RNC-NIC Questions and Answers
Already Passed
Correct ETT placement ✔✔T1-T2
level of clavicles
Correct UVC placement ✔✔T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement ✔✔Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement ✔✔T3-5
Lower 1/3 of s. Vena cava
,Normal weight loss of preterm infant ✔✔10-15%
Healthy term infant requires how many kcal/kg/day for normal growth? ✔✔100-120 kcal/kg/day
Formula to calculate GIR ✔✔ml/kg/day x %dextrose ➗1.44
Normal GIR ✔✔4-6 ml/kg/min initially May go as high as 12
Anomalies associated with esophageal atresia ✔✔SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? ✔✔-premature
-IDM
-small left colon
-cystic fibrosis
,Signs of pyloric stenosis ✔✔Distended stomach on x-ray with little or no gas below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary ✔✔36.5 to 37.4°C
TTN vs RDS ✔✔Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
Natural diuresis occurs at_____________ hours of age as condition improves ✔✔48-72 hours
Prolonged rupture of membranes ✔✔Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting ✔✔15%
With PPHN goal is to keep PaO2 ________or > ✔✔50
, Signs and symptoms of MAS ✔✔Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia ✔✔Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
Micrognathia associated with ✔✔Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
Causes of pulmonary hemorrhage ✔✔Prematurity
Already Passed
Correct ETT placement ✔✔T1-T2
level of clavicles
Correct UVC placement ✔✔T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement ✔✔Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement ✔✔T3-5
Lower 1/3 of s. Vena cava
,Normal weight loss of preterm infant ✔✔10-15%
Healthy term infant requires how many kcal/kg/day for normal growth? ✔✔100-120 kcal/kg/day
Formula to calculate GIR ✔✔ml/kg/day x %dextrose ➗1.44
Normal GIR ✔✔4-6 ml/kg/min initially May go as high as 12
Anomalies associated with esophageal atresia ✔✔SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? ✔✔-premature
-IDM
-small left colon
-cystic fibrosis
,Signs of pyloric stenosis ✔✔Distended stomach on x-ray with little or no gas below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary ✔✔36.5 to 37.4°C
TTN vs RDS ✔✔Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
Natural diuresis occurs at_____________ hours of age as condition improves ✔✔48-72 hours
Prolonged rupture of membranes ✔✔Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting ✔✔15%
With PPHN goal is to keep PaO2 ________or > ✔✔50
, Signs and symptoms of MAS ✔✔Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia ✔✔Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
Micrognathia associated with ✔✔Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
Causes of pulmonary hemorrhage ✔✔Prematurity
