RNC-NIC Review Set UPDATED ACTUAL
Exam Questions and CORRECT Answers
Neonates born to mothers with uncontrolled asthma are at increased risk for
a. acidosis
b. apnea
c. low birth weight - CORRECT ANSWER- ✔✔C-Neonates born to women with asthma that
is not under control are at increased risk for prematurity and low birth weight. If asthma is
controlled, neonatal outcomes are similar to those neonates born to mothers WITHOU
asthma.
Pregnancy outcomes of women with renal disease most relates to
a. etiology of renal disease
b. degree of renal insufficiency
c. length of time since onset of the disease - CORRECT ANSWER- ✔✔B-regardless of
etiology of the renal disease in pregnancy, the two factors that most influence pregnancy
outcomes is the degree of renal insufficiency and the presence of hypertension.
Untreated maternal thyrotoxicosis can lead to
a. congenital anomalies
b. neonatal hypothyroidism
c. preterm delivery - CORRECT ANSWER- ✔✔C-If a woman with hypothyroidism or
thyrotoxicosis is not treated during pregnancy, there is a high incidence of preterm delivery,
low birth weight and still births. Congenital anomalies are not common. Hypothyroidism may
result in the neonate due to the thyroid medications not the maternal disease.
Unregulated glucose control in a woman with diabetes early in pregnancy can predispose the
fetus to
a. chromosomal damage
, b. embryonic growth delays
c. teratogenic effects - CORRECT ANSWER- ✔✔C-Preconception counseling and early
prenatal care are essential for women with diabetes when contemplating childbirth.
Uncontrolled glucose levels early in pregnancy can lead to organogenesis and the
development of congenital anomalies.
Infants with fetal alchohol syndrome demonstrate tremors, irritability and hypertonus due to
a. central nervous system injury
b. interferance with protein synthesis
c. withdrawal from alcohol - CORRECT ANSWER- ✔✔C-Infants born with fetal alcohol
syndrome usually presents with tremors, irritability, and hypertonus. These symptoms are
primarily due to alcohol withdrawal.
Common manifestations of neonates who were exposed to cocaine in utero include
a. apnea and lethargy
b. neonatal abstinence syndrome
c. touch aversion and overstimulation - CORRECT ANSWER- ✔✔C-Exposure to cocaine in
utero leaves infants with a wide variety of problems. Teratogenicity has had some association
with cocaine exposure but its direct link has not not been confirmed. Neonates are hypertonic,
irritable and easily overstimulated by sensory input or direct contact. To avoid any
stimulation, the neonate may totally shut down going into a deep sleep or alternatively the
infant may cry incessantly. There is no specific pattern of withdrawal as there is with neonatal
abstinence syndrome and heroin exposure.
The primary route of the transmission of neonatal systemic lupus erythematosus is
a. familial tendency
b. multifactorial inheritance
c. placental transfer of antibodies - CORRECT ANSWER- ✔✔C-Neonates born to mothers
with systemic lupus erythematosus can demonstrate various symptoms, known as neonatal
systemic lupus erythematosus. These include rash, thrombocytopenia and cardiac
abnormalities, specificallly congenital heart block. The attributed antecedent for neonatal
disease is placental transfer of anti-bodies from mother to fetus.
Exam Questions and CORRECT Answers
Neonates born to mothers with uncontrolled asthma are at increased risk for
a. acidosis
b. apnea
c. low birth weight - CORRECT ANSWER- ✔✔C-Neonates born to women with asthma that
is not under control are at increased risk for prematurity and low birth weight. If asthma is
controlled, neonatal outcomes are similar to those neonates born to mothers WITHOU
asthma.
Pregnancy outcomes of women with renal disease most relates to
a. etiology of renal disease
b. degree of renal insufficiency
c. length of time since onset of the disease - CORRECT ANSWER- ✔✔B-regardless of
etiology of the renal disease in pregnancy, the two factors that most influence pregnancy
outcomes is the degree of renal insufficiency and the presence of hypertension.
Untreated maternal thyrotoxicosis can lead to
a. congenital anomalies
b. neonatal hypothyroidism
c. preterm delivery - CORRECT ANSWER- ✔✔C-If a woman with hypothyroidism or
thyrotoxicosis is not treated during pregnancy, there is a high incidence of preterm delivery,
low birth weight and still births. Congenital anomalies are not common. Hypothyroidism may
result in the neonate due to the thyroid medications not the maternal disease.
Unregulated glucose control in a woman with diabetes early in pregnancy can predispose the
fetus to
a. chromosomal damage
, b. embryonic growth delays
c. teratogenic effects - CORRECT ANSWER- ✔✔C-Preconception counseling and early
prenatal care are essential for women with diabetes when contemplating childbirth.
Uncontrolled glucose levels early in pregnancy can lead to organogenesis and the
development of congenital anomalies.
Infants with fetal alchohol syndrome demonstrate tremors, irritability and hypertonus due to
a. central nervous system injury
b. interferance with protein synthesis
c. withdrawal from alcohol - CORRECT ANSWER- ✔✔C-Infants born with fetal alcohol
syndrome usually presents with tremors, irritability, and hypertonus. These symptoms are
primarily due to alcohol withdrawal.
Common manifestations of neonates who were exposed to cocaine in utero include
a. apnea and lethargy
b. neonatal abstinence syndrome
c. touch aversion and overstimulation - CORRECT ANSWER- ✔✔C-Exposure to cocaine in
utero leaves infants with a wide variety of problems. Teratogenicity has had some association
with cocaine exposure but its direct link has not not been confirmed. Neonates are hypertonic,
irritable and easily overstimulated by sensory input or direct contact. To avoid any
stimulation, the neonate may totally shut down going into a deep sleep or alternatively the
infant may cry incessantly. There is no specific pattern of withdrawal as there is with neonatal
abstinence syndrome and heroin exposure.
The primary route of the transmission of neonatal systemic lupus erythematosus is
a. familial tendency
b. multifactorial inheritance
c. placental transfer of antibodies - CORRECT ANSWER- ✔✔C-Neonates born to mothers
with systemic lupus erythematosus can demonstrate various symptoms, known as neonatal
systemic lupus erythematosus. These include rash, thrombocytopenia and cardiac
abnormalities, specificallly congenital heart block. The attributed antecedent for neonatal
disease is placental transfer of anti-bodies from mother to fetus.
