Even if you don't have any third party editor (Notepad++ etc.) then also you can create files with dot as prefix.
To create .htaccess
file, first create htaccess.txt file with Context Menu > New Text Document
.
Then press Alt + D
(Windows 7) and Ctrl + C
to copy the path from the Address bar of Windows Explorer.
Then go to command line and type code as below to rename your file:
rename C:\path\to\htaccess.txt .htaccess
Now you have a blank .htaccess
without opening it in any editor.
Hope this helps you out.