Page 1 of 171
RNC NIC EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND VERIFIED ANSWERS
(100% CORRECT) ALREADY GRADED A+| RNC NIC
EXAM REVIEW 2025 (NEW!!)
amniocentesis .....ANSWER..... needle puncture of the amniotic sac
to withdraw amniotic fluid for analysis
- screens for chromosomal abnormalities
- typically performed early in 2nd trimester (15-20 wks), more
accurate >20 wks d/t chromosomal presence in fluid
- **also can be used later in pregnancy to assess fetal lung
maturity**
- often recommended for AMA
thrombocytopenia (maternal) .....ANSWER..... - a generally
benign maternal medical complication that is due to hemodilution
(increased RBCs)
,Page 2 of 171
- may be associated with hypertensive conditions r/t pregnancy
- may be associated with s/s of bleeding in the infant
risks of maternal thrombocytopenia .....ANSWER..... can result in:
- increased risk of bleeding in the mother, especially during the
delivery
- **bleeding in the infant (oozing from umbilical cord, prolonged
bleeding from heel sticks, bruising, **petechiae
neonatal petechiae .....ANSWER..... - must consider
hyperbilirubinemia/jaundice (breakdown of RBCs)
- also associated with maternal thrombocytopenia
cytomegalovirus (CMV) .....ANSWER..... - **most common
intrauterine infection**
- transmitted by exposure to infected blood or body fluids
- majority of infants asymptomatic at birth, but 5-15% have later
sequelae (most commonly hearing and vision loss)
,Page 3 of 171
contraindication for breastfeeding .....ANSWER..... - maternal
HIV/AIDS infection
- **HIV/AIDS can be spread through breastfeeding**
signs of HIV in newborn .....ANSWER..... - poor weight gain
- **repeated fungal mouth infections** (thrush)
- enlarged lymph nodes
- enlarged liver/spleen
- neurologic problems
- multiple bacterial infections, including pneumonia
chlamydia .....ANSWER..... - **most common bacterial sexually
transmitted infection**
- *treatment: erythromycin*
signs/symptoms of neonatal chlamydia .....ANSWER..... -
conjunctivitis in first few weeks
, Page 4 of 171
- late-onset: pneumonia at 3-4 months
- otitis media
- gastroenteritis
oligohydramnios .....ANSWER..... - AF volume <1 L at 36 weeks,
<800 mL at term
- can lead to pulmonary hypoplasia d/t amniotic fluid's role in
fetal pulmonary development
- **may be related to Potter sequence/renal agenesis**
because AF is largely made up of fetal urine (no urine if the
baby has no kidneys)
- **can lead to hypoplastic lungs**
- can also lead to IUGR and positional deformities (baby can't
move well)
Potter sequence (renal agenesis) .....ANSWER..... - **Renal
agenesis -> oligohydramnios -> severe pulmonary hypoplasia**
RNC NIC EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND VERIFIED ANSWERS
(100% CORRECT) ALREADY GRADED A+| RNC NIC
EXAM REVIEW 2025 (NEW!!)
amniocentesis .....ANSWER..... needle puncture of the amniotic sac
to withdraw amniotic fluid for analysis
- screens for chromosomal abnormalities
- typically performed early in 2nd trimester (15-20 wks), more
accurate >20 wks d/t chromosomal presence in fluid
- **also can be used later in pregnancy to assess fetal lung
maturity**
- often recommended for AMA
thrombocytopenia (maternal) .....ANSWER..... - a generally
benign maternal medical complication that is due to hemodilution
(increased RBCs)
,Page 2 of 171
- may be associated with hypertensive conditions r/t pregnancy
- may be associated with s/s of bleeding in the infant
risks of maternal thrombocytopenia .....ANSWER..... can result in:
- increased risk of bleeding in the mother, especially during the
delivery
- **bleeding in the infant (oozing from umbilical cord, prolonged
bleeding from heel sticks, bruising, **petechiae
neonatal petechiae .....ANSWER..... - must consider
hyperbilirubinemia/jaundice (breakdown of RBCs)
- also associated with maternal thrombocytopenia
cytomegalovirus (CMV) .....ANSWER..... - **most common
intrauterine infection**
- transmitted by exposure to infected blood or body fluids
- majority of infants asymptomatic at birth, but 5-15% have later
sequelae (most commonly hearing and vision loss)
,Page 3 of 171
contraindication for breastfeeding .....ANSWER..... - maternal
HIV/AIDS infection
- **HIV/AIDS can be spread through breastfeeding**
signs of HIV in newborn .....ANSWER..... - poor weight gain
- **repeated fungal mouth infections** (thrush)
- enlarged lymph nodes
- enlarged liver/spleen
- neurologic problems
- multiple bacterial infections, including pneumonia
chlamydia .....ANSWER..... - **most common bacterial sexually
transmitted infection**
- *treatment: erythromycin*
signs/symptoms of neonatal chlamydia .....ANSWER..... -
conjunctivitis in first few weeks
, Page 4 of 171
- late-onset: pneumonia at 3-4 months
- otitis media
- gastroenteritis
oligohydramnios .....ANSWER..... - AF volume <1 L at 36 weeks,
<800 mL at term
- can lead to pulmonary hypoplasia d/t amniotic fluid's role in
fetal pulmonary development
- **may be related to Potter sequence/renal agenesis**
because AF is largely made up of fetal urine (no urine if the
baby has no kidneys)
- **can lead to hypoplastic lungs**
- can also lead to IUGR and positional deformities (baby can't
move well)
Potter sequence (renal agenesis) .....ANSWER..... - **Renal
agenesis -> oligohydramnios -> severe pulmonary hypoplasia**
