Board review NNP questions with
answers
Increased ICP which sutures open? - ** VERIFIED ANSWERS **✔✔Sagittal
What to combine ativan with? - ** VERIFIED ANSWERS **✔✔Morphine
Best medication to combine with vecuronium? - ** VERIFIED ANSWERS **✔✔Fentanyl
Description of an infant with good tone includes? - ** VERIFIED ANSWERS **✔✔Flexion of hips
and knees, elbows with good recoil, pull to sit, complete moro, and grasps
what would you find on a ballard of a 41 week infant? - ** VERIFIED ANSWERS **✔✔Dorsiflexion
of 0 degrees, scarf sign at mid axillary, square window of 45 degrees
Subdural hemorrhage is often caused by? - ** VERIFIED ANSWERS **✔✔Trauma as in vacuum
assisted delivery
What is erbs palsy? - ** VERIFIED ANSWERS **✔✔a nerve plexus injury that occurs most
commonly in a breech delivery from excessive lateral traction on the neck and arm
What is the most common cause of neural tube defects? - ** VERIFIED ANSWERS
**✔✔Multifactorial,
mother taking valproic acid. Valproic acid crosses the placenta causing neural tube
defects. It is a category D drug and should never be taken during pregnancy.
,If sutures are noted to be closed prematurely, you should do what? - ** VERIFIED ANSWERS
**✔✔Obtain an xray to confirm diagnosis of craniosynostosis
Based on gestational age, what state is the infant best assessed in? - ** VERIFIED ANSWERS
**✔✔Quiet alert state
Methadone withdrawal in newborns signs? - ** VERIFIED ANSWERS **✔✔Takes longer to see
than with heroin and the effects are more severe
Cocaine withdrawal? - ** VERIFIED ANSWERS **✔✔has no pattern of symptoms and can be gone
from the urine in 24 hours
Myelination occurs fastest when? - ** VERIFIED ANSWERS **✔✔In period of birth to two years
Preterm baby who is asphyxiated should you restrict fluids? - ** VERIFIED ANSWERS **✔✔Yes
you always restrict fluids in asphyxiated babies. 40-60ml/kg/day
Where does caput occur? - ** VERIFIED ANSWERS **✔✔above periosteum and Crosses suture
lines
Where does cephalohematoma occur? - ** VERIFIED ANSWERS **✔✔Beneath the periosteum
and does not cross suture lines
Where is blood flow directed during severe asphyxia? - ** VERIFIED ANSWERS **✔✔toward the
brain stem
Which reflex is last to go away? - ** VERIFIED ANSWERS **✔✔Babinski, 1 year of age
Tonic neck, 7 months
Moro, 6 months
,palmar grasp, 2 months
What is the best way to monitor for ventriculomegaly? - ** VERIFIED ANSWERS **✔✔US
What is the most important part of an IVH? - ** VERIFIED ANSWERS **✔✔Ventricular dilation
because it puts pressure on the surrounding tissue
What are subtle seizures? - ** VERIFIED ANSWERS **✔✔baby blinking eyes repeatedly or lip
smacking
What is PVL linked to? - ** VERIFIED ANSWERS **✔✔spastic Diplegia (lower limbs)
What is the most common cause of hydrocephalus? - ** VERIFIED ANSWERS **✔✔CSF flow
obstruction- aquaductal flow obstruction
How do you diagnose a skull fracture? - ** VERIFIED ANSWERS **✔✔XRAY
What is morbidity and mortality of meningitis associated with? - ** VERIFIED ANSWERS
**✔✔Time of onset
What does the brain have when lacking oxygen? - ** VERIFIED ANSWERS **✔✔ATP
Which of the following would provide the weakest evidence for practice?
A. Case study
B. Case-control study
C. Quasi-experimental study - ** VERIFIED ANSWERS **✔✔A. Case study
An initial sign of hyperkalemia on an EKG is
A. Peaked T waves
, B. Slurring of the QRS
C. Ventricular fibrillation - ** VERIFIED ANSWERS **✔✔A. Peaked T waves
The Henderson-Hasselebalch equation is a negative logarithm that calculates the level of
A. Bicarbonate ions
B. Dioxide ions
C. Hydrogen ions - ** VERIFIED ANSWERS **✔✔C. Hydrogen ions
The neonatal nurse practitioner (NNP) knows that a serum peak level of a drug is generally
reflective of the infants:
