RNC NIC Questions and Answers
Graded A+
GIR ✔✔6-8mcg/kg/min caloric intake
D10 Bolus ✔✔2mL/kg
Fluid Volume Bolus ✔✔10mL/kg
Term Parenteral Fluid Requirement ✔✔80mL/kg/day
Enteral 100-150 mlk/kg/day
Preterm Parenteral Fluid Requirement ✔✔120
Enteral 150-200ml/kig/day
GIR Calculation ✔✔(%dextrose x IV rate) / (6 x wt in kg)
I/T ratio ✔✔%Metas + Bands / %Metas + Bands + Segs
,I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
Absolute Neutrophil COUNT ✔✔WBC x (%) Segmented neutrophils + band neutrophils +
metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Mature WBCs ✔✔Poly, Segs, Neutrophils
Immature WBCs ✔✔Meta, Bands, Stabs
Platelet Range ✔✔150-400k
,Thrombocytopenia (< 100,000/mm 3 ): possible association with bacterial sepsis or viral
infection, but usual onset does not occur until 1 to 3 days after infection onset (late indicator).
May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and intrauterine growth
restriction, as well as some syndromes such as trisomies 13, 18, and 21, Turner's syndrome, and
hemolytic disease.
CRP level ✔✔CRP level usually <1.6 for the first two days of life
Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged rupture of
membranes.
Most common pathogens ✔✔Currently, GBS
E. coli
Candidas ✔✔-Diaper dermatitis presents with intense erythema and satellite lesions.
-Congenital candidiasis presents with widespread erythematous maculopapular rash, and preterm
infants may present with pneumonia.
, Congenital CMV infection ✔✔congenital infection include: intrauterine growth restriction,
hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly, hydrocephalus, intracerebral
calcifications, hearing loss, chorioretinitis, and optic atrophy.
Endotracheal Measurement ✔✔6 + wt in kg
Proper placement on an endotracheal tube is midway between the thoracic inlet and the carina.
Polyethelane Wrap for Infant < 29 weeks ✔✔Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
UAC Placement ✔✔High Placement T6-T9
Low Placement L3-L4
UVC Placement ✔✔1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
Graded A+
GIR ✔✔6-8mcg/kg/min caloric intake
D10 Bolus ✔✔2mL/kg
Fluid Volume Bolus ✔✔10mL/kg
Term Parenteral Fluid Requirement ✔✔80mL/kg/day
Enteral 100-150 mlk/kg/day
Preterm Parenteral Fluid Requirement ✔✔120
Enteral 150-200ml/kig/day
GIR Calculation ✔✔(%dextrose x IV rate) / (6 x wt in kg)
I/T ratio ✔✔%Metas + Bands / %Metas + Bands + Segs
,I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
Absolute Neutrophil COUNT ✔✔WBC x (%) Segmented neutrophils + band neutrophils +
metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Mature WBCs ✔✔Poly, Segs, Neutrophils
Immature WBCs ✔✔Meta, Bands, Stabs
Platelet Range ✔✔150-400k
,Thrombocytopenia (< 100,000/mm 3 ): possible association with bacterial sepsis or viral
infection, but usual onset does not occur until 1 to 3 days after infection onset (late indicator).
May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and intrauterine growth
restriction, as well as some syndromes such as trisomies 13, 18, and 21, Turner's syndrome, and
hemolytic disease.
CRP level ✔✔CRP level usually <1.6 for the first two days of life
Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged rupture of
membranes.
Most common pathogens ✔✔Currently, GBS
E. coli
Candidas ✔✔-Diaper dermatitis presents with intense erythema and satellite lesions.
-Congenital candidiasis presents with widespread erythematous maculopapular rash, and preterm
infants may present with pneumonia.
, Congenital CMV infection ✔✔congenital infection include: intrauterine growth restriction,
hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly, hydrocephalus, intracerebral
calcifications, hearing loss, chorioretinitis, and optic atrophy.
Endotracheal Measurement ✔✔6 + wt in kg
Proper placement on an endotracheal tube is midway between the thoracic inlet and the carina.
Polyethelane Wrap for Infant < 29 weeks ✔✔Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
UAC Placement ✔✔High Placement T6-T9
Low Placement L3-L4
UVC Placement ✔✔1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
