CCPR (19) Exam with accurate detailed answers ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Limited horizontal nystagmus resolves by: ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. 1-2 months of age
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
b. 2-3 months of age
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
c. 3-4 months of age - correct answer✔✔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% - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔b. inadequate calcium
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
and phosphorus intake ||\\|//|| ||\\|//||
The drug of choice when treating opioid withdrawal is:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. diazepam ||\\|//||
b. oral morphine
||\\|//|| ||\\|//||
c. pheobarbital - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔a. hyperviscosity
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A factor that would result in increased insensible water loss in neonates is:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. hypothermia
||\\|//||
b. phototherapy
||\\|//||
c. postmaturity - correct answer✔✔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 - correct answer✔✔c. port wine stain
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Limited horizontal nystagmus resolves by: ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. 1-2 months of age
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
b. 2-3 months of age
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
c. 3-4 months of age - correct answer✔✔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% - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔b. inadequate calcium
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
and phosphorus intake ||\\|//|| ||\\|//||
The drug of choice when treating opioid withdrawal is:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. diazepam ||\\|//||
b. oral morphine
||\\|//|| ||\\|//||
c. pheobarbital - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔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 - correct answer✔✔a. hyperviscosity
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
A factor that would result in increased insensible water loss in neonates is:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
a. hypothermia
||\\|//||
b. phototherapy
||\\|//||
c. postmaturity - correct answer✔✔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 - correct answer✔✔c. port wine stain
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
