RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
Which of the following descriptions defines a cephalohematoma?
A. Pitting edema that extends across the suture lines caused by
pressure generated on the fetal skull by the cervix. Edema generally
resolves in a few days.
B. Collection of blood between the periosteum and the skull and
does not cross the suture line. It may enlarge during the 24hrs after
birth and may take several months to resolve.
C. Premature closure of the cranial suture with a palpable suture
line.
D. Hemorrhage into the space between the galea aponeurotica and
the periosteum. Hematoma may cross the suture lines and may
lead to exsanguinations of the infant. -
correct answer ✅B. A cephalohematoma is a collection of
blood between the periosteum and the skull that does not cross
the suture line. It may enlarge during the 24hrs after birth and may
take several months to resolve. These infants are at higher risk for
developing hyperbilirubinemia. A caput succedaneum is caused
from pressure on the fetal skull by the cervix during labor. A
common characteristic of a caput succedaneum is pitting edema
that extends across the suture lines. Edema generally resolves
within a few days. Craniosynostosis is the premature closure of the
cranial sutures. A hemorrhage into the space between the galea
aponeurotica and the periosteum is a subgaleal hemorrhage.
,RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
A patient who is G3P2 at 33 wks gestation arrives at the triage unit
complaining of regular uterine contractions. Her pregnancy Hx
includes a preterm delivery at 34 wks. Before examining her, the
nurse performs electronic fetal monitoring and obtains a complete
Hx. The pt reports no bleeding and no ROM. She has had no vaginal
examinations or sexual activity for more than 24 hours. The
biochemical marker useful in this situation for predicting preterm
birth is:
A. cervical ferritin
B. fetal fibronectin
C. Corticotropin-releasing hormone
D. placental α-microglobulin-1 -
correct answer ✅B. Fibronectins are a family of proteins
found in the extracellular matrix. Fetal fibronectins (fFns) are found
in fetal membranes and decidua throughout pregnancy. As the
gestational sac implants and attaches to the interior of the uterus in
the first half of pregnancy, fFns are normally found in the
cervicovaginal fluid. After 22 weeks, the presence of fFns normally
is no longer detected in vaginal secretions until approximately 2
weeks before the onset of delivery, term or preterm. It is suggested
that fFns be released into the cervix and the vagina when
mechanical- or inflammatory-mediated damage occurs to the
,RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
membranes. Cervical ferritin is not a biomarker, but an
inflammatory marker whose presence provides support for the
theory that infection is a mediator of preterm birth. Maternal
plasma concentrations of corticotropin-releasing hormone are
elevated in both term and preterm pregnancies. It appears to be a
component of the common pathway of labor, regardless of
gestation. Placental α-microglobulin-1 is a protein found in amniotic
fluid that is a biomarker for ROM.
When electronic fetal monitoring is used, the best indicator of fetal
oxygenation status during labor is:
A. FHR baseline within the normal range
B. moderate FHR variability
C. absence of decelerations of the FHR
D. presence of accelerations of the FHR -
correct answer ✅B. Variability is the most important FHR
characteristic. It is the most important indicator of normal fetal pH
or acidosis. Moderate FHR variability reliably predicts the absence
of fetal metabolic acidemia. The normal FHR baseline range is 110-
160 bpm regardless of GA. Decelerations are categorized as late,
early, variable, or prolonged. Decelerations are caused by 2 basic
mechanisms: 1. reflex autonomic slowing of the FHR in response to
, RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
changes in BP, blood gases, and possibly other factors; 2. direct
depression of the FHR resulting in disrupted O2 transfer. Like
moderate variability, accelerations reflect normal autonomic
regulation of the FHR and are highly predictive of the absence of
fetal metabolic acidemia.
The BPP is currently the primary method for evaluating fetal well-
being through the assessment of various activities that are
controlled by the nervous system and are sensitive to oxygenation.
The five variables included in the BPP are:
A. fetal tone, fetal breathing, fetal movement, nonstress test, and
amniotic fluid volume
B. fetal movement, fetal tone, nonstress test, amniotic fluid index,
and fetal position.
C. fetal tone, fetal position, amniotic fluid volume, FHR, and fetal
activity.
D. FHR, fetal movement, nonstress test, amniotic fluid volume, and
fetal tone -
correct answer ✅A. The BPP is an evaluation of fetal well-
being through the use of various reflex activities that are controlled
by the CNS and are sensitive to hypoxia, as well as the fetal
environment that can affect fetal well-being. The biophysical
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
Which of the following descriptions defines a cephalohematoma?
