MedNax NNP Exam Review Questions with
Verified Correct Answers
Which of the following treatments have been shown to reduce risk for preterm birth,
small for gestational age infants, and fetal or neonatal deaths?
Antioxidant vitamins C and E
Low dose aspirin
Supplemental calcium
Low dose aspirin
Which one of the following fetal conditions occurs most frequently in diabetic women
with vasculopathy?
Asymmetric intrauterine growth restriction (IUGR)
Fetal demise
Macrosomia
Asymmetric intrauterine growth restriction (IUGR)
The underlying pathophysiology for the majority of women who develop gestational
diabetes is:
Antibodies directed aginst specific beta cell antigens
Genetic variants that have been identified as causes of diabetes in the general
population
Significant decreases in insulin sensitivity with advancing gestation
Significant decreases in insulin sensitivity with advancing gestation
Which of the following complications has been reported in infants exposed to ACE
Inhibitors and angiotensin receptor blockers prenatally?
,Hypoglycemia
Necrotizing enterocolitis (NEC)
Renal failure
Renal failure
Maternal cardiac disease is most likely to have which of the following effects on the
fetus?
Hydrops
Intrauterine growth restriction (IUGR)
Intraventricular hemorrhage
Intrauterine growth restriction (IUGR)
The most commonly heard continuous murmur in the newborn is associated with:
Patent ductus arteriosus (PDA)
Patent foramen ovale (PFO)
Pulmonary artery stenosis (PAS)
Patent ductus arteriosus (PDA)
Patent ductus arteriosus (PDA) murmurs are auscultated best at the:
Lower left sternal border
Upper left sternal border
Upper right sternal border
Upper left sternal border
Maternal lupus erythematosus is commonly associated with: Congenital heart block
Endocardial cushion defect
Ventricular septal defect
,Congenital heart block
The origin of a systolic ejection murmur (SEM) that radiates to the back is usually:
Aortic
Mitral valve regurgitation
Pulmonary
Pulmonary
A SEM that radiates to the back is usually pulmonary in origin whereas a SEM that transmits
to the neck is usually aortic in origin. A SEM that transmits to the left axilla and lower back
is characteristic of mitral valve regurgitation.
The chest circumference of a term infant should be:
Approximately 2 cm larger than the head circumference Approximately 2 cm smaller
than the head circumference
Approximately equivalent to the head circumference
Approximately 2 cm smaller than the head circumference
Which type of innocent murmur commonly found in low-birth-weight infants radiates
to the axilla and back?
Mitral flow murmur
Pulmonary flow murmur
Systolic ejection murmur
Pulmonary flow murmur
The pulmonary flow murmur is commonly found in low-birth-weight infants who have
relative hypoplastic right and left pulmonary arteries birth because of the small amount of
, blood flow during fetal life. The increased flow after birth creates turbulence in the small
vessels, which is transmitted along the smaller branches of the pulmonary arteries. The
pulmonary flow murmur is transmitted to the right and left chest, both axillae, and back.
Which of the following is an abdominal wall defect that is larger than 4 cm and is
covered by a translucent, avascular sac through which the umbilical cord inserts?
Gastroschisis
Omphalocele
Umbilical hernia
Omphalocele
Upon assessment of a full-term newborn, it is noted that urine appears to be passing
from the umbilicus. Which of the following conditions would you suspect?
Exstrophy of the bladder
Patent urachus
Umbilical hernia
Patent urachus
Which statement is true concerning palpation of the abdomen during physical
assessment of the newborn?
Begin palpation with the deeper organs and progress to the superficial structures
Flexing the knees and legs toward the hips facilitates relaxation of the abdominal
muscles
Palpation is the first step in the abdominal examination
Flexing the knees and legs toward the hips facilitates relaxation of the abdominal muscles
Verified Correct Answers
Which of the following treatments have been shown to reduce risk for preterm birth,
small for gestational age infants, and fetal or neonatal deaths?
Antioxidant vitamins C and E
Low dose aspirin
Supplemental calcium
Low dose aspirin
Which one of the following fetal conditions occurs most frequently in diabetic women
with vasculopathy?
Asymmetric intrauterine growth restriction (IUGR)
Fetal demise
Macrosomia
Asymmetric intrauterine growth restriction (IUGR)
The underlying pathophysiology for the majority of women who develop gestational
diabetes is:
Antibodies directed aginst specific beta cell antigens
Genetic variants that have been identified as causes of diabetes in the general
population
Significant decreases in insulin sensitivity with advancing gestation
Significant decreases in insulin sensitivity with advancing gestation
Which of the following complications has been reported in infants exposed to ACE
Inhibitors and angiotensin receptor blockers prenatally?
,Hypoglycemia
Necrotizing enterocolitis (NEC)
Renal failure
Renal failure
Maternal cardiac disease is most likely to have which of the following effects on the
fetus?
Hydrops
Intrauterine growth restriction (IUGR)
Intraventricular hemorrhage
Intrauterine growth restriction (IUGR)
The most commonly heard continuous murmur in the newborn is associated with:
Patent ductus arteriosus (PDA)
Patent foramen ovale (PFO)
Pulmonary artery stenosis (PAS)
Patent ductus arteriosus (PDA)
Patent ductus arteriosus (PDA) murmurs are auscultated best at the:
Lower left sternal border
Upper left sternal border
Upper right sternal border
Upper left sternal border
Maternal lupus erythematosus is commonly associated with: Congenital heart block
Endocardial cushion defect
Ventricular septal defect
,Congenital heart block
The origin of a systolic ejection murmur (SEM) that radiates to the back is usually:
Aortic
Mitral valve regurgitation
Pulmonary
Pulmonary
A SEM that radiates to the back is usually pulmonary in origin whereas a SEM that transmits
to the neck is usually aortic in origin. A SEM that transmits to the left axilla and lower back
is characteristic of mitral valve regurgitation.
The chest circumference of a term infant should be:
Approximately 2 cm larger than the head circumference Approximately 2 cm smaller
than the head circumference
Approximately equivalent to the head circumference
Approximately 2 cm smaller than the head circumference
Which type of innocent murmur commonly found in low-birth-weight infants radiates
to the axilla and back?
Mitral flow murmur
Pulmonary flow murmur
Systolic ejection murmur
Pulmonary flow murmur
The pulmonary flow murmur is commonly found in low-birth-weight infants who have
relative hypoplastic right and left pulmonary arteries birth because of the small amount of
, blood flow during fetal life. The increased flow after birth creates turbulence in the small
vessels, which is transmitted along the smaller branches of the pulmonary arteries. The
pulmonary flow murmur is transmitted to the right and left chest, both axillae, and back.
Which of the following is an abdominal wall defect that is larger than 4 cm and is
covered by a translucent, avascular sac through which the umbilical cord inserts?
Gastroschisis
Omphalocele
Umbilical hernia
Omphalocele
Upon assessment of a full-term newborn, it is noted that urine appears to be passing
from the umbilicus. Which of the following conditions would you suspect?
Exstrophy of the bladder
Patent urachus
Umbilical hernia
Patent urachus
Which statement is true concerning palpation of the abdomen during physical
assessment of the newborn?
Begin palpation with the deeper organs and progress to the superficial structures
Flexing the knees and legs toward the hips facilitates relaxation of the abdominal
muscles
Palpation is the first step in the abdominal examination
Flexing the knees and legs toward the hips facilitates relaxation of the abdominal muscles
