NCC CORE RNC (Neonatal Intensive
Care) EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Maternal serum alpha-fetoprotein (MSAFP) - ANSWER ✔ indicates an
open neural tube defect
2. When is MSAFP tested? - ANSWER ✔ 16-18 weeks gestation
3. chorionic villus sampling - ANSWER ✔ a test made in early pregnancy to
detect congenital abnormalities in the fetus.
4. When is CVS performed? - ANSWER ✔ 1st trimester
5. Amniocentesis - ANSWER ✔ assesses fetal lung maturity
6. When is amniocentesis performed? - ANSWER ✔ 2nd trimester
7. Biophysical profile - ANSWER ✔ APGAR score for the fetus
,8. preeclampsia - ANSWER ✔ hypotension with or without proteinuria
9. eclampsia - ANSWER ✔ seizures
10.most common intrauterine infection - ANSWER ✔ CMV
11.how is CMV treated - ANSWER ✔ gancyclovir
12.S/sx of toxoplasmosis in the mom - ANSWER ✔ flu-like symptoms
13.first pass effect - ANSWER ✔ PO med doses > IV med doses because it has
to be metabolized by GI tract first
14.what does the half life determine - ANSWER ✔ how often to give the drug
15.examples of drugs with a narrow therapeutic index - ANSWER ✔
gentamicin, vancomicin
16.side effects of steroids - ANSWER ✔ hyperglycemia, hypertension
17.side effects of indocin - ANSWER ✔ renal failure, dilutional hyponatermia
from the decreased UOP
,18.what risks are increased with use of gentamicin - ANSWER ✔
nephrotoxicity and ototoxicity
19.what to watch for when a patient is on PGE's - ANSWER ✔ apnea
20.what to watch for before giving volume resuscitation - ANSWER ✔ CHF
21.usually don't give bicarb with a CO2 > ? - ANSWER ✔ 55
22.side effects of FAS - ANSWER ✔ indistinct flat philtrum, septal heart
defects
23.meth and cocaine use increase the risk of? - ANSWER ✔ sids
24.why do we not give narcan to infants of moms with suspected narcotic abuse
or on methadone? - ANSWER ✔ causes rapid withdrawal and seizures
25.normal plasma glucose for term - ANSWER ✔ 40-80
26.definition of hypoglycemia - ANSWER ✔ <36
27.hypoglycemia often results from? - ANSWER ✔ hyperinsulinemia
28.A mother is admitted for hypertension, proteinuria, and a headache at 32
weeks' gestation. Shortly after admission, she progresses to eclampsia. The
nurse should anticipate that the definitive treatment for this condition is: -
, ANSWER ✔ The development of seizures in the setting of preeclampsia is
termed eclampsia when all other causes of seizure have been ruled out.
In the setting of preeclampsia in an otherwise stable mother, expectant
management may be considered if less than 32 weeks' gestation. Mothers
with preeclampsia who present before 34 weeks' gestation should be given
antihypertensive medications for blood pressure control, magnesium sulfate
for seizure prophylaxis and fetal neuroprotection, and betamethasone for
fetal lung maturation.
However, immediate delivery should occur with any maternal or fetal
deterioration such as eclampsia.
29.Antiepileptic Drugs affects (teratogenic) on fetus - ANSWER ✔ Pregnant
women should receive the smallest dose of antiepileptic drugs (AEDs) to
effectively control the seizures and should be managed with monotherapy
whenever possible to avoid the risk of tetragenicity. Congenital
malformations often seen with AED use during pregnancy include neural
tube defects, heart disease, limb anomalies, intestinal atresias, and cleft lip
and palate. Many AEDs, particularly valproic acid and carbamazepine, are
associated with low maternal folate levels and pose a significant risk for
neural tube defects in the fetus.
30.Monitoring an infant for pain who has undergone surgery and still showing
affects of anesthesia; the nurse should monitor - ANSWER ✔ Vital Signs
An elevated heart rate and/or blood pressure may indicate the need for pain
medication.
31.Subcutaneous lidocaine should be used for - ANSWER ✔ Subcutaneous
lidocaine should be considered for lumbar puncture and chest tube insertion.
