CCRN Neonatal
A 29 week gestation infant who shows signs and symptoms of a pulmonary hemorrhage
have to be evaluated for - ANS-patent ductus arteriosus.
A 38-week gestation neonate presents to the NICU with respiration distress signs and
symptoms and anuria. On bodily exam, she is found to have high blood pressure, bilateral
flank hundreds, and hypoplastic lungs. The fine prognosis for this presentation is -
ANS-polycystic kidney disease.
A 7-day-vintage neonate with an unremarkable health facility path who now gives with
increasing episodes of hypoglycemia, extreme metabolic acidosis, recurrent vomiting, and
high ammonia stages should be evaluated for what ailment? - ANS-✓ An inborn error of
metabolism
A clinical characteristic usually located in a neonate with Down syndrome is -
ANS-hypotonia.
A commonplace organism liable for early onset sepsis is - ANS-E. Coli. MOST not unusual is
GBS
A communicating hydrocephalus results from harm to the - ANS-arachnoid granulations.
Arachnoid granulations over the floor of the mind
A deformation is a(n) - ANS-abnormality because of unusual mechanical forces on ordinary
tissue.
A deformation is a(n) - ANS-abnormality due to uncommon mechanical forces on normal
tissue.
A discrepancy greater than 10 mm Hg among the blood pressure inside the top and lower
extremities is indicative of which illness? - ANS-Coarctation of the aorta
A fluid accumulation in the dermal layer of the pores and skin would be described as a -
ANS-wheal.
A complete term neonate who provides at six hours of age with more and more labile
oxygenation that looks disproportionate to the pulmonary disease must be evaluated for -
ANS-pulmonary hypertension of the newborn.
A GI collection might also monitor a "transition sector" wherein of the subsequent clinical
conditions? - ANS-Hirschprung's disorder
A hemorrhage related to delivery trauma that does NOT go suture strains is referred to as a -
ANS-cephalohematoma.
A low delivery weight little one's temperature will increase during skin-to-skin care. This is an
example of heat switch through - ANS-conduction.
A meconium plug is related to of the following conditions? - ANS-Uncontrolled maternal
diabetes
A mother is involved concerning the safety of her medicinal drugs and breastfeeding. What
is the satisfactory nursing intervention to reassure and aid the girl's breastfeeding goals? -
ANS-Find records at the protection of the medications while breastfeeding to proportion
along with her.
A neonate at 10 hours of age is discovered to be cyanotic and without respiratory misery
signs and symptoms. The EKG and chest x-ray are everyday. The management of oxygen
,isn't relieving the cyanosis. The healthcare provider need to have a excessive index of
suspicion for which of the subsequent defects? - ANS-Transposition of the superb vessels
A neonate at 12 hours of life with meconium aspiration syndrome who has been intubated
considering that birth all at once develops severe respiration distress, tachycardia, and
hypotension. Which analysis could be least likely to be in the differential? -
ANS-Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the subsequent? - ANS-Tachypnea,
thrombocytopenia, hypoglycemia
A newborn's maternal records consists of oligohydramnios collection. What might be an
predicted finding on bodily examination? - ANS-Compressed facial features potter's
collection;bilateral renal agenesis, atresia of the ureter or urethra, polycystic or multicystic
kidney ailment, renal hypoplasia, amniotic rupture, maternal hypertension/pre-e
A non-pharmacologic intervention that modulates the transmission or processing of
nociception through mediation by means of the endogenous nonopioid gadget is - ANS-Non
nutritive sucking; candy tasting answers
A papule is defined as a - ANS-stable, improved lesion with awesome borders less than
zero.5 cm in length. Solid or fluid filled lesions which might be extended with wonderful
borders; much less than 1 cm in diameter
A publish-op infant is exhibiting tachycardia, oxygen desaturations, and multiplied blood
stress. She obtained a dose of Fentanyl 1.Five hours in the past. Which of the following is
the MOST suitable movement? - ANS-Reposition the toddler with arms and legs flexed.
A preterm start may also put off the following steps of attachment from occurring EXCEPT -
ANS-accepting the being pregnant.
