RNC-NIC REVIEW SET || MOST RECENT EXAM
2026/2027 ACTUAL COMPLETE REAL VERIFIED EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
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The BPP is currently the primary method for evaluating
fetal well-being through the assessment of various
activities that are controlled by the nervous system and
are sensitive to oxygenation. The five variables included in
the BPP are:
A. fetal tone, fetal breathing, fetal movement, nonstress
test, and amniotic fluid volume
B. fetal movement, fetal tone, nonstress test, amniotic fluid
index, and fetal position.
C. fetal tone, fetal position, amniotic fluid volume, FHR,
and fetal activity.
D. FHR, fetal movement, nonstress test, amniotic fluid
volume, and fetal tone - Answer-A. The BPP is an
evaluation of fetal well-being through the use of various
reflex activities that are controlled by the CNS and are
sensitive to hypoxia, as well as the fetal environment that
can affect fetal well-being. The biophysical activities are
the first to develop and the last to disappear when
asphyxia occurs. The BPP consists of assessments of 5
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fetal variables: fetal tone, fetal movement, fetal breathing,
fetal reactivity (nonstress test), and amniotic fluid volume.
Fetal position and FHR are NOT included in the BPP.
An appropriate GA for glucose screening in women who
are at low risk for developing GDM in pregnancy is:
A. 20-21 wks gestation
B. 22-23 wks gestation
C. 24-28 wks gestation
D. 32-34 wks gestation - Answer-C. Pts who are at low risk
for developing GDM (<25 yrs, normal weight before
pregnancy, not a member of a high-risk ethnic or racial
group, no diabetes in a 1st degree relative, no Hx of
abnormal glucose tolerance, and no Hx of poor obstetric
outcome) are tested between 24-28 wks gestation. Pts
with risk factors (>35 yrs, BMI >30, Hx of GDM, delivery of
an LGA infant, PCOS, strong family Hx of diabetes) should
receive a plasma glucose screening at their first prenatal
visit followed by one at 24-28 wks.
When women give birth sitting upright, which of the
following indicators show lower values in cord blood?
A. pH
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B. PCO2
C. PO2
D. Base excess - Answer-B. Values of PCO2 are lower
when women give birth in an upright position than when
they give birth in the supine position. The supine position
can result in increased abdominal and intrathoracic
pressure, increased vasoconstriction, increased maternal
BP, and increased intrauterine pressure and result in
decreased blood flow to the uterus and intervillous space.
Upright and lateral positions during labor result in fewer
nonreassuring characteristics of the FHR, higher pH, and
PO2 levels. A normal pH, PO2, and PCO2 should reflect a
normal base excess.
Which of the following descriptions defines a
cephalohematoma?
A. Pitting edema that extends across the suture lines
caused by pressure generated on the fetal skull by the
cervix. Edema generally resolves in a few days.
B. Collection of blood between the periosteum and the
skull and does not cross the suture line. It may enlarge
during the 24hrs after birth and may take several months
to resolve.
C. Premature closure of the cranial suture with a palpable
suture line.
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D. Hemorrhage into the space between the galea
aponeurotica and the periosteum. Hematoma may cross
the suture lines and may lead to exsanguinations of the
infant. - Answer-B. A cephalohematoma is a collection of
blood between the periosteum and the skull that does not
cross the suture line. It may enlarge during the 24hrs after
birth and may take several months to resolve. These
infants are at higher risk for developing hyperbilirubinemia.
A caput succedaneum is caused from pressure on the
fetal skull by the cervix during labor. A common
characteristic of a caput succedaneum is pitting edema
that extends across the suture lines. Edema generally
resolves within a few days. Craniosynostosis is the
premature closure of the cranial sutures. A hemorrhage
into the space between the galea aponeurotica and the
periosteum is a subgaleal hemorrhage.
A patient who is G3P2 at 33 wks gestation arrives at the
triage unit complaining of regular uterine contractions. Her
pregnancy Hx includes a preterm delivery at 34 wks.
Before examining her, the nurse performs electronic fetal
monitoring and obtains a complete Hx. The pt reports no
bleeding and no ROM. She has had no vaginal
examinations or sexual activity for more than 24 hours.
The biochemical marker useful in this situation for
predicting preterm birth is: