NNP III Quiz 1 Exam 2024-2025
What is the presumed cause of macrosomia in the infant of a diabetic mother? -
ANSWER Maternal hyperglycemia and hyperaminoacidemia, resulting in fetal
hyperinsulinemia
An extremely premature infant near discharge has an elevated alkaline phosphatase
level. What should the nurse include in discharge education? - ANSWER Handle the
infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed to have what
condition until proven otherwise? - ANSWER Congenital hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What physiologic
consequence should the nurse be concerned about? - ANSWER Osmotic diuresis
The signs and symptoms of an inborn error of metabolism in a newborn infant are most
likely to be mistaken for what other neonatal disorder? - ANSWER SEPSIS
A term infant is born with a large goiter. What nursing intervention is indicated: -
ANSWER Position the infant with head elevated and slightly extended
35-week GA infant is born to a mother who has been receiving magnesium sulfate for
hypertension. What should the nurse watch for in the infant? - ANSWER Lethargy and
apnea
XX virilization of the newborn, the most frequent cause of ambiguous genitalia, is the
result of which of the following? ANSWER Congenital adrenal hyperplasia
Which of the following elicitations during examination of external genitalia would
,necessitate further examination for ambiguous genitalia as a possibility? ANSWER
Inguinal hernia in a female
The parents of a baby with ambiguous genitalia have not yet received test results about
their infant's gender. Select the most supportive nursing intervention during this time. -
ANSWER Referring them to a competent mental health professional
One of the most important physiologic effects of thyroid hormones is: - ANSWER Playing
a supportive role during critical periods of brain development
When providing discharge education to the parents of an infant who will be continuing to
receive levothyroxine at home, the nurse should include which of the following in the
instructions? - ANSWER Laboratory specimens will be collected at frequent intervals
Maternal graves disease, if poorly managed, places the newborn at risk for which of the
following? - ANSWER Hyperthyroidism
A nurse is caring for a newborn with a birth weight of 4.2 kg and breech presentation at
delivery. On the sixth day of life the infant is noted to have a fever, pallor and jaundice,
lethargy with periods of irritability, poor feeding and vomiting. Upon notifying the
physician the nurse should first prepare for: - ANSWER ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. Mom states that the
diaper smells sweet. Laboratory findings include elevation of plasma branched chain
amino acids, metabolic acidosis and ketonuria. What disease process is likely
occurring? - ANSWER Maple syrup urine disease
Which of the following best describes the management of hyperglycemia in the
extremely low birth weight infant? - ANSWER Maximize IV fluid volume and adjust IV
dextrose concentration based on blood glucose levels; administer insulin for blood
glucose level >200 mg/dl
All states in the United States have mandated newborn screening for the following major
reason: - ANSWER To detect and initiate the treatment of some grave medical
, conditions as early as possible
Gene mutation causing absence or defect of an enzyme or over/under production of
hormones leading to life-threatening physiological/biochemical system regulation
dysfunction are termed as: - ANSWER Endocrine/metabolic Disorders
The most common inborn error of amino acid metabolism, PKU, is treated with:
ANSWER Dietary therapy
The NNP is caring for a term newborn who was transferred from a postpartum unit with
vomiting and poor feeding lethargy and petechiae. The infant had been breastfeeding
well and voiding and stooling for 2 days prior to transfer. The most recent laboratory
findings are notable for hyperbili, coagulopathy and blood culture positive for e coli.
