NPS Exam with Complete Solutions
Assessments to measure how well a patient is ventilating - ANS-RR, Vt, Chest mov't,
Breath Sounds, PETCO2, PaCO2
Most common problem in neonates and children? - ANS-Oxygenation
Para - ANS-Birth after 20 weeks
Gravida - ANS-# of pregnancies
Pre-eclampsia - ANS-When a pregnant woman develops high blood pressure and
protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy.
Treatment of Preeclampsia and Eclampsia - ANS--if mild, often bed rest, balanced diet,
lower Blood pressure
-Primary treatment of both is delivery if >35 weeks
Nagele's Rule - ANS-1st day of last period + 7 days - 3 months
Fetal Ultrasound for determining gestational age - ANS-Measures fetal head
Score and interpretation of Biophysical Profile - ANS-8-10 Normal, fetus is not hypoxic
and CNS is functional
6 repeat in 24 hours
<5 abnormal, repeat testing if >32 weeks induce labor
AFI (amniotic fluid index) - ANS-less than 5-6: oligohydramnios
8-18 normal
>20-24 Polyhydramnios
Olihydramnios - ANS-associated with Potters Syndrome
polyhydramnios - ANS-excessive amniotic fluid associated with TE fistula, esophageal
atresia
Ways to measure lung maturity - ANS-L/S Ratio
PG (Phosphatidylglycerol)
S/A (Surfactant/Albumin)
LBC (Lamellar Body Count)
Shake Test
,How to measure L/S Ratio and normal - ANS-via amniocenteses
2:1 or higher indicates pulmonary maturity and low risk of RDS
Phosphatidyglycerol (PG) - ANS-best diagnosis of lung maturity when diabetes is
suspected
surfactant/albumin ratio - ANS-55 or greater is good. Less expensive than LS and
cheaper
LBC (Lamellar bodies count) - ANS-lung maturity is reached when LBC reaches 35,000
Shake Test - ANS-Mix amniotic fluid with 95% ethanol, results in 15 minutes, presence
of bubbles indicates the presence of surfactant. Not as specific as the L/S Ratio
Coombs Test - ANS-a test for the presence of anti-Rh factor antibodies in the blood
(this is often given to pregnant women that are Rh- to see if they will mount an immune
response against the blood of their fetus)
AFP (alpha-fetoprotein) - ANS-measured in maternal blood or amniotic fluid, screening
for certain abnormalities such as Omphalocele
Gastroschisis
SPINA BIFIDA
An apgar score of 4 reprents - ANS-moderate depression
An infection in a newborn is more commonly associated with - ANS-hypothermia
An L/S ratio greater than _______indicates lung maturity. - ANS-2:1
What is the normal sweat chloride test - ANS-<30 mmol/L
Transplacental means what - ANS-infection from the moms blood
what are some transplacental infection examples - ANS-rubella (German measles)
syphillis
CMV (cytomegalovirus)
What type of infection is Gonorrhea - ANS-Perinatal ( acquired during or after delivery)
Treatment of Toxemia - ANS-bed rest
diet
salt restriction
What is toxemia also called - ANS-pre-eclampsia
Examples of perinatal infections - ANS-Gonnorrhea
, Herpes
HIV
Hep B
Group B Strep
What type of anesthetic could induce respiratory distress in an infant? - ANS-General
Transient Tachypnea of the newborn typically occurs as a result of - ANS-delayed
removal of fetal lung fluid
Normal fetal heart rate - ANS-110-160 bpm
Prolonged rupture of the amniotic fluid may result in - ANS-neonatal sepsis
Dubowitz Score - ANS-used to determine the gestational age of newborn
What is periodic breathing - ANS-episodes of apnea less than 10 seconds alternating
with normal breathing
Pre and Post ductal blood gas studies are preformed to evaluate - ANS-R to L shunting
What is the most accurate site to monitor body temperature in the newborn? - ANS-Skin
When clubbing is present - ANS-the angle of the nail bed is increased
What condition could cause acrocyanosis - ANS-hypothermia
Respiratory grunting is a sound heard at the end of - ANS-EXPIRATION, just before a
RAPID inspiration
Transilluminatation of the chest is recommended when the neonatal/pediatric specialist
suspects the presence of a - ANS-tension pneumothorax
Poor femoral pulses may indicate - ANS-coarctation of the aorta
Vibrations that are felt on the chest wall due to secretions' are referred to as - ANS-
Tactile Fremitus
Optimum chest wall placement for an infant with a pneumothorax is in the - ANS-
anterior chest wall
What is PIE (Pulmonary Interstitial Emphysema)? - ANS-Air released into the tissues
surrounding the bronchi
A Pleural Effusion is best demonstrated by - ANS-a lateral decubitus film
Assessments to measure how well a patient is ventilating - ANS-RR, Vt, Chest mov't,
Breath Sounds, PETCO2, PaCO2
Most common problem in neonates and children? - ANS-Oxygenation
Para - ANS-Birth after 20 weeks
Gravida - ANS-# of pregnancies
Pre-eclampsia - ANS-When a pregnant woman develops high blood pressure and
protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy.
