NICU certification exam | Questions
And Answers | Latest Exam 2026-2027
| 100%Guaranteed Passs!!STUDY
NOW
A mother is pregnant with her first child and she has a history of Systemic Lupus
Erythematosus (SLE). The nurse knows that this fetus will be at a high risk for:
a. congenital heart block
b. omphalocele
c. thrombocytosis -CORRECT ANSWER a. congenital heart block
During a normal physiologic birth, pulmonary vascular resistance:
a. increases
b. decreases
c. stays the same -CORRECT ANSWER b. decreases
A newborn is given a bath in cool water. This mechanism of heat loss is through:
a. evaporation
b. conduction
c. radiation -CORRECT ANSWER b. conduction
A nurse is giving fentanyl during a rapid sequence intubation. The nurse knows to give it
slowly over the recommended time period in order to lessen the chance of:
a. apnea
b. hypertension
c. rigid chest syndrome -CORRECT ANSWER c. rigid chest syndrome
A laboring mother has intermittent electronic fetal monitoring. Early decelerations are
noted with each contraction. The nurse interprets this as:
a. indicates fetal distress and urgent delivery needed
b. indicates fetal stress and need for continuous monitoring
c. normal variant -CORRECT ANSWER c. normal variant
Which of the following is the most common neonatal complication from placenta previa?
a. congenital anomalies
b. preterm delivery
c. large for gestational age -CORRECT ANSWER b. preterm delivery
A triple screen is completed during the second trimester of a pregnancy. An elevated
alpha-fetoprotein result has an increased risk of:
a. chromosomal abnormalities
b. neural tube defects
,c. renal defects -CORRECT ANSWER b. neural tube defects
(a low level of alpha-fetoprotein is associated with chromosomal abnormalities)
During a prenatal ultrasound, a mother is diagnosed with polyhydramnios. This means
that the fetus is at increased risk for:
a. cardiac abnormality
b. endocrine abnormality
c. gastrointestinal abnormality -CORRECT ANSWER c. gastrointestinal abnormality
Which of the following symptoms can occur in infants born to parents with HELLP
syndrome?
a. elevated liver enzymes
b. hypertension
c. leukopenia -CORRECT ANSWER c. leukopenia
The five parameters for a biophysical profile are fetal breathing movements, fetal tone,
fetal movement, amniotic level and:
a. fetal eye opening
b. nonstress test
c. nuchal translucency -CORRECT ANSWER b. nonstress test
Each of the following CORRECT ANSWERs decribe a pregnancy is rupture of membranes.
Which of the following situations best describes premature rupture of membranes?
a. 35+6 weeks gestational age fetus, mother not in labor
b. 37+4 weeks gestational age fetus, mother not in labor
c. 38+3 weeks gestational age fetus, mother in labor for 30 hours -CORRECT ANSWER b.
37+4 weeks gestational age fetus, mother not in labor
(a is better classified as "preterm premature rupture of membranes," and premature
rupture of membranes generally describes term infants with mothers who are not in
labor)
A fetus with oligohydramnios is at higher risk for:
a. gastrointestinal defects
b. neural defects
c. renal defects -CORRECT ANSWER c. renal defects
A birth results in an infant with amniotic bands around one of the legs. The nurse
counsels the parents that the risk of reoccurence:
a. is almost certain since amniotic bands are a dominant gene
b. is significant since amniotic bands are a recessive gene
c. is very small since amniotic bands are random in occurence -CORRECT ANSWER c. is
very small since amniotic bands are random in occurence
An infant born to a pregnant person with renal disease is at risk for which of the
following?
a. congenital heart defect
,b. intrauterine growth restriction
c. patent urachal cyst -CORRECT ANSWER b. intrauterine growth restriction (IUGR)
(other risks include premature birth and stillbirth)
Which of the following delivery modes places the infant at greatest risk for development
of Bell's palsy?
a. cesarean section under general anesthesia
b. forceps delivery (vaginal)
c. vacuum delivery (vaginal) -CORRECT ANSWER b. forceps delivery (vaginal)
Which of the following infants is most likely to develop transient tachypnea of the
newborn after birth?
a. 32 weeks gestational age infant born via vaginal delivery
b. 39 weeks gestational age infant born via planned c-section with no labor
c. 40 weeks gestational age infant born via c-section after spontaneous labor with
failure to progress -CORRECT ANSWER b. 39 weeks gestational age infant born via
planned c-section with no labor
A term, large for gestational age infant is delivered, but complicated by shoulder
dystocia that lasts 60 seconds. Which of the following would be most important to
assess for following delivery?
a. Erb's palsy
b. tonic neck reflex
c. positive Babinski sign -CORRECT ANSWER a. Erb's palsy
Which of the following tests are diagnostic of a fetal anomaly?
