RNC-NIC General Assessment UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What is BPP (biophysical profile)? - CORRECT ANSWER - Fetal Well being assessment
that includes fetal breathing, fetal movement, fetal tone, amniotic fluid volume and a non stress
test. Normal is considered a score of 8-10 in which the CNS is functional and fetus is not
hypoxemia. A score of <4 indicates that there is fetal compromise and should induce labor ASAP
What is non-invasive prenatal testing (NIPT)? When is it tested? - CORRECT ANSWER -
A blood test for Trisomy 21, 18 or other aneurysm policy conditions that also includes alpha-
fetoprotein that tests for open neural tube defects.
Usually tested around 10 weeks gestation.
DOES NOT test or evaluate for placental function
What its the QUAD screen and when is it done? - CORRECT ANSWER - Serum test that
measures AFP, HcG, estriol, inhibin A.
Assesses both fetal well-being AND placental function.
Performed around 15-20 weeks
Sequential screening with nuchal translucency - CORRECT ANSWER - Two blood tests
and an ultrasound to detect increased risk for Trisomy 21 or 18
Umbilical Artery doppler flow studies - CORRECT ANSWER - measures rate and volume
of blood flow thru placenta and umbilical vessels; assesses placental function.
If absent end-diastolic flow there is an increased risk of fetal death
, You are assigned to respond to deliveries. The L/D RN tells you at huddle that a mom just
arrived in labor, and the fetus has a BPP (biophysical profile) of 3. Based upon the BPP, you are
prepared for : - CORRECT ANSWER - Immediate C/S and resuscitation
Late decels mean: - CORRECT ANSWER - Fetus is experiencing transient reduced blood
flow during a uterine contraction. Will also need to look at the persistence, baseline variety of the
fetal heart rate and recovery.
Early decels mean: - CORRECT ANSWER - Compression of the fetal head resulting from
uterine contraction
Vaginal exam
Fundal pressure
sinusoidal fetal heart rate pattern - CORRECT ANSWER - -classically occurs with severe
fetal anemia and indicated impending fetal death
Effects of magnesium sulfate during labor on the fetus - CORRECT ANSWER - Increased
risk for respiratory depression and apnea. Reduced GI motility and decreased muscle tone.
Likely will need some form of resuscitation.
Why is Mag sulfate given during labor - CORRECT ANSWER - Used as Neuro-
protection( CP) for preterm infants.
may be used to control high BP in moms with pre-eclampsia. May be used to slow labor to allow
for antenatal steroid to be administered
AGA, SGA, LGA, IUGR - CORRECT ANSWER - AGA: weight between 10-90%
LGA: >90th; often associated with IDM, birth injuries, and increased respiratory distress
SGA: <10% may symmetrical or asymmetrical
ACTUAL Exam Questions and CORRECT
Answers
What is BPP (biophysical profile)? - CORRECT ANSWER - Fetal Well being assessment
that includes fetal breathing, fetal movement, fetal tone, amniotic fluid volume and a non stress
test. Normal is considered a score of 8-10 in which the CNS is functional and fetus is not
hypoxemia. A score of <4 indicates that there is fetal compromise and should induce labor ASAP
What is non-invasive prenatal testing (NIPT)? When is it tested? - CORRECT ANSWER -
A blood test for Trisomy 21, 18 or other aneurysm policy conditions that also includes alpha-
fetoprotein that tests for open neural tube defects.
Usually tested around 10 weeks gestation.
DOES NOT test or evaluate for placental function
What its the QUAD screen and when is it done? - CORRECT ANSWER - Serum test that
measures AFP, HcG, estriol, inhibin A.
Assesses both fetal well-being AND placental function.
Performed around 15-20 weeks
Sequential screening with nuchal translucency - CORRECT ANSWER - Two blood tests
and an ultrasound to detect increased risk for Trisomy 21 or 18
Umbilical Artery doppler flow studies - CORRECT ANSWER - measures rate and volume
of blood flow thru placenta and umbilical vessels; assesses placental function.
If absent end-diastolic flow there is an increased risk of fetal death
, You are assigned to respond to deliveries. The L/D RN tells you at huddle that a mom just
arrived in labor, and the fetus has a BPP (biophysical profile) of 3. Based upon the BPP, you are
prepared for : - CORRECT ANSWER - Immediate C/S and resuscitation
Late decels mean: - CORRECT ANSWER - Fetus is experiencing transient reduced blood
flow during a uterine contraction. Will also need to look at the persistence, baseline variety of the
fetal heart rate and recovery.
Early decels mean: - CORRECT ANSWER - Compression of the fetal head resulting from
uterine contraction
Vaginal exam
Fundal pressure
sinusoidal fetal heart rate pattern - CORRECT ANSWER - -classically occurs with severe
fetal anemia and indicated impending fetal death
Effects of magnesium sulfate during labor on the fetus - CORRECT ANSWER - Increased
risk for respiratory depression and apnea. Reduced GI motility and decreased muscle tone.
Likely will need some form of resuscitation.
Why is Mag sulfate given during labor - CORRECT ANSWER - Used as Neuro-
protection( CP) for preterm infants.
may be used to control high BP in moms with pre-eclampsia. May be used to slow labor to allow
for antenatal steroid to be administered
AGA, SGA, LGA, IUGR - CORRECT ANSWER - AGA: weight between 10-90%
LGA: >90th; often associated with IDM, birth injuries, and increased respiratory distress
SGA: <10% may symmetrical or asymmetrical