A precedence of control for the neonate diagnosed with polycystic kidney sickness is -
ANS-treatment of systemic high blood pressure. Tracking and treatment of high blood
pressure, nephrectomy from time to time indicated, peritoneal dialysis
A proper-to-left shunt can be visible with - ANS-pulmonary stenosis.
A sign that mother and father are experiencing acute strain disorder consists of -
ANS-having flashbacks of the trauma.
A subgaleal hemorrhage is dealt with as a clinical emergency because - ANS-big blood loss
may additionally lead to hypovolemic surprise.
According to the AAP, intubation tries ought to be limited to ______seconds. - ANS-30
seconds
According to the Synactive Theory of Development, the autonomic subsystem is liable for
which of the following? - ANS-Regulating cardiopulmonary activity regulates
cardiopulmonary pastime, GI peristalsis, peripheral pores and skin blood drift
All overdue preterm infants are at chance for hypoglycemia because of which of the
following? - ANS-Impaired potential to generate glucose from glycogen shops and multiplied
glucose usage
All of the subsequent are pointers for simple pores and skin care of the neonate except -
ANS-shower with slight cleaning soap and heat water as soon as according to day.
All of the subsequent have had an effect on the rising late preterm birth fee EXCEPT -
ANS-lowering maternal age.
All of the following boom parental self assurance in worrying for the overdue preterm little
one EXCEPT - ANS-open visitation so others can assist with new child care.
All of the subsequent interventions promote fantastic maturation of the auditory machine
EXCEPT - ANS-sterile health facility workspace or surroundings.
, All of the following may predispose an toddler to a subdural hemorrhage EXCEPT -
ANS-prematurity. Shoulder dystocia, vaginal breech, instrument assisted
All of the following neonatal pain scoring tools were examined on newborns EXCEPT -
ANS-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales), CRIES
(Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness) had been
used
An absence of air flow no matter respiration effort is an example of which apnea
classification? - ANS-Obstructive apnea
An edematous, bruised lesion on the proper anterior scalp wherein the vacuum became
applied. This lesion has virtually demarcated edges, is firm to the touch, and does not go the
suture line. This is excellent described as a - ANS-cephalohematoma.
An infant born at 36 weeks gestation is small for gestational age and hypotonic. Her bodily
examination yields low set, "fawn-like" ears and micrognathia. A renal ultrasound shows
horseshoe fashioned kidneys. She additionally has a noisy, audible murmur and an
echocardiogram yields a large VSD. Which congenital anomaly do you observed? -
ANS-Edwards syndrome
An toddler born at 40 five/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In
completing a gestational age assessment in this toddler, you would pick out her as -
ANS-term, small for gestational age.
An toddler exhibiting apnea, bradycardia, reduced reflexes, hypotonia, and unequal pupillary
response might be diagnosed with which level of hypoxic ischemic encephalopathy? -
ANS-Stage III
An little one whose start weight is at what percentile on the growth chart is at multiplied
hazard for hypoglycemia due hyperinsulinism? - ANS-97th
An underpenetrated x-ray might also result in over analysis of - ANS-breathing misery
syndrome.
Anemia because of reduced purple blood cellular survival have to be expected within the
neonate with a history of - ANS-isoimmune-mediated hemolysis.
Antenatal steroids decorate lung maturation via - ANS-growing the range of kind II
pneumocytes inside the lung.
Appropriate nutritional control of the neonate with congestive coronary heart failure is
pleasant accomplished by means of which of the following? - ANS-Individualizing to reduce
power consumption
At about _____ weeks of gestation the heart has developed a totally functioning electric
conduction machine. - ANS-10
At how many weeks gestation is suck-swallow-breathe coordination gift? - ANS-34-36
At the 14-day-vintage pediatric visit for a preterm Baby, her mom states she is pumping 4
times a day, and her 24-hour milk volume is 300 milliliters. What will be the quality
response? - ANS-"Let's talk about the way to increase the quantity of pumping periods to 8
or extra in a 24-hour period."
At the onset of exertions the release of catecholamines stimulates - ANS-multiplied
absorption of lung fluid.
Autoregulation is a system that - ANS-maintains consistent-country cerebral blood glide
notwithstanding modifications in cerebral perfusion stress. The capacity to preserve
steady-state cerebral blood waft in spite of modifications in cerebral perfusion pressure; lets
in frame to divert blood to wherein it's miles maximum wished;
A 29 week gestation infant who shows signs and symptoms of a pulmonary hemorrhage
have to be evaluated for - ANS-patent ductus arteriosus.
