NNP Boards with Complete Solutions
. A severe illness during or after prolonged exposure to common antibiotics should
trigger suspicion for - correct Answer-Pseudomonas-induced late-onset sepsis
# of nephrons increases until - correct Answer-34-35 weeks
#1 precipitating factor for PPHN - correct Answer-asphyxia
124.
During the sixth week of gestation, the small intestine and colon herniate into the
umbilical cord because of the - correct Answer-exponential growth of the liver
140.
The neonatal nurse practitioner (NNP) understands the effect of hypoalbuminemia on
bilirubin clearance based on the knowledge that albumin acts as - correct Answer-a
carrier for transport to the liver
145.
Concomitant use of a loop diuretic and an aminoglycoside in the premature infant
increases the risk for - correct Answer-ototoxicity
161.
Lissencephaly is primarily a disorder of neuronal - correct Answer-migration
1st urine is formed at - correct Answer-3 months gestation (~12 weeks)
2 most common malignant tumors in newborn - correct Answer-Wilms and
neuroblastoma
2.
A velamentous insertion of the umbilical cord is associated with: - correct Answer-vasa
previa
2.
An initial sign of hyperkalemia on an EKG is - correct Answer-Peaked T waves, wide
QRS
4 modes of heat loss - correct Answer-EVAPORATION - heat loss through wet skin
CONVECTION - heat loss from cooler air circulating around warmer skin particularly
when exposed CONDUCTION - heat loss through direct contact with a cold surface
, (e.g. scales, unwarmed mattress) RADIATION - heat loss from heat radiating towards a
cooler surface (e.g. a cold window, wall or incubator wall)
49.
Diagnosis of short bowel syndrome (SBS) may be based on - correct Answer-Diagnosis
of SBS varies and may be based on length of remaining bowel or on the presence of
intestinal failure.
87.
Epispadius often occurs in association with the structural anomaly - correct Answer-
exstrophy of the bladder
90.
A male infant voids in the delivery room and the urine dribbles from the tip of his penis
rather than a steady stream. This would lead the neonatal nurse practitioner (NNP) to
suspect the presence of - correct Answer-PUV
A newborn exposed to rubeola should be given - correct Answer-immunoglobulin
A newborn infant's oxygen saturation at 10 minutes after birth should be a minimum of -
correct Answer-85% at 10 minutes of life
a serum peak level of a drug is generally reflective of the infants - correct Answer-
Volume of distribution
AFP levels - correct Answer-AFP
Low → Trisomy 21
High → NTDs (or multiple gestation)
AKI electrolyte changes you watch for - correct Answer-hyponatremia
hyperkalemia
hyperphosphatemia
hypocalcemia
metabolic acidosis
Alloimmune (ATP) - correct Answer-analogous to Rh incompatibility → maternal
antibodies are somehow exposed to foreign (paternal) fetal antigen, causing interaction
Mom's platelet count is NORMAL
Treatment: TRANSFUSE with mom's platelets (any circulating antibodies of mom's
won't target her own platelets -- so give these!)
ALLOcate the moms platelets to the baby
amnioinfusion - correct Answer-Infusion of a sterile isotonic solution into the uterine
cavity during labor to reduce umbilical cord compression
. A severe illness during or after prolonged exposure to common antibiotics should
trigger suspicion for - correct Answer-Pseudomonas-induced late-onset sepsis
# of nephrons increases until - correct Answer-34-35 weeks
#1 precipitating factor for PPHN - correct Answer-asphyxia
124.
During the sixth week of gestation, the small intestine and colon herniate into the
umbilical cord because of the - correct Answer-exponential growth of the liver
140.
The neonatal nurse practitioner (NNP) understands the effect of hypoalbuminemia on
bilirubin clearance based on the knowledge that albumin acts as - correct Answer-a
carrier for transport to the liver
145.
Concomitant use of a loop diuretic and an aminoglycoside in the premature infant
increases the risk for - correct Answer-ototoxicity
161.
Lissencephaly is primarily a disorder of neuronal - correct Answer-migration
1st urine is formed at - correct Answer-3 months gestation (~12 weeks)
2 most common malignant tumors in newborn - correct Answer-Wilms and
neuroblastoma
2.
A velamentous insertion of the umbilical cord is associated with: - correct Answer-vasa
previa
2.
An initial sign of hyperkalemia on an EKG is - correct Answer-Peaked T waves, wide
QRS
4 modes of heat loss - correct Answer-EVAPORATION - heat loss through wet skin
CONVECTION - heat loss from cooler air circulating around warmer skin particularly
when exposed CONDUCTION - heat loss through direct contact with a cold surface
, (e.g. scales, unwarmed mattress) RADIATION - heat loss from heat radiating towards a
cooler surface (e.g. a cold window, wall or incubator wall)
49.
Diagnosis of short bowel syndrome (SBS) may be based on - correct Answer-Diagnosis
of SBS varies and may be based on length of remaining bowel or on the presence of
intestinal failure.
87.
Epispadius often occurs in association with the structural anomaly - correct Answer-
exstrophy of the bladder
90.
A male infant voids in the delivery room and the urine dribbles from the tip of his penis
rather than a steady stream. This would lead the neonatal nurse practitioner (NNP) to
suspect the presence of - correct Answer-PUV
A newborn exposed to rubeola should be given - correct Answer-immunoglobulin
A newborn infant's oxygen saturation at 10 minutes after birth should be a minimum of -
correct Answer-85% at 10 minutes of life
a serum peak level of a drug is generally reflective of the infants - correct Answer-
Volume of distribution
AFP levels - correct Answer-AFP
Low → Trisomy 21
High → NTDs (or multiple gestation)
AKI electrolyte changes you watch for - correct Answer-hyponatremia
hyperkalemia
hyperphosphatemia
hypocalcemia
metabolic acidosis
Alloimmune (ATP) - correct Answer-analogous to Rh incompatibility → maternal
antibodies are somehow exposed to foreign (paternal) fetal antigen, causing interaction
Mom's platelet count is NORMAL
Treatment: TRANSFUSE with mom's platelets (any circulating antibodies of mom's
won't target her own platelets -- so give these!)
ALLOcate the moms platelets to the baby
amnioinfusion - correct Answer-Infusion of a sterile isotonic solution into the uterine
cavity during labor to reduce umbilical cord compression