A. Excretion of metabolites
B. Digestion of the drug
C. Volume of distribution - ** VERIFIED ANSWERS **✔✔C. Volume of distribution
Pharmacokinetics is the process of drug
A. Absorption, distribution, biotransformation, and excretion
B. Adaptations made to physiological systems by the drugs
C. Alterations, metabolism, and excretion in the cellular matrix - ** VERIFIED ANSWERS **✔✔A.
Absorption, distribution, bio transformation and excretion
Phase I drug metabolism reactions are mediated by
A. Cytochrome P450 enzymes
B. Hepatic oxidation metabolites
C. Enzymatic reduction molecules - ** VERIFIED ANSWERS **✔✔A. Cytochrome P450 enzymes
The translocation of a drug from the site of administration into the systemic circulation is called
A. Absorption
B. Distribution
C. Drug delivery - ** VERIFIED ANSWERS **✔✔A. Absorption
answers
Increased ICP which sutures open? - ** VERIFIED ANSWERS **✔✔Sagittal
What to combine ativan with? - ** VERIFIED ANSWERS **✔✔Morphine
Best medication to combine with vecuronium? - ** VERIFIED ANSWERS **✔✔Fentanyl
Description of an infant with good tone includes? - ** VERIFIED ANSWERS **✔✔Flexion of hips
and knees, elbows with good recoil, pull to sit, complete moro, and grasps
what would you find on a ballard of a 41 week infant? - ** VERIFIED ANSWERS **✔✔Dorsiflexion
of 0 degrees, scarf sign at mid axillary, square window of 45 degrees
Subdural hemorrhage is often caused by? - ** VERIFIED ANSWERS **✔✔Trauma as in vacuum
assisted delivery
What is erbs palsy? - ** VERIFIED ANSWERS **✔✔a nerve plexus injury that occurs most
commonly in a breech delivery from excessive lateral traction on the neck and arm
What is the most common cause of neural tube defects? - ** VERIFIED ANSWERS
**✔✔Multifactorial,
mother taking valproic acid. Valproic acid crosses the placenta causing neural tube
defects. It is a category D drug and should never be taken during pregnancy.
,If sutures are noted to be closed prematurely, you should do what? - ** VERIFIED ANSWERS
**✔✔Obtain an xray to confirm diagnosis of craniosynostosis
Based on gestational age, what state is the infant best assessed in? - ** VERIFIED ANSWERS
**✔✔Quiet alert state
Methadone withdrawal in newborns signs? - ** VERIFIED ANSWERS **✔✔Takes longer to see
than with heroin and the effects are more severe
Cocaine withdrawal? - ** VERIFIED ANSWERS **✔✔has no pattern of symptoms and can be gone
from the urine in 24 hours
Myelination occurs fastest when? - ** VERIFIED ANSWERS **✔✔In period of birth to two years
Preterm baby who is asphyxiated should you restrict fluids? - ** VERIFIED ANSWERS **✔✔Yes
you always restrict fluids in asphyxiated babies. 40-60ml/kg/day
Where does caput occur? - ** VERIFIED ANSWERS **✔✔above periosteum and Crosses suture
lines
Where does cephalohematoma occur? - ** VERIFIED ANSWERS **✔✔Beneath the periosteum
and does not cross suture lines
Where is blood flow directed during severe asphyxia? - ** VERIFIED ANSWERS **✔✔toward the
brain stem
Which reflex is last to go away? - ** VERIFIED ANSWERS **✔✔Babinski, 1 year of age
Tonic neck, 7 months
Moro, 6 months
,palmar grasp, 2 months
What is the best way to monitor for ventriculomegaly? - ** VERIFIED ANSWERS **✔✔US
What is the most important part of an IVH? - ** VERIFIED ANSWERS **✔✔Ventricular dilation
because it puts pressure on the surrounding tissue
What are subtle seizures? - ** VERIFIED ANSWERS **✔✔baby blinking eyes repeatedly or lip
smacking
What is PVL linked to? - ** VERIFIED ANSWERS **✔✔spastic Diplegia (lower limbs)
What is the most common cause of hydrocephalus? - ** VERIFIED ANSWERS **✔✔CSF flow
obstruction- aquaductal flow obstruction
How do you diagnose a skull fracture? - ** VERIFIED ANSWERS **✔✔XRAY
What is morbidity and mortality of meningitis associated with? - ** VERIFIED ANSWERS
**✔✔Time of onset
What does the brain have when lacking oxygen? - ** VERIFIED ANSWERS **✔✔ATP
Which of the following would provide the weakest evidence for practice?
A. Case study
B. Case-control study
C. Quasi-experimental study - ** VERIFIED ANSWERS **✔✔A. Case study
An initial sign of hyperkalemia on an EKG is
A. Peaked T waves
, B. Slurring of the QRS
C. Ventricular fibrillation - ** VERIFIED ANSWERS **✔✔A. Peaked T waves
The Henderson-Hasselebalch equation is a negative logarithm that calculates the level of
A. Bicarbonate ions
B. Dioxide ions
C. Hydrogen ions - ** VERIFIED ANSWERS **✔✔C. Hydrogen ions
The neonatal nurse practitioner (NNP) knows that a serum peak level of a drug is generally
reflective of the infants:
A. Excretion of metabolites
B. Digestion of the drug
C. Volume of distribution - ** VERIFIED ANSWERS **✔✔C. Volume of distribution
Pharmacokinetics is the process of drug
A. Absorption, distribution, biotransformation, and excretion
B. Adaptations made to physiological systems by the drugs
C. Alterations, metabolism, and excretion in the cellular matrix - ** VERIFIED ANSWERS **✔✔A.
Absorption, distribution, bio transformation and excretion
Phase I drug metabolism reactions are mediated by
A. Cytochrome P450 enzymes
B. Hepatic oxidation metabolites
C. Enzymatic reduction molecules - ** VERIFIED ANSWERS **✔✔A. Cytochrome P450 enzymes
The translocation of a drug from the site of administration into the systemic circulation is called
A. Absorption
B. Distribution
C. Drug delivery - ** VERIFIED ANSWERS **✔✔A. Absorption
