Neonatal Intensive Care Nurse Basic Flashcards
7 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Neonatal Intensive Care Nurse Basic flashcards as text
A neonate at 27 weeks gestation is receiving mechanical ventilation. Which ventilator setting primarily controls oxygenation?
Answer: FiO2 and PEEP
Oxygenation is primarily regulated by FiO2 and PEEP, which determine mean airway pressure and alveolar recruitment.
Which developmental care intervention has the strongest evidence for reducing pain during minor procedures in preterm neonates?
Answer: Oral sucrose with non-nutritive sucking
Oral sucrose combined with non-nutritive sucking is the best-evidenced pharmacologic and behavioral pain management strategy for minor neonatal procedures.
A neonate with necrotizing enterocolitis (NEC) shows sudden abdominal distension, bloody stools, and a fixed dilated loop of bowel on X-ray. What is the priority intervention?
Answer: Prepare the infant for surgical consultation
A fixed dilated loop of bowel suggests intestinal perforation or necrosis, necessitating urgent surgical evaluation.
Which blood glucose level requires immediate intervention in a symptomatic term neonate?
Answer: Less than 40 mg/dL
A blood glucose below 40 mg/dL in a symptomatic term neonate requires immediate IV dextrose treatment per AAP guidelines.
A neonate on total parenteral nutrition (TPN) develops signs of cholestasis. Which component of TPN is most associated with this complication?
Answer: Intravenous lipid emulsions
Prolonged intravenous lipid emulsions are strongly associated with TPN-associated cholestasis in neonates.
A nurse is caring for a neonate suspected of having congenital hypothyroidism. Which finding would be most consistent with this diagnosis?
Answer: Jaundice, hypotonia, and large fontanelle
Congenital hypothyroidism presents with prolonged jaundice, hypotonia, large fontanelle, and coarse features due to thyroid hormone deficiency.
What is the correct sequence for the initial steps of neonatal resuscitation after birth?
Answer: Warm, stimulate, clear airway, assess
NRP guidelines specify: Warm, Dry/Stimulate, Clear airway if needed, then assess heart rate, respirations, and tone.