CCPR (19)
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ANS -c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much
as:
a. 10-20%
b. 20-40%
c. 40-60% - ANS -b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ANS -b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ANS -b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
c. maintain cardiac output and blood pressure - ANS -c. maintain cardiac output and
blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ANS -b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
,c. have been over-treated with diuretics - ANS -c. have been over-treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ANS -b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ANS -c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is
characteristic of infection with:
a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ANS -b. listeria monocytogenes
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The
most likely cause of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. vitamin D deficiency due to malabsorption - ANS -b. inadequate calcium and
phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - ANS -b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best drug
to use in this situation is:
a. fentanyl
b. morphine
c. sufentanil - ANS -a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three
months after birth following surgery for a cardiac condition. The mother asks when the
next Hep b immunization should be given. The NP should advise that it be given at:
a. four months
b. six months
, c. twelve months - ANS -b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric,
lethargic, and has a blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most
likely diagnosis is:
a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ANS -a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ANS -b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the
neck. When pressure is applied to the birthmark, there is minimal blanching. This finding
is consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ANS -c. port wine stain
nevus simplex does blanch.
A neonate is born to a mother with a positive TB test but no signs of active disease.
Management of this neonate should include:
a. initiate medication therapy on mother and infant
b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed - ANS -b. no special
evaluation or therapy
The standard of care for neonatal nursing is judged according to the standard of care:
a. locally
b. nationally
c. regionally - ANS -b. nationally
Which of the following is a contraindication to breastfeeding?
a. maternal hepatitis B
b. maternal HIV
c. maternal HSV - ANS -b. maternal HIV
A newborn presents at birth with a palpable, distended bladder and poor urinary stream.
Based on these symptoms, which of the following renal defects should be considered?
a. polycystic kidney disease
b. posterior urethral valves
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ANS -c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much
as:
a. 10-20%
b. 20-40%
c. 40-60% - ANS -b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ANS -b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ANS -b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
c. maintain cardiac output and blood pressure - ANS -c. maintain cardiac output and
blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ANS -b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
,c. have been over-treated with diuretics - ANS -c. have been over-treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ANS -b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ANS -c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is
characteristic of infection with:
a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ANS -b. listeria monocytogenes
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The
most likely cause of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. vitamin D deficiency due to malabsorption - ANS -b. inadequate calcium and
phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - ANS -b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best drug
to use in this situation is:
a. fentanyl
b. morphine
c. sufentanil - ANS -a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three
months after birth following surgery for a cardiac condition. The mother asks when the
next Hep b immunization should be given. The NP should advise that it be given at:
a. four months
b. six months
, c. twelve months - ANS -b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric,
lethargic, and has a blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most
likely diagnosis is:
a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ANS -a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ANS -b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the
neck. When pressure is applied to the birthmark, there is minimal blanching. This finding
is consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ANS -c. port wine stain
nevus simplex does blanch.
A neonate is born to a mother with a positive TB test but no signs of active disease.
Management of this neonate should include:
a. initiate medication therapy on mother and infant
b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed - ANS -b. no special
evaluation or therapy
The standard of care for neonatal nursing is judged according to the standard of care:
a. locally
b. nationally
c. regionally - ANS -b. nationally
Which of the following is a contraindication to breastfeeding?
a. maternal hepatitis B
b. maternal HIV
c. maternal HSV - ANS -b. maternal HIV
A newborn presents at birth with a palpable, distended bladder and poor urinary stream.
Based on these symptoms, which of the following renal defects should be considered?
a. polycystic kidney disease
b. posterior urethral valves
