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 with persistent pulmonary hypertension (PPHN) does not improve with 100% oxygen. Which inhaled medication is the first-line treatment?
Answer: Inhaled nitric oxide (iNO)
Inhaled nitric oxide selectively dilates pulmonary vasculature without systemic hypotension and is the first-line therapy for PPHN.
A NICU nurse is performing developmental positioning for a 28-week preterm neonate. Which position best supports flexion and midline orientation?
Answer: Side-lying with knees and elbows flexed toward midline
Side-lying with flexed extremities brought toward midline mimics the fetal position and promotes neuromotor development.
Which maternal history finding is an important risk factor for early-onset neonatal sepsis (EOS)?
Answer: Group B Streptococcus (GBS) colonization with inadequate intrapartum prophylaxis
GBS colonization without adequate intrapartum antibiotics is a leading risk factor for early-onset neonatal sepsis.
A nurse notices that a 34-week neonate receiving nasal CPAP has a distended abdomen. What is the most likely explanation?
Answer: Air swallowing causing gastric distension
CPAP can cause air swallowing leading to gastric distension; an orogastric tube is often placed to vent the stomach.
A nurse is preparing to discharge a NICU infant whose mother plans to breastfeed. Which instruction regarding breast milk storage is correct?
Answer: Refrigerated breast milk is safe for up to 4 days
Refrigerated breast milk is safe for up to 4 days (96 hours) at or below 4°C per CDC guidelines for healthy infants.
Which neonatal condition presents with 'double bubble' sign on abdominal X-ray?
Answer: Duodenal atresia
Duodenal atresia produces the classic 'double bubble' sign representing air in the stomach and proximal duodenum with no distal gas.
A nurse is caring for a neonate with suspected hypoxic-ischemic encephalopathy (HIE). Which intervention is the standard of care to improve neurological outcomes?
Answer: Therapeutic hypothermia (cooling to 33–34°C for 72 hours)
Therapeutic hypothermia (33–34°C for 72 hours) initiated within 6 hours of birth is the standard neuroprotective treatment for moderate-to-severe HIE.