a. amniocentesis
b. nuchal translucency measurement
c. quad screen -CORRECT ANSWER a. amniocentesis
A mother has preeclampsia. Which of the following symptoms is the fetus at most risk
for developing?
a. fetal growth restriction
b. seizures
c. transent hypertension -CORRECT ANSWER a. fetal growth restriction
A mother has a biophysical profile performed and receives a score of 8/10. This is:
a. abnormal and indicates need for delivery
b. equivocal and may require continued monitoring
c. normal -CORRECT ANSWER c. normal
What is the most common mode of syphilis transmission?
a. birth canal during birth process
b. breastfeeding after birth
c. transplacental during pregnancy -CORRECT ANSWER c. transplacental during
pregnancy
, What is the most common maternal sexually transmitted infection that causes late onset
pneumonia in the infant?
a. chlamydia
b. gonorrhea
c. herpes -CORRECT ANSWER a. chlamydia
Lanugo is usually present in abundance by:
a. 26 weeks gestation
b. 30 weeks gestation
c. 34 weeks gestation -CORRECT ANSWER b. 30 weeks gestation
An infant is born to a mother with no prenatal care and a Ballard exam is completed.
The square window is noted to be approximately 0 degrees. This indicator shows that
the infant may be:
a. extremely premature
b. late preterm
c. term -CORRECT ANSWER c. term
(the more mature an infant is, the smaller the square window angle. a term baby's wrist
is very flexible and the fingers can just about touch the lower forearm)
Which of the following are risks for infants born large for gestational age?
a. anemia
b. hyperglycemia
c. perinatal asphyxia -CORRECT ANSWER c. perinatal asphyxia
An infant is born to a mother with no prenatal care and a Ballard exam is completed.
The scarf sign shows the ability of the elbow to be pulled well past the midline. This
indicates that the infant may be:
a. extremely premature
b. late preterm
c. term -CORRECT ANSWER a. extremely premature
An infant is noted to have a wide-spaced anterior fontanelle. This may be indicative of:
a. congenital cytomegalovirus
b. congenital hypothyroidism
c. DiGeorge syndrome -CORRECT ANSWER b. congenital hypothyroidism
(other physical symptoms include macroglossia, umbilical hernia and hypotonia)
An infant is noted to have blue sclerae at birth. This may be indicative of:
a. CHARGE syndrome
b. osteogenesis imperfecta
c. Turner syndrome -CORRECT ANSWER b. osteogenesis imperfecta
(other physical symptoms include bone fractures, dysmorphic facial features and
respiratory distress)
And Answers | Latest Exam 2026-2027
| 100%Guaranteed Passs!!STUDY
NOW
A mother is pregnant with her first child and she has a history of Systemic Lupus
Erythematosus (SLE). The nurse knows that this fetus will be at a high risk for:
a. congenital heart block
b. omphalocele
c. thrombocytosis -CORRECT ANSWER a. congenital heart block
During a normal physiologic birth, pulmonary vascular resistance:
a. increases
b. decreases
c. stays the same -CORRECT ANSWER b. decreases
A newborn is given a bath in cool water. This mechanism of heat loss is through:
a. evaporation
b. conduction
c. radiation -CORRECT ANSWER b. conduction
A nurse is giving fentanyl during a rapid sequence intubation. The nurse knows to give it
slowly over the recommended time period in order to lessen the chance of:
a. apnea
b. hypertension
c. rigid chest syndrome -CORRECT ANSWER c. rigid chest syndrome
A laboring mother has intermittent electronic fetal monitoring. Early decelerations are
noted with each contraction. The nurse interprets this as:
a. indicates fetal distress and urgent delivery needed
b. indicates fetal stress and need for continuous monitoring
c. normal variant -CORRECT ANSWER c. normal variant
Which of the following is the most common neonatal complication from placenta previa?
a. congenital anomalies
b. preterm delivery
c. large for gestational age -CORRECT ANSWER b. preterm delivery
A triple screen is completed during the second trimester of a pregnancy. An elevated
alpha-fetoprotein result has an increased risk of:
a. chromosomal abnormalities
b. neural tube defects
,c. renal defects -CORRECT ANSWER b. neural tube defects
(a low level of alpha-fetoprotein is associated with chromosomal abnormalities)
During a prenatal ultrasound, a mother is diagnosed with polyhydramnios. This means
that the fetus is at increased risk for:
a. cardiac abnormality
b. endocrine abnormality
c. gastrointestinal abnormality -CORRECT ANSWER c. gastrointestinal abnormality
Which of the following symptoms can occur in infants born to parents with HELLP
syndrome?
a. elevated liver enzymes
b. hypertension
c. leukopenia -CORRECT ANSWER c. leukopenia
The five parameters for a biophysical profile are fetal breathing movements, fetal tone,
fetal movement, amniotic level and:
a. fetal eye opening
b. nonstress test
c. nuchal translucency -CORRECT ANSWER b. nonstress test
Each of the following CORRECT ANSWERs decribe a pregnancy is rupture of membranes.
