RNC-NIC Exam
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
2026(GRADED A+) DETAILED
ANSWERS!!
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)
- 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)
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - 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**
- association of defects beginning w/ bilateral renal agenesis d/t failure of
the ureteric bud to divide
- urine formation does not occur --> low or absent amniotic fluid volumes
- fetal structures are compressed
COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS
2026(GRADED A+) DETAILED
ANSWERS!!
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)
- 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)
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - 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**
- association of defects beginning w/ bilateral renal agenesis d/t failure of
the ureteric bud to divide
- urine formation does not occur --> low or absent amniotic fluid volumes
- fetal structures are compressed
