabetes, fetal anomalies, and twins. can
, cause prolapsed cord
◍ GIR Calculation.
Answer: (%dextrose x IV rate) / (6 x wt in kg)
◍ I/T ratio.
Answer: %Metas + Bands / %Metas + Bands + Segs I/T ratio greater than
>0.2 to >.25 suggestive of infection>0.8 associated with shock
◍ Absolute Neutrophil COUNT.
Answer: WBC x (%) Segmented neutrophils + band neutrophils +
metamyelocytesExample. 15,000 x 35 segs + 15 bands + 3 metas (turns into
percent)15,000 x .53 = 7950ANC <1800 suggestive of infectionNormal
Range
◍ oligohydramnios.
Answer: aft <4-5can cause resp failure, decreased surfactant
◍ chorioamnioitis.
Answer: maternal temp >39 or between 38-38.9 with leukocytosis, purulent
cervical discharge or fetal tachycardia
◍ Mature WBCs.
Answer: Poly, Segs, Neutrophils
◍ bpp.
Answer: fetal breathing, gross body movements, tone, AFI, nst8-10
normal<4 fail
◍ quad screen testing.
Answer: 15-18 weeks up to 22indicator of downs, neural tube defects, t18,
abd wall defects
◍ cord blood gas.
Answer: artery=fetalvein=placenta
◍ Immature WBCs.
Answer: Meta, Bands, Stabs
,◍ late decel.
Answer: gradual decrease in fhr, onset occurs after the peak of the
contraction and the nadir of the contraction occurs after the contraction
◍ variable decel.
Answer: abrupt decrease of fhr >15 and lasts >15 sec but <2min
◍ prolonged decel.
Answer: decel lasts 2-10 min
◍ fetal tachycardia.
Answer: >160caused by maternal infection, meds, in utero hypoxia, fetal
anemia, chromosomal anomalies
◍ fetal bradycardia.
Answer: <100caused by fetal distress, head compression, cord compression,
hypoxia
◍ Platelet Range.
Answer: 150-400kThrombocytopenia (< 100,000/mm 3 ): possible
association with bacterial sepsis or viral infection, but usual onset does not
occur until 1 to 3 days after infection onset (late indicator). May also occur
with maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as trisomies
13, 18, and 21, Turner's syndrome, and hemolytic disease.
◍ CRP level.
Answer: CRP level usually <1.6 for the first two days of lifeElevated cord
blood CRP levels are associated with chorioamnionitis with prolonged
rupture of membranes.
◍ placental abruption newborn complications.
Answer: growth restriction, decreased o2, premature birth, stillbirth
◍ Most common pathogens.
Answer: Currently, GBSE. coli
, ◍ Candidas.
Answer: -Diaper dermatitis presents with intense erythema and satellite
lesions. -Congenital candidiasis presents with widespread erythematous
maculopapular rash, and preterm infants may present with pneumonia.
◍ late preterm risks.
Answer: temp instability, difficulty feeding, hyperbilirubinemia, resp
distress, sepsis
◍ sga risks.
Answer: perinatal asphyxia, hypothermia, hypoglycemia, polycythemia
◍ Congenital CMV infection.
Answer: congenital infection include: intrauterine growth restriction,
hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly,
hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis, and
optic atrophy.
◍ lga risks.
Answer: birth trauma, hypoglycemia, polycythemia, hyperbili, shoulder
dystocia
◍ ballard score.
Answer: gest ageneuromuscular: posture, square window, arm recoil,
popliteal angle, scarf sigh, heel to earphysical: skin, lanugo, plantar surface,
breasts, eye and ear, genitalia
◍ symmetrical iugr causes.
Answer: intrauterine infections, congenital malformation, chromosomal
disorder
◍ asymmetrical iugr causes.
Answer: poor placental perfusion or nutritional deficits, maternal
malnutrition, pre e, chronic fetal distress
◍ Endotracheal Measurement.
Answer: 6 + wt in kg Proper placement on an endotracheal tube is midway