Which of the following situations best describes premature rupture of membranes?
a. 35+6 weeks gestational age fetus, mother not in labor
b. 37+4 weeks gestational age fetus, mother not in labor
c. 38+3 weeks gestational age fetus, mother in labor for 30 hours -CORRECT ANSWER b.
37+4 weeks gestational age fetus, mother not in labor
(a is better classified as "preterm premature rupture of membranes," and premature
rupture of membranes generally describes term infants with mothers who are not in
labor)
A fetus with oligohydramnios is at higher risk for:
a. gastrointestinal defects
b. neural defects
c. renal defects -CORRECT ANSWER c. renal defects
A birth results in an infant with amniotic bands around one of the legs. The nurse
counsels the parents that the risk of reoccurence:
a. is almost certain since amniotic bands are a dominant gene
b. is significant since amniotic bands are a recessive gene
c. is very small since amniotic bands are random in occurence -CORRECT ANSWER c. is
very small since amniotic bands are random in occurence
An infant born to a pregnant person with renal disease is at risk for which of the
following?
a. congenital heart defect
,b. intrauterine growth restriction
c. patent urachal cyst -CORRECT ANSWER b. intrauterine growth restriction (IUGR)
(other risks include premature birth and stillbirth)
Which of the following delivery modes places the infant at greatest risk for development
of Bell's palsy?
a. cesarean section under general anesthesia
b. forceps delivery (vaginal)
c. vacuum delivery (vaginal) -CORRECT ANSWER b. forceps delivery (vaginal)
Which of the following infants is most likely to develop transient tachypnea of the
newborn after birth?
a. 32 weeks gestational age infant born via vaginal delivery
b. 39 weeks gestational age infant born via planned c-section with no labor
c. 40 weeks gestational age infant born via c-section after spontaneous labor with
failure to progress -CORRECT ANSWER b. 39 weeks gestational age infant born via
planned c-section with no labor
A term, large for gestational age infant is delivered, but complicated by shoulder
dystocia that lasts 60 seconds. Which of the following would be most important to
assess for following delivery?
a. Erb's palsy
b. tonic neck reflex
c. positive Babinski sign -CORRECT ANSWER a. Erb's palsy
Which of the following tests are diagnostic of a fetal anomaly?
a. amniocentesis
b. nuchal translucency measurement
c. quad screen -CORRECT ANSWER a. amniocentesis
A mother has preeclampsia. Which of the following symptoms is the fetus at most risk
for developing?
a. fetal growth restriction
b. seizures
c. transent hypertension -CORRECT ANSWER a. fetal growth restriction
A mother has a biophysical profile performed and receives a score of 8/10. This is:
a. abnormal and indicates need for delivery
b. equivocal and may require continued monitoring
c. normal -CORRECT ANSWER c. normal
What is the most common mode of syphilis transmission?
a. birth canal during birth process
b. breastfeeding after birth
c. transplacental during pregnancy -CORRECT ANSWER c. transplacental during
pregnancy
, What is the most common maternal sexually transmitted infection that causes late onset
pneumonia in the infant?
a. chlamydia
b. gonorrhea
c. herpes -CORRECT ANSWER a. chlamydia
Lanugo is usually present in abundance by:
a. 26 weeks gestation
b. 30 weeks gestation
c. 34 weeks gestation -CORRECT ANSWER b. 30 weeks gestation
An infant is born to a mother with no prenatal care and a Ballard exam is completed.
The square window is noted to be approximately 0 degrees. This indicator shows that
the infant may be:
a. extremely premature
b. late preterm
c. term -CORRECT ANSWER c. term
(the more mature an infant is, the smaller the square window angle. a term baby's wrist
is very flexible and the fingers can just about touch the lower forearm)
Which of the following are risks for infants born large for gestational age?
a. anemia
b. hyperglycemia
c. perinatal asphyxia -CORRECT ANSWER c. perinatal asphyxia
An infant is born to a mother with no prenatal care and a Ballard exam is completed.
The scarf sign shows the ability of the elbow to be pulled well past the midline. This
indicates that the infant may be:
a. extremely premature
b. late preterm
c. term -CORRECT ANSWER a. extremely premature
An infant is noted to have a wide-spaced anterior fontanelle. This may be indicative of:
a. congenital cytomegalovirus
b. congenital hypothyroidism
c. DiGeorge syndrome -CORRECT ANSWER b. congenital hypothyroidism
(other physical symptoms include macroglossia, umbilical hernia and hypotonia)
An infant is noted to have blue sclerae at birth. This may be indicative of:
a. CHARGE syndrome
b. osteogenesis imperfecta
c. Turner syndrome -CORRECT ANSWER b. osteogenesis imperfecta
(other physical symptoms include bone fractures, dysmorphic facial features and
respiratory distress)
