©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP III Exam 1 Questions and Answers
100% Pass | Graded A+
Which of the following infants is at lowest risk for hypoglycemia: - ✔✔41-
week infant with club foot deformity
What is the presumed cause of macrosomia in the infant of a diabetic
mother? - ✔✔Maternal hyperglycemia and hyperaminoacidemia, resulting
in fetal hyperinsulinemia
An extremely premature infant nearing discharge has an elevated alkaline
phosphatase level. What should the nurse include in discharge education?
- ✔✔Handle the infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed
to have which condition until proven otherwise? - ✔✔Congenital
hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What
physiologic consequence should the nurse be concerned about? -
✔✔Osmotic diuresis
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
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? -
✔✔SEPSIS
A term infant is born with a large goiter. What nursing intervention is
indicated: - ✔✔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? -
✔✔Lethargy and apnea
The XX virilization of the neonate, the most common cause of ambiguous
genitalia, is a result of which of the following: - ✔✔Congenital adrenal
hyperplasia
Which of the following findings on assessment of external genitalia should
prompt further investigation for possible ambiguous genitalia? - ✔✔Inguinal
hernia in a female
The parents of a baby born with ambiguous genitalia are still awaiting test
results to determine the sex of their infant. Which of the following
interventions by the nurse would be most helpful during this time? -
✔✔Arranging a meeting with a knowledgeable mental health professional
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
One of the most important physiologic effects of thyroid hormones is: -
✔✔Support during critical periods of brain development
When providing discharge education to parents of an infant who will
continue receiving levothyroxine at home, the nurse should include which
of these instructions: - ✔✔Laboratory samples are expected to be drawn at
frequent intervals
Maternal graves disease, particularly if inadequately treated, places the
neonate at risk for which of the following: - ✔✔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: - ✔✔ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. The mother
reports the diaper smells sweet. Laboratory results include increased levels
of plasma branched chain amino acids, metabolic acidosis and ketonuria.
What disease process is likely occurring? - ✔✔Maple syrup urine disease
Which of the following is the best explanation for how hyperglycemia is
treated in extremely low birth weight infant? - ✔✔Maximize IV fluid volume
NNP III Exam 1 Questions and Answers
100% Pass | Graded A+
Which of the following infants is at lowest risk for hypoglycemia: - ✔✔41-
week infant with club foot deformity
What is the presumed cause of macrosomia in the infant of a diabetic
mother? - ✔✔Maternal hyperglycemia and hyperaminoacidemia, resulting
in fetal hyperinsulinemia
An extremely premature infant nearing discharge has an elevated alkaline
phosphatase level. What should the nurse include in discharge education?
- ✔✔Handle the infant as carefully as possible
An infant with a low thyroxine level and an elevated TSH level is presumed
to have which condition until proven otherwise? - ✔✔Congenital
hypothyroidism
A 600gram neonate has a blood glucose level of 195mg/dl. What
physiologic consequence should the nurse be concerned about? -
✔✔Osmotic diuresis
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
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? -
✔✔SEPSIS
A term infant is born with a large goiter. What nursing intervention is
indicated: - ✔✔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? -
✔✔Lethargy and apnea
The XX virilization of the neonate, the most common cause of ambiguous
genitalia, is a result of which of the following: - ✔✔Congenital adrenal
hyperplasia
Which of the following findings on assessment of external genitalia should
prompt further investigation for possible ambiguous genitalia? - ✔✔Inguinal
hernia in a female
The parents of a baby born with ambiguous genitalia are still awaiting test
results to determine the sex of their infant. Which of the following
interventions by the nurse would be most helpful during this time? -
✔✔Arranging a meeting with a knowledgeable mental health professional
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
One of the most important physiologic effects of thyroid hormones is: -
✔✔Support during critical periods of brain development
When providing discharge education to parents of an infant who will
continue receiving levothyroxine at home, the nurse should include which
of these instructions: - ✔✔Laboratory samples are expected to be drawn at
frequent intervals
Maternal graves disease, particularly if inadequately treated, places the
neonate at risk for which of the following: - ✔✔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: - ✔✔ABD ultrasound
A 3-day old term newborn has poor feeding, vomiting lethargy. The mother
reports the diaper smells sweet. Laboratory results include increased levels
of plasma branched chain amino acids, metabolic acidosis and ketonuria.
What disease process is likely occurring? - ✔✔Maple syrup urine disease
Which of the following is the best explanation for how hyperglycemia is
treated in extremely low birth weight infant? - ✔✔Maximize IV fluid volume
