CCRN Neonatal
A 29 week gestation infant who displays symptoms of a pulmonary hemorrhage should be evaluated for
- patent ductus arteriosus.
A 38-week gestation neonate presents to the NICU with respiratory distress symptoms and anuria. On
physical examination, she is found to have hypertension, bilateral flank masses, and hypoplastic lungs.
The best diagnosis for this presentation is - polycystic kidney disease.
A 7-day-old neonate with an unremarkable hospital course who now presents with increasing episodes
of hypoglycemia, severe metabolic acidosis, recurrent vomiting, and high ammonia levels should be
evaluated for what disorder? - ✓ An inborn error of metabolism
A clinical feature commonly found in a neonate with Down syndrome is - hypotonia.
A common organism responsible for early onset sepsis is - E. coli. MOST common is GBS
A communicating hydrocephalus results from damage to the - arachnoid granulations. arachnoid
granulations over the surface of the brain
A deformation is a(n) - abnormality caused by unusual mechanical forces on normal tissue.
A deformation is a(n) - abnormality caused by unusual mechanical forces on normal tissue.
A discrepancy greater than 10 mm Hg between the blood pressure in the upper and lower extremities is
indicative of which defect? - Coarctation of the aorta
A fluid accumulation in the dermal layer of the skin would be described as a - wheal.
A full term neonate who presents at six hours of age with increasingly labile oxygenation that appears
disproportionate to the pulmonary disease should be evaluated for - pulmonary hypertension of the
newborn.
,CCRN Neonatal
A GI series may reveal a "transition zone" in which of the following clinical conditions? - Hirschprung's
disease
A hemorrhage associated with birth trauma that does NOT cross suture lines is called a -
cephalohematoma.
A low birth weight infant's temperature increases during skin-to-skin care. This is an example of heat
transfer by - conduction.
A meconium plug is associated with of the following conditions? - Uncontrolled maternal diabetes
A mother is concerned regarding the safety of her medications and breastfeeding. What is the best
nursing intervention to reassure and support the woman's breastfeeding goals? - Find information on
the safety of the medications while breastfeeding to share with her.
A neonate at 10 hours of age is found to be cyanotic and without respiratory distress symptoms. The
EKG and chest x-ray are normal. The administration of oxygen is not relieving the cyanosis. The
healthcare provider should have a high index of suspicion for which of the following defects? -
Transposition of the great vessels
A neonate at 12 hours of life with meconium aspiration syndrome who has been intubated since birth
suddenly develops severe respiratory distress, tachycardia, and hypotension. Which diagnosis would be
least likely to be in the differential? - Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the following? - Tachypnea, thrombocytopenia,
hypoglycemia
A newborn's maternal history includes oligohydramnios sequence. What might be an expected finding
on physical exam? - Compressed facial features potter's sequence;bilateral renal agenesis, atresia of the
ureter or urethra, polycystic or multicystic kidney disease, renal hypoplasia, amniotic rupture, maternal
hypertension/pre-e
A non-pharmacologic intervention that modulates the transmission or processing of nociception through
mediation by the endogenous nonopioid system is - Non nutritive sucking; sweet tasting solutions
, CCRN Neonatal
A papule is defined as a - solid, elevated lesion with distinct borders less than 0.5 cm in size. solid or fluid
filled lesions that are elevated with distinct borders; less than 1 cm in diameter
A post-op infant is exhibiting tachycardia, oxygen desaturations, and elevated blood pressure. She
received a dose of Fentanyl 1.5 hours ago. Which of the following is the MOST appropriate action? -
Reposition the infant with arms and legs flexed.
A preterm birth may delay the following steps of attachment from occurring EXCEPT - accepting the
pregnancy.
A priority of management for the neonate diagnosed with polycystic kidney disease is - treatment of
systemic hypertension. monitoring and treatment of hypertension, nephrectomy sometimes indicated,
peritoneal dialysis
A right-to-left shunt will be seen with - pulmonary stenosis.
A sign that parents are experiencing acute stress disorder includes - having flashbacks of the trauma.
A subgaleal hemorrhage is treated as a medical emergency because - large blood loss may lead to
hypovolemic shock.
According to the AAP, intubation attempts should be limited to ______seconds. - 30 seconds
According to the Synactive Theory of Development, the autonomic subsystem is responsible for which of
the following? - Regulating cardiopulmonary activity regulates cardiopulmonary activity, GI peristalsis,
peripheral skin blood flow
All late preterm infants are at risk for hypoglycemia due to which of the following? - Impaired ability to
generate glucose from glycogen stores and increased glucose utilization
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