NCC NNP EXAM PART 2 UPDATED EXAM
QUESTIONS AND CORRECT ANSWERS
100-200ml/kg/day - ANSWER-fluid requirement in 1st 48 hrs
<750g
<2500gm - ANSWER-LBW is defined as
<1500gm - ANSWER-VLBW is defined as
<1000gm - ANSWER-ELBW is defined as
HTN
Chromosomal abnormalies
Infection
Smoking - ANSWER-Reasons for SGA
Obesity
IDM - ANSWER-Reasons for LGA
2nd trimester
Caused by chromosomal or congenital anomalies - ANSWER-When and why does
Symmetric IUGR occur
3rd trimester
placental insufficiency - ANSWER-When and why does Asymmetric IUGR occur
10% - ANSWER-Max weight loss for term
10-15% - ANSWER-Max weight loss for preterm
10-15g/kg/day - ANSWER-average weight gain for <1kg
15-20g/kg/day - ANSWER-average weight gain for >1-2kg
25-35g/kg/day - ANSWER-average weight gain for >2kg
0.8-1.1cm/wk - ANSWER-Preterm length increase rate
0.66cm/wk - ANSWER-term length increase rate
0.6-1cm/wk - ANSWER-Preterm OFC increase rate
,0.5cm/wk - ANSWER-term ofc increase rate
stomach, mouth, and small intestine - ANSWER-where digestion occurs
small intestines - ANSWER-where absorption of nutrients occurs
lipase and bile salts - ANSWER-what breaks down fat
increase loss of H20 and NA - ANSWER-If no large bowel is present, what is lost
ileum - ANSWER-where are vitamins absorbed
Dueodenum and jejunum - ANSWER-Where most nutrients are absorbed
3.4kcal - ANSWER-Kcal of 1 gr CHO
4-6mg/kg/min - ANSWER-min GIR infusion
exceeds max glucose oxidation point and leads to fat synthesis and increased CO2
production - ANSWER-A GIR >12mg/kg/min can cause
reduced Ca intake
impaired PTH response
increased calcitonin
increased urinary loss - ANSWER-reasons for hypocalcemia after birth
phos is low - ANSWER-If calcium levels are high, then what happens to phos
cholestasis
metabolic bone disease
anemia - ANSWER-risks of tpn
amylase - ANSWER-enzyme that breaks down CHO
protein
calcium
phos - ANSWER-what does ebm have less of than formula
lactose - ANSWER-primary CHO in EBM
soy based - ANSWER-formula for galactacemia
HIV
HSV on breast
Cocaine use - ANSWER-Contraindications for Br feeding
80/20 then 60/40 - ANSWER-ratio of whey to casein
, fat - ANSWER-most variable part of breast milk
hyperchloremia - ANSWER-What does soy formulas cause
galactesemia
lactase deficiency
hypochloremia - ANSWER-soy formula is used in
stimulate hormones and gut maturation. mature small intestine motor activity -
ANSWER-Advantages for early enteral feedings
palmitic acid is in beta position - ANSWER-why is fat in breast milk well absorbed
decrease amt of lipase and bile salts - ANSWER-why is fat in EBM less absorbed in
premies
Hyperphosphatemia - ANSWER-feeding whole milk can cause
IgA - ANSWER-What gammaglobulin is excreted in EBM
stimulates osteoclasts - ANSWER-What does VitD do for a baby with osteopenia
Hypophosphatemia
hyponatremia
hypocalcemia - ANSWER-EBM can cause
Decrease AA in PN - ANSWER-What do you do with a serum protein of 5
200-250 - ANSWER-Upper threshold of Triglycerides
0.154 meq/ml - ANSWER-NS flush gives how much meq of NA in 1 ml
tracheomalacia - ANSWER-expiratory stridor
collapse of the trachea
Laryngeomalacia - ANSWER-stridor on inspiration
collapse of laryngeal ring
- ANSWER-
TTN - ANSWER-barrel shaped chest
tachypnea without distress
min o2 needs
mild resp acidosis
hyperexpansion
perihilar infiltrates
QUESTIONS AND CORRECT ANSWERS
100-200ml/kg/day - ANSWER-fluid requirement in 1st 48 hrs
<750g
<2500gm - ANSWER-LBW is defined as
<1500gm - ANSWER-VLBW is defined as
<1000gm - ANSWER-ELBW is defined as
HTN
Chromosomal abnormalies
Infection
Smoking - ANSWER-Reasons for SGA
Obesity
IDM - ANSWER-Reasons for LGA
2nd trimester
Caused by chromosomal or congenital anomalies - ANSWER-When and why does
Symmetric IUGR occur
3rd trimester
placental insufficiency - ANSWER-When and why does Asymmetric IUGR occur
10% - ANSWER-Max weight loss for term
10-15% - ANSWER-Max weight loss for preterm
10-15g/kg/day - ANSWER-average weight gain for <1kg
15-20g/kg/day - ANSWER-average weight gain for >1-2kg
25-35g/kg/day - ANSWER-average weight gain for >2kg
0.8-1.1cm/wk - ANSWER-Preterm length increase rate
0.66cm/wk - ANSWER-term length increase rate
0.6-1cm/wk - ANSWER-Preterm OFC increase rate
,0.5cm/wk - ANSWER-term ofc increase rate
stomach, mouth, and small intestine - ANSWER-where digestion occurs
small intestines - ANSWER-where absorption of nutrients occurs
lipase and bile salts - ANSWER-what breaks down fat
increase loss of H20 and NA - ANSWER-If no large bowel is present, what is lost
ileum - ANSWER-where are vitamins absorbed
Dueodenum and jejunum - ANSWER-Where most nutrients are absorbed
3.4kcal - ANSWER-Kcal of 1 gr CHO
4-6mg/kg/min - ANSWER-min GIR infusion
exceeds max glucose oxidation point and leads to fat synthesis and increased CO2
production - ANSWER-A GIR >12mg/kg/min can cause
reduced Ca intake
impaired PTH response
increased calcitonin
increased urinary loss - ANSWER-reasons for hypocalcemia after birth
phos is low - ANSWER-If calcium levels are high, then what happens to phos
cholestasis
metabolic bone disease
anemia - ANSWER-risks of tpn
amylase - ANSWER-enzyme that breaks down CHO
protein
calcium
phos - ANSWER-what does ebm have less of than formula
lactose - ANSWER-primary CHO in EBM
soy based - ANSWER-formula for galactacemia
HIV
HSV on breast
Cocaine use - ANSWER-Contraindications for Br feeding
80/20 then 60/40 - ANSWER-ratio of whey to casein
, fat - ANSWER-most variable part of breast milk
hyperchloremia - ANSWER-What does soy formulas cause
galactesemia
lactase deficiency
hypochloremia - ANSWER-soy formula is used in
stimulate hormones and gut maturation. mature small intestine motor activity -
ANSWER-Advantages for early enteral feedings
palmitic acid is in beta position - ANSWER-why is fat in breast milk well absorbed
decrease amt of lipase and bile salts - ANSWER-why is fat in EBM less absorbed in
premies
Hyperphosphatemia - ANSWER-feeding whole milk can cause
IgA - ANSWER-What gammaglobulin is excreted in EBM
stimulates osteoclasts - ANSWER-What does VitD do for a baby with osteopenia
Hypophosphatemia
hyponatremia
hypocalcemia - ANSWER-EBM can cause
Decrease AA in PN - ANSWER-What do you do with a serum protein of 5
200-250 - ANSWER-Upper threshold of Triglycerides
0.154 meq/ml - ANSWER-NS flush gives how much meq of NA in 1 ml
tracheomalacia - ANSWER-expiratory stridor
collapse of the trachea
Laryngeomalacia - ANSWER-stridor on inspiration
collapse of laryngeal ring
- ANSWER-
TTN - ANSWER-barrel shaped chest
tachypnea without distress
min o2 needs
mild resp acidosis
hyperexpansion
perihilar infiltrates