Care) EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Maternal serum alpha-fetoprotein (MSAFP) - ANSWER ✔ indicates an
open neural tube defect
2. When is MSAFP tested? - ANSWER ✔ 16-18 weeks gestation
3. chorionic villus sampling - ANSWER ✔ a test made in early pregnancy to
detect congenital abnormalities in the fetus.
4. When is CVS performed? - ANSWER ✔ 1st trimester
5. Amniocentesis - ANSWER ✔ assesses fetal lung maturity
6. When is amniocentesis performed? - ANSWER ✔ 2nd trimester
7. Biophysical profile - ANSWER ✔ APGAR score for the fetus
,8. preeclampsia - ANSWER ✔ hypotension with or without proteinuria
9. eclampsia - ANSWER ✔ seizures
10.most common intrauterine infection - ANSWER ✔ CMV
11.how is CMV treated - ANSWER ✔ gancyclovir
12.S/sx of toxoplasmosis in the mom - ANSWER ✔ flu-like symptoms
13.first pass effect - ANSWER ✔ PO med doses > IV med doses because it has
to be metabolized by GI tract first
14.what does the half life determine - ANSWER ✔ how often to give the drug
15.examples of drugs with a narrow therapeutic index - ANSWER ✔
gentamicin, vancomicin
16.side effects of steroids - ANSWER ✔ hyperglycemia, hypertension
17.side effects of indocin - ANSWER ✔ renal failure, dilutional hyponatermia
from the decreased UOP
,18.what risks are increased with use of gentamicin - ANSWER ✔
nephrotoxicity and ototoxicity
19.what to watch for when a patient is on PGE's - ANSWER ✔ apnea
20.what to watch for before giving volume resuscitation - ANSWER ✔ CHF
21.usually don't give bicarb with a CO2 > ? - ANSWER ✔ 55
22.side effects of FAS - ANSWER ✔ indistinct flat philtrum, septal heart
defects
23.meth and cocaine use increase the risk of? - ANSWER ✔ sids
24.why do we not give narcan to infants of moms with suspected narcotic abuse
or on methadone? - ANSWER ✔ causes rapid withdrawal and seizures
25.normal plasma glucose for term - ANSWER ✔ 40-80
26.definition of hypoglycemia - ANSWER ✔ <36
27.hypoglycemia often results from? - ANSWER ✔ hyperinsulinemia
28.A mother is admitted for hypertension, proteinuria, and a headache at 32
weeks' gestation. Shortly after admission, she progresses to eclampsia. The
nurse should anticipate that the definitive treatment for this condition is: -
, ANSWER ✔ The development of seizures in the setting of preeclampsia is
termed eclampsia when all other causes of seizure have been ruled out.
In the setting of preeclampsia in an otherwise stable mother, expectant
management may be considered if less than 32 weeks' gestation. Mothers
with preeclampsia who present before 34 weeks' gestation should be given
antihypertensive medications for blood pressure control, magnesium sulfate
for seizure prophylaxis and fetal neuroprotection, and betamethasone for
fetal lung maturation.
However, immediate delivery should occur with any maternal or fetal
deterioration such as eclampsia.
29.Antiepileptic Drugs affects (teratogenic) on fetus - ANSWER ✔ Pregnant
women should receive the smallest dose of antiepileptic drugs (AEDs) to
effectively control the seizures and should be managed with monotherapy
whenever possible to avoid the risk of tetragenicity. Congenital
malformations often seen with AED use during pregnancy include neural
tube defects, heart disease, limb anomalies, intestinal atresias, and cleft lip
and palate. Many AEDs, particularly valproic acid and carbamazepine, are
associated with low maternal folate levels and pose a significant risk for
neural tube defects in the fetus.
30.Monitoring an infant for pain who has undergone surgery and still showing
affects of anesthesia; the nurse should monitor - ANSWER ✔ Vital Signs
An elevated heart rate and/or blood pressure may indicate the need for pain
medication.
31.Subcutaneous lidocaine should be used for - ANSWER ✔ Subcutaneous
lidocaine should be considered for lumbar puncture and chest tube insertion.