A 38-week gestation neonate presents to the NICU with respiration distress signs and
symptoms and anuria. On bodily exam, she is found to have high blood pressure, bilateral
flank hundreds, and hypoplastic lungs. The fine prognosis for this presentation is -
ANS-polycystic kidney disease.
A 7-day-vintage neonate with an unremarkable health facility path who now gives with
increasing episodes of hypoglycemia, extreme metabolic acidosis, recurrent vomiting, and
high ammonia stages should be evaluated for what ailment? - ANS-✓ An inborn error of
metabolism
A clinical characteristic usually located in a neonate with Down syndrome is -
ANS-hypotonia.
A commonplace organism liable for early onset sepsis is - ANS-E. Coli. MOST not unusual is
GBS
A communicating hydrocephalus results from harm to the - ANS-arachnoid granulations.
Arachnoid granulations over the floor of the mind
A deformation is a(n) - ANS-abnormality because of unusual mechanical forces on ordinary
tissue.
A deformation is a(n) - ANS-abnormality due to uncommon mechanical forces on normal
tissue.
A discrepancy greater than 10 mm Hg among the blood pressure inside the top and lower
extremities is indicative of which illness? - ANS-Coarctation of the aorta
A fluid accumulation in the dermal layer of the pores and skin would be described as a -
ANS-wheal.
A complete term neonate who provides at six hours of age with more and more labile
oxygenation that looks disproportionate to the pulmonary disease must be evaluated for -
ANS-pulmonary hypertension of the newborn.
A GI collection might also monitor a "transition sector" wherein of the subsequent clinical
conditions? - ANS-Hirschprung's disorder
A hemorrhage related to delivery trauma that does NOT go suture strains is referred to as a -
ANS-cephalohematoma.
A low delivery weight little one's temperature will increase during skin-to-skin care. This is an
example of heat switch through - ANS-conduction.
A meconium plug is related to of the following conditions? - ANS-Uncontrolled maternal
diabetes
A mother is involved concerning the safety of her medicinal drugs and breastfeeding. What
is the satisfactory nursing intervention to reassure and aid the girl's breastfeeding goals? -
ANS-Find records at the protection of the medications while breastfeeding to proportion
along with her.
A neonate at 10 hours of age is discovered to be cyanotic and without respiratory misery
signs and symptoms. The EKG and chest x-ray are everyday. The management of oxygen
,isn't relieving the cyanosis. The healthcare provider need to have a excessive index of
suspicion for which of the subsequent defects? - ANS-Transposition of the superb vessels
A neonate at 12 hours of life with meconium aspiration syndrome who has been intubated
considering that birth all at once develops severe respiration distress, tachycardia, and
hypotension. Which analysis could be least likely to be in the differential? -
ANS-Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the subsequent? - ANS-Tachypnea,
thrombocytopenia, hypoglycemia
A newborn's maternal records consists of oligohydramnios collection. What might be an
predicted finding on bodily examination? - ANS-Compressed facial features potter's
collection;bilateral renal agenesis, atresia of the ureter or urethra, polycystic or multicystic
kidney ailment, renal hypoplasia, amniotic rupture, maternal hypertension/pre-e
A non-pharmacologic intervention that modulates the transmission or processing of
nociception through mediation by means of the endogenous nonopioid gadget is - ANS-Non
nutritive sucking; candy tasting answers
A papule is defined as a - ANS-stable, improved lesion with awesome borders less than
zero.5 cm in length. Solid or fluid filled lesions which might be extended with wonderful
borders; much less than 1 cm in diameter
A publish-op infant is exhibiting tachycardia, oxygen desaturations, and multiplied blood
stress. She obtained a dose of Fentanyl 1.Five hours in the past. Which of the following is
the MOST suitable movement? - ANS-Reposition the toddler with arms and legs flexed.
A preterm start may also put off the following steps of attachment from occurring EXCEPT -
ANS-accepting the being pregnant.
A precedence of control for the neonate diagnosed with polycystic kidney sickness is -
ANS-treatment of systemic high blood pressure. Tracking and treatment of high blood
pressure, nephrectomy from time to time indicated, peritoneal dialysis
A proper-to-left shunt can be visible with - ANS-pulmonary stenosis.
