CCRN Neonatal Test Questions and Answers Graded A+
A deformation is a(n) - -abnormality caused by Preeclampsia may result in all of the following fetal
unusual mechanical forces on normal tissue. conditions - -growth restriction,
hypoxia/neurological injury, prematurity.
A low birth weight infant's temperature increases
during skin-to-skin care. This is an example of heat Hyperthermia is defined as an axillary temperature
transfer by - -conduction. greater than 99.5ºF (37.5ºC). The MOST common
cause of hyperthermia in the newborn is - -
environmental.
At the onset of labor the release of catecholamines
stimulates - -increased absorption of lung fluid.
In the immediate newborn transition period, the ability
to maintain functional residual lung capacity is most
An edematous, bruised lesion on the right anterior dependent upon - -an adequate amount of
scalp where the vacuum was applied. This lesion has alveolar surfactant.
clearly demarcated edges, is firm to touch, and does
not cross the suture line. This is best described as a -
-cephalohematoma. Neonates at risk of hypoglycemia should have their
glucose levels evaluated within 2 hours of life
because - -blood glucose levels reach their
An infant born at 40 5/7 weeks gestation and lowest point within one to two hours after delivery.
weighed 5 lbs 2oz (2,360 grams). In completing a
gestational age assessment on this infant, you would
identify her as - -term, small for gestational Polycythemia in the immediate newborn period is
age. often associated with - -infant of a diabetic
mother.
During fetal life, the ductus arteriosus - -diverts
blood flow from the pulmonary artery to the Symptoms of mild perinatal asphyxia include - -
descending aorta. hyperalert state and jitteriness.
Expected findings in a neonate born to a mother who The condition in which the newborn's immature
received magnesium sulfate in labor include - - hypothalamus does not regulate peripheral blood
hypotonia. vessels, resulting in a vasoconstriction on one side of
the body with a vasodilation on the opposite side of
the body is called - -harlequin phenomena.
Eye prophylaxis with a single-use dose of sterile
ophthalmic ointment containing 1% tetracycline or
0.5% erythromycin is usually administered within the The following conditions may all lead to metabolic
first few hours of birth to prevent an eye infection acidosis - -loss of HCO3/excess acid load d/t
caused by - -gonorrhea. prematurity, renal tubular necrosis, severe diarrhea,
hypoxia, hypoperfusion, inborn errors of metabolism,
caloric deprivation, intolerance of cow's milk protein.
Following a birth complicated by shoulder dystocia,
the neonate should be assessed for - -Erb's
palsy. The full newborn cardiovascular assessment includes
auscultation, inspection, and palpation. The point of
maximum impulse is usually palpable and can be
,CCRN Neonatal Test Questions and Answers Graded A+
auscultated in the - -third to fourth intercostal PaO2 74, PaCO2 55, HCO3- 21 and base deficit -4
space and left of the midclavicular line. indicate - -respiratory acidosis.
The neonate born to a mother with uncontrolled Nastassia is a one-hour-old neonate, born at 39
diabetes mellitus should be evaluated for - - weeks gestation by primary cesarean birth for fetal
congenital malformations. bradycardia. She was hypotonic at birth with gasping
respirations and a heart rate of 80. She was provided
bulb suctioning and bag mask ventilation and
You are the nurse caring for a 38 weeks gestation, recovered by five minutes of life. On admission to the
female infant, who was born one hour ago in the NICU, her temperature was 36° C. After admission to
parking lot of the emergency room. On admission to the NICU, her arterial blood gas is pH: 7.19, PCO2:
the nursery, the neonate's rectal temperature was 63, HCO3: 14. The correct interpretation of this blood
95ºF (35ºC). You recognize that cold stress may gas is - -mixed respiratory and metabolic
predispose the infant to - -increased oxygen acidosis.
consumption and hypoxia.
Which statement is most accurate when identifying
A full term neonate who presents at six hours of age the pathophysiology of transient tachypnea of the
with increasingly labile oxygenation that appears newborn (TTN)? - -Labor enhances the
disproportionate to the pulmonary disease should be process of fetal lung fluid absorption
evaluated for - -pulmonary hypertension of the
newborn.
During which phase of fetal pulmonary development
do the type II pneumocytes become numerous and
The development of pneumonia in chronically begin to produce and store surfactant? - -
ventilated infants is most commonly associated with Canalicular phase
which of the following organisms? - -
Ureaplasma urealyticum
An absence of air flow despite respiratory effort is an
example of which apnea classification? - -
Antenatal steroids enhance lung maturation by - Obstructive apnea
-increasing the number of type II pneumocytes
in the lung.
Continuous positive airway pressure (CPAP)
improves oxygenation by - -improving the
Mean airway pressure is defined as the - - ventilation-perfusion ratio.
pressure transmitted to the lung throughout the
respiratory cycle.
The functional residual capacity in a newborn infant
should be approximately - -30 ml/kg.
Many infants with the diagnosis of persistent
pulmonary hypertension (PPHN) will have
pharmacologic support. Identify the medication that is A 29 week gestation infant who displays symptoms of
a direct-acting vasodilator and acts by relaxing a pulmonary hemorrhage should be evaluated for -
pulmonary vessel musculature. - -Nitric oxide -patent ductus arteriosus.
The following arterial blood gas results: pH 7.28, The most significant role of surfactant in neonatal
, CCRN Neonatal Test Questions and Answers Graded A+
lung development is to - -maintain alveolar
stability by decreasing surface tension.
A neonate at 10 hours of age is found to be cyanotic
and without respiratory distress symptoms. The EKG
Most respiratory disorders result in a ventilation- and chest x-ray are normal. The administration of
perfusion mismatch. Ideally, the ventilation-perfusion oxygen is not relieving the cyanosis. The healthcare
ratio should be - -1 to 1 provider should have a high index of suspicion for
which of the following defects? - -Transposition
of the great vessels
A neonate at 12 hours of life with meconium
aspiration syndrome who has been intubated since
birth suddenly develops severe respiratory distress, A right-to-left shunt will be seen with - -
tachycardia, and hypotension. Which diagnosis pulmonary stenosis.
would be least likely to be in the differential? - -
Intraventricular hemorrhage
Appropriate nutritional management of the neonate
with congestive heart failure is best achieved by
Which of the following conditions is not an air leak? - which of the following? - -Individualizing to
-Pneumatosis intestinalis minimize energy consumption
The decision to intubate an infant born through thick At approximately _____ weeks of gestation the heart
meconium should be based on the infant's - - has developed a fully functioning electrical
response to stimulation and bag and mask conduction system. - -10
ventilation.
It is important to evaluate the neonate with critical
The type of patient-triggered ventilator that applies a pulmonary stenosis for - -symptoms of right-
constant pressure during inspiration and terminates sided congestive heart failure.
with a decrease in air flow, thereby decreasing the
work of breathing, is a(n) - -pressure support
ventilation. One of the medications given to cause constriction
and closure of the ductus arteriosus in the neonate is
- -indomethacin.
Neonates receiving surfactant are at increased risk of
developing - -pulmonary hemorrhage.
Parallel circulations in which there are separate
pulmonary and systemic circulatory systems occur in
A discrepancy greater than 10 mm Hg between the - -transposition of the great vessels.
blood pressure in the upper and lower extremities is
indicative of which defect? - -Coarctation of the
aorta Pulmonary venous congestion is most commonly
identified with which of the following defects? -
-Hypoplastic left heart
In order to pass a pulse oximetry screening for
critical congenital heart disease (CCHD), which
oxygenation and percentage of variance is required Pulse oximetry screening for critical congenital heart
in the right hand and foot? - -Less than 95% disease (CCHD) is most accurate when performed
O2 saturation and greater than 3% variance when the infant is how many hours of age? - -
A deformation is a(n) - -abnormality caused by Preeclampsia may result in all of the following fetal
unusual mechanical forces on normal tissue. conditions - -growth restriction,
hypoxia/neurological injury, prematurity.
A low birth weight infant's temperature increases
during skin-to-skin care. This is an example of heat Hyperthermia is defined as an axillary temperature
transfer by - -conduction. greater than 99.5ºF (37.5ºC). The MOST common
cause of hyperthermia in the newborn is - -
environmental.
At the onset of labor the release of catecholamines
stimulates - -increased absorption of lung fluid.
In the immediate newborn transition period, the ability
to maintain functional residual lung capacity is most
An edematous, bruised lesion on the right anterior dependent upon - -an adequate amount of
scalp where the vacuum was applied. This lesion has alveolar surfactant.
clearly demarcated edges, is firm to touch, and does
not cross the suture line. This is best described as a -
-cephalohematoma. Neonates at risk of hypoglycemia should have their
glucose levels evaluated within 2 hours of life
because - -blood glucose levels reach their
An infant born at 40 5/7 weeks gestation and lowest point within one to two hours after delivery.
weighed 5 lbs 2oz (2,360 grams). In completing a
gestational age assessment on this infant, you would
identify her as - -term, small for gestational Polycythemia in the immediate newborn period is
age. often associated with - -infant of a diabetic
mother.
During fetal life, the ductus arteriosus - -diverts
blood flow from the pulmonary artery to the Symptoms of mild perinatal asphyxia include - -
descending aorta. hyperalert state and jitteriness.
Expected findings in a neonate born to a mother who The condition in which the newborn's immature
received magnesium sulfate in labor include - - hypothalamus does not regulate peripheral blood
hypotonia. vessels, resulting in a vasoconstriction on one side of
the body with a vasodilation on the opposite side of
the body is called - -harlequin phenomena.
Eye prophylaxis with a single-use dose of sterile
ophthalmic ointment containing 1% tetracycline or
0.5% erythromycin is usually administered within the The following conditions may all lead to metabolic
first few hours of birth to prevent an eye infection acidosis - -loss of HCO3/excess acid load d/t
caused by - -gonorrhea. prematurity, renal tubular necrosis, severe diarrhea,
hypoxia, hypoperfusion, inborn errors of metabolism,
caloric deprivation, intolerance of cow's milk protein.
Following a birth complicated by shoulder dystocia,
the neonate should be assessed for - -Erb's
palsy. The full newborn cardiovascular assessment includes
auscultation, inspection, and palpation. The point of
maximum impulse is usually palpable and can be
,CCRN Neonatal Test Questions and Answers Graded A+
auscultated in the - -third to fourth intercostal PaO2 74, PaCO2 55, HCO3- 21 and base deficit -4
space and left of the midclavicular line. indicate - -respiratory acidosis.
The neonate born to a mother with uncontrolled Nastassia is a one-hour-old neonate, born at 39
diabetes mellitus should be evaluated for - - weeks gestation by primary cesarean birth for fetal
congenital malformations. bradycardia. She was hypotonic at birth with gasping
respirations and a heart rate of 80. She was provided
bulb suctioning and bag mask ventilation and
You are the nurse caring for a 38 weeks gestation, recovered by five minutes of life. On admission to the
female infant, who was born one hour ago in the NICU, her temperature was 36° C. After admission to
parking lot of the emergency room. On admission to the NICU, her arterial blood gas is pH: 7.19, PCO2:
the nursery, the neonate's rectal temperature was 63, HCO3: 14. The correct interpretation of this blood
95ºF (35ºC). You recognize that cold stress may gas is - -mixed respiratory and metabolic
predispose the infant to - -increased oxygen acidosis.
consumption and hypoxia.
Which statement is most accurate when identifying
A full term neonate who presents at six hours of age the pathophysiology of transient tachypnea of the
with increasingly labile oxygenation that appears newborn (TTN)? - -Labor enhances the
disproportionate to the pulmonary disease should be process of fetal lung fluid absorption
evaluated for - -pulmonary hypertension of the
newborn.
During which phase of fetal pulmonary development
do the type II pneumocytes become numerous and
The development of pneumonia in chronically begin to produce and store surfactant? - -
ventilated infants is most commonly associated with Canalicular phase
which of the following organisms? - -
Ureaplasma urealyticum
An absence of air flow despite respiratory effort is an
example of which apnea classification? - -
Antenatal steroids enhance lung maturation by - Obstructive apnea
-increasing the number of type II pneumocytes
in the lung.
Continuous positive airway pressure (CPAP)
improves oxygenation by - -improving the
Mean airway pressure is defined as the - - ventilation-perfusion ratio.
pressure transmitted to the lung throughout the
respiratory cycle.
The functional residual capacity in a newborn infant
should be approximately - -30 ml/kg.
Many infants with the diagnosis of persistent
pulmonary hypertension (PPHN) will have
pharmacologic support. Identify the medication that is A 29 week gestation infant who displays symptoms of
a direct-acting vasodilator and acts by relaxing a pulmonary hemorrhage should be evaluated for -
pulmonary vessel musculature. - -Nitric oxide -patent ductus arteriosus.
The following arterial blood gas results: pH 7.28, The most significant role of surfactant in neonatal
, CCRN Neonatal Test Questions and Answers Graded A+
lung development is to - -maintain alveolar
stability by decreasing surface tension.
A neonate at 10 hours of age is found to be cyanotic
and without respiratory distress symptoms. The EKG
Most respiratory disorders result in a ventilation- and chest x-ray are normal. The administration of
perfusion mismatch. Ideally, the ventilation-perfusion oxygen is not relieving the cyanosis. The healthcare
ratio should be - -1 to 1 provider should have a high index of suspicion for
which of the following defects? - -Transposition
of the great vessels
A neonate at 12 hours of life with meconium
aspiration syndrome who has been intubated since
birth suddenly develops severe respiratory distress, A right-to-left shunt will be seen with - -
tachycardia, and hypotension. Which diagnosis pulmonary stenosis.
would be least likely to be in the differential? - -
Intraventricular hemorrhage
Appropriate nutritional management of the neonate
with congestive heart failure is best achieved by
Which of the following conditions is not an air leak? - which of the following? - -Individualizing to
-Pneumatosis intestinalis minimize energy consumption
The decision to intubate an infant born through thick At approximately _____ weeks of gestation the heart
meconium should be based on the infant's - - has developed a fully functioning electrical
response to stimulation and bag and mask conduction system. - -10
ventilation.
It is important to evaluate the neonate with critical
The type of patient-triggered ventilator that applies a pulmonary stenosis for - -symptoms of right-
constant pressure during inspiration and terminates sided congestive heart failure.
with a decrease in air flow, thereby decreasing the
work of breathing, is a(n) - -pressure support
ventilation. One of the medications given to cause constriction
and closure of the ductus arteriosus in the neonate is
- -indomethacin.
Neonates receiving surfactant are at increased risk of
developing - -pulmonary hemorrhage.
Parallel circulations in which there are separate
pulmonary and systemic circulatory systems occur in
A discrepancy greater than 10 mm Hg between the - -transposition of the great vessels.
blood pressure in the upper and lower extremities is
indicative of which defect? - -Coarctation of the
aorta Pulmonary venous congestion is most commonly
identified with which of the following defects? -
-Hypoplastic left heart
In order to pass a pulse oximetry screening for
critical congenital heart disease (CCHD), which
oxygenation and percentage of variance is required Pulse oximetry screening for critical congenital heart
in the right hand and foot? - -Less than 95% disease (CCHD) is most accurate when performed
O2 saturation and greater than 3% variance when the infant is how many hours of age? - -