Lactate levels are normal. The most likely cause is? - ANSWER Galactosemia
Unresponsive intractable of the following is a possible symptom of metabolic/endocrine
disorder: -ANSWER Hypoglycemia
Following establishment of feedings, a common presenting symptom of an organic
acidemia metabolic disorder in a neonate who had an initial normal examination
includes? -ANSWER Drowsiness
The following does NOT represent a symptom of hypoglycemia: -ANSWER Diarrhea
Which of the following is a function of the parathyroid hormone? -ANSWER Mobilizes
calcium and phosphorus from bone
Adrenal insufficiency in the VLBW infant does not cause which of the following: -
ANSWER Hypernatremia (it decreases Na)
Which of the following is true of hypothyroxinemia of prematurity? - ANSWER Associated
with a normal TSH value
What is the presumed cause of macrosomia in the infant of a diabetic mother? -
ANSWER Maternal hyperglycemia and hyperaminoacidemia, resulting in fetal
hyperinsulinemia
An extremely premature infant near discharge has an elevated alkaline phosphatase
level. What should the nurse include in discharge education? - ANSWER Handle the
infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed to have what
condition until proven otherwise? - ANSWER Congenital hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What physiologic
consequence should the nurse be concerned about? - ANSWER Osmotic diuresis
The signs and symptoms of an inborn error of metabolism in a newborn infant are most
likely to be mistaken for what other neonatal disorder? - ANSWER SEPSIS
A term infant is born with a large goiter. What nursing intervention is indicated: -
ANSWER Position the infant with head elevated and slightly extended
35-week GA infant is born to a mother who has been receiving magnesium sulfate for
hypertension. What should the nurse watch for in the infant? - ANSWER Lethargy and
apnea
XX virilization of the newborn, the most frequent cause of ambiguous genitalia, is the
result of which of the following? ANSWER Congenital adrenal hyperplasia
Which of the following elicitations during examination of external genitalia would
,necessitate further examination for ambiguous genitalia as a possibility? ANSWER
Inguinal hernia in a female
The parents of a baby with ambiguous genitalia have not yet received test results about
their infant's gender. Select the most supportive nursing intervention during this time. -
ANSWER Referring them to a competent mental health professional
One of the most important physiologic effects of thyroid hormones is: - ANSWER Playing
a supportive role during critical periods of brain development
When providing discharge education to the parents of an infant who will be continuing to
receive levothyroxine at home, the nurse should include which of the following in the
instructions? - ANSWER Laboratory specimens will be collected at frequent intervals
Maternal graves disease, if poorly managed, places the newborn at risk for which of the
following? - ANSWER Hyperthyroidism
A nurse is caring for a newborn with a birth weight of 4.2 kg and breech presentation at
delivery. On the sixth day of life the infant is noted to have a fever, pallor and jaundice,
lethargy with periods of irritability, poor feeding and vomiting. Upon notifying the
physician the nurse should first prepare for: - ANSWER ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. Mom states that the
diaper smells sweet. Laboratory findings include elevation of plasma branched chain
amino acids, metabolic acidosis and ketonuria. What disease process is likely
occurring? - ANSWER Maple syrup urine disease
Which of the following best describes the management of hyperglycemia in the
extremely low birth weight infant? - ANSWER Maximize IV fluid volume and adjust IV
dextrose concentration based on blood glucose levels; administer insulin for blood
glucose level >200 mg/dl
All states in the United States have mandated newborn screening for the following major
reason: - ANSWER To detect and initiate the treatment of some grave medical
, conditions as early as possible
Gene mutation causing absence or defect of an enzyme or over/under production of
hormones leading to life-threatening physiological/biochemical system regulation
dysfunction are termed as: - ANSWER Endocrine/metabolic Disorders
The most common inborn error of amino acid metabolism, PKU, is treated with:
ANSWER Dietary therapy
The NNP is caring for a term newborn who was transferred from a postpartum unit with
vomiting and poor feeding lethargy and petechiae. The infant had been breastfeeding
well and voiding and stooling for 2 days prior to transfer. The most recent laboratory
findings are notable for hyperbili, coagulopathy and blood culture positive for e coli.
Lactate levels are normal. The most likely cause is? - ANSWER Galactosemia
Unresponsive intractable of the following is a possible symptom of metabolic/endocrine
disorder: -ANSWER Hypoglycemia
Following establishment of feedings, a common presenting symptom of an organic
acidemia metabolic disorder in a neonate who had an initial normal examination
includes? -ANSWER Drowsiness
The following does NOT represent a symptom of hypoglycemia: -ANSWER Diarrhea
Which of the following is a function of the parathyroid hormone? -ANSWER Mobilizes
calcium and phosphorus from bone
Adrenal insufficiency in the VLBW infant does not cause which of the following: -
ANSWER Hypernatremia (it decreases Na)
Which of the following is true of hypothyroxinemia of prematurity? - ANSWER Associated
with a normal TSH value
