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PN 259 FINAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS/ALREADY GRADED A+

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Anxiety - ANSWERcan be caused by financial problems related to housing and medical expenses. Fear of the unknown. Show as confusion, behavior changes or withdrawal. Types of anxiety - ANSWERgeneralized anxiety disorder, phobic disorders, OCD, PTSD Possible symptoms of anxiety - ANSWERfatigue, headache, Increased HR and BP, difficulty breathing Nursing interventions (anxiety) - ANSWERbuild trust, restore comfort, modify communication, adjust teaching, help problem solve, ensure safety

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CCRN-Neo Test Prep Exam Questions and
Correct Answers Rated A+ 2024

Infant's responses to pain - ANSWER>>Affected by gestational age,
frequency of prior painful procedures, and use of analgesics during
the hospital stay.

Monitoring of urine output - ANSWER>>while use continuous positive
pressure ventilation (PPV) is warranted.

Canalicular phase: - ANSWER>>The distal pulmonary vasculature and
capillary networks develop.

Turner syndrome: - ANSWER>>(1:2500) results in widely spread
nipples, a short webbed neck, and edema of the hands and feet.

Epinephrine: - ANSWER>>A cardiac stimulant that increases the heart
rate and the strength of contractions, causes peripheral
vasoconstriction, and increases the blood flow through the coronary
arteries and the brain.

MOC on Mag Sulfate: - ANSWER>>Infant is at risk of lethargy,
hypotonia, and apnea.

Coarctation of the aorta: - ANSWER>>The symptoms of
hepatomegaly, tachycardia, tachypnea and the gallop rhythm suggest
this infant is in congestive heart failure. A classic finding of coarc of
the aorta is diminished pulses in the lower extremities. So is a split
>15 mmHg in systolic pressures between the UE and LE's.

PPHN: - ANSWER>>Generally presents within 12 hours of life with
resp distress, systolic murmur, and a single heart sound. UE and LE's
pressures are usually the same.

, PICC/UVC Placement: - ANSWER>>The correct tip position of the
PICC is in the lower third of the vena cava, or approximately between
T3-T5. UVC: The tip of the UVC should be placed in the inferior vena
cava just below the vena cava and the right atrium, which is T8 → T9

Meconium aspiration: - ANSWER>>On radiograph (xray)
characterized by bilateral asymmetry, with areas of atelectasis and a
patchy appearance. The initial intervention is to administer O2.

Pulmonary interstitial emphysema (PIE): - ANSWER>>appears as
(xray) distinct rounded or linear thoracic lucencies that may be
unilateral or bilateral

APGAR scores: - ANSWER>>Are influenced by interventions and
gestational age.

Elevated alkaline phosphatase level in ex-24 week infant: -
ANSWER>>Findings suggest metabolic bone disease. Handling the
infant as carefully as possible is an important nursing consideration.

SGA and hypoglycemia: - ANSWER>>The incidence of hypoglycemia
in SGA infants is 15%. SGA infants lack the glycogen stores
necessary for maintaining blood glucose levels after birth.

Tube thoracotomy (chest tube) following a chylothorax: -
ANSWER>>The nurse should monitor the infant for infection. The
pleural fluid draining from a chylothorax contains large amounts of
lymphocytes. Without these, the infant is placed at greater risk of
infection. (Chylothorax is a type of pleural effusion containing lymph
fluid).

Macrosomia (LGA): - ANSWER>>Presumed causes include maternal
insulin resistance, hyperglycemia, and hyperaminoacidemia.

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