CCRN NEONATAL ACTUAL EXAM
Clinical presentation of subdural hemorrhage - correct answer>>increased ICP,
instrumented delivery, coma
Clinical presentation of subgaleal hemorrhage - correct answer>>sever
asphyxia, birth trauma, often asympotomatic, seizures on 2nd or 3rd
day of life
Compared to full term formulas, preterm formulas contain - correct
answer>>more calories and increased protein.
Complement works with the immune system to - correct answer>>opsonize
bacteria to facilitate phagocytosis.
Complex/multifactorial anomalies - correct answer>>have a recurrence risk
dependent upon how closely related the affected person is to the neonate.
complication of chest tube insertion - correct answer>>the tip of the tube (or
introducer if used) can cause damage to the lung tissue
complication of ET intubation - correct answer>>hypoxia, especially if
the attempt is prolonged
complication of gastric tube insertion - correct answer>>the tip can perforate the
esophagus during insertion
complication of umbilical line insertion - correct answer>>if the tip of the
catheter enters the heart, it can erode through the heart muscle,
allowing fluid to accumulate in the pericardial space.
,Complications of percutaneous central venous lines - correct answer>>catheter
migration.
Continuous positive airway pressure (CPAP) improves oxygenation by -
correct answer>>improving the ventilation-perfusion ratio.
Damage to the calcaneus is more likely when a heel stick is performed
using what part of the foot? - correct answer>>End of the heel
Depending on the amount of weight loss, electrolyte values, and
markers of renal function, fluid is usually administered at which rate in
the first 48 hours of life? - correct answer>>60-100 ml/kg/day
Development of the visual system requires - correct answer>>use and visual
experience for eye function to mature. ensure opportunities for quiet sleep and
dark periods, cycle light to mimic day/night periods, limit intense noiseconsider
patterned visual stimulation, eliminate direct light exposure Diagnostic test
results that indicate thrombocytopenia include - correct answer>>decreased
platelet count.
Disadvantages associated with continuous gavage feedings include all of the
following EXCEPT? - correct answer>>Decreases in the amount of gastric acid
in the stomach
Drying and separation of the umbilical cord is best facilitated by - correct
answer>>keeping the cord open to the air by folding the diaper down below the
cord.
Duodenal atresia is strongly suggested when the abdominal x-ray shows
- correct answer>>double-bubble sign.
During fetal life, the ductus arteriosus - correct answer>>diverts blood flow from
the pulmonary artery to the descending aorta.
,During pregnancy, maternal ingestion of goitrogenic substances such as
iodide or lithium may lead to which of the following endocrine
conditions? - correct answer>>Transient congenital hypothyroidism
During the process of hematopoiesis, the megakaryoblast matures to
which of the following cells? - correct answer>>thrombocytes (platelets)
During which phase of fetal pulmonary development do the type II
pneumocytes become numerous and begin to produce and store
surfactant? - correct answer>>Canalicular phase
Ebony is a 28 week gestation infant in the NICU on ventilatory support.
During a routine shift assessment, you find that the IV has infiltrated. After
application of hyaluronidase, you might consider which of the following
interventions? - correct answer>>Instilling multiple puncture holes with a 23
gauge needle.
Education for parents of a male neonate diagnosed with an X-linked recessive
single gene disorder would include - correct answer>>✓ all of his daughters will
be obligate carriers.
Education for the parents of a neonate diagnosed with phenylketonuria
(PKU) includes which of the following? - correct answer>>✓ A low
protein formula (diet) is necessary to avoid/ameliorate developmental
delay. Effects of excessive handling include all of the following - correct
answer>>disturbance of sleep inhibits healing, decreased secretion of
growth hormone, increased secretion of cortisol and adrenaline; fluctuations in
BP/cerebral boodflow (IVH); oxygen desats
Evidence that the psychological task of acknowledging guilt about the
birth of a 26-week gestational age neonate has become pathologic
, includes - correct answer>>not responding to the neonate's progress
because the infant represents failure.
Expected findings in a neonate born to a mother who received
magnesium sulfate in labor include - correct answer>>hypotonia.
Extravasation injury is more common when IV solutions containing
_________ are infused. - correct answer>>calcium
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment
containing 1% tetracycline or 0.5% erythromycin is usually administered
within the first few hours of birth to prevent an eye infection caused by
- correct answer>>gonorrhea.
Facilitated tucking is a strategy to decrease the pain sensation
experienced by preterm infants is to - correct answer>>flex the extremities and
hold them close to the trunk.
Fetal alcohol syndrome is the most serious form of fetal alcohol
spectrum disorder. Which is NOT TRUE about fetal alcohol syndrome? -
correct answer>>Fetal alcohol syndrome only happens if the mother is
an alcoholic.
Following a birth complicated by shoulder dystocia, the neonate should
be assessed for - correct answer>>Erb's palsy.
For an infant who is displaying signs of neonatal abstinence syndrome,
an accurate score assessment is best completed when? - correct
answer>>immediately after a feeding.
Function of erythrocyte - correct answer>>transports oxygen and carbon
dioxide
Function of granulocyte - correct answer>>infection response
Clinical presentation of subdural hemorrhage - correct answer>>increased ICP,
instrumented delivery, coma
Clinical presentation of subgaleal hemorrhage - correct answer>>sever
asphyxia, birth trauma, often asympotomatic, seizures on 2nd or 3rd
day of life
Compared to full term formulas, preterm formulas contain - correct
answer>>more calories and increased protein.
Complement works with the immune system to - correct answer>>opsonize
bacteria to facilitate phagocytosis.
Complex/multifactorial anomalies - correct answer>>have a recurrence risk
dependent upon how closely related the affected person is to the neonate.
complication of chest tube insertion - correct answer>>the tip of the tube (or
introducer if used) can cause damage to the lung tissue
complication of ET intubation - correct answer>>hypoxia, especially if
the attempt is prolonged
complication of gastric tube insertion - correct answer>>the tip can perforate the
esophagus during insertion
complication of umbilical line insertion - correct answer>>if the tip of the
catheter enters the heart, it can erode through the heart muscle,
allowing fluid to accumulate in the pericardial space.
,Complications of percutaneous central venous lines - correct answer>>catheter
migration.
Continuous positive airway pressure (CPAP) improves oxygenation by -
correct answer>>improving the ventilation-perfusion ratio.
Damage to the calcaneus is more likely when a heel stick is performed
using what part of the foot? - correct answer>>End of the heel
Depending on the amount of weight loss, electrolyte values, and
markers of renal function, fluid is usually administered at which rate in
the first 48 hours of life? - correct answer>>60-100 ml/kg/day
Development of the visual system requires - correct answer>>use and visual
experience for eye function to mature. ensure opportunities for quiet sleep and
dark periods, cycle light to mimic day/night periods, limit intense noiseconsider
patterned visual stimulation, eliminate direct light exposure Diagnostic test
results that indicate thrombocytopenia include - correct answer>>decreased
platelet count.
Disadvantages associated with continuous gavage feedings include all of the
following EXCEPT? - correct answer>>Decreases in the amount of gastric acid
in the stomach
Drying and separation of the umbilical cord is best facilitated by - correct
answer>>keeping the cord open to the air by folding the diaper down below the
cord.
Duodenal atresia is strongly suggested when the abdominal x-ray shows
- correct answer>>double-bubble sign.
During fetal life, the ductus arteriosus - correct answer>>diverts blood flow from
the pulmonary artery to the descending aorta.
,During pregnancy, maternal ingestion of goitrogenic substances such as
iodide or lithium may lead to which of the following endocrine
conditions? - correct answer>>Transient congenital hypothyroidism
During the process of hematopoiesis, the megakaryoblast matures to
which of the following cells? - correct answer>>thrombocytes (platelets)
During which phase of fetal pulmonary development do the type II
pneumocytes become numerous and begin to produce and store
surfactant? - correct answer>>Canalicular phase
Ebony is a 28 week gestation infant in the NICU on ventilatory support.
During a routine shift assessment, you find that the IV has infiltrated. After
application of hyaluronidase, you might consider which of the following
interventions? - correct answer>>Instilling multiple puncture holes with a 23
gauge needle.
Education for parents of a male neonate diagnosed with an X-linked recessive
single gene disorder would include - correct answer>>✓ all of his daughters will
be obligate carriers.
Education for the parents of a neonate diagnosed with phenylketonuria
(PKU) includes which of the following? - correct answer>>✓ A low
protein formula (diet) is necessary to avoid/ameliorate developmental
delay. Effects of excessive handling include all of the following - correct
answer>>disturbance of sleep inhibits healing, decreased secretion of
growth hormone, increased secretion of cortisol and adrenaline; fluctuations in
BP/cerebral boodflow (IVH); oxygen desats
Evidence that the psychological task of acknowledging guilt about the
birth of a 26-week gestational age neonate has become pathologic
, includes - correct answer>>not responding to the neonate's progress
because the infant represents failure.
Expected findings in a neonate born to a mother who received
magnesium sulfate in labor include - correct answer>>hypotonia.
Extravasation injury is more common when IV solutions containing
_________ are infused. - correct answer>>calcium
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment
containing 1% tetracycline or 0.5% erythromycin is usually administered
within the first few hours of birth to prevent an eye infection caused by
- correct answer>>gonorrhea.
Facilitated tucking is a strategy to decrease the pain sensation
experienced by preterm infants is to - correct answer>>flex the extremities and
hold them close to the trunk.
Fetal alcohol syndrome is the most serious form of fetal alcohol
spectrum disorder. Which is NOT TRUE about fetal alcohol syndrome? -
correct answer>>Fetal alcohol syndrome only happens if the mother is
an alcoholic.
Following a birth complicated by shoulder dystocia, the neonate should
be assessed for - correct answer>>Erb's palsy.
For an infant who is displaying signs of neonatal abstinence syndrome,
an accurate score assessment is best completed when? - correct
answer>>immediately after a feeding.
Function of erythrocyte - correct answer>>transports oxygen and carbon
dioxide
Function of granulocyte - correct answer>>infection response
