CCPR Exam Questions with 100% Correct Answers | Verified

A major characteristic of autosomal recessive disorder is - correct answer Possible consanguinity A 2100 gram IUGR infant born at 38 weeks has an enlarged liver and spleen. Jaundice is present. To confirm cytomegalovirus infection, a culture should be obtained from the neonate's blood, spinal fluid, or urine within ______ - correct answer 2-4 weeks of birth Neonates with linear skull fractures commonly ______ - correct answer require follow up but complete recovery is typical A decision to provide morphine to a dying infant is framed by the principle of ______ - correct answer Nonmaleficence Absence of the ileocecal valve in the neonate with short bowel syndrome can lead to _______ - correct answer Bacterial overgrowth in the small bowel Which type of heat loss is minimized by using hats on infants in cribs? - correct answer Convection What medication may be prescribed for a newborn with mild to moderate ebstein's anomaly to help reduce right ventricular afterload and improve blood flow across the pulmonary valve - correct answer Sildenafil A 10 day old small for gestational age infant presents with abdominal distension, diarrhea, nonbilious emesis. A palpable mass is noted on physical examination. The most likely diagnosis is ______ - correct answer Lactobezoar A 2500 gram neonate with birth asphyxia develops hypocalemia. This is most likely the result of increased ____ - correct answer Calcitonin Orotracheal intubation is preferable to nasotracheal intubation during acute neonatal resuscitation because ______ - correct answer It can be performed without additional equipment Anemia of prematurity is characterized by a low reticulocyte count and _____ - correct answer Inadequate response to erythropoietin A neonate is born with bilateral dorsiflexion of the feet with limited plantar flexion and inversion. Exam reveals free mobility of the foot to passive manipulation. The nurse practitioner should recognize that ____ - correct answer the neonate should be evaluated for hip dysplasia A differentiating characteristic for gastroschisis from omphalocele is _____ - correct answer Thickened, inflamed intestine Increased bowel sounds are indicative of ____ - correct answer Malrotation A neonate born at 36 weeks gestation weighing 3000 grams is at increased risk for - correct answer Jaundice Preauricular ear tags are - correct answer Associated with brachial arch abnormalities What condition in term and near term infants should have a trial of inhaled nitric oxide - correct answer Hypoxic respiratory failure When caring for an infant on total parenteral nutrition, the nurse practitioner should recognize that ____ - correct answer Caloric intakes for parenteral nutrition are about 20% less than those for enteral nutrition The most common factor associated with increased mortality for neonates with disseminated herpes simplex virus is - correct answer Pneumonitis Neonatal tubular acidosis is a disorder that - correct answer develops secondary to medications or obstructive uropathy Hyperkalemia in the very low birth weight neonate with normal urine output during the first few hours of life is mainly due to ___ - correct answer High efflux of potassium from the intracellular compartment The increased glucose utilization in asphyxiated infants is complicated by - correct answer Hypoxic ischemic damage to the liver The finding of a third fontanelle along the sagittal suture suggests _____ - correct answer a congenital anomaly Surfactant replacement therapy has been demonstrated to reduce _____ - correct answer pneumothorax The major predisposing factor for the development of subarachnoid hemorrhage in the preterm infant is ____ - correct answer A hypoxic event Phototherapy is contraindicated with the following condition - correct answer Congenital erythropoietic porphyria Subarachnoid hemorrhages are often described as - correct answer Well baby with seizures A clinical indicator of the neonatal response to pain or stress is - correct answer Release of growth hormone Definitive diagnosis of HIV infection in a neonate born to an HIV positive mother requires - correct answer detection of HIV specific RNA Common behavioral manifestations of neonates who were exposed to cocaine in utero include - correct answer Difficulty alternating between alert and drowsy states A term neonate is found to have ambiguous genitalia. The anticipated immediate action would include obtaining ____ - correct answer blood electrolytes Most research studies regarding the use of soaps, lubricants and antimicrobial skin solutions in premature infants conclude - correct answer The use of emollient creams may be of benefit Neonatal manifestation of systemic lupus erythematosus is attributed to ___ - correct answer Placental transfer of antibodies to the fetus When caring for the newborn of a mother with a history of methadone maintenance, the following can be anticipated - correct answer Congenital infection Decreasing the amplitude on high frequency oscillators results in ______ - correct answer Increased PCO2 The length of a drugs half life is inflenced by - correct answer the volume of distribution Congenital cystic anomalies of the lung are associated with - correct answer Fetal hydrops A neonate is born to a mother with active syphilis. The infant screening titers are lower than those of the mother, and the infant has no symptomatology. The next course of action would be to ___ - correct answer No evaluation and no treatment is needed Parents of an infant with prune belly syndrome need to be advised about the future development of ___ - correct answer Renal obstruction A gallop rhythm is associated with - correct answer Congestive heart failure A plasma creatinine exceeding mg/dl in a week old infant indicates - correct answer renal dysfunction Intrauterine growth restricted infants are at risk for decreased glycogen stores because of ____ - correct answer Hypoxia induced increased catecholamine secretions A term neonate who was resuscited at birth, intubated, and placed on a ventilator in the NICU. An arterial blood as reveals a pH of 7.23, PCO2 of 49, PO2 36, and HCO3 19. Initial management of this neonate should incude increasing supplemental oxygen and - correct answer inceasing the peak inspiratory pressure The best predictor of bilirubin toxicity is - correct answer Hearing impairment Calcium is an essential component of the skeleton and plays an important role in - correct answer bone mineralization Markers of impaired fatty acid oxidation in neonates include - correct answer Cardiomyopathy the ability to habituate to sound is - correct answer indicative of an intact CNS Of the following, the most common environmental triggers for patent ductus arteriosus are - correct answer Amphetamines Neonatal Bartter Syndrome is an inherited disorder characterized by - correct answer Electrolyte imbalance and dehydration Criteria for successful weaning from an incubator to an open crib include that the infant - correct answer is medically stable The pattern of care provided to a neonate should be based on - correct answer the infant's cues and needs so caregiving can be initiated when the infant can best tolerate it Heart sounds indicative of aortic stenosis include - correct answer a harsh grade IV systolic murmur C reactive protein is believed to be - correct answer a carrier protein involved in removing foreign materials from damaged tissues Fixed position of the eyes during rotation of the head indicates - correct answer brain stem dysfunction On examination of the newborn head, the nurse practitioner palpates the margin of parietal and occipital regions along the lambdoidal suture. The area will collapse and recoil under gentle pressure. This finding is indicative of - correct answer Craniotabes The most frequent cause of hematuria in the neonate - correct answer Acute tubular necrosis Persistent massive proteinuria and edema noted in a neonate should prompt the consideration of - correct answer Congenital nephrotic syndrome Classic triad of symptoms of renal vein thrombosis includes - correct answer Flank mass, macroscopic hematuria, and Thrombocytopenia shunting with PPHN - correct answer always right to left Epiphora (excessive tearing) especially in combination with photophobia (light sensitivity) should suggest the possibility of - correct answer congenital glaucoma Neonatal cataracts are frequently associated with: A congenital hypoparathyroidism B downs syndrome C Turner syndrome - correct answer Congenital hypoparathyroidism The most common cause of conjunctivitis in the newborn is - correct answer Chlamydia trachomatis Which phase of retinopathy of prematurity is characterized by proliferation of blood vessels in response to markedly elevated increases in vascular endothelial growth factor and erythropoietin - correct answer Phase 2 In a premature infant, pupillary light reaction is present at approximately - correct answer 30