RNC-NIC Questions with Correct Answers
Correct ETT placement Correct Answer-T1-T2
level of clavicles
Correct UVC placement Correct Answer-T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement Correct Answer-Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement Correct Answer-T3-5
Lower 1/3 of s. Vena cava
Normal weight loss of preterm infant Correct Answer-10-15%
Healthy term infant requires how many kcal/kg/day for normal growth?
Correct Answer-100-120 kcal/kg/day
Formula to calculate GIR Correct Answer-ml/kg/day x %dextrose
➗1.44
,Normal GIR Correct Answer-4-6 ml/kg/min initially May go as high as
12
Anomalies associated with esophageal atresia Correct Answer-SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? Correct Answer--premature
-IDM
-small left colon
-cystic fibrosis
Signs of pyloric stenosis Correct Answer-Distended stomach on x-ray
with little or no gas below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary Correct Answer-36.5 to 37.4°C
TTN vs RDS Correct Answer-Usually requires less than 40% FI O2
Improves quicker
,Larger lung volumes
Natural diuresis occurs at_____________ hours of age as condition
improves Correct Answer-48-72 hours
Prolonged rupture of membranes Correct Answer-Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting
Correct Answer-15%
With PPHN goal is to keep PaO2 ________or > Correct Answer-50
Signs and symptoms of MAS Correct Answer-Chest hyperinflated on x-
ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia Correct Answer-Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
, Micrognathia associated with Correct Answer-Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
Causes of pulmonary hemorrhage Correct Answer-Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage Correct Answer-Vent and use
PEEP to decrease bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease processes
Apneic event Correct Answer-Cessation of respiration for 20 seconds, or
less if accompanied by cyanosis, pallor, decreased tone, bradycardia
Correct ETT placement Correct Answer-T1-T2
level of clavicles
Correct UVC placement Correct Answer-T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement Correct Answer-Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement Correct Answer-T3-5
Lower 1/3 of s. Vena cava
Normal weight loss of preterm infant Correct Answer-10-15%
Healthy term infant requires how many kcal/kg/day for normal growth?
Correct Answer-100-120 kcal/kg/day
Formula to calculate GIR Correct Answer-ml/kg/day x %dextrose
➗1.44
,Normal GIR Correct Answer-4-6 ml/kg/min initially May go as high as
12
Anomalies associated with esophageal atresia Correct Answer-SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? Correct Answer--premature
-IDM
-small left colon
-cystic fibrosis
Signs of pyloric stenosis Correct Answer-Distended stomach on x-ray
with little or no gas below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary Correct Answer-36.5 to 37.4°C
TTN vs RDS Correct Answer-Usually requires less than 40% FI O2
Improves quicker
,Larger lung volumes
Natural diuresis occurs at_____________ hours of age as condition
improves Correct Answer-48-72 hours
Prolonged rupture of membranes Correct Answer-Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting
Correct Answer-15%
With PPHN goal is to keep PaO2 ________or > Correct Answer-50
Signs and symptoms of MAS Correct Answer-Chest hyperinflated on x-
ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia Correct Answer-Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
, Micrognathia associated with Correct Answer-Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
Causes of pulmonary hemorrhage Correct Answer-Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage Correct Answer-Vent and use
PEEP to decrease bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease processes
Apneic event Correct Answer-Cessation of respiration for 20 seconds, or
less if accompanied by cyanosis, pallor, decreased tone, bradycardia