A sign that mother and father are experiencing acute strain disorder consists of -
ANS-having flashbacks of the trauma.
A subgaleal hemorrhage is dealt with as a clinical emergency because - ANS-big blood loss
may additionally lead to hypovolemic surprise.
According to the AAP, intubation tries ought to be limited to ______seconds. - ANS-30
seconds
According to the Synactive Theory of Development, the autonomic subsystem is liable for
which of the following? - ANS-Regulating cardiopulmonary activity regulates
cardiopulmonary pastime, GI peristalsis, peripheral pores and skin blood drift
All overdue preterm infants are at chance for hypoglycemia because of which of the
following? - ANS-Impaired potential to generate glucose from glycogen shops and multiplied
glucose usage
All of the subsequent are pointers for simple pores and skin care of the neonate except -
ANS-shower with slight cleaning soap and heat water as soon as according to day.
All of the subsequent have had an effect on the rising late preterm birth fee EXCEPT -
ANS-lowering maternal age.
All of the following boom parental self assurance in worrying for the overdue preterm little
one EXCEPT - ANS-open visitation so others can assist with new child care.
All of the subsequent interventions promote fantastic maturation of the auditory machine
EXCEPT - ANS-sterile health facility workspace or surroundings.
, All of the following may predispose an toddler to a subdural hemorrhage EXCEPT -
ANS-prematurity. Shoulder dystocia, vaginal breech, instrument assisted
All of the following neonatal pain scoring tools were examined on newborns EXCEPT -
ANS-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales), CRIES
(Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness) had been
used
An absence of air flow no matter respiration effort is an example of which apnea
classification? - ANS-Obstructive apnea
An edematous, bruised lesion on the proper anterior scalp wherein the vacuum became
applied. This lesion has virtually demarcated edges, is firm to the touch, and does not go the
suture line. This is excellent described as a - ANS-cephalohematoma.
An infant born at 36 weeks gestation is small for gestational age and hypotonic. Her bodily
examination yields low set, "fawn-like" ears and micrognathia. A renal ultrasound shows
horseshoe fashioned kidneys. She additionally has a noisy, audible murmur and an
echocardiogram yields a large VSD. Which congenital anomaly do you observed? -
ANS-Edwards syndrome
An toddler born at 40 five/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In
completing a gestational age assessment in this toddler, you would pick out her as -
ANS-term, small for gestational age.
An toddler exhibiting apnea, bradycardia, reduced reflexes, hypotonia, and unequal pupillary
response might be diagnosed with which level of hypoxic ischemic encephalopathy? -
ANS-Stage III
An little one whose start weight is at what percentile on the growth chart is at multiplied
hazard for hypoglycemia due hyperinsulinism? - ANS-97th
An underpenetrated x-ray might also result in over analysis of - ANS-breathing misery
syndrome.
Anemia because of reduced purple blood cellular survival have to be expected within the
neonate with a history of - ANS-isoimmune-mediated hemolysis.
Antenatal steroids decorate lung maturation via - ANS-growing the range of kind II
pneumocytes inside the lung.
Appropriate nutritional control of the neonate with congestive coronary heart failure is
pleasant accomplished by means of which of the following? - ANS-Individualizing to reduce
power consumption
At about _____ weeks of gestation the heart has developed a totally functioning electric
conduction machine. - ANS-10
At how many weeks gestation is suck-swallow-breathe coordination gift? - ANS-34-36
At the 14-day-vintage pediatric visit for a preterm Baby, her mom states she is pumping 4
times a day, and her 24-hour milk volume is 300 milliliters. What will be the quality
response? - ANS-"Let's talk about the way to increase the quantity of pumping periods to 8
or extra in a 24-hour period."
At the onset of exertions the release of catecholamines stimulates - ANS-multiplied
absorption of lung fluid.
Autoregulation is a system that - ANS-maintains consistent-country cerebral blood glide
notwithstanding modifications in cerebral perfusion stress. The capacity to preserve
steady-state cerebral blood waft in spite of modifications in cerebral perfusion pressure; lets
in frame to divert blood to wherein it's miles maximum wished;
