2023 NICU RN A v1 Exam - Questions and Answers

NICU RN A v1 During the newborn nursery admission of a term infant, you note that the systolic blood pressure of the upper extremities are 20 mmHg higher than that of the lower extremities. This finding is an indication of Coarctation of aorta Which of the following nursing interventions facilitate developmentally supportive care? decrease noise and lighting A nurse is explaining the difference between foremilk and hindmilk to a breast pumping mother. Which of the following statements by the nurse BEST describes the difference? The fat content is up to 3x greater in hindmilk than foremilk On day 2 of life, the 25 week gestation infant you are caring for has 45 ml of urine output in 24 hrs. Weight is 0.6 kg. How many ml/kg/hr did this infant void? 3.125 RSV is transmitted by exposure to large particle droplets or contaminated surfaces. Which statement is true regarding RSV? the virus can survive several hours on an environmental surfaces. Ballard exam shows the following physical finding: Skin that is r ed and translucent, sparse lanugo, no plantar creases, barely perceptible breast buds, fused eyelids. These findings are most consistent with which gestational age range? 23-24 weeks Blank are ultimately responsible for deciding what is in the best intere st of a baby Parents Infant delivered at 28 weeks gestation by c -section is diagnosed with nonimmune hydrops fetalis. Which of the following intervention should the nurse anticipate in management of the infant? Thoracentesis and or Paracentesis Congenital webbing of the fingers or toes is called Syndactyly Scalp swelling that can rapidly increase in size and shape with significant acute blood loss, resulting in shock as the presenting symptom is called? Cephalohematoma Morbidities associated wi th the LGA: Birth Trauma The most common clinical presentation of neonatal seizures is: Subtle Which of the following is a type of pulmonary air leak that presents with abrupt hypotension, bradycardia, and muffled heart sounds? Pneumothorax the most comm on inborn error of amino acid metabolism that may result in mental retardation is: Phenylketonuria (PKU) EPI to be given via ETT. What is the correct concentration of epi to be administered? 1:10,000 Delivery room preparation includes which of the follow ing? prewarm resuscitation room, bed, and linens to minimize thermal losses Endotracheal intubation attempts should be limited to how many seconds to decrease the risk of complications. 30 seconds Which of the following is included in the initial treatme nt of septic shock blood pressure support including dopamine, epi, and hydrocortisone. The parents of a 24 weeker want aggressive care for their infant, even though a grim prognosis is present. This is an example of which ethical principle? respect for auntonmy 36 week infant is unexpectedly admitted to the NICU for hypoglycemia. The best method to assist a Spanish speaking mother in making informed decisions is to: use a certified language interpreter You’ve just admitted an infant who has increased w ork of breathing and appears to have a small lower jaw. What position should this infant be placed to decrease airway distress? Prone Which of the following is a component of the Apgar score? muscle tone Most common broad spectrum antimicrobial therapy i ndicated on admission includes: Amp and Gent Which of the following is an example of a correct medication order acetaminophen 15 mg/kg PO every 4 hours PRN