RNC-NIC Neonatal Care Exam Review and
Practice 2025/2026
1. Correct ETT T1-T2
placement level of clavicles
2. Correct UVC T 8-9
placement 0.5-1 cm above diaphragm
Tip in inf. vena cava
3. Correct UAC Low-L3-4
placement Below renal arteries
High-T6-10
4. Correct PICC T3-5
placement Lower 1/3 of s. Vena cava
5. Normal weight 10-15%
loss of preterm
infant
6. Healthy term 100-120 kcal/kg/day
infant requires
how many
kcal/kg/day for
normal growth?
7. Formula to calcu- ml/kg/day x %dextrose 1—
.44
late GIR
8. Normal GIR 4-6 ml/kg/min initially May go as high as 12
9. Anomalies as- SGA
sociated with VATER synd.
esophageal atre- -vertebral
sia
, -imperf anus
-renal dysplasia
10. Increased risk of -premature
mec plug? -IDM
-small left colon
-cystic �brosis
11. Signs of pyloric Distended stomach on x-ray with little or no gas below duodenum
stenosis Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
12. Normal temp 36.5 to 37.4°C
range axillary
13. TTN vs RDS Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
14. Natural diuresis 48-72 hours
occurs
at_____________
hours of age as
condition
improves
15. Prolonged rup- Greater than 18 hours
ture of mem-
branes
16. Di�erence in 15%
PaO2 of________
or greater doc-
, uments ductal
shunting
17. With PPHN goal 50
is to keep PaO2
________or >
18. Signs and symp- Chest hyperin ated on x-ray
toms of MAS Low PaO2 with O2 given
Air leaks
Prone to PPHN
19. Treatment of mi- Prone positioning
crognathia Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if signi�cant compromise
20. Micrognathia as- Pierre Robin syndrome
sociated with Trisomy 18
Trisomy 21
Cri-du-chat syndrome
21. Causes of pul- Prematurity
monary hemor- Erythroblastosis
rhage Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Practice 2025/2026
1. Correct ETT T1-T2
placement level of clavicles
2. Correct UVC T 8-9
placement 0.5-1 cm above diaphragm
Tip in inf. vena cava
3. Correct UAC Low-L3-4
placement Below renal arteries
High-T6-10
4. Correct PICC T3-5
placement Lower 1/3 of s. Vena cava
5. Normal weight 10-15%
loss of preterm
infant
6. Healthy term 100-120 kcal/kg/day
infant requires
how many
kcal/kg/day for
normal growth?
7. Formula to calcu- ml/kg/day x %dextrose 1—
.44
late GIR
8. Normal GIR 4-6 ml/kg/min initially May go as high as 12
9. Anomalies as- SGA
sociated with VATER synd.
esophageal atre- -vertebral
sia
, -imperf anus
-renal dysplasia
10. Increased risk of -premature
mec plug? -IDM
-small left colon
-cystic �brosis
11. Signs of pyloric Distended stomach on x-ray with little or no gas below duodenum
stenosis Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
12. Normal temp 36.5 to 37.4°C
range axillary
13. TTN vs RDS Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
14. Natural diuresis 48-72 hours
occurs
at_____________
hours of age as
condition
improves
15. Prolonged rup- Greater than 18 hours
ture of mem-
branes
16. Di�erence in 15%
PaO2 of________
or greater doc-
, uments ductal
shunting
17. With PPHN goal 50
is to keep PaO2
________or >
18. Signs and symp- Chest hyperin ated on x-ray
toms of MAS Low PaO2 with O2 given
Air leaks
Prone to PPHN
19. Treatment of mi- Prone positioning
crognathia Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if signi�cant compromise
20. Micrognathia as- Pierre Robin syndrome
sociated with Trisomy 18
Trisomy 21
Cri-du-chat syndrome
21. Causes of pul- Prematurity
monary hemor- Erythroblastosis
rhage Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