Treatment of Preeclampsia and Eclampsia - ANS--if mild, often bed rest, balanced diet,
lower Blood pressure
-Primary treatment of both is delivery if >35 weeks
Nagele's Rule - ANS-1st day of last period + 7 days - 3 months
Fetal Ultrasound for determining gestational age - ANS-Measures fetal head
Score and interpretation of Biophysical Profile - ANS-8-10 Normal, fetus is not hypoxic
and CNS is functional
6 repeat in 24 hours
<5 abnormal, repeat testing if >32 weeks induce labor
AFI (amniotic fluid index) - ANS-less than 5-6: oligohydramnios
8-18 normal
>20-24 Polyhydramnios
Olihydramnios - ANS-associated with Potters Syndrome
polyhydramnios - ANS-excessive amniotic fluid associated with TE fistula, esophageal
atresia
Ways to measure lung maturity - ANS-L/S Ratio
PG (Phosphatidylglycerol)
S/A (Surfactant/Albumin)
LBC (Lamellar Body Count)
Shake Test
,How to measure L/S Ratio and normal - ANS-via amniocenteses
2:1 or higher indicates pulmonary maturity and low risk of RDS
Phosphatidyglycerol (PG) - ANS-best diagnosis of lung maturity when diabetes is
suspected
surfactant/albumin ratio - ANS-55 or greater is good. Less expensive than LS and
cheaper
LBC (Lamellar bodies count) - ANS-lung maturity is reached when LBC reaches 35,000
Shake Test - ANS-Mix amniotic fluid with 95% ethanol, results in 15 minutes, presence
of bubbles indicates the presence of surfactant. Not as specific as the L/S Ratio
Coombs Test - ANS-a test for the presence of anti-Rh factor antibodies in the blood
(this is often given to pregnant women that are Rh- to see if they will mount an immune
response against the blood of their fetus)
AFP (alpha-fetoprotein) - ANS-measured in maternal blood or amniotic fluid, screening
for certain abnormalities such as Omphalocele
Gastroschisis
SPINA BIFIDA
An apgar score of 4 reprents - ANS-moderate depression
An infection in a newborn is more commonly associated with - ANS-hypothermia
An L/S ratio greater than _______indicates lung maturity. - ANS-2:1
What is the normal sweat chloride test - ANS-<30 mmol/L
Transplacental means what - ANS-infection from the moms blood
what are some transplacental infection examples - ANS-rubella (German measles)
syphillis
CMV (cytomegalovirus)
What type of infection is Gonorrhea - ANS-Perinatal ( acquired during or after delivery)
Treatment of Toxemia - ANS-bed rest
diet
salt restriction
What is toxemia also called - ANS-pre-eclampsia
Examples of perinatal infections - ANS-Gonnorrhea
, Herpes
HIV
Hep B
Group B Strep
What type of anesthetic could induce respiratory distress in an infant? - ANS-General
Transient Tachypnea of the newborn typically occurs as a result of - ANS-delayed
removal of fetal lung fluid
Normal fetal heart rate - ANS-110-160 bpm
Prolonged rupture of the amniotic fluid may result in - ANS-neonatal sepsis
Dubowitz Score - ANS-used to determine the gestational age of newborn
What is periodic breathing - ANS-episodes of apnea less than 10 seconds alternating
with normal breathing
Pre and Post ductal blood gas studies are preformed to evaluate - ANS-R to L shunting
What is the most accurate site to monitor body temperature in the newborn? - ANS-Skin
When clubbing is present - ANS-the angle of the nail bed is increased
What condition could cause acrocyanosis - ANS-hypothermia
Respiratory grunting is a sound heard at the end of - ANS-EXPIRATION, just before a
RAPID inspiration
Transilluminatation of the chest is recommended when the neonatal/pediatric specialist
suspects the presence of a - ANS-tension pneumothorax
Poor femoral pulses may indicate - ANS-coarctation of the aorta
Vibrations that are felt on the chest wall due to secretions' are referred to as - ANS-
Tactile Fremitus
Optimum chest wall placement for an infant with a pneumothorax is in the - ANS-
anterior chest wall
What is PIE (Pulmonary Interstitial Emphysema)? - ANS-Air released into the tissues
surrounding the bronchi
A Pleural Effusion is best demonstrated by - ANS-a lateral decubitus film