A. Pitting edema that extends across the suture lines caused by
pressure generated on the fetal skull by the cervix. Edema generally
resolves in a few days.
B. Collection of blood between the periosteum and the skull and
does not cross the suture line. It may enlarge during the 24hrs after
birth and may take several months to resolve.
C. Premature closure of the cranial suture with a palpable suture
line.
D. Hemorrhage into the space between the galea aponeurotica and
the periosteum. Hematoma may cross the suture lines and may
lead to exsanguinations of the infant. -
correct answer ✅B. A cephalohematoma is a collection of
blood between the periosteum and the skull that does not cross
the suture line. It may enlarge during the 24hrs after birth and may
take several months to resolve. These infants are at higher risk for
developing hyperbilirubinemia. A caput succedaneum is caused
from pressure on the fetal skull by the cervix during labor. A
common characteristic of a caput succedaneum is pitting edema
that extends across the suture lines. Edema generally resolves
within a few days. Craniosynostosis is the premature closure of the
cranial sutures. A hemorrhage into the space between the galea
aponeurotica and the periosteum is a subgaleal hemorrhage.
,RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
A patient who is G3P2 at 33 wks gestation arrives at the triage unit
complaining of regular uterine contractions. Her pregnancy Hx
includes a preterm delivery at 34 wks. Before examining her, the
nurse performs electronic fetal monitoring and obtains a complete
Hx. The pt reports no bleeding and no ROM. She has had no vaginal
examinations or sexual activity for more than 24 hours. The
biochemical marker useful in this situation for predicting preterm
birth is:
A. cervical ferritin
B. fetal fibronectin
C. Corticotropin-releasing hormone
D. placental α-microglobulin-1 -
correct answer ✅B. Fibronectins are a family of proteins
found in the extracellular matrix. Fetal fibronectins (fFns) are found
in fetal membranes and decidua throughout pregnancy. As the
gestational sac implants and attaches to the interior of the uterus in
the first half of pregnancy, fFns are normally found in the
cervicovaginal fluid. After 22 weeks, the presence of fFns normally
is no longer detected in vaginal secretions until approximately 2
weeks before the onset of delivery, term or preterm. It is suggested
that fFns be released into the cervix and the vagina when
mechanical- or inflammatory-mediated damage occurs to the
,RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
membranes. Cervical ferritin is not a biomarker, but an
inflammatory marker whose presence provides support for the
theory that infection is a mediator of preterm birth. Maternal
plasma concentrations of corticotropin-releasing hormone are
elevated in both term and preterm pregnancies. It appears to be a
component of the common pathway of labor, regardless of
gestation. Placental α-microglobulin-1 is a protein found in amniotic
fluid that is a biomarker for ROM.
When electronic fetal monitoring is used, the best indicator of fetal
oxygenation status during labor is:
A. FHR baseline within the normal range
B. moderate FHR variability
C. absence of decelerations of the FHR
D. presence of accelerations of the FHR -
correct answer ✅B. Variability is the most important FHR
characteristic. It is the most important indicator of normal fetal pH
or acidosis. Moderate FHR variability reliably predicts the absence
of fetal metabolic acidemia. The normal FHR baseline range is 110-
160 bpm regardless of GA. Decelerations are categorized as late,
early, variable, or prolonged. Decelerations are caused by 2 basic
mechanisms: 1. reflex autonomic slowing of the FHR in response to
, RNC-NIC Ch 1-4 General Assessment
and Management Exam Actual Questions
and Answers 2026(Verified Answers)
changes in BP, blood gases, and possibly other factors; 2. direct
depression of the FHR resulting in disrupted O2 transfer. Like
moderate variability, accelerations reflect normal autonomic
regulation of the FHR and are highly predictive of the absence of
fetal metabolic acidemia.
The BPP is currently the primary method for evaluating fetal well-
being through the assessment of various activities that are
controlled by the nervous system and are sensitive to oxygenation.
The five variables included in the BPP are:
A. fetal tone, fetal breathing, fetal movement, nonstress test, and
amniotic fluid volume
B. fetal movement, fetal tone, nonstress test, amniotic fluid index,
and fetal position.
C. fetal tone, fetal position, amniotic fluid volume, FHR, and fetal
activity.
D. FHR, fetal movement, nonstress test, amniotic fluid volume, and
fetal tone -
correct answer ✅A. The BPP is an evaluation of fetal well-
being through the use of various reflex activities that are controlled
by the CNS and are sensitive to hypoxia, as well as the fetal
environment that can affect fetal well-being. The biophysical